Test 1

Question 1

What is clinical judgment?

Answer 1

taking into account all aspects of a patients information in order to make a decision

Question 2

What is critical thinking?

Answer 2

Knowing that everyone has allergies but they will all react in a different way

Question 3

Identify critical thinking indicators

Question 4

evaluate the relationship between clinical judgement and nursing process

Question 5

Discuss the 5 aspects of ADPIE

Answer 5

Assessment
Diagnosis
Planning
Implement
Evaluation

Question 6

What is SMART

Answer 6

Specific
Measurable
Attainable
Realistic
Timely

Question 7

How do you determine appropriate NANDA nursing diagnoses and prioritize them

Question 8

What is the lowest level to the highest level of Maslow’s Hiearchy

Answer 8

physology needs
needs for saftey and security
needs for love and belonging
self-esteem needs
self actualization

Question 9

Identify and discuss phases of patient interview

Answer 9

Orientation
Working
Termination

Question 10

What is primary data?

Answer 10

Something directly from the pateint

Question 11

What is secondary data?

Answer 11

A chart, lab result

Question 12

What do you do during the inspection phase of an assessment?

Answer 12

Using vision to inspect the patient

Question 13

What do you do during the palpation phase of an assessment?

Answer 13

use touch to acess the patient

Question 14

What do you do during the ausculation phase of an assessment?

Answer 14

Listening to sounds using your stetoscope

Question 15

What do you do during a skin assessment?

Answer 15

Check skin color
Skin integrity

Question 16

What is primary lesions and their descriptions

Answer 16

A type of somehting on your skin that has formed

Question 17

Normal vs abnormal nail assessment

Answer 17

Capillaries refill within 3 seconds
nail shape is normal

Question 18

Review head,ears,eyes,nose & throat assessment

Answer 18

No lumps bumps on head
PERRLA eyes
No excess drainage ears
nose septum is midline
trachea is midlime

Question 19

Identify adventitious breath sounds with the description and their location

Answer 19

Crackles-pneumonia
Rhonchi-harsh gurgling
Wheezing- high pitched whisteling
Stridor-high pitched musical sound on inspriation

Question 20

Describe auscultation of the heart

Answer 20

heart sounds/rate/rhythm
pulse deficit
cardiac murmors

Question 21

Where is Erb’s Point located?

Answer 21

third intercostal space left side of the sternal border

Question 22

Where is the Tricuspid valve located?

Answer 22

fourth intercostal space left side of the sternal border

Question 23

Where is the pulmonary valve located

Answer 23

second intercostal space left of the sternal border

Question 24

Where is the aortic valve located?

Answer 24

second intercostal space right of the sternal border

Question 25

Where is the Mitral valve located?

Answer 25

middle under the nipple

Question 26

How do you preform a peripheral vascular assessment, and what are the locations?

Answer 26

Inspection and palpation of peripheral pulses.

Question 27

Describe the abdominal assessment and what order.

Answer 27

1. Inspection 2. Ausculation 3. Palpation

Question 28

Explain EMR and HIPAA

Answer 28

EMR is a medical record and HIPAA ensures that you have privacy of your information

Question 29

Describe how to properly document in a medical record

Answer 29

Be clear and specfic and write it like a narrative-like you are telling a story

Question 30

Understand verbal and telephone orders

Answer 30

Usually only happens in an emergency must be taken by an RN Must put order in immediately Must document it as a phone/verbal order includes date, time, physicians name, and RN signature

Question 31

What is SBAR?

Answer 31

Situation Background Assessment Reccomendation

Question 32

What should be included a flow sheet?

Question 33

What should be included in a charting by exception?

Answer 33

Abnormal or exception to normal things

Question 34

What is the normal heart rate range

Answer 34

60-100

Question 35

Name situations that would require a vital sign assessment

Answer 35

all unless the doctor states otherwise

Question 36

What are factors that can influence body temperature

Question 37

What are different tools for assessing body temperature

Question 38

S/S of a fever

Answer 38

Anorexia increased heart rate increased breathing Headache hot, dry skin flushing thirst shivering complaints of feeling cold sweating cyanotic nail beds

Question 39

Where is the popiteal pulse located?

Answer 39

behind the knee

Question 40

Where is the carotid pulse

Answer 40

neck

Question 41

where is the brachial pulse

Answer 41

inner elbow

Question 41

where is the radial pulse

Answer 41

wrist

Question 42

Where is the femoral pulse

Answer 42

femor

Question 43

Where is the posterior tibial pulse

Answer 43

ankle

Question 44

Where is the dorsalis pulse

Answer 44

top of foot

Question 45

Where is the apical pulse

Answer 45

5th intercostal space left midclavicular line below the nipple

Question 46

Explain the physiology and regulation of breathing and ventilation

Answer 46

your brain tells you to breathe you do not have to think about it

Question 47

What is tachypnea

Answer 47

fast breathing

Question 48

What is eupnea

Answer 48

regular breathing

Question 49

What is bradypnea

Answer 49

slow breathing

Question 50

What is apnea

Answer 50

no breathing

Question 51

What is hypertension vs hypotension

Answer 51

hyper- high hypo-low

Question 52

What factors contribute to blood pressure

Answer 52

Age, weight, gender

Question 53

Droplet Precautions

Answer 53

Flu, Pneumonia

Question 54

Contact Precautions

Answer 54

MRSA, C-Diff

Question 55

Airbone Precautions

Answer 55

Chicken pox, TB

Question 56

What is medical asepsis

Answer 56

freedom from and prevention of disease-causing Example: washing hands before surgery

Question 57

What is the ability to focus and filter clinical data and to recognize what is important or least important

Answer 57

clinical reasoning

Question 58

What are types of formatted charting

Answer 58

PIE ADPIE SOAP DAR

Question 59

The ability to express ideas and concerns to other members of the team while respecting the thought of others

Answer 59

assertiveness

Question 60

What does CUS communication stand for?

Answer 60

concern uncomfortable saftey

Question 61

Where is the temporal pulse

Answer 61

head

Question 62

What is normal SBP

Answer 62

100-120

Question 63

What is normal DBP

Answer 63

60-80

Question 64

What is normal temperature

Answer 64

97.6-99.5

Question 65

What is normal oxygen saturation

Answer 65

95-100

Question 65

How many respirations are normal

Answer 65

12-20

Question 66

What is the pain scale

Answer 66

0-10

Question 67

Why are vital signs taken

Answer 67

to monitoe the functioning of body systems detect changes in health status of the patient identity early warning signs evaluate the effectiveness of interventions

Question 68

What does EMR stand for

Answer 68

Electronic health record

Question 69

What does CPOE stand for

Answer 69

computerized provider order entry

Question 70

What happens during the S in SBAR

Answer 70

Situation indetify yourself and the facility/site you are calling from, Name and DOB of patient symptm onset and severity

Question 71

What happens during B in SBAR

Answer 71

Background Date/time of admission, admitting diagnosis, relevent medical history, lab results,notible chnages

Question 72

What happens during A in SBAR

Answer 72

Assessment suspected underlying cause or concerns

Question 73

What happens during R in SBAR

Answer 73

Reccomendations reccomendation and expectation, be clear and specific about urgency of request and expected timeframe

Question 74

What is chicken pox

Answer 74

vesicle

Question 75

What is hives

Answer 75

wheal