Exam 2 Practice

What does the "ADPIE" stand for regarding the Nursing Process? (Select all that apply.)

What part of the clinical judgement model does Identifying relevant and important information from difficult sources fall under?

Which ocular impairment is known to cause an opacity or cloudiness of the lens?

What does the acronym S.M.A.R.T. Relating to creating and setting patient goals stand for?

What type of hearing loss is caused by damage to the cochlea or vestibulocochlear nerve?

Put the phrases of wound healing in order. (Inflammatory, Proliferation, Hemostasis, Maturation)

Feeding a patient is what level of Maslow's Hierarchy of needs?

Emotional stress, environmental disturbances, and medications can cause which type of sleep disorder? Choose the best answer.

Taking Action on a patient is what part of the nursing process?

What are two hearing pathways?

An abnormal passage from one internal organ or vessel to another is called?

Which type of angle-closure is considered an ocular emergency? Choose the Best Answer.

Select three LOCAL factors that affect wound healing.

A nurse is preparing to administer fluoxetine 35 mg PO daily. Available is fluoxetine solution 20 mg/5 mL. How many mL should the nurse administer daily (Round to the nearest Tenth).

A patient reports a feeling like an elephant is sitting on his chest, when you check his vitals you find that the EKG shows a blocked artery. Which of this data is objective, and which is subjective?

Vertigo and dizziness (Altered sense of orientation in space) are conditions associated with what part of the ear?

A thinner patient with little adipose tissue needs insulin sub-q, at what angle would you administer the injection?

Physician ordered activities that a nurse completes is what kind of nursing intervention?

Match the following effects of sensory Deprivation. (Cognitive, Emotional, Perceptual)

What form of conjunctivitis present with redness, burning, and a purulent discharge?

Match the following: Open wounds and Closed wounds.

How long is an order for restraints good for?

A nurse is preparing to administer rifampin 0.6 g PO daily. Available is rifampin 150 mg capsules. How many capsules should the nurse administer?

What would a zosteriform skin lesion look like on a patient?

Generating solutions for a patient is a part of which step in the nursing process?

Match the following refractive errors with what they cause. (Emmetropia, Hyperopia, Astigmatism, Myopia)

The vestibular apparatus of the inner ear provides feedback regarding movements and the position of the head and body in space.

True or False: Herpes Zoster (Shingles) is a bacterial skin infection.

A patient is experiencing boredom, restlessness, and increased anxiety after traumatic car accident. What effect of sensory deprivation would these symptoms fall into?

Which ocular condition is known for causing damage to the optic nerve due to increased intraocular pressure (IOP) caused by congestion of the aqueous humor?

When caring for a visually impaired patient and after properly identifying yourself what should the nurse explain before touching the patient?

Which of the following are secondary skin lesions? Select all that apply.

What needle gauge and length would a nurse use if they are performing a subcutaneous injection?

A patient presents to the E.R. With redness of the skin. How would we report this in the Patient’s file?

The next patient you see in the E.R. Is presenting with an ocular chemical burn. What treatment should the nurse immediately perform?

Organizing and linking the recognized cues to the patient’s clinical presentation is a part of which step in the clinical judgement model?

A home health nurse is analyzing the home of a patient to point out objects with a potential for falling. List three ways a nurse can help in preventing these falls.

In what phase of wound healing does the body build new tissue to fill the wound space.

A nurse is preparing to administer potassium chloride 15 mEq PO every 12 hours. Available is potassium chloride liquid 20 mEq/ 15 mL. How many mL should the nurse administer per dose? (Round to the nearest whole number)

Monitoring a Patient’s vital signs are what kind of care?

Briefly Explain how glaucoma arises in a patient.

What injection site is found by drawing an imaginary line from posterior superior iliac spine to the greater trochanter. The injection is then given above this line.

Fill in the blank: When caring for wounds to heal, the principle is to keep the inside of the wound ______ and the surrounding skin _____.

Pertaining to sleep, what does the acronym NREM mean?

Using the elements of a Nanda nursing diagnosis, point out each part in the following scenario. Acute pain related to abdominal surgery as evidenced by patient discomfort and pain scale.

What stage in in pressure injury staging presents itself with full-thickness skin loss; not involving underlying fascia.

Where in the ear do the most infections occur?

True or False: A nursing diagnosis can and does include a specific disease process.

Match the examples of dry heat and moist heat applications.

Which sense is associated with taste?