Class notes
NUR 1020C Exam 2 Review Notes
- Course
- NUR 1020C
- Institution
- Florida State College At Jacksonville
This is a comprehensive and detailed review note on exam 2 for Nur 1020C. *Essential Study Material!!
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1. The nurse is directing nursing assistive personnel (NAP) to make an occupied bed. Whatwill the nurse say to minimize the risk of disease transmission to staff and patient during
the bed change?
Keep the linens away from your scrubs/uniform
2. The nurse manager sends an e-mail to the nursing staff as a reminder for a scheduled
monthly meeting. In doing so, the nurse manager understands that e-mail:
Has potential for miscommunication
3. The nurse is planning care for a group of patients. Which of the following activities may
be delegated to unlicensed assistive personnel?
Morning vital signs and height and weight
4. When palpating the frontal sinus area of a patient, the patient stated he did not feel any
pain just pressure, what would the nurse do?
Consider this normal
5. When evaluating a family member’s technique when bathing a loved one, the nurse will
know that teaching has been effective when seeing the family member:
Using a cover sheet to keep the patient warm and covering their body other than the
body part that is being washed
6. Which of the following would be an independent nursing intervention?
Providing emotional support
7. During the evaluation phase of the nursing process, the nurse realizes that the patient’s
short-term goals have not been met. The nurse should:
Revise and adapt the patient’s goals
8. PIE, APIE, SOAP, and SOAPIE are:
Examples of problem oriented charting
9. Many middle-aged adults are called the “sandwich” generation because they are caring
for their children and their aging parents. What is the priority reason for aging parents
needing care?
Multiple chronic illnesses
10. A patient with congenital heart defect is admitted for further testing. The nurse observes
the patient has increased shortness of breath is restless. The nurse is demonstrating
which phase of the nursing process?
Assessment
, 11. When changing the soiled gown of a patient with left-sided paralysis, what will the nurse
do first?
Take gown off strong side first, then weak side
12. Your client’s nursing diagnosis is “altered breathing pattern” and needs to be placed in
semi-fowler’s position. Which best describes that position?
45 degree angle
13. Your elderly client has had nausea, vomiting and diarrhea for 2 days and is dehydrated.
What assessment finding would you expect?
Skin turgor is sluggish
14. A group of patients in a community center attend a nursing-led information session on
the risks of contracting tuberculosis. After the presentation several patients ask the
nurse for additional web-based resources regarding the lung disease. Which type of
nursing diagnosis would the nurse choose for the community care plan?
Health promotion
15. A nurse completes a care plan for an assigned patient diagnosed with an inflammation
of the pericardium. Which diagnosis written on the plan indicates a need for further
instruction on using the nursing process?
Pericarditis
16. The nurse is charting using electronic documentation. With electronic documentation:
Log-on access tells who the person is charting
17. The nurse is preparing to make an occupied bed for a patient who is on aspiration
precautions. What will the nurse do to ensure the safety of this patient during the bed
change?
Keep the head of the bed at 30 degrees
18. The nurse who is preparing to make an unoccupied bed should do what to ensure his or
her personal safety?
Raise the bed to a comfortable working height
19. The nurse keeps in mind that a thorough skin assessment is extremely important
because the skin holds information about a person’s:
Circulatory status
20. During a skin assessment, the nurse notices that a Mexican-American patient has skin
that is yellowish-brown; however, the skin on the hard and soft palate is pink and the
patient’s scleras are not yellow. From this finding, the nurse could probably rule out:
Jaundice
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