NR226 Exam 3

Question 1

High priority

Answer 1

an immediate threat to a patient’s survival or safety (loss of consciousness, obstructed airway)

Question 2

Intermediate priority

Answer 2

non-emergency, non-life threatening actual or potential needs that the patient and family members are experiencing

Question 3

Low priority

Answer 3

actual or potential problems that are not directly related to the patient’s illness or disease

Question 4

Primary nursing

Answer 4

one primary nurse assumes responsibility for a caseload of patients

Question 5

Total patient care

Answer 5

RN is responsible for all aspects of care for one or more patients during a shift of care

Question 6

Functional nursing

Answer 6

each person is assigned specific functions performed for all patients

Question 7

Case management

Answer 7

collaborative process of assessing, planning, facilitating, and advocating for options and services to meet an individual’s health needs

Question 8

Team nursing

Answer 8

RN leads team of other RNs, practical nurses, and unlicensed assistive personnel

Question 9

SBAR

Answer 9

Situation Background Assessment Recommendation

Question 10

Zones of personal space

Answer 10

18” to 4’

Question 11

Major surgery

Answer 11

poses great risk to well-being, extensive reconstruction or alteration in body parts

Question 12

Minor surgery

Answer 12

involves minimal alteration in body parts (tooth extraction)

Question 13

Elective surgery

Answer 13

performed on basis of patient’s choice (plastic surgery)

Question 14

Urgent surgery

Answer 14

necessary for patient’s health; often prevents additional problems from developing (removal of gallbladder)

Question 15

Emergency surgery

Answer 15

must be done immediately to save life or preserve function of body part

Question 16

Diagnostic surgery

Answer 16

surgery to confirm diagnosis

Question 17

Ablative surgery

Answer 17

excision or removal of diseased body part (appendectomy)

Question 18

Palliative surgery

Answer 18

relieves or reduces intensity of disease symptoms (doesn’t produce cure)

Question 19

Reconstructive/Restorative Surgery

Answer 19

restores function or appearance to traumatized or malfunctioning tissues

Question 20

Procurement for transplant

Answer 20

removal of organs and/or tissues from a person pronounced brain dead fro transplantation

Question 21

Constructive surgery

Answer 21

restores function lost or reduced as a result of congenital anomalies (cleft palate)

Question 22

Cosmetic surgery

Answer 22

performed to improve personal appearance

Question 23

Malignant hyperthermia

Answer 23

life-threatening complication of anesthesia

Question 24

General anesthesia

Answer 24

loss of all sensation and consciousness; greatest risk of side effects

Question 25

Regional anesthesia

Answer 25

loss of sensation in one area of the body

Question 26

Local anesthesia

Answer 26

loss of sensation at a site using lidocaine

Question 27

Conscious sedation/moderate sedation

Answer 27

used for procedures that do not require complete anesthesia

Question 28

Time Out

Answer 28

all members of the surgical team participate before incision is made; Right Patient, Right Procedure, Right Site are all verified

Question 29

Role of circulating nurse

Answer 29

must be RN in order to push meds and/or blood, monitors sterile technique, operates nonsterile equipment

Question 30

Role of scrub nurse

Answer 30

RN, LPN, or surgical tech; maintains sterile field, hands instruments and other sterile supplies to the surgeon, counts sponges & instruments

Question 31

Aldrete score

Answer 31

objective scoring system that identifies patients that are ready for discharge from PACU

Question 32

Gate control theory of pain

Answer 32

pain impulses pass through when a gate is open and are blocked when a gate is closed

Question 33

Visceral pain

Answer 33

internal organ pain

Question 34

Somatic pain

Answer 34

musculoskeletal pain

Question 35

Peripherally generated pain

Answer 35

pain felt along the distribution of many peripheral nerves (diabetic neuropathy)

Question 36

Centrally generated pain

Answer 36

injury to either the peripheral or central nervous system (phantom pain)

Question 37

Physical dependence

Answer 37

A state of adaptation that is manifested by a drug class specific withdrawal syndrome produced by abrupt cessation

Question 38

Addiction

Answer 38

a primary, chronic, neurobiological disease with genetic, psychosocial, and environmental risk factors influencing its development and manifestations

Question 39

drug tolerance

Answer 39

a state of adaptation in which exposure to a drug induces changes that result in diminution of one or more effects of the drug over time

Question 40

narcolepsy

Answer 40

dysfunction of mechanisms that regulate sleep and wake states, excessive daytime sleepiness

Question 41

cataplexy

Answer 41

sudden muscle weakness during intense emotions such as anger, sadness, or laughter, occurs at any time during the day.

Question 42

parasomnias

Answer 42

disorders of arousal

Question 43

somnambulism

Answer 43

sleepwalking

Question 44

bruxism

Answer 44

teeth grinding

Question 45

sleep apnea

Answer 45

lack of air flow through nose/mouth for periods of 10 sec or longer

Question 46

High enemas

Answer 46

cleanse the entire colon

Question 47

low enemas

Answer 47

cleanse only the rectum and sigmoid colon