CE skills review questions Flashcards
(25 cards)
what does the acronym PQRSTU stand for?
P – Provocative/Palliative
What causes the symptom? What makes it better or worse?
Q – Quality/Quantity
What does the symptom feel like? (e.g., sharp, dull, burning, stabbing)
R – Region/Radiation
Where is the symptom located? Does it spread anywhere?
S – Severity Scale
How severe is it on a scale of 0–10?
T – Timing
When did it start? How long does it last? How often does it occur?
U – Understanding (or You)
What do you think is causing it? How is it affecting you?
what vital sign does the acronym PQRSTU assess?
pain, the fifth VS
what is the right sequence for conducting an abdominal assessment?
inspection, auscultation, percussion, palpation
You noticed the nurse is about to perform an IV insertion for a patient. You have checked the patient’s chart to confirm that the physician has written an order to start IV therapy. The goals of IV therapy include all the following except:
a) Administration of medication and all blood products
b) Partial parenteral nutrition
c) Blood sample collection
d) Increasing intravascular volumes
c) Blood sample collection
True or False: At Osler, it is in the policy that the primary nurse is required to complete an IV assessment every 24hrs.
False?
You are caring for a patient on continuous NG feeding. Which among these are not
an indication for enteral feeding.
a) Patient who cannot eat orally
b) Patient who has an increased caloric needs
c) Patient who is on bowel rest
d) Patient who refuses feed due to neurological impairment
c) Patient who is on bowel rest
You are performing your safety checks at the beginning of the shift. Which
among the following needs to be immediately reported to the primary nurse
for a patient on continuous NG feeding?
a) Patient’s head of bed elevated to 30 degrees
b) Patient has signs of respiratory distress
c) Patient has skin breakdown at the NG tube insertion site
d) You see the water flush infusing instead of the feed
b) Patient has signs of respiratory distress
True or False:
Catheterization should only be done when there is specific
and adequate clinical indication
True
Congratulations, you have completed your first catheter removal with your
primary nurse at the bedside. What is your next step in post-catheter
removal care?
a) Wash perineal with warm soapy water, sterile gloves
b) Clean from rectum to periarea, use clean gloves
c) Use clean gloves; wash perineal with warm soapy water
d) Use clean gloves, cool soapy water
c) Use clean gloves; wash perineal with warm soapy water
The Primary nurse of the patient that you are caring for asks you to gather the equipment for the removal of a urinary catheter for Mrs. Tom. What equipment
would you gather?
a) Gloves, forceps, cotton balls
b) Empty 10cc syringe, gloves, kidney basin, lubricant
c) Liner, empty 10cc syringe, gloves
d) 10cc prefilled syringe, gloves, urine specimen collection hat
c) Liner, empty 10cc syringe, gloves
Which among the following is not a
component of Braden assessment tool?
a) Sensory perception
b) Mobility
c) Comorbidities
d) Friction and shear
c) Comorbidities
A newly hired extern is discussing wound healing with you. Which statement by
the extern about the granulation tissue is correct?
a) Granulation tissue on wound surface is an indication of delayed wound
healing
b) Granulation tissue is red or pink in color
c) No external factors can influence the granulation tissue on a wound bed
d) The best solutions to wash a wound with granulation tissue is alcohol &
povidone iodine
b) Granulation tissue is red or pink in color
After the skills day at William Osler, you figured out that abnormal side effects of
oral suctioning includes all except,
a) Bloody sputum
b) Pleural Effusion
c) Hypoxia
d) Increased breathing difficulties
b) Pleural Effusion – a buildup of fluid in the pleural space AROUND THE LUNGS, not the airway. suctioning shouldn’t even get to as deep as the lungs!
Suctioning is a procedure that can cause
splashing of body fluids.
a) True
b) False
True
You are now assessing Mr. Harvey who has a trach. What are your responsibilities as a Clinical Extern caring for a patient with a tracheostomy? All are true except?
a) Respiratory Assessment
b) Assisting the PSW with tying the trach
c) Monitor & assess trach site and ties (alert nurse with
concerns)
d) Documentation
b) Assisting the PSW with tying the trach – a PSW should NOT be tying it, only the nurse or RT should
The primary nurse is about to suction a patient with a tracheostomy. She asked you
the Clinical Extern, “What is not an indication for suctioning?” (Select all that apply)
a) Pulse oximetry 89%
b) Secretions are visible
c) Stable respiration and heart rate
d) Regular breathing pattern
e) Patient requests suctioning
f) Patient’s history of COPD
c) Stable respiration and heart rate
d) Regular breathing pattern
f) Patient’s history of COPD
Which among the following is not an indication for chest tube insertion?
a) Hemothorax
b) Chylothorax
c) Pericardial effusion
d) Thoracic surgery
c) Pericardial effusion
The oscillation (rise and fall) of water in the water seal chamber of a
chest drainage system is called,
a) Normal bubbling
b) Abnormal bubbling
c) Tidaling
d) A sign of air leak
c) Tidaling – occcures with inspiration and expiration
What are some complications related to chest tubes?
- infection
- respiratory distress, if dislodged, blockage, lung collapse
- pneumothorax if air leaks into pleural space during insertion or disconnection
- tension pneumothorax is tube is blocked, trapping air
*tube dislodgement - obstructions
What is an Ostomy?
*Surgical opening created in the body – usually the abdomen
* Intended to allow waste to exit, should the body not be able to bc of:
*illness
*injury
*surgery
Ileostomy vs ileal conduit?
- illeostomy diverts stool
- ileal conduit diverts urine by redicrecting it from the bladder through an opening of a piece of intestine
What position should you place the patient in when changing an ostomy appliance?
supine or semi fowlers
Is the patient able to shower with the stoma appliance?
Yes/True
Patients with an ostomy anywhere in the colon can perform bowel
training. True or False?
a) True
b) False
b)False – only stool from the descending or sigmoid colon can be irrigated since the stool there is more formed, and the colon still has some of it’s normal timing functions around there
