Oxygenation
What is the most effective position for a position for a patient experiencing dyspnea?
A. Lying flat
B. Lying on their side
C. High Fowlers
D. Lying on their stomach
C. High Fowlers
What angle are subcutaneous injections administered?
A. 45 to 90 degrees
B. 20 to 30
C. 35 to 45
D. 40 to 45
A. 45 to 90
What is the gold standard for NGT placement verification?
A. Auscultation with stethoscope
B. CT of the abdomen
C. Abd flat plate (abd xray)
D. No verification is needed just as long as it is inserted to the right mark (at least 60 cm).
C. Abd flat plate (abd xray)
Mental and emotional restoration occurs during what stage of the sleep cycle?
A. Stage 3 NREM
B. Stage 1 NREM
C. REM
D. Stage 2 NREM
C. REM
At what angle should a subcutaneous injection be administered?
A. 15 degrees
B. 30 degrees
C. 90 degrees
D. 60 degrees
C. 90 degrees
What should the nurse do to prevent drying of the dares of a patient receiving O2 via NC?
A. Provide humidification
B. Increase the O2 to 4 liters
C. Replace N/C with a Non-rebreather
D. Provide humidification
D. Provide Humidification
Which muscle/sight should the nurse administer a 4ml IM injection?
A. Vastus Lateralis (on the lateral side of the thigh)
B. Deltoid (The arm)
C. Gluteus Maximus (The buttocks)
D. Nurses don't administer IM injections, get the doctor to do it.
A. Vastus Lateralis
What is a marker for cardiovascular disease and obesity?
A. Elevated A1C
B. Elevated Sodium.
C. Elevated BP
D. High LDL
D. High LDL
Which of the following symptoms is associated with sleep deprivation?
A. Unwilling to assist with ADL
B. Having energy throughout the day
C. Extreme Tiredness during the day
E. Awake all day
B. Having energy throughout the day
If the client has been instructed to take the medication on an empty stomach, which statement made by the client requires additional teaching?
A. If I eat I can take my medication at the same time it will change the absorption of the medicine.
B. I need to take my medication just before I eat.
C. I can take the medication an hour before I eat.
D. I can take my medicine 2 hours before I eat breakfast.
B. I need to take my medication just before I eat.
What lab value is most important to evaluate in patients with COPD?
A. HR (Heart rate)
B. ABG (Arterial blood gas)
C. RR (Respiratory rate)
D. O2 saturation
B. ABG (arterial blood gas)
A nurse can administer medication that was prepared by another nurse?
True or False
False
Before initiating tube feeding, what is the initial action of the nurse?
A. Check for residuals
B. Put the patient on their left side
C. Make sure the patient is flat on their back.
D. Flush the tube with 700 ml's of H2O to ensure patency.
A. Check for residuals
Which statement indicates additional teaching about effective sleep methods?
A. I should stay consistent on sleep and wake times
B. I can try progressive muscle relaxation before bed
C. I should avoid alcohol when taking benzodiazepines
D. I should drink coffee to help me sleep
D. I should drink coffee to help me sleep
Dose ordered is 45 mg PO q 12 hrs. Dose on hand is 15 mg tabs. How many tabs should the patient receive per dose?
45/15 = 3 tabs
45/1 x 1/15 = 45/15 = 3
Which device delivers the most precise O2 with humidity?
A. N/C
B. Venturi Mask
C. Non rebreather
D. Face tent
B. Venturi Mask
What is the appropriate way to apply a transdermal patch?
A. Apply gloves, Rotate the sites
B. Over the previous site.
C. Over a hairy area
D. Applying gloves when handling medication patches is not necessary
A. Apply gloves, rotate the sites
What is the highest priority for a patient with dysphagia that the nurse communicates to the UAP?
A. Make sure that the patient is at a 90 degree angle when eating.
B. Make sure that the food is pureed.
C. Make sure that the patient has food brought from home.
D. Send the UAP out to get the patient something that they will like.
A. make sure that the patient is at a 90 degree angle when eating
When caring for a pt who has RLS (restless leg syndrome) what should the nurse teach as it relates to management of symptoms?
A. Symptoms are often managed by decreasing oral iron intake
B. Take anticonvulsants
C. Massage or stretch your legs
D. Avoid heat or cold compress on legs
C. Massage or stretch your legs
Dose ordered: 15 mg PO daily. Dose on hand is 10 mg per tablet. How many tabs should the pt receive per day?
15 mg/10 mg x 1 tab = 1.5 tabs
15 mg/1 x 1 tab/10 mg = 15/10 = 1.5 tabs
What is a late sign of hypoxia?
A. Tachypnenia
B. Bradycardia
C. Hypotension
D. Hypertension
B. Bradycardia
Can medications be left at the bedside unattended by the nurse?
A. No, the nurse should waste the medication and return with the medication at a later time.
B. Yes, just as long as the patient is a/o x 4 and responsible.
C. Yes, just as long as a responsible family member is there to ensure that the patient takes the meds.
D. Yes, just delegate the task to the UAP
A. No, the nurse should waste the medication and return with the medication at a later time.
How often should tube feeding be changed?
A. Every 72 hours
B. Every 24 hours
C. It varies from facility to facility
D. It depends on what type of tube feeding it is
B. Every 24 hours
The new nurse that works on the night shift has made several medication errors. What intervention should the manager implement first?
A. Take disciplinary action against the nurse for the med errors.
B. Arrange remediation
C. Terminate the nurse because it is a near sentinel event.
D. Ask the new nurse about their sleep pattern adjustment.
D. Ask the new nurse about their sleep pattern adjustment.
Dose ordered is 25 mg Q 12 hr. Dose on hand is 12.5 mg per tab. How many tabs should the nurse administer per dose?
25/12.5 x 1 = 2
1 tab/12.5 mg x 25 mg/1 = 25/12.5 = 2