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NUR 2115 Final Exam – Fundamentals of Professional Nursing – Final Exam

Concept Review- Fall 2020 (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

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 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

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 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

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 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

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 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?

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