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MGCCC NURSING UNIT 3 EXAM
QUESTIONS WITH 100% C0MPLETE
ANSWERS!!
Inspection - CORRECT ANSWER -What you can see with your eyes
Palpation - CORRECT ANSWER -What you feel with your hands
Percussion - CORRECT ANSWER -Tapping the body with the fingertips to
produce a vibration that travels through the body tissues
Auscultation - CORRECT ANSWER -Listening for sounds made by the body
Olfaction - CORRECT ANSWER -What you can smell
Two kinds of assessments - CORRECT ANSWER -Comprehensive: general;
Focused: specific or targeted
BUN (Blood Nitrogen Urea) - CORRECT ANSWER -assesses kidney function
normal range: 10 - 20 mg/dL
K+ (potassium) - CORRECT ANSWER -Potassium is vital for muscle/nerve
communication normal range: 3.5 - 5.0 mEq/L (<2.5 or >6.5 is critical)
Na+ (sodium) - CORRECT ANSWER -measures sodium in the blood
normal range: 136 - 145 mEq/L
Glucose (blood sugar) - CORRECT ANSWER -Screens, diagnoses, and
monitors blood glucose levels Normal Ranges: FBS: < 200 mg/dL; 30 min PC: < 200 mg/dL 2 hr PC: < 140 mg/dL 3-4 hr PC: 70-115 mg/dL
H&H (hemoglobin and hematocrit) - CORRECT ANSWER -Hematocrit: used as a
rapid RBC count
Hemoglobin: measures Hgb in blood normal ranges: hematocrit: 42 - 52% hemoglobin: 14 - 18 g/dL
WBC (white blood cell count) - CORRECT ANSWER -count white blood cells;
high result can indicate infection normal range: 5,000-10,000 mm^
Platelets - CORRECT ANSWER -measures platelets; can indicate excessive
bleeding or clotting normal ranges: 150,000 - 400,000 mm^ PT, PTT, INR ( Prothrombin Time, Partial Thromboplastin Time, International
Normalized Ratio) - CORRECT ANSWER -Indicated when unexplained bleeding
is present; assesses bleeding disorders normal ranges: PT: 11 - 12. aPTT: 30 - 40 PTT: 60 - 70 seconds INR: 0.8 - 0.
Creatinine - CORRECT ANSWER -assesses kidney function
normal range: 0.6 - 1.2 mg/dL
HgbA1C (Glycosylated Hemoglobin) - CORRECT ANSWER -measures how well
diabetes is being controlled normal ranges: non-diabetic: 4 - 5.9% good: < 7% fair: 8-9% poor: > 9%
Total Cholesterol - CORRECT ANSWER -measures good/bad cholesterol and
triglycerides in blood normal range: < 200 mg/dL
Concept of informatics - CORRECT ANSWER -Informatics is the science and art
of turning data into information
Currency - CORRECT ANSWER -* Look for dates
- Compare the last update with current literature
Usability - CORRECT ANSWER -* Is the site well designed, stable, and easy to
use?
- Content should be error-free and readable by the intended audience
Documentation - CORRECT ANSWER -provides a written record that can
communicate observations and data to the healthcare team
Change of shift reports: - CORRECT ANSWER -hand off report given at the end
of the shift to the nurses/ assistive personnel working on the next shift
Telephone reports - CORRECT ANSWER -given by RN whenever significant
events or changes in a patient's status have occurred
Telephone orders - CORRECT ANSWER -used only when absolutely necessary,
at night or in an emergency
Transfer reports - CORRECT ANSWER -given when a patient changes location
should include:
- Demographics (name, dob, age, health care provider)
- Summary of medical progress up to the time of transfer
- Current health status
- Allergies
- Emergence code status
- Family support
- Current diagnosis and care plan
- Any critical assessment or interventions to be done after transfer
Common technological devices used in communication - CORRECT ANSWER -
computers faxes telephones dictaphones
The purpose of a client record is - CORRECT ANSWER -communication:
between providers Legal documentation: used in court Reimbursement: verifies financial charges Education: educates related to the disease process Research: statistical data
Quality process and performance improvement Legal parameters that guide documentation and the maintenance of client records -
CORRECT ANSWER -> Correct all errors promptly, using the correct method
Record all facts; do not enter personal opinions Do not leave blank spaces in the nurses' notes Write legibly in permanent black ink If an order was questioned, record that clarification was sought Chart only for yourself, not for others Avoid generalizations Begin each entry with the date/time and end with your signature and title Keep your computer password secure
Guidelines for quality/effective documentation are that it should be - CORRECT
ANSWER -Factual: descriptive, objective, measurable, and observable
Accurate: use of precise measurements Complete: concise but thorough information Current: make entries promptly Organized: written in logical sequential order
Problem - Oriented Medical Record (POMR) - CORRECT ANSWER -data base,
care plan, problem list, progress notes
Narrative Charting - CORRECT ANSWER -Story-like format
Disadvantages: repetitious, time consuming, reader has to sort though info to locate desired data
SOAP - CORRECT ANSWER -subjective, objective, assessment, plan
SOAPIE - CORRECT ANSWER -Subjective, objective, assessment, plan,
intervention, evaluation
PIE - CORRECT ANSWER -Problem, intervention, evaluation
Focused Charting (DAR) - CORRECT ANSWER -Data, action, response
Charting by exception (CBE) - CORRECT ANSWER -Focuses on documenting
deviations streamlines documentation Legal risk if RN fails to document appropriately
Case Management Plan and Critical Pathways - CORRECT ANSWER -
Incorporate a multidisciplinary approach to care
Each task is framed with opposing conflicts such as trust vs. mistrust Each stage builds on the successful attainment of the previous developmental conflict
Piaget: Theory of cognitive development - CORRECT ANSWER -includes 4
periods
