Fundamentals Theory Exam 1- Galen
College of Nursing -San Antonio
Questions With Complete Solutions
How long is an order for restraints good for? correct answer: 24
hours
How often should restraints be removed? Reassess? correct answer: Every 2 hours, every 15 minutes
Why are restraints intermittently removed? correct answer: To assess ROM, skin integrity and circulation
When should a nurse use the "log roll" technique? correct answer: With spinal or back pain/injury
How long should you wash your hands with soap and water? correct answer: 15-30 seconds
How long should you rub your hands with alcohol based sanitizer? correct answer: 20-30 seconds
When should you wash your hands with soap and water? correct
answer: When MRSA or C diff is present, before invasive procedures, when hands are visibly soiled or before/after eating. When should you use alcohol based sanitizer? correct answer: When entering/exiting new patient rooms and after all patient contact.
What are the steps of the nursing process? correct answer: ADPIE - A=assessment D=diagnosis P=planning I=implementation E=evaluation
What is involved with the assessment stage of the nursing process? correct answer: Collect data, organize data, validate data and document data
What is involved with the diagnosing stage of the nursing process? correct answer: analyze data, identify health problems,
risks and strengths and formulate diagnostic statements.
What is PES? correct answer: The pieces of a 3 part nursing diagnosis - P=problem E=etiology S=signs/symptoms
What is involved in the planning stage of the nursing process? correct answer: Prioritize problems and diagnoses, formulate goals/desired outcomes, select nursing interventions and write nursing interventions
What is S.M.A.R.T. goal? correct answer: Specific, Measurable, Achievable, Realistic, Timely
What is involved with the implementing stage of the nursing process? correct answer: Reassess the client, determine the nurse's need for assistance, implement the nursing interventions,
supervise delegated care, document nursing activities. What is involved with the evaluation stage of the nursing process? correct answer: Collect data related to outcomes, compare data with outcomes, relate nursing actions to client goals/outcomes, draw conclusions about problem status, and continue, modify or terminate the client care plan.
What is subjective data? correct answer: Symptoms that are only apparent to the patient. This can include their sensations, feelings, values, beliefs and attitudes.
What is objective data? correct answer: Signs that can be measured or tested. Generally obtained by observation or physical examination.
is pain scale subjective or objective? correct answer: objective
The nurse uses _________ data to validate __________ data. correct answer: objective, subjective
A nursing admission assessment is an example of what type of assessment? correct answer: Initial assessment
This type of assessment is done to establish a complete database for problem identification, reference, and future comparison: correct answer: Initial assessment
This phase of the nursing process involves systematic and continuous collection, organization, validation, and documentation of data. correct answer: Assessment
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