Sbsg Test#3 And Addendum

73 Questions | Total Attempts: 37

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There were very few questions turned in. So, for those that have participated, there are extra questions as well. Thanks for providing questions to those that did. :)


Questions and Answers
  • 1. 
    Nursing Diagnosis is something that is only written down?
    • A. 

      True

    • B. 

      False

  • 2. 
    Being a critical thinker means finding the quickest way to get a job done?
    • A. 

      True

    • B. 

      False

  • 3. 
    Once you have done an assessment, created a diagnosis, have done the planning, and implemented it, you are done with the process and can move on to something else?
    • A. 

      True

    • B. 

      False

  • 4. 
    P-E-S stands for:
    • A. 

      Problem-Etiology-Signs/Symptoms

    • B. 

      People-Exaggerate-Symptoms

    • C. 

      Problem solve- Every- Solution

    • D. 

      None of the above

  • 5. 
    When making a plan, you only need to think of one intervention per patient to reach the goal.
    • A. 

      True

    • B. 

      False

  • 6. 
    When implementing her plan, Sarah reassessed her patient, carried out the interventions, oversaw her care and then moved on to her next patient.  What did she miss?
    • A. 

      Asking the patient again about their spiritual needs.

    • B. 

      Calling the doctor after the interventions had been carried out.

    • C. 

      Documenting what she had done.

    • D. 

      Taking a break.

  • 7. 
    During his assessment of his patient, David looked at his paper and wrote down every word the patient said.  At the end of the assessment, David comes to the conclusion that the patient has no pain.  What did he miss?  Check all that apply.
    • A. 

      He forgot to have the patient sign his assessment.

    • B. 

      Because he was constantly looking down, he did not see the patient guard his arm.

    • C. 

      David didn't physically exam the wound in the arm.

    • D. 

      David didn't put on a glove and stick a finger into the wound to check for physical heat.

  • 8. 
    Once you have collected your data, you are done. 
    • A. 

      True

    • B. 

      False

  • 9. 
    By documenting your findings you will: check all that apply
    • A. 

      Communicate to other disciplines

    • B. 

      Describing patient's health status

    • C. 

      Creating a legal document.

  • 10. 
    • A. 

      Mrs. Jones is an older patient who is obviously confused. The EMT said nothing about a dog.

    • B. 

      Mrs. Jones was in a lot of pain.

    • C. 

      Nancy was distracted and in a hurry.

    • D. 

      Mrs. Jones was distracted about her dog.

    • E. 

      Nancy shouldn't have listened while assessing.

  • 11. 
    This patient has pneumonia is:
    • A. 

      A medical diagnosis

    • B. 

      A nursing diagnosis

  • 12. 
    Patient is experiencing ineffective breathing patterns is :
    • A. 

      Medical diagnosis

    • B. 

      Nursing diagnosis

  • 13. 
    Transports nutrients and carries away waste:
    • A. 

      Intravascular

    • B. 

      Interstitial

  • 14. 
    Bathes the tissue cells:
    • A. 

      Intravascular

    • B. 

      Interstitial

  • 15. 
    Newborns, what percent of their body weight is fluid?
    • A. 

      60%

    • B. 

      45- 50%

    • C. 

      75- 80%

  • 16. 
    An elderly person: what percent of their body weight is fluid?
    • A. 

      60%

    • B. 

      45- 50%

    • C. 

      75- 80%

  • 17. 
    An adult: what percent of their body weight is fluid?
    • A. 

      60%

    • B. 

      45- 50%

    • C. 

      75- 80%

  • 18. 
    70% of total body water.
    • A. 

      ICF

    • B. 

      ECF

  • 19. 
    40% of body weight.
    • A. 

      ICF

    • B. 

      ECF

  • 20. 
    20% of total body weight.
    • A. 

      ICF

    • B. 

      ECF

  • 21. 
    30% of total body water.
    • A. 

      ICF

    • B. 

      ECF

  • 22. 
    Which are solutes?  Check all that apply
    • A. 

      Electrolytes

    • B. 

      Hormones

    • C. 

      Minerals

    • D. 

      Proteins

  • 23. 
    Filtration is:
    • A. 

      The random movement of particles from an area of higher concentration to an area of lower concentration.

    • B. 

      Movement of a fluid across a membrane into an area of higher concentration.

    • C. 

      Movement of water and dissolved solutes across a membrane from an area of higher pressure to an area of lower pressure.

  • 24. 
    Diffusion is:
    • A. 

      The random movement of particles from an area of higher concentration to an area of lower concentration.

    • B. 

      Movement of a fluid across a membrane into an area of higher concentration.

    • C. 

      Movement of water and dissolved solutes across a membrane from an area of higher pressure to an area of lower pressure.

  • 25. 
    Osmosis
    • A. 

      The random movement of particles from an area of higher concentration to an area of lower concentration.

    • B. 

      Movement of a fluid across a membrane into an area of higher concentration.

    • C. 

      Movement of water and dissolved solutes across a membrane from an area of higher pressure to an area of lower pressure.

  • 26. 
    Plasma protein, albumin, are not permeable in the capillaries?
    • A. 

      True

    • B. 

      False

  • 27. 
    Arterial hydrostatic pressure is:
    • A. 

      32 mm HG

    • B. 

      12 mm HG

    • C. 

      22 mm HG

  • 28. 
    Venous Hydrostatic pressure is:
    • A. 

      32 mm HG

    • B. 

      12 mm HG

    • C. 

      22 mm HG

  • 29. 
    Capillary colloid osmotic pressure is:
    • A. 

      32 mm HG

    • B. 

      12 mm HG

    • C. 

      22 mm HG

  • 30. 
    Regulation of Body Fluids- Kidneys
    • A. 

      Triggered by stretch and baroreceptors

    • B. 

      Triggered by increased osmolality

    • C. 

      Primary regulator - reabsorption/hormones

    • D. 

      Fluid loss with respiration

    • E. 

      Fluid loss with perspiration

  • 31. 
    Regulation of Body Fluids: Skin
    • A. 

      Primary regulator - reabsorption/hormones

    • B. 

      Triggered by stretch and baroreceptors

    • C. 

      Triggered by increased osmolality

    • D. 

      Fluid loss with respiration

    • E. 

      Fluid loss with perspiration

  • 32. 
    Regulation of Body Fluids: Cardiovascular
    • A. 

      Primary regulator - reabsorption/hormones

    • B. 

      Triggered by stretch and baroreceptors

    • C. 

      Triggered by increased osmolality

    • D. 

      Fluid loss with respiration

    • E. 

      Fluid loss with perspiration

  • 33. 
    Regulation of Body Fluids: Lungs
    • A. 

      Fluid loss with perspiration

    • B. 

      Fluid loss with respiration

    • C. 

      Triggered increased osmolality

    • D. 

      Triggered by stretch and baroreceptors

    • E. 

      Primary regulator - reabsorption/hormones

  • 34. 
    The thirst center is stimulated by :  Check all that apply
    • A. 

      Increased osmolality

    • B. 

      Voiding

    • C. 

      Low volume

    • D. 

      High BP

    • E. 

      Low BP

  • 35. 
    An increase in ADH will cause:
    • A. 

      More fluid loss

    • B. 

      Less fluid loss

    • C. 

      No fluid loss

  • 36. 
    What increases ADH:  check all that apply
    • A. 

      Infection

    • B. 

      Trauma

    • C. 

      Alcohol

    • D. 

      Pain

    • E. 

      Stress

  • 37. 
    What decreases ADH? Check all that apply
    • A. 

      Infection

    • B. 

      Trauma

    • C. 

      Alcohol

    • D. 

      Pain

    • E. 

      Stress

  • 38. 
    An increase in ADH tells which part of the body it needs to hold on to water?
    • A. 

      Hypothalamus

    • B. 

      Liver

    • C. 

      Heart

    • D. 

      Kidney

    • E. 

      Lungs

  • 39. 
    Which part of the body releases ADH?
    • A. 

      Hypothalamus

    • B. 

      Kidney

    • C. 

      Lung

    • D. 

      Heart

  • 40. 
    What causes the Hypothalamus to produce ADH?
    • A. 

      Low Osmolality

    • B. 

      High Osmolality

  • 41. 
    If a patient has an increased blood volume, what will the hypothalamus do?
    • A. 

      Increase ADH

    • B. 

      Decrease ADH

  • 42. 
    Baroreceptors have no connection to ADH?
    • A. 

      True

    • B. 

      False

  • 43. 
    Increased ________ from the kideny, allows ______ to turn into ________
    • A. 

      Renin ; angiotensin 1 ; angiotensin 2

    • B. 

      Angiotensin 1; angiotensin 2; renin

    • C. 

      Renin; angiotensin 2; angiotensin 1

  • 44. 
    Renin is increased because of:
    • A. 

      Low blood pressure

    • B. 

      High blood pressure

    • C. 

      Angiotensin production.

  • 45. 
    Water follows the :
    • A. 

      K

    • B. 

      Na

    • C. 

      Cl

  • 46. 
    If a person drinks 1000ml of water, 1000ml from food, and 350ml from metabolism, how much of that is urine usually?
    • A. 

      500ml

    • B. 

      400ml

    • C. 

      150ml

    • D. 

      2350ml

    • E. 

      1300ml

  • 47. 
    Excess fluids do not cause crackles, dyspnea, headache but does cause weight gain, peripheral edema.
    • A. 

      True

    • B. 

      False

  • 48. 
    Fluid loss can cause low urine output, sudden weight loss, poor skin turgor but cause the pulse to go up and BP to go down.
    • A. 

      True

    • B. 

      False

  • 49. 
    An elderly pt does not complain of thirst, but has dark colored urine.  What could be the cause?
    • A. 

      Elderly patients don't need as much fluid.

    • B. 

      As you get older, your urine becomes darker.

    • C. 

      Decreased thirst sensation.

    • D. 

      Elderly have a higher aldosterone secretion.

  • 50. 
    What percentage of water loss will cause serious problems for a patient?
    • A. 

      2%

    • B. 

      4%

    • C. 

      12%

    • D. 

      20%

  • 51. 
    Burns cause the skin to hold water so a person wont dehydrate?
    • A. 

      True

    • B. 

      False

  • 52. 
    Third spacing allows excessive collection of fluids in the interstitial space.
    • A. 

      True

    • B. 

      False

  • 53. 
    What is the purpose of the assessment phase in the nursing process? (KN: Kozier pg 178, box 11-1)
    • A. 

      To develop a list of nursing and collaborative problems

    • B. 

      To develop and individualized care plan that specifies client goals/desired outcomes, and related nursing interventions

    • C. 

      . to determine whether to continue, modify, or terminate the plan of care

    • D. 

      To establish a database about the clients response to health concerns or illness and the ability to manage health care needs

  • 54. 
    When looking at lab values for a pt. with renal failure, you would expect to see: (Lab and Diag outline chart)
    • A. 

      Decreased BUN and increased creatinine

    • B. 

      Decreased albumin and decreased BUN

    • C. 

      Increased creatinine and increased BUN

    • D. 

      Decreased albumin and decreased creatinine

  • 55. 
    All of the below are defining characteristics of excess fluid volume except:(breeze outline)
    • A. 

      Increase B/P, bounding pulses

    • B. 

      Moist lung crackles

    • C. 

      Increase concentration, decrease output

    • D. 

      Distended neck veins

  • 56. 
    Nurse Betty enters patient Steve Jobs' room to administer his morning meds.  Upon entering the room, Steve complains that he has been tired and short of breath this morning.  After checking the computer, she realizes he has a low O2 saturation.  What stage of the nursing process would come next for Betty? (Info based on the NursingProcess breeze, slide 13.)
    • A. 

      Planning

    • B. 

      Diagnosis

    • C. 

      Determination

    • D. 

      Implementation

    • E. 

      None of the above

  • 57. 
    An increase in a patients ADH would cause:
    • A. 

      More fluid loss

    • B. 

      Less fluid loss

    • C. 

      An increase in osmolality

    • D. 

      A decrease in osmolality

  • 58. 
    Hyovolemic shock requires rapid response by the nurse. This is indicated by: (pg 916; Kozier)
    • A. 

      Increased urine output, increased blood pressure, cool clammy skin, and agitation.

    • B. 

      Decreased urine output, decreased blood pressure, cool clammy skin, and agitation.

    • C. 

      Increased urine output, decreased blood pressure, warm dry skin, and lethargy.

    • D. 

      Decreased urine output, increased blood pressure, warm dry skin, and lethargy.

  • 59. 
    If your patient has a lower airway problem, you would expect to see problems in:
    • A. 

      Pharynx

    • B. 

      Broncus

    • C. 

      Trachea

    • D. 

      Alveoli

  • 60. 
    Which part of the body controls respiratory function?
    • A. 

      Lungs

    • B. 

      Hypothalamus

    • C. 

      Medulla

    • D. 

      Baroreceptors

  • 61. 
    A nurse is listening to a child breath.  At what age would the nurse expect a child to start using their thoracic as opposed to abdomen?
    • A. 

      Birth- 1yr

    • B. 

      12yr +

    • C. 

      1yr to 5yr

    • D. 

      6yr to 12yr

  • 62. 
    Cardiac Output =
    • A. 

      SV + HR

    • B. 

      SV - HR

    • C. 

      SV * HR

    • D. 

      SV / HR

  • 63. 
    Cardiac Out is:
    • A. 

      The ml of blood forced out of the L ventricle of the heart with each contraction.

    • B. 

      The times per minute the heart contracts to pump out blood.

    • C. 

      The L of blood pumped from the heart per minute.

    • D. 

      The ml of blood pumped from the heart per minute.

  • 64. 
    Stroke Volume is:
    • A. 

      The ml of blood forced out of the L ventricle of the heart with each contraction.

    • B. 

      The times per minute the heart contracts to pump out blood.

    • C. 

      The L of blood pumped from the heart per minute.

    • D. 

      The ml of blood pumped from the heart per minute.

  • 65. 
    Heart Rate is:
    • A. 

      The ml of blood forced out of the L ventricle of the heart with each contraction.

    • B. 

      The times per minute the heart contracts to pump out blood.

    • C. 

      The L of blood pumped from the heart per minute.

    • D. 

      The ml of blood pumped from the heart per minute.

  • 66. 
    A 2 year old has a pulse of 175.  Before the nurse can determine if this is high or not, the nurse needs to know the range.  What is the range of a normal pulse for a 1 year old.
    • A. 

      160 - 80

    • B. 

      130- 80

    • C. 

      120- 75

    • D. 

      100-60

    • E. 

      50- 60

  • 67. 
    A long distance runner comes for a physical.  Her pulse is 50.  The nurse knows not to become alarmed because she knows:
    • A. 

      Athletes can have a lower heart heart.

    • B. 

      The long distance runner is a female.

    • C. 

      The long distance runner is a very calm person.

  • 68. 
    A mother brings her 3 year old in with a pulse of 110.  The mother is very concerned that there is a problem with her baby.  Should the mother be concerned?
    • A. 

      No. The normal range for a child between 1-6 is 130- 80.

    • B. 

      Yes. The normal range for a child between 1-6 is 60- 100.

    • C. 

      No. The normal range for a child between 1- 6 is 160- 80.

    • D. 

      Yes. the normal range for a child between 1- 6 is 50- 60.

  • 69. 
    BP increases the further from the heart as opposed to closer?
    • A. 

      True

    • B. 

      False

  • 70. 
    Mrs. Smith's ABG comes back with a pH of  7.2.  The doctor calls for the results.  What will you tell the doctor.
    • A. 

      Mrs. Smith's ABG is normal.

    • B. 

      Mrs. Smith's ABG is high.

    • C. 

      Mrs. Smith's ABG is low.

  • 71. 
    Normal range of pH for an ABG  would be:
    • A. 

      7.3 - 7.60

    • B. 

      7.20- 7.40

    • C. 

      7.35- 7.45

    • D. 

      7.25- 7.35

  • 72. 
    PaCO2 normal range is 35-45 mm Hg?
    • A. 

      True

    • B. 

      False

  • 73. 
    Pa O2 normal range is 80-100 mm Hg?
    • A. 

      True

    • B. 

      False