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NURS 1871: Fundamentals of Nursing FINAL EXAM REVIEW Questions with Correct Answers
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NURS 1871: Fundamentals of Nursing FINAL EXAM REVIEW Questions with Correct Answers
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NURS 1871: Fundamentals of Nursing FINAL EXAM REVIEW Questions with Correct AnswersWhat is the nursing process? Correct Answer-ADPIE
Assess: gather information about the patient's condition Diagnose:
identify the patient's problems
Plan:
plan care and desired outcomes and identify appropriate nursing actions
Implement:
perform the nursing actions identified in planning Evaluate:
determine if goals and expected outcomes are achieved
Subjective data Correct Answer-patients' verbal descriptions of their health problems
patient feelings, perceptions, and self-reported symptoms Objective data Correct Answer-Findings resulting from direct
observation
When you collect objective data, apply
critical thinking intellectual standards so that you can correctly interpret your findings.
PQRST Correct Answer-Palliative
Quality
Region
Severity
Time
SBAR Correct Answer-Situation
Background
Assessment Recommendation
Wheal Correct Answer-an irregularly shaped, superficial localized edema that varies and is caused by a hive or mosquito bite
Papule Correct Answer-a palpable, solid elevation in the skin like an elevated nevus
Macule Correct Answer-a flat, nonpalpable change in skin color like freckles or petechiae
Petechiae Correct Answer-pinpoint, round spots that appear on the skin as a result of bleeding
Pustule Correct Answer-a circumscribed elevation on the skin that is filled with pus and may be caused by a staphylococcal infection or acne
Papilla Correct Answer-small rounded protuberance on a part or
organ of the body
Factors that contribute to pressure injuries Correct Answer-- Impaired sensory perception
- Alteration in LOC
- Shear - Friction
- Moisture
- Nutrition
- Impaired mobility
- Tissue perfusion
- Infection
- Age
- Psychosocial impact of wounds
- Poor circulation
- Other disease processes
Stage 1: non-blanchable erythema of intact skin? Correct Answer-keep area dry, turn pt more frequently, transparent dressing
Stage 2: Partial-thickness skin loss with exposed dermis Correct Answer-no epidermis, mo drainage, blister, barrier cream, zinc oxide, moisture risk, hydrocolloid
Stage 3: Full-thickness skin loss Correct Answer-full-thickness but no slough or eschar, can see subcutaneous tissue
Stage 4: Pressure-injury that has full-thickness skin and tissue loss Correct Answer-clean wound, then get a culture, negative pressure to drain and increase perfusion
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