Quizzes Flashcards

1
Q

True or false. An example of a helpful accurate nursing note is: “The patient appears to be resting more comfortably today then yesterday”

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Computer-based records, or blank health records, allow data to be distributed among many caregivers in a standardized home

A

electronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In a source-orientated record, nurses include information caregivers of achievement toward patient goals a narrative format called a what?

A

progress note

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The blank record is a form used to record specific patient variables such as pulse, respiratory rate, BP, weight, fluid intake

A

graphic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Quality process review recognizes the blank is the primary source of evidence used to continously measure performance outcome against predetermined standards

A

documentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T or F. When recieving a verbal order, the registered professional nurse should ask for a read back from the medical provider

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The major cause of tooth loss in adults older than 35 years of age is gum disease. T or F

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Glossitis refers to an inflammation of the tongue, which can be caused by defiencies of vitamin B12, folic acid, and iron

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is used regularly by health care institutions as a measure for reducing colonization of skin pathogens?

A

bathing with chlorhexidine gluconate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T or F. Culture, socioeconomic status, and spiritual practices often influence a person’s bathing habits.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a term used to describe lice that has infested the hair and scalp?

A

pediculus humanus capitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What oral health problem involves an ulceration and dry scaling of the lips with fissure at the angles of the mouth?

A

cheilosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

T or F. the personal hygiene habits of the nurse do not play a role in supporting patient hygiene.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Patients with extreme obesity are at greater risk of skin damage due to what?

A

moisture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T or F. When assisting with a tub bath or shower, the nurse should keep the bathroom door unlocked

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What term refers to an offensive breath odor often indicative of a systemic disorder?

A

halitosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

T or F. The most common symptom of pinworm infection in perianal itching because adult pinworms migrate during the night to deposit eggs

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

T or F. The valsalva maneuver may be contraindicated in people with cardiovascular problems bc it increases blood flow to the atria and ventricles, temporarily increasing cardiac output

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

T or F. Intestinal bacteria must be completely removed to prevent the development of C. difficile, a health care associated infection that is resistant to treatment and highly contagious

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which of the following would not be included in a teaching plan for the promotion of healthy bowel habits?
encourage upright position when defacting
encourage low fiber diet
encourage regular exercise
encourage fluid intake of 2,000 to 3,00 ml/day

A

encourage regular exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

T or F. An ileostomy allows liquid fecal content from the ilieum of the small intestine to be eliminated through a stoma.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which of the following is a diagnostic stool test used to specifically detect bleeding in the lower gi tract?
guiaic fecal occult blood test
occult blood test
stool culture
fecal immunochemical test

A

fecal immunochemical test

23
Q

Bleeding low in the intesinal tract or from inflamed hemorrhoids or fissures can result in the presence of:

A

red-colored stool

24
Q

Which of the following commonly used enema solution takes approximately 30 minutes to take effect?
oil
soap
tap water
phosphate

A

oil

25
Q

T or F. When assessing the abdomen, it is not necessary to auscultate in all four quadrants?

A

True

26
Q

The function of this part of the digestive tract to secrete enzymes that digest proteins and carbohydrates.

A

small intestine

27
Q

Nutritional concerns of this age group include loss of lean body mass, periodontal disease, loss of taste.
school aged children
adolescents
adutls
older adults

A

older adults

28
Q

T or F. Carbohydrates are more easily and quickly digested than protein and fat.

A

True

29
Q

Patients with diabetes would likely be placed on which of the following diets?
renal diet
consistent-carbohydrate diet
high fiber diet
sugar restricted diet

A

consistent-carbohydrate diet

30
Q

T or F. A nasogastric or nasointestinal route is usually selected when nutritional support is needed for 4 to 8 weeks

A

false

31
Q

Of the six classes of nutrients which of the following is important for the regulation of body processes?
protein
carbs
water
lipid

A

water

32
Q

When nutrition is provided intravenously, bypassing the gastrointestinal tract for patients who are unable to take fluid orally, it is referred to as:
parenteral nutrition
enteral nutrition
jejunostomy nutrition
NG nutrition

A

parenteral nutrition

33
Q

T or F. Anorexia refers to a disorder characterized by intentional self-starvation or self induced vomiting.

A

False

34
Q

Which of the following represents an individual who is considered a healthy weight?
19
18
25
30

A

19

35
Q

Consumption of fats and cholesterol is necessary for support of brain health and the production of vitamin D

A

true

36
Q

T or F. The centers for disease control lists suicide as the number one cause of death for adolescents

A

false

37
Q

What would be considered a risk factor within the social environment

A

drug or alcohol abuse

38
Q

T or F. Teenagers btwn ages 16 to 19 years old are three times more likely to be a fatal crash than drivers older than age 20

A

true

39
Q

What is the most effective method used to prevent absorption of an ingested toxin

A

ingestion of activated charcoal

40
Q

T or F. Factors that put children most at risk for exposure to toxic substances including dosing errors, confusing the units of medication measurement, or using medication dispensing cups incorrectly

A

false

41
Q

T or F. Childproofing the home is an important safety precaution which should be initiated at the toddle stage

A

false

42
Q

After a concussion, the nurse teaches the patient to avoid what?

A

sleeping

43
Q

The leading cause of preventable injury death for infants younger than 1 is mechanical suffocation caused by what?

A

soft bedding

44
Q

A patient is taking two prescription medications that both cause bradycardia. The nurse should monitor the patient for which type of effect?
An increased adverse effect
An increased therapeutic effect
A reduced adverse effect
A reduced therapeutic effect

A

An increased adverse effect

45
Q

Which individual is at the highest risk for a drug-drug interaction?
An adult who takes eight prescription medications for a chronic condition
An adolescent who takes over-the-counter medications for menstrual cramping
A toddler who is prescribed two antibiotics for a serious infection
An older adult who takes two prescription medications and a dietary supplement for anxiety

A

An adult who takes eight prescription medications for a chronic condition

46
Q

The nurse cares for a patient who is taking a calcium channel blocker for hypertension. The nurse should be most concerned if the patient makes which statement?
“I avoid foods such as broccoli and cabbage.”
“I drink a glass of grapefruit juice each evening.”
“I take my medication with a glass of water.”
“I eat foods high in fiber to prevent constipation.”

A

“I drink a glass of grapefruit juice each evening.”

47
Q

A patient is prescribed a medication to be taken on an empty stomach. Which statement should the nurse include when providing patient teaching?
“Take the medication 1 hour before eating.”
“Take the medication 1 hour after a meal.”
“Take the medication with a small glass of water.”
“Take the medication before going to bed at night.”

A

“Take the medication 1 hour before eating.”

48
Q

Which patient does the nurse identify as being at highest risk for the development of an adverse drug reaction?
A 54-year-old patient with multiple sclerosis who has been enrolled in a clinical trial of a new drug
A 16-year-old patient with multiple traumatic injuries who is taking morphine and an antibiotic
A 1-month-old patient whose mother has allergies to penicillin, aspirin, and codeine
An 84-year-old patient with diabetes, heart failure, and hypertension who takes seven prescription medications each day

A

An 84-year-old patient with diabetes, heart failure, and hypertension who takes seven prescription medications each day

49
Q

A patient is prescribed a medication that is potentially hepatotoxic. Before administering the medication, it is most important for the nurse to assess what?
Prolonged QT interval on the electrocardiogram
Blood urea nitrogen and serum creatinine
Aspartate aminotransferase and alanine aminotransferase
Serum potassium, serum sodium, and serum magnesium

A

Aspartate aminotransferase and alanine aminotransferase

50
Q

The healthcare provider writes a medication order that the nurse cannot read. What should the nurse do?
Check with the patient to determine the correct medication.
Discuss the order with the pharmacist.
Consult with the charge nurse to verify the order.
Contact the prescriber to clarify the order.

A

Contact the prescriber to clarify the order.

51
Q

The nurse reviews a patient’s admission orders written by the healthcare provider. Which medication order should the nurse question?
MSO4 2.0 mg IV every 2 to 4 hours as needed for pain
Enoxaparin 40 mg subQ every day for 7 days
Cyanocobalamin 100 mcg intramuscularly every month
Levothyroxine 75 mcg orally every morning

A

MSO4 2.0 mg IV every 2 to 4 hours as needed for pain

52
Q

A patient is given a drug for the first time and develops shortness of breath. The patient’s heart rate is 76 beats/min, the respiratory rate is 20 breaths per minute, and the blood pressure is 120/70 mm Hg. The nurse checks a drug administration manual to make sure the correct dose was given and learns that some patients taking the drug experience shortness of breath. The nurse will contact the provider to report what?
An iatrogenic response
A side effect
An allergic reaction

A

A side effect

53
Q
A