NUR 2115 Final Exam Study Guide with Answers

Description

NUR 2115 Final Exam – Fundamentals of Professional Nursing – Final Exam Concept Review- (Rasmussen College)

All Modules

Review various nursing diagnoses related to specific patient problems discussed in Fundamentals
Roughly 60% of the final exam will be cumulative over Module 1-7

Module 1-3 Concepts:

Importance of documentation of assessments & interventions
Types of nonverbal behavior which could promote improved communication
The importance of QSEN competencies in nursing education
What is a sentinel event?
What is the main purpose for incident reporting?
Examples of health promotion activities for primary, secondary and tertiary
ISBARR, DARE, SOAPIEnotes for team communication
Review teaching for a patient with modifiable health risk factors
Age related safety concerns across the lifespan
6 Dimensions of wellness definitions
Know the importance of basing our care plan on nursing theory
HP 2020 Goals
Developmental theories: focus on Erickson’s
EBP- what information to trust for best practices- ANA, CDC, US Dept of Health, National Institute of Health (NIH).
No .com sites for professional nursing. No blogs should be used as a reference-.
OK to use most .org .edu or .gov sites.
I.C.O. statements
ANA Scope of Practice
ANA Standards of Professional Performance- definitions (mod 1)

Musculoskeletal:

Review education on crutch, cane, walkerambulation
Review safety precautions when repositioning patient in bed
Review nursing interventions which would be included in caring for a patient with contractures
Review the difference between active and passive range of motion

Vital Signs:

Review the assessment of all vital signs including BP, HR, respiration, temperature and pulse ox.
Think about how you would handle VS outside of the range for each VS and Spo2
What trends in VS are worrisome and how should the RN respond?
Review normal values for VS: BP, HR, respiration, temperature and pulse ox across the lifespan
When may it be inappropriate to delegate VS?

Module 4-7:

When you obtain your assessment data, what is the next step in the process ?

After establishing goals, what is the next step?

After implementing a new teaching plan, what is the next step (using the nursing process?)

In order to create a nursing diagnosis, what details do you reference?: A. the medical diagnosis or B. the Nursing assessment?

When prioritizing the nursing diagnoses, what goes first, your actual diagnoses or the “risk for” diagnoses.

Respiratory/Cardiac:

Review various lab data and normal values: BUN, electrolytes, CBC, blood glucose
Review the common adventitious lungs sounds (wheezes, pleural friction rub, rhonchi, crackles and stridor) and what specific conditions you would auscultate them (COPD, pneumonia, asthma, CHF)
Review respiratory terminology: dyspnea, cyanosis, tachypnea, bradypnea, apnea in beginning of Chap 38
Review the ACUTE and Chronic effects of hypoxia on the respiratory system and the rest of the body.
Review the anatomical locations for auscultation of cardiac and respiratory systems (aortic, pulmonic, tricuspid and mitral)
Review how to determine types of pitting edema: 1+, 2+, 3+ and 4+
Review interventions to decrease risks for pulmonary embolism
Review grading of pulses: bounding, normal, diminished, absent

Infection/ Inflammation/ Thermoregulation:

Review the difference between inflammation and infection
Review the effects of the excessive or ineffective inflammatory response which could occur in a patient
Review the purpose/benefits of the inflammatory process including fever benefits
Review infection terms: opportunistic, virulence, phagocytosis, hospital-acquired, nosocomial, immunocompromised
Review the chain of infection: infectious agent, reservoir, portal of exit, portal of entry, susceptible host, mode of transmission
Review stages of infection: incubation period, prodromal stage, full stage of illness, convalescent period nur 2115 final exam
Review types of nosocomial and hospital-acquired infections (HAI’s)
Review rationale of proper hand hygiene
Review terminology: bacteremia
Review signs and symptoms of infection
Review the difference between endogenous nosocomial and exogenous nosocomial infection

(Mod 7) Integumentary and Tissue Integrity:

Review the stages of pressure ulcers including I, II, II and VI ulcers as well as unstageable and suspected deep tissue injury
Review integumentary changes in various developmental ages
Review the importance of nutrition and wound healing
Review the following precautions: protective, droplet, airborne, contact, standard, isolation, airborne
Review the difference between a wound evisceration, dehiscence, fistula, hemorrhage.
Review the use and advantages of negative pressure wound therapy (wound vac)
Review process of healing: primary, secondary, tertiary
Review the use and rationale of the Braden scale
Review the difference between acute and chronic wounds
Review the effect of shearing force and friction on skin integrity

Glucose Regulation:

Review patient education a nurse would include in self administration of insulin
Review the normal lab values for fasting blood glucose and A1C
Review risk factors and complications of diabetes
Review treatment modalities for diabetes
Review treatment for hypoglycemia
Review education and teaching on foot care of a diabetic patient

Gastrointestinal:

Review the complete assessment of the GI system including inspection, auscultation, palpation and percussion
Review conditions of diarrhea and constipation and precipitating factors of each
Review the components in a focused GI assessment
Review risks and treatments for constipation& diarrhea
Review effects of immobility on the GI system
Review the risk factors which increase irritable bowel syndrome (IBS)
Review diagnostic colon cancer screening
Review teaching regarding a patient undergoing a colonoscopy
Review education and teaching regarding ostomy care
Review side effects of diarrhea& constipation
Discuss the interrelationship between GI system disorders and antibiotics

Genitourinary:

Pain/Stress & Adaptation:

Review the types of pain: chronic, acute, intractable, neuropathic, radiating, phantom, referred psychogenic
Review which pain management tasks can be delegated to nursing assistant
Review alternative techniques of pain management: hypnosis, distraction, guided imagery, massage, reiki, music, aromatherapy
Review risks of inadequate pain management nur 2115 final exam
Review care planning and prioritization of pain control
Describe the body’s stress response
What are the physiological effects of prolonged stress on the body?
Describe sleep deprivation and establishing a care plan around sleep