Nursing Fundamentals Quiz

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Questions and Answers

What techniques should be used when assisting patients with hygiene measures?

Patients should be cleaned from the head down only.

Only sponge baths are acceptable for all patients.

Different types of baths should be based on patient needs. (correct)

Hygiene measures should not involve patient participation.

Which factors are important when assessing body alignment and mobility?

Patient's medical history and current medications.

Interview and assessment skills related to the patient’s activity tolerance. (correct)

Personal biases and subjective opinions about mobility.

Only external factors such as room space and furniture.

What is a critical component of the nursing process impacting patient care?

The use of only medical equipment.

Limited communication with the healthcare team.

Identifying and creating priority patient problems. (correct)

Following strict protocols without evaluation.

Which vital sign modality requires knowledge of specific sites for assessment?

Assessment of blood pressure at various recommended sites. Signup and view all the answers

What does safe patient handling during mobility address?

Using equipment and techniques to prevent injury. Signup and view all the answers

What could indicate a need for intervention based on vital signs?

Normal pulse rate and high respiratory rate. Signup and view all the answers

What should be included in health-teaching interventions to promote safety?

Adjusting interventions based on each developmental stage. Signup and view all the answers

What is essential when reading medication labels for safety?

Understanding the five rights of medication administration. Signup and view all the answers

What is the primary purpose of the ISBARR method in a nursing setting?

To communicate patient-specific information effectively Signup and view all the answers

Which of the following routes of medication administration requires the nurse to avoid the first-pass metabolism effect?

Rectal Signup and view all the answers

Which factor is critical when administering medications via the subcutaneous route?

Identifying the appropriate sites for injection Signup and view all the answers

When conducting a head-to-toe assessment, which technique should be performed last?

Documentation of findings Signup and view all the answers

What is the primary benefit of using electronic health records (EHR) in healthcare?

Improved communication among healthcare providers Signup and view all the answers

Which of the following vitamins is most commonly associated with wound healing?

Vitamin C Signup and view all the answers

In nursing practice, what is the role of incident reports?

To address and analyze unexpected events Signup and view all the answers

What is a key principle of medication safety when administering intramuscular injections?

Aspiration before injecting to check for blood return Signup and view all the answers

Study Notes

Hygiene and Self-Care

Assess hygiene practices and self-care behaviors using interviews and physical assessments (skin, oral cavity, hair, nails).
Assist patients with hygiene measures, including various bath types and body part cleaning.

Body Alignment, Mobility, and Activity

Assess body alignment, mobility, and activity tolerance using interviews and assessments.
Utilize safe patient handling, mobility techniques, and equipment for positioning, moving, lifting, and ambulating patients.
Understand exercise and immobility effects on body systems.

Critical Thinking and the Nursing Process

Describe critical thinking, clinical reasoning, and clinical judgment.
Explain the nursing process and its impact on patient care.
Identify, prioritize, and develop interventions for patient problems with rationales.
Describe the importance of nursing professionalism.

Vital Signs and Assessment

Describe each vital sign modality and assessment methods.
Identify sites for temperature, respiratory rate, pulse, blood pressure, and pulse oximetry assessment.
Know normal ranges for vital signs and pulse oximetry.
Identify interventions for abnormal findings.
Understand the diagnostic and clinical significance of blood glucose test results.

Medication Administration

Calculate dosages accurately using appropriate methods (desired/have, dimensional analysis, ratio/proportion).
Effectively read medication labels and understand medication orders (Right drug, dose, route, time, frequency).
Describe medication administration principles for various routes (oral, topical, inhalation, rectal, vaginal, ear and eye drops/ointment, IM, SC, ID).
Use the nursing process for safe medication administration.
Develop patient-specific teaching points for medication administration.
Understand the Situation, Background, Assessment, and Recommendation (SBAR) model.

Patient Safety and Health Teaching

Describe health-teaching interventions to promote safety for different developmental stages.
Identify safety devices (side rails, bed locks, restraints, fire safety, incident reports, disaster response).
Discuss strategies to decrease home safety risks (oxygen, fire, falls).

Documentation and Confidentiality

Understand the nursing documentation process.
Identify steps in a head-to-toe assessment, including inspection, palpation, and auscultation.
Describe expected terminology related to assessments.
Protect patient confidentiality.
Describe electronic health records (EHRs), benefits, and confidentiality measures.

Interdisciplinary Collaboration and Delegation

Use ISBARR with the interdisciplinary team.
Identify when to use incident reports and include relevant personnel.
Describe the nurse's responsibilities when delegating.
Describe the nurse's role in admission, transfer, and discharge processes.

Patient Education and Client Factors

Describe client education factors that influence adherence to therapeutic plans.
Describe elements of appropriate documentation.
Identify ways to incorporate therapeutic communication.

Nutrition and Malnutrition

Identify signs of malnutrition.
Describe benefits of specific vitamins and minerals.
Identify diets appropriate for various patient populations.

Wound Care and Pressure Injuries

Discuss wound healing processes.
Describe wound debridement types and wound irrigation procedures.
Describe the process of staging pressure injuries.
Identify factors affecting wound healing.
Describe wound healing modalities (wound vacs, dressings).

Gastric Tubes

Describe nasogastric tube (NG) insertion, care, and use.
Explain locations and reasons for placing gastric tubes (enteral feeds, stomach decompression).
Describe priority actions during NG feeding.

Hand Hygiene and Asepsis

Identify situations requiring hand hygiene.
Differentiate between medical and surgical asepsis.
Describe the donning/doffing of PPE.

Additional Key Concepts

Medication errors (prevention, reporting.)

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Description

Test your knowledge on essential nursing skills including hygiene practices, body alignment, mobility, critical thinking in the nursing process, and vital signs assessment. This quiz will cover crucial elements for effective patient care and nursing professionalism.