NUR 2115 Final Exam Study Guide with Answers

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NUR 2115 Final Exam – Fundamentals of Professional Nursing – Final Exam Concept Review- Fall 2018 (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, respirations, temperature and pulse ox.
  • Think about how you would handle VS outside of 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, respirations, temperature and pulse ox across the lifespan
  • When may it be inappropriate to delegate VS?

Module 4-7:

  • Review definitions of the nursing process including:
  • Assessment
  • nursing diagnoses
  • Planning
  • Outcomes
  • interventions
  • evaluation

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 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
40% of exam will be on the following sections:

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:

  • Review the components of performing a GU assess
  • Review s/s of UTI, risks for developing UTI and treatments
  • Review the effects of immobility on the GU system
  • Review causes of urinary incontinence
  • Review the GU terminology: micturition, oliguria, dysuria, retention, urgency
  • Review nursing care for urinary incontinence
  • Review the process of obtaining a 24-hour urine collection
  • Review the collection of a midstream urine specimen

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 sleepnur 2115 final exam

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