What is pyrexia? fever over 100.4
What is the normal range for body temperature? 96.8-100.4 (36-38)
What is a normal pulse rate? 60-100 bpm
What is normal respiration 12-20 breaths per minute
A postoperative patient is breathing rapidly. You should immediately: assess the oxygen saturation
Wha...
NSG-300 FINAL EXAM QUESTIONS SND
CORRECT ANSWERS
What is pyrexia? ✅fever over 100.4
What is the normal range for body temperature? ✅96.8-100.4 (36-38)
What is a normal pulse rate? ✅60-100 bpm
What is normal respiration ✅12-20 breaths per minute
A postoperative patient is breathing rapidly. You should immediately: ✅assess the
oxygen saturation
What is a normal blood pressure? ✅120/80 mmHg
When the client is cared for within a health care facility, what should the nurse check in
their environment? ✅placement of equipment
furniture pose barriers when the client attempts to ambulate
easily reach items on a bedside table or stand
call light in reach
When the client is cared for within their home, what should the nurse check in their
environment? ✅adequacy of lighting, both inside the house and outdoors, presence of
safety devices, placement of furniture or other items that can create barriers, condition
of flooring, and safety in the kitchen and bathrooms
Do restraints require a doctor's order? ✅A physician's order is required, based on a
face-to-face assessment of the client. The order must be current, state the type and
location of restraint, and specify the duration and circumstances under which it will be
used.
What is RACE? ✅For fires
R—Rescue and remove all patients in immediate danger.
A—Activate the alarm. Always do this before attempting to extinguish even a minor fire.
C—Confine the fire by closing doors and windows and turning off oxygen and electrical
equipment.
E—Extinguish the fire using an appropriate extinguisher.
A newly admitted patient was found wandering the hallways for the past two nights. The
most appropriate nursing interventions to prevent a fall for this patient would include:
✅use an electronic bed monitoring device.
,A nurse floats to a busy surgical unit and administers a wrong medication to a patient.
This error can be classified as: ✅a procedure-related accident.
What is the chain of infection? ✅infectious agent, reservoir, portal of exit, mode of
transmission, portal of entry, susceptible host
What is a Reservoir ✅place where microorganisms survive, multiply, and await transfer
to a susceptible host
Common reservoirs are humans and animals (hosts), insects, food, water
What is the portal of exit? ✅Ports of exit include sites such as blood, skin and mucous
membranes, respiratory tract, genitourinary tract, gastrointestinal tract, and
transplacental (mother to fetus)
What is inflammation? ✅Acute inflammation is an immediate response to cellular
injury. Rapid vasodilation occurs, allowing more blood near the location of the injury.
The increase in local blood flow causes the redness and localized warmth at the site of
inflammation
What is a Health care-associated infections (HAIs) ✅result from the delivery of health
services in a health care facility
ex: UTI's
What is Standard Precautions ✅apply to all clients because every client has the
potential to transmit infection via blood and body fluids, and the risk for infection
transmission is unknown
Your patient has a sudden onset of confusion with altered incoherent speech. The nurse
notices cloudy urine and the patient has a fever. What issue is most likely in this case?
✅delirium related to UTI
A 35-year-old woman has Medicaid coverage for herself and two young children. She
missed an appointment at the local health clinic to get an annual mammogram because
she has no transportation. She gets the annual screening because her mother had
breast cancer. Which of the following are social determinants of this woman's health?
Select all that apply. ✅Medicaid insurance
Lack of transportation
Women's age
A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not
eating and will not see family members. Which area should the nurse ✅Not eating
Which intervention would the nurse likely include on a client's care plan for a client with
nocturia? ✅Concentrate fluid intake in the morning and early afternoon.
, A nurse is evaluating an unlicensed assistive personnel's (UAP) care for a patient with
an indwelling catheter. Which action by the UAP will cause the nurse to intervene?
✅Placing the drainage bag on the side rail of the patient's bed
What is biographical information ✅patient's age, gender, address, insurance
information, occupation, working status, marital status, and referral source.
What factors affect temperature regulation? Select all that apply. ✅Age
Stress
Environment
Hormone levels
Telling approach ✅when there is limited time for teaching information
To best assist a patient in the grieving process, which factors are most important for the
nurse to assess? Select all that apply. ✅Previous experiences with grief and loss
Religious affiliation and denomination
Ethnic background and cultural practices
A client reports that she suffers from narcolepsy. Based on this information, what
recommendations would the nurse make? Select all that apply. ✅Follow a regular
exercise program
Brief daytime naps no longer than 20 minutes
Presbyopia ✅gradual decline in the ability of the lens to accommodate or focus on
close objects. An individual is unable to see near objects clearly.
You are a home health nurse caring for Ms. Long, a 70-year-old retired widow who lives
in a one-level home with her son. Their home has a walkout basement. Ms. Long enjoys
reading and sewing, but she is experiencing reduced vision, which is affecting her ability
to participate in these activities. She is fearful of falling and visited an ophthalmologist a
year ago. Which of the following are important to include in your assessment of this
client? Select all that apply. ✅Ask Ms. Long to describe her visual acuity and vision
changes.
Ask Ms. Long the results of the visit to the ophthalmologist.
Conduct a home hazard assessment.
Why would a nurse encourage a post-operative client to use the cough and deep
breathe technique? ✅To prevent collapse of the lungs
What is a concept map ✅visual representation that allows you to graphically show the
connections among a patient's many health problems
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