Good
Luck
On
Exam
III
100
You have a patient who just had a stroke and has garbled speech. What type of diet do you expect the patient to be prescribed after a speech evaluation?
- Soft diet
- Full liquid diet
- Mechanically altered diet with thin liquids
- Mechanically altered diet with nectar thick liquids
- Mechanically altered diet with nectar thick liquids
100
Select the "SIDE EFFECT":
* Patient experiences anaphylaxis after a dose of penicillin.
* Patient becomes drowsy after taking Benadryl.
* Patient experieces hepatotoxicity following appropriately-dosed use of fluoroquinolones.
* Patient becomes drowsy after taking Benadryl.
SEs are predictable, common reactions that may not be avoidable.
100
Select the PRN order:
1. Administer 100mg colace PO Daily.
2. Adminsiter 2mg morphine IV every 4 hours for pain greater than 7 on a 0-10 scale.
3. All patients admitted to the ICU should be started on continuous pulse oxymetry.
4. Adminsiter Tylenol, 500mg, PO now.
2. Adminsiter 2mg morphine IV every 4 hours for pain greater than 7 on a 0-10 scale.
100
T / F:
A nurse receiving a telephone order should always repeat the order back to the provider in order to verify accuracy before entering it into the computer or writing it in the chart.
F: Read the order back AFTER writing it / entering it in the computer to ensure it is accurately documented.
Reading it back before docuenting it could still allow for a transcribing error.
100
T / F:
After filling a syringe with mediation from a vial, the nurse knows not to recap the needle due to the risk of needle stick injuries and communicable disease transmission.
F: The needle must be recapped until use to remain sterile.
Recapping should NEVER happen after a needle has been used to inject into a patient's tissue.
200
A patient is post-opt from gallbladder surgery and is ordered a clear liquid diet. Which of the selection can the patient have?
- Apple Juice
- Vanilla Custard
- Fudge Popsicle
- Creamy Chicken Soup
- Apple Juice
200
A patient is suffering from a broken jaw. Which foods would be most beneficial for this patient?
- Carrots, fried chicken, and cereal
- Soup, pudding, and ice cream
- Rice, watermelon, and smoked fish
- Tacos, peanuts, and fresh broccoli
- Soup, pudding, and ice cream
200
Which type of parenteral medication administration requires the needle to be held at a 5 - 15 degree angle?
Intradermal
200
What is the correct position for your patient to be in for administration of a suppository?
Sims
High Fowlers
Supine
Seated on the toilet
Sims
200
Your patient is recovering from a stroke and has left sided weakness. To help ensure safe swallowing, should you tell them to turn their head to the weak or strong side?
WEAK
300
13.) A patient was recently admitted for a Deep Vein Thrombosis and was started on Coumadin. During your education with the patient you would instruct the patient to avoid what food?
- Bananas
- Lettuce
- Spinach
- Processed meats
- Spinach
300
Which of these patients requires a therapeutic diet?
*An adolescent awaiting removal of her cast who is a vegetarian.
*A 45 year-old man scheduled for surgery this afternoon.
*A 60 year-old woman scheduled for discharge today following treatment for a UTI. She does not eat red meat.
A 45 year-old man scheduled for surgery this afternoon.
ANTICIPATE NPO STATUS.
300
Your patient has been diagnosed with diverticultis. A low fiber diet has been ordered. You know she understands your teaching when she says:
*I will eat cooked vegetables and peeled peaches for dinner with baked chicken.
*I will increaese the whole grains in my diet.
*I will eat mostly raw vegetables and fruit with the peel intact.
*I will eat cooked vegetables and peeled peaches for dinner with baked chicken.
300
Which type of parenteral medication administration always requires the needle to be held at a 90 degree angle?
Intramuscular, IM
300
A nurse is preparing to hang the initial bag of the parenteral nutrition (PN) solution via the central line of a malnourished client. The nurse ensure the availability of which medical equipment before hanging the solution?
A. Infusion Pump
B. Glucometer
C. Dressing tray
D. Nebulizer
Infusion Pump
400
9.) Recognizing that a patient receiving dialysis should follow a low sodium diet, the nurse instructs the patient to avoid what type of foods?
- Canned soups, cold cut sandwiches, and Chinese take-out
- Fresh fruits and vegetable, poultry, and beans
- Steamed broccoli, broiled mackerel, and artificial sweeteners
- Microwaved sweet potatoes, boiled cabbage, and artichokes
- Canned soups, cold cut sandwiches, and Chinese take-out
400
Medications absorbed via a mucous membrane are considered to be what route of administration?
Topical
400
T / F: During the placement of an NG tube, the nurse should quickly advamce the tube forward during a patient's inspiration.
F: The tube should be held steady when the patient is breathing in or coughing.
400
Enteral feedings to this kind of tube must be adminsitered slowly and continuously via a pump.
J Tube
400
T/F:
The correct way to adminsiter an IM vaccine injection following current evidence-based practice is to: utilize the Z track method, maintain the needle in the tissue for 10 seconds, and gently massage the area of injection before covering with a bandaid. Aspiration is not needed.
False:
Do not massage. This increases likelihood of medication exiting muscle and entering subcutaneous tissue.
500
A patient is to be started on enteral feedings. What important step should the nurse take before the patient is started on enteral feedings?
- Assess patient allergies to lactose
- Assess the patient’s understanding about enteral feedings
- Evaluate the families perception of the enteral feedings
- Make sure the patient stays nothing by mouth while enteral feedings are being administered
- Assess patient allergies to lactose
500
The nurse is changing the central line dressing of a client receiving parenteral nutrition (PN) and notes that there are redness and drainage at the insertion site. The nurse next assesses which of the following?
A Time of last dressing change.
B Allergies
C. Client’s temperature.
D. Expiration date.
Temperature
500
Which injection site is pictured below and which route of administration uses it?
Ventrogluteal
IM
500
What is the name of the injection site below, what adminsitration route uses it, and what is the maximum volume of medicatio that can be injected?
Deltoid
IM
2mL
500
You are about to use this IM injection site to medication your patient, a sticky infant. What is the site?
Vastus Lateralis: the prefered site for patients under 12 months