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FINAL EXAM
MEDICATIONS
 Antibiotics know common side effects: nausea, constipation, etc.
 Understand Nursing Implications of all meds.
 Know common interactions such as Warfarin and ASA.
 Know most common trade names.
 Know common food interactions: Vitamin K and diuretics, Warfarin. Potassium
supplement and Kaexolate.
 Nutrition and Drug interaction table in Nutrition chapter; one question from there.
Diagrams: ROM diagram + one other.
Math: F° > C° and reverse. Know calories. Drip factors.
Exam 1
HEALTH PROMOTION/WELLNESS/ILLNESS
 Primary, secondary, tertiary treatment.
VITAL SIGNS
 Normal values of VS.
 How to take blood pressure.
 Know conduction, convection, radiation (is this under VS?)
 Cuff too tight, too loose;
o Too small equals false high
o Too loose gives a false low. Low/low
HEALTH ASSESSMENT
 Assessment skills. E.g. priority (triage) based on four patients.
 ABC
 Breath sounds
CRITICAL THINKING
 Who would you take care of first? Maslow.
NURSING PROCESS
 ADPIE; know what happens in each step.
Exam II
DOCUMENTATION
 Know correct ways to document.
 JACHO approved documentations.
 6 rights of medication administration.
 SOAP, SOAPIER, DAR, Charting by exception. DAR is a focus note.
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LEGAL
 Malpractice vs. negligence, slander v. libel.
REPORTING
 Change of shift report. What’s important to give in that?
 Delegation. What can be delegated to whom?
COMMUNICATION
 Therapeutic communication. Know, however, that for a psych patient, closedended and direct is better.
TEACHING
 What would you teach based on the scenario?
CULTURE
 May be combined with nutrition chapter or communication.
DELEGATION
 Leadership styles: autocratic, laissez-faire, democratic, etc.
MEDICATION
 How an order is written.
 Terminology for Mx administration: bid, tid, prn, sq, im
 Injection sites.
 Needle sizes, purposes, locations.
Exam III
ASEPSIS
 Medical vs. surgical.
 Infection control.
 Contact precautions.
 How to clean up something, e.g. soiled sheets.
 Needle capping, went over in class. She will test on the IDEAL.
HYGIENE
 A.M. care.
 Hygiene scenario.
 How to clean? Why clean from front to back?
 Mouth care on the unconscious patient. Semi-fowlers (30°-45° angle) and turning
head to side.
SKIN INTEGRITY
 Know different dressing types.
 Stages of ulcers.
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 How to assess wound.
 Terminology to describe wound in documentation.
 Heat and cold applications; purposes, benefits, limitations, precautions.
SAFETY
 Ambulation, transfer, and environmental.
ACTIVITIES AND EXERCISE
 How it affects different systems.
 Isometric (tensing), Isotonic (regular activities), Isokinetic (weight-lifting)
AGING
 Normal physiology of the aging adult.
 Abnormal aging. Not all elders have cholesterol problems or incontinence.
SENSORY PERCEPTION
 Deprivation and over-stimulation.
DEATH AND DYING
 Kubler-Ross
 Defense mechanisms.
STRESS/ADAPTATION
 Alarm stage, resistance stage, epinephrine/norepinephrine.
 Sympathetic and parasympathetic.
 Medication chart in that chapter helps with beta-blockers. (handout)
Exam IV
NUTRITION
 Read NG tubes. Understand how to manage them. Checking residual, placement,
pH, patency. pH for stomach is 4 on the chem. strip.
 Different types of diets.
 Some problems with vitamin deficiencies. Why need a low protein diet?
Probably due to renal problems.
ELECTROLYTES
 ABGV – Arterial Blood Gas Values.
BOWEL ELIMINATION
 Know general locations – upper or lower – of ostomy to be able to determine if
stools would be soft or hard. Review A&P of small and large intestines.
 Know S&S of healthy vs. unhealthy stoma.
 Know different types of enemas and positioning.
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Final chapters
OXYGENATION
 Assessment of someone in distress:
o capillary refills
o skin turgor
o possibly breath sounds.
 How to put on nasal cannula.
 What are complications of cannula?
 What’s the purpose of a re-breather?
 A non re-breather?
 How to suction?
o Independent suctioning: pt. has a change in status. Pulse ox is 85 and
they are gasping for air through mucus plugs. Nurse needs to clear that
blockage.
o Dependent suctioning: order for suctioning qid.
o Interdependent: order for suctioning PRN
ANEMIA
 3 types of anemia
HYPERTENSION
 Don’t know CO, SV formulas.
 How do you deal with a pt. with hypertension and how does circulation play a
role in hypertension? Vasoconstriction raises BP.
 Primary (essential) hypertension vs. secondary (known etiology, usually renal).
PERIOPERATIVE
 Today’s notes.
CONTINGENCY PLAN
Check PANTHER system. Exam may be postponed until January.
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