(Last day part 2 ) Finals term 1

The mitral valve is also known as the:

bicuspid valve

The nurse stresses that nutrients are part of a combination of all chemical processes that take place in the body to regulate body processes. This basic process is called:

metabolism

. Anaerobic organisms tend to grow within body cavities. What will the nurse use to collect an anaerobic specimen?

sterile syringe tip

A nurse is caring for a client who received a sedative medication at bedtime and becomes confused during the night. The client falls while getting out of bed, sustaining a laceration to the head that requires suturing. Which of the following notations should the nurse make when documenting in the client's medical record?

- "Client found lying on the floor with a 3-cm laceration 1 cm above left eyebrow. Client oriented to name only." Rationale: This statement presents data and nursing observations in a factual, non-judgmental manner about this incident. The nurse should also include vital signs, any additional findings, notification of the provider, treatments, or procedures the provider prescribes, and the client's response.

A nurse is reviewing HIPAA with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further instruction?

- "Information about a client can be disclosed to family members at any time." Rationale: ​The nurse's statement reflects a need for further instruction. Privacy relates to the client's rights over the use and disclosure of his or her own personal health information

1. Pre-hypertensive SYSTOLIC blood pressure for an adult is:

- 120-139 mm/Hg

Which of the following clients is the best candidate for rehabilitative health services in a long-term care setting?

- A 75-year-old hemiplegic client recovering from a recent stroke

Regulating metabolism and interacting with the sympathetic nervous system in response to stress are functions of the

- Adrenal Glands

1. A nurse is assisting with the admission of a client who has tuberculosis with a productive cough. Which type of isolation precautions should the nurse initiate for the client?

- Airborne

The central nervous system includes which set of structures?

- Brain and spinal cord

1. A 15-year-old trauma Patient has been started on NG feedings. Shortly after, the Patient complains of abdominal cramping & nausea. What is an appropriate nursing action?

- Check the formula rate, strength and volume, any of these may be too high

1. A nurse is caring for a client in the emergency department who had a traumatic amputation of his left arm in an industrial accident 1 hr ago. The nurse should expect the client to be in which of the following stages of grief?

- Denial Rationale: According to Kubler-Ross, denial is the first of five stages of grieving. Although each individual experiences grief differently, the first stage is often denial. At this point, the client has not yet come to terms with the fact that he has lost an extremity. He likely expects reattachment or may even perceive that his arm is still there.

1. Which type of gland secretes hormones into the blood?

- Endocrine

1. The opening in a bone through which blood vessels, nerves, and ligaments pass is called a:

- Foramen

What theory claims that there is a hereditary basis for aging?

- Genetic theory

What are clusters of filtering capillaries in the renal tubules?

- Glomerulus

1. When the nurse performs nursing interventions as stated on the care plan, it is recognized that she is participating in which phase of the nursing process?

- Implementation

Which of the following best describes surgical asepsis?

- It is the same as sterile technique.

1. What is the name for the curvature of the thoracic spine that causes a bent-over appearance in some older adults?

- Kyphosis

Which factor contributes to constipation in an older person?

- Lack of dietary fiber

1. The nurse reassures a patient that most acute pain is intense and of short duration, usually lasting:

- Less than 6 months

1. In terms of negative feedback, additional TSH will be secreted in response to ______ blood levels of T3 and T4.

- Low

1. What is the probable source of bright red blood in the stool?

- Lower GI tract.

1. A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client's discomfort?

- Lower the height of the solution container

A nurse is caring for a patient with dysphagia. Which of the following diet is most suitable for this patient?

- Mechanical soft diet

Select foods that have the richest content in Vitamin C. Select all that apply.

- Orange juice - Green bell peppers Strawberries

The structure is the second portion of the pharynx:

- Oropharynx

1. Which cells in bone tissue secrete an intercellular matrix?

- Osteoblasts

Utilizing Maslow's model, a nurse understands that a patient wants to use the bathroom before taking his medication is attempting to meet which need?

- Physiologic

The nurse is caring for a patient who was diagnosed with vascular dementia. The nurse understands that the patient has likely also experienced which condition?

- Progressive damage from several small strokes

1. In which position is the patient lying face down or chest down?

- Prone

In males, the gland surrounding the urethra is called the:

- Prostate

Major functions of the skin and related structures include Select all that apply

- Protection - Thermoregulation - Vitamin D synthesis

A nurse is assisting with the care of a client who is 2 days postoperative following the creation of a tracheostomy. Which of the following actions should the nurse plan to take?

- Provide humidified air

1. Nursing interventions for the patient with a urinary drainage system are aimed at early detection and prevention of infection and trauma. Which interventions are included in the nurse's plan of care? (select all that apply)

- Record fluid intake and output - Perform catheter care twice daily or every shift - Secure the catheter tubing to prevent tension

1. A nurse is contributing to the plan of care for a client who practices the Muslim faith. Which of the following actions should the nurse include in the plan?

- Request a meal tray without pork.

1. A nurse is performing tracheostomy care for a client. Which of the following actions should the nurse take?

- Secure new tracheostomy ties before removing the old ones

A nurse is performing a dressing change on a 2-day post-surgical client. Which term should the nurse document to describe a pale, red, watery drainage?

- Serosanguineous

What is an example of mechanical digestion?

- Stomach mixing -churning food to chyme

1. Each alveolus is coated with a thin coating of a detergent-like substance that prevents it from collapsing after each breath. This liquid substance is called :

- Surfactant

1. A newly licensed nurse is preparing to insert and an indwelling urinary catheter in an elderly male patient with a history of enlarged prostate. Which type of catheter will the nurse select?

- The Coude catheter

1. To focus on an object that is close or at a distance, the ciliary muscles contract and relax to change the shape of what structure?

- The lens

Which of the following principles should the nurse remember when admitting, discharging, or transferring a client?

- The patient is human being who deserves dignity, courtesy, and respect

1. How should the nurse position the earpieces on a stethoscope to ensure optimum reception?

- Towards the face

1. A nurse in a long-term care facility is caring for a client who is unresponsive. When performing oral hygiene for the client, which of the following actions should the nurse take?

- Turn the client on his side before starting oral care

1. The nurse is assessing the vision of an older adult patient. Which finding is not associated with the aging process?

- Visualization of half of the field

1. The nurse leaves their post prior to the arrival of a relief nurse, after assuming the obligation of that patients care, this is termed as:

-Abandonment

1. The nurse explains that when range-of-motion is performed by the client alone, it is called:

-Active

An alert elderly client has refused an intramuscular injection. The nurse waits until the client is asleep and gives the injection anyway. The nurse could be charged with

-Civil Battery

Which of the following is a physical sign or symptom of neglect?

-Dehydration -Malnutrition -Poor personal hygiene

1. Bile can split fat globules into tiny pieces to be broken down and absorbed. What is this process called?

-Emulsification

The nurse tells the patient the most important preventive technique for interrupting the infection process is:

-Handwashing

1. The seven short bones that make up each ankle are called:

-Tarsals

1. Which of the following vitamins are water soluble? (Select all that apply)

-Vitamin B -Vitamin C

1. During a physical assessment, the nurse notes that a patient's heart rate is 56 beats/min. What should the nurse document that the patient is experiencing?

Bradycardia

Which client can receive a blood transfusion from any donor?

Client with type AB

A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?

Determine the location of the pain

1. The nurse is reviewing documentation from the previous shift. The nurse is correct when determining the patient has a stage 2 pressure injury based on which note?

Partial thickness tissue loss of dermis; shallow open area with 0.2 cm blister

1. The nurse is working in a long-term care facility. Which activity will help the residents to meet the developmental task of ego integrity as described by Erikson?

Reminiscing about past important events