basic nursing skills midterm

Question 1

. PROVIDE FRESH WATER AND ICE UNLESS

Answer 1

RESIDENT IS NPO (NOTHING BY MOUTH) OR ON FLUID RESTRICTIONS

Question 2

OBTAIN VS *BASELINE VS

Answer 2

INITIAL VALUES THAT CAN BE COMPARED TO FUTURE VALUES

Question 3

INFORM RESIDENT

Answer 3

OF THE TRANSFER (NURSE WILL
INFORM) & ANY QUESTIONS AND HELP PACK
PERSONAL ITEMS

Question 4

Vital Signs CONSISTS OF

Answer 4

MEASURING BODY TEMPERATURE,
COUNTING PULSE RATE, COUNTING RESPIRATION
RATE, MEASURING BP

Question 5

FACTORS AFFECTING BODY TEMP.:

Answer 5

AGE, ILLNESS,
STRESS, ENVIRONMENT, EXERCISE, CIRCADIAN
RHYTHM.

Question 6

MOUTH (ORAL)

Answer 6

DO NOT USE ON UNCONSCIOUS
RESIDENT, HAD FACIAL/ORAL SURGERY, <5 YRS OLD,
CONFUSED, SEDATED, SEIZURE, COUGHING, O2,

Question 7

RECTUM (RECTAL)

Answer 7

MOST ACCURATE! BUT CAN BE
DANGEROUS IN RESIDENTS WHO ARE
UNCOOPERATIVE AND/OR HAVE DEMENTIA.

Question 8

EAR (TYMPANIC)

Answer 8

FAST, BUT NEED TO KNOW HOW
TO USE ACCURATELY

Question 9

ARMPIT (AXILLARY)

Answer 9

LEAST ACCURATE!

Question 10

BRACHIAL PULSE:

Answer 10

PULSE INSIDE THE ELBOW. IT IS ABOUT 1 TO 1 ½ INCHES ABOVE THE ELBOW

Question 11

PULSE

Answer 11

THE NUMBER OF HEARTBEATS PER MINUTE

Question 12

NL PULSE RATE FOR ADULTS

Answer 12

60-100 BPM

Question 13

NL RATE FOR SMALL CHILDREN

Answer 13

100-120 BPM

Question 14

NL RATE FOR
NEWBORNS

Answer 14

120-180 BPM

Question 15

RESPIRATION

Answer 15

IS THE PROCESS OF INHALING AIR INTO THE LUNGS (INSPIRATION) AND EXHALING AIR OUT OF
THE LUNGS (EXPIRATION)

Question 16

NL RESPIRATION RATE FOR ADULTS

Answer 16

12-20 BREATHS PER MINUTE

Question 17

INFANTS AND CHILDREN

Answer 17

30-40 BREATHS
PER MINUTE

Question 18

NORMAL RANGE FOR SYSTOLIC IS

Answer 18

90-119

Question 19

DIASTOLIC

Answer 19

60-79

Question 20

HYPERTENSION

Answer 20

HBP

Question 21

HYPOTENSION

Answer 21

LBP

Question 22

BLOOD PRESSURE AFFECTED BY:

Answer 22

EXERCISE, AGE, STRESS, PAIN, MEDS, ILLNESS, OBESITY, EOTH INTAKE,
TOBACCO PRODUCTS, VOLUME OF BLOOD IN CIRCULATION

Question 23

PULSE OXIMETER:

Answer 23

DEVICE THAT USES A LIGHT TO DETERMINE THE AMOUNT OF
OXYGEN IN THE BLOOD

Question 24

RESTRAINT

Answer 24

PHYSICAL OR CHEMICAL WAY TO RESTRICT VOLUNTARY MOVEMENT OR BEHAVIOR

Question 25

PHYSICAL RESTRAINT:

Answer 25

NY METHOD, DEVICE, MATERIAL, OR EQUIPMENT THAT RESTRICTS A PERSON’S FREEDOM OF MOVEMENT.

Question 26

CHEMICAL RESTRAINT:

Answer 26

MEDICATIONS USED TO CONTROL A PERSON’S MOOD OR BEHAVIOR

Question 27

ENABLER

Answer 27

EQUIPMENT OR A DEVICE THAT PROMOTES A RESIDENT’S SAFETY, COMFORT, INDEPENDENCE, AND MOBILITY.

Question 28

SPECIMEN

Answer 28

A SAMPLE THAT IS USED FOR ANALYSIS IN ORDER TO TRY TO MAKE A DIAGNOSIS (DX) DIFFERENT TYPES OF SPECIMENS ARE USED FOR DIFFERENT TESTS

Question 29

ROUTINE URINE SPECIMEN:

Answer 29

COLLECTED ANYTIME THE RESIDENT VOIDS (URINATES). THE RESIDENT WILL VOID INTO A BEDPAN, URINAL, COMMODE

Question 30

HAT

Answer 30

A PLASTIC COLLECTION CONTAINER SOMETIMES PUT INTO A TOILET BOWL TO COLLECT AND MEASURE URINE OR STOOL

Question 31

CLEAN-CATCH SPECIMEN OR MIDSTREAM (CCMS

Answer 31

DOES NOT INCLUDE THE FIRST AND LAST URINE VOIDED IN THE SAMPLE (PURPOSE IS TO DETECT BACTERIA IN THE URINE)

Question 32

STOOL SPECIMEN

Answer 32

THE NA SHOULD ASK THE RESIDENT TO LET HER KNOW WHEN HE CAN HAVE A BOWEL MOVEMENT

Question 33

SPUTUM SPECIMEN

Answer 33

SPUTUM SPECIMENS MAY BE USED TO DX RESPIRATORY ILLNESS OR TO EVALUATE THE EFFECTS OF MEDICATION

Question 34

CATHETER

Answer 34

THIN TUBE INSERTED INTO THE BODY THAT IS USED TO DRAIN FLUIDS OR INJECT FLUIDS

Question 35

URINARY CATHETER

Answer 35

USED TO DRAIN URINE FROM THE BLADDER

Question 36

STRAIGHT CATHETER

Answer 36

TYPE OF CATHETER THAT IS INSERTED TO DRAIN URINE FROM THE BLADDER. IT IS REMOVED IMMEDIATELY AFTER URINE IS DRAINED AND DOES NOT REMAIN INSIDE THE PERSON

Question 37

INDWELLING CATHETER AKA FOLEY CATHETER:

Answer 37

REMAINS INSIDE THE BLADDER FOR A PERIOD OF TIME. THE URINE DRAINS INTO A BAG.

Question 38

CONDOM CATHETER AKA TEXAS CATHETER

Answer 38

HAS AN ATTACHMENT ON THE END THAT FITS ONTO THE PENIS AND IS FASTENED WITH SPECIAL TAPE. URINE DRAINS THROUGH THE CATHETER INTO THE TUBING, THEN INTO THE DRAINAGE BAG. A SMALLER DRAINAGE BAG IS CALLED A LEG BAG AND IT ATTACHES TO THE LEG AND COLLECTS THE URINE

Question 39

OXYGEN THERAPY:

Answer 39

The administration of 02 to increase the supply of 02 to the lungs. This increases 02 to the body tissues.

Question 40

INTRAVENOUS THERAPY AKA IV THERAPY:

Answer 40

The delivery of medication, nutrition, or fluids through a vein

Question 41

Doctor prescribes IV therapy, nurse inserts a needle or tube into a vein. This gives direct access to the

Answer 41

bloodstream.

Question 42

Some residents with chronic conditions may have a permanent opening for IV lines called a

Answer 42

PORT

Question 43

Equipment found in each resident’s unit:

Answer 43

bed, bedside stand, urinal, wash basin, emesis basin, soap, toilet paper, overbed table, chair, call light, privacy curtain.

Question 44

During sleep, vital functions are performed including

Answer 44

repairing and renewing cells, processing information, and organizing memory

Question 45

A lack of sleep causes problems including

Answer 45

decreased mental function, reduced reaction time, and irritability.

Question 46

Sleep deprivation

Answer 46

decrease immune system function

Question 47

Occupied bed

Answer 47

A bed made while the resident is still in the bed

Question 48

Unoccupied bed

Answer 48

A bed made while no resident is in the bed. It is easier to make an empty bed than on e with a resident in it

Question 49

Closed bed

Answer 49

A bed completely made with the bedspread and blankets in place. It is made for residents who will be out of bed most of the day. It is also made when a resident is discharged.

Question 50

Open bed

Answer 50

A bed that is ready to receive a resident who has been OOB all day or who is being admitted to the facility. A closed bed is turned into an open bed by folding the linen down to the foot of the bed.

Question 51

Observe for any changes in the wound, especially

Answer 51

color, scabs come off, bleeding, swelling, odor, drainage

Question 52

Nonsterile dressings

Answer 52

Applied to dry, closed, wounds that have less chance of infection