: mursing process consist of

assessment
planning
implementation
all of the above

:the following techniques are using for general physical examination

inspection
palpitation
percussion
auscultation
all of the above

:the most accurate temperature is

ractal
axilla
oral

: the normal temperature is

37c
37.5c
37.6c

:normal adult pulse is

b/m 60-80
b/m 70-80
b/m 50-70
the sistolic pressure in lower extremities is usually ___________ than upper
extremities
10mm of hg higher
5mm of hg higher
15mm of hg higher
:an informed consent is a ______ for any operative procedures
medicolegal requirement
operative permit
document

:the best position for post_op patient maintain a patient airway is

lateral position with neck extended
supine position
semi fowlers position

when apatient admitted in dr with full term pregnancy & her membranes rupture
spontaneously all of the following actions are appropriate ; first you will
check the FHR
check the color of fluid
assess the quantity of fluid
notify the physican
 u r the nurse assigned to care a patient after gastric resection in the recovery room in
stable codition . during yuor assessment for hypovolemic shock, the sign that yuo
would expect to note if this comlication occurs is
hypertention
cyanosis
oliguria
tachypnea

paralytic ileus is a frequent - complication of post-op abdominal surgery . according

to the physician,s orders & your own assessment data base , a planned intervetion
wold be to
administer p.o fluids only
insert a N.G.T
insert a rectal tube
listen for bowel sounds

assessing a patient diagnosed as a schizophremic , the nurse keeps in minde that a

diagnosis of schizophrenia involves
inability to concentrate
loss of contact with reality
guilt feelings
feelings of worthlessness

the doctor applies a leg cast of a patient with leg fracture . following casting , the
nurse should fiest check patient,s toes for
increase in temperature
change in color
edema
movment

from your knowledge of the casting procedure , you undrestand that a wet cast should
be
placed on a firm surface for the first few hours
handed only with the plams of the hands
left alon to set for at least 3 hours
.petaled to lessen chance of irritation to the patient
immadiate assessment of the premature infant in the nursery would not include
hunger status
cardiac status
respiratory status
cobgenital abnormalities
which of the following best explain why premature infant are more likely to develop
? hyperbilirubinemia
liver enzymes are immature
antibody formation is immature
. premature infants receive few antibodies from the mother
WBC live immature

nursing responsibilities for the pre operative period would include notifying the
physician if the
 erythrocyte count is 6 million 1 cc mm
temperature is 99 C F orally
hemoglobin is 14 gm/100ml
urine report-indicates ketonuria

a test used in the dianosis of cystic fibrosis called

sweat chloride
blood glucose
sputum culture
stool specimen for fat content