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A comprehensive set of practice exam questions covering fundamental nursing concepts. It includes questions and answers related to vital signs, nursing process, patient assessment, infection control, ethics, and legal considerations in nursing. Designed to help students prepare for exams and reinforce their understanding of key nursing principles.
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Tachycardia - answer-Rate greater than 100 bpm Factors That Influence Respirations - answer-§Developmental level §Exercise §Pain §Stress §Smoking §Fever §Hemoglobin §Disease §Medication §Positions Apnea - answer-cessation of breathing bradypnea - answer-abnormally slow breathing
Tachypnea - answer-rapid breathing Hyperventilation - answer-•Rapid and deep breathing resulting in excess loss of CO2 (hypocapnea) §Hypoventilation - answer-The rate and depth of respirations are decreased and CO2 is retained pulse pressure - answer-difference between systolic and diastolic pressure blood pressure regulation - answer-•Cardiac function •Peripheral vascular resistance •Blood volume Factors That Influence Blood Pressure - answer-§Developmental stage §Gender §Family history §Lifestyle §Exercise §Body position §Stress §Pain
Definition of Nursing Process - answer-A systematic problem-solving process that guides all nursing actions Purpose of Nursing Process - answer-To help the nurse provide goal- directed,client-centered care Steps of the Nursing Process - answer-Assessment - gather data Diagnosis - identify client's health needs (stated in the form of a problem) Planning - Choose interventions to help the client achieve stated goals Implementation - Carry out actions planned Evaluation - determine whether actions successfully treated or prevented client's problems Full spectrum nursing - answer-A unique blend of THINKING, DOING, CARING for the purpose of effecting good outcomes from a patient situation Assessment - answer-systematic gathering of information related to the physical, mental, spiritual, socioeconomic, and cultural status of an individual, group, or community
Nursing Assessment - answer-focuses on the client's responses to illness and will initiate changes in the plan of care Types of Data - answer-Subjective- What the patient says Objective - What can be observed or measured Primary - Obtained directly from the client Secondary - Obtained secondhand through the medical record or another person Types of Assessment - answer-§Initial §Ongoing §Comprehensive §Focused §Special needs Initial Assessment - answer-You will first obtain data related to the person's reason for seeking nursing or medical assistance Ongoing assessment - answer-continuing assessment activities that proceed from the initial nursing assessment
Physiological (Air, water, food, shelter) Safety and Security (Personal security, resources) Love and Belonging (family) Self-esteem (respect, status, recognition) Self-actualization (desire to become the most that someone can) Components of a NANDA Nursing Diagnosis - answer-§Diagnostic label - word or phrase that represents a pattern of related cues §Definition - explains meaning of the label and distinguishes it from similar nursing diagnoses §Defining characteristics - signs and symptoms §Related factors - conditions that cause or influence the problem §Risk factors - Events, circumstances, or conditions that increase risk to the patient. Components of a Goal Statement - answer-Subject Action
Performance criteria Target time Special conditions Different kinds of Nursing Interventions - answer-Independent- Nurse can prescribe, perform, or delegate. Dependent- needs to be prescribed by the physician but carried out by the nurse. Interdependent- carried out in collaboration w/ other health team members (Phys. Therapists) Nursing Orders - answer-instructions that describe how and when nursing interventions are to be implemented. Implementation - answer-Doing, Delegating, and Documenting Types of Evaluation - answer-Structure- focuses on setting in which care is provided Process- explores whether care was relevant to patient needs, appropriate, complete, timely. Outcomes- focuses on measurable changes in patient's health
public health nursing - answer-Effect of community's health on individual community-oriented nursing - answer-focusing on health promotion, illness prevention, early detection Community nursing interventions - answer-Primary- Promote health/prevent disease Secondary- provide early detection and treatment Tertiary- Halt disease progression/restore health Chain of Infection - answer-1. Infectious Agent
Interventions to prevent infection - answer-TEACH infection prevention PROMOTE wellness Florence Nightingale - answer-Established sanitary nursing care units. Founder of modern nursing. began professional education of nursing. ANA (American Nurses Association) - answer-Professional organization for all RNs. Concerned with licensure, collective bargaining and education. CODE of ETHICS NLN (National League for Nursing) - answer-sets standards for excellence and innovation in nursing education ICN (International Council of Nurses) - answer-aims to ensure quality nursing care for all, strives to improve working conditions for nurses throughout the world. NSNA (national student nurses association) - answer-represents nursing students in the United States STTI (Sigma Theta Tau International) - answer-national honor society for nursing
Beneficence - answer-promote good Fidelity - answer-(Faithful) keep promises Veracity - answer-to tell the truth Justice - answer-to be fair Decision making model M-O-R-A-L - answer-M assage dilemma O utline options R esolve dilemma A ct by choosing L ook back and evauluate HIPAA (The Health Insurance Portability and Accountability Act) - answer-Protect health insurance benefits for workers who lose or change their jobs. Protect coverage to persons with preexisting medical conditions. Establish standards to protect the privacy of personal health information. The Emergency Medical Treatment and Active Labor Act - answer- requires healthcare facilities to provide emergency medical treatment to patients who seek healthcare in the emergency department, regardless of their ability to pay, legal status, or citizenship status.
PSDA (Patient Self-Determination Act) - answer-recognizes the client's right to make decisions regarding his own healthcare Americans with Disabilities Act (ADA) - answer-prohibits discrimination against people with disabilities. Negligence - answer-careless neglect, often resulting in injury Normal Vital Signs - answer-Temp (97-100.8) Pulse (60-100 bpm) Resp Rate (12-20 breaths per minute) BP (120/80 mm Hg) Systolic/Diastolic O2 Sat (95-100%) Temperature sites - answer-Oral rectal axillary (Armpit) tympanic (Ear) temporal (Forehead) *(Rectal and Tympanic measure core temperature) Thermoregulation - answer-Controlled by Hypothalamus
§Stress §Fever §Disease §Blood loss §Position change §Medication Bradycardia - answer-Rate less than 60 bpm