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N1J02 Review #2

Total questions: 15

Worksheet time: 10mins

Name
Class
Date
1.

The movement of molecules across a concentration gradient using chemical energy is called

a)

Diffusion

b)

Osmosis

c)

Filtration

d)

Active transport

2.

Which of these statements in the history of presenting illness of diarrhea is the "V" in OPQRSTUV?

a)

"I think it might be gluten causing the problem"

b)

"I have sharp cramps that go along with the diarrhea"

c)

"I have missed two weeks of work because of it, which has affected my pay"

d)

"I think I am dehydrated because of it"

3.

Which of the following symptoms might you notice if a patient has a fluid deficit?

a)

Bounding pulse, dry mucus membranes, thirst

b)

Slow skin turgor, hypotension, edema

c)

Loss of 1.5 lbs in 24 hours, lightheadedness,

confusion

d)

Gain of 1.5 lbs in 24 hours, hypotension, thready pulse

4.

The nurse is measuring intake and output. They should include the following in output (select all that apply)

a)

Blood draws

b)

Oral fluids

c)

Emesis

d)

Diarrhea

e)

Tears

5.

You document that the patient has dyspnea. This is:

a)

Shortness of breath

b)

Use of accessory muscles to breathe

c)

Nasal flaring

d)

Wheezing heard on auscultation

6.

When assessing for chest expansion, which of the following is part of the correct technique?

a)

Ask the patient to say "99" while you palpate with the ulnar surface of the hand

b)

Ask the patient to take a deep breath

c)

Place hands between T9-T10 on the anterior chest wall

d)

Pinch a small amount of skin on the lateral chest

7.

When auscultating, what sounds should the nurse hear over the mainstem bronchi?

a)

Resonant

b)

Bronchial

c)

Bronchovesicular

d)

Tracheal

8.

The four main categories of the general survey are:

a)

appearance, posture, mobiliy, mood and expression

b)

level of consciousness, body structure, gait, dress and hygiene

c)

appearance, body structure, mobility, behaviour

d)

level of consciousness, posture, range of motion, behaviour

9.

What would be part of your environmental assessment when you first go in to see your patient in the AM? Select all:

a)

IV site assessment

b)

Bedrails

c)

Callbell within reach

d)

allergy band

e)

Cues about the patient's support system (e.g. photos)

10.

The nurse should do the following in the standard head to toe assessment (select all that apply):

a)

Auscultation of apical pulse

b)

Palpation of femoral and popliteal pulses

c)

Auscultation of all lobes of the lungs for air entry

d)

Percussion of four quadrants of the abdomen

e)

Inspection and palpation of the skin for lesions, turgor, colour and temperature

11.

In which part of your SBAR communication do you state your professional conclusion?

a)

Situation

b)

Background

c)

Assessment

d)

Recommendation

12.

A transfer of accountability (TOA) should:

a)

Use an SBAR approach

b)

Be current, concise, and objective

c)

Be provided to other members of the interprofessional team such as PT, OT

d)

Replace written documentation in emergency situations

13.

Which of the following is an example of an ADL?

a)

Managing finances

b)

Preparing meals

c)

Transportation

d)

Personal hygiene

14.

Patricia is 16 weeks pregnant. She had 2 spontaneous miscarriages before carrying 1 child to term. How would you document her GTPAL?

a)

G4 T1 P0 Ab2 L1

b)

G4 T1 P2 Ab2 L2

c)

G4 T2 P0 Ab2 L2

d)

G1 T1 P1 Ab2 L1

15.

When teaching a patient how to use a walker, an appropriate SMART goal is:

a)

"At the end of the teaching session the patient will seem comfortable and safe using their walker"

b)

"The patient will understand safe and effective use of the walker by the time they are discharged"

c)

"By discharge, the patient will be able to describe and demonstrate safe and efficient use of the walker"

d)

"I will teach the patient safe and effective use of the walker by the end of the teaching session"