NSG 101 EXAM 3 QUESTIONS & VERIFIED ANSWERS
What are the three checks a nurse should always do? - Answers - 1. Checking the MAR
2. Checking the doctor's order
3. Checking bedside
What are the six rights a nurse should always do? - Answers - 1. Right patient
2. Right documentation
3. Right time
4. Right dose
5. Right route
6. Right medication
What should a nurse do before administering medication? - Answers - 1. 3 checks
2. 6 rights
3. Scan barcode
What should a nurse do after administering a medication? - Answers - Monitor the
patient. Usually, within 30min-1hr
Should you ever override a safeguard on a medication as a nurse? - Answers - No
When a medication does not scan at the MAR, what can the nurse do? - Answers - 1.
Call the pharmacy
2. 3 checks
3. 6 rights
If a patient was prescribed versed, but a nurse pulled vecuronium, should the nurse still
administer the medication? - Answers - No the nurse should not. Versed is a sedative
and is a powder. Vecuronium is a paralytic agent and is a liquid
How does barcode scanning prevent medication errors? - Answers - 1. Verifies the right
drug, time, route and administration
What are other ways to prevent medication errors? - Answers - 1. Decrease distractions
2. Know medications drug and trade names
3. 3 checks and 6 rights
What is a pressure injury? - Answers - A localized injury to the skin and underlying
tissue. usually over a bony prominence but not always. Is identified in stages
What are some pressure injury contributing factors? - Answers - 1. Pressure from
compressed small blood vessels. Will hinder blood flow and nutrient supply
2. Moisture, such as urine, stool and sweat
, 3. Friction, such as moist, fragile or rubbed against surfaces
4. Shear, such as when layers of the skin slide and compress other layers
What are some pressure injury risk factors? - Answers - 1. Impaired circulation, such as
clients with diabetes mellitus, hypotension and atherosclerosis
2. Limited oxygen supply in the blood, such as anemic patients or patients who use
tobacco
3. Limited mobility, such as reduced sensation at pressure points from nerve damage,
stroke, spine injury, DM
4, Poor nutrition, dehydration and advanced age
How long does a nurse have to chart a pressure injury once a patient has been
admitted? - Answers - A nurse has 24 hours to chart
What labs are checked to know if a patient has or is at risk for anemia? - Answers -
Hemoglobin in CBC labs
What are some ways to reduce pressure injuries? - Answers - 1. Surface selection
2. Keep repositioning
3. Incontinence management
4. Nutritional support
5. Check medical devices
6. Assess risk/skin daily
7. Reduce bed to 30
8. Elevate heels
What position should a bed be to help prevent pressure injuries? - Answers - 30
degrees or less
What can be used to prevent pressure injuries on heels and the sacrum - Answers -
Pillows and mepilax
What is a stage 1 wound? - Answers - 1. An area with INTACT skin.
2. Nonblanchable, so stays red at all times
3. painful, firm, soft, warm/cool
4. Discoloration will remain for more than 30 minutes after pressure is relived
5. Epidermis ONLY
What is a stage 2 wound? - Answers - 1. Partial-thickness loss of dermis
2. Open and shallow
3. Red-pink color
4. NO slough
5. Can be open/ruptured serum-filled blister or shallow ulcer
What is a stage 3 wound? - Answers - 1. Deep crater and FULL-thickness loss
2. Damaged/necrosis subcu tissue.
What are the three checks a nurse should always do? - Answers - 1. Checking the MAR
2. Checking the doctor's order
3. Checking bedside
What are the six rights a nurse should always do? - Answers - 1. Right patient
2. Right documentation
3. Right time
4. Right dose
5. Right route
6. Right medication
What should a nurse do before administering medication? - Answers - 1. 3 checks
2. 6 rights
3. Scan barcode
What should a nurse do after administering a medication? - Answers - Monitor the
patient. Usually, within 30min-1hr
Should you ever override a safeguard on a medication as a nurse? - Answers - No
When a medication does not scan at the MAR, what can the nurse do? - Answers - 1.
Call the pharmacy
2. 3 checks
3. 6 rights
If a patient was prescribed versed, but a nurse pulled vecuronium, should the nurse still
administer the medication? - Answers - No the nurse should not. Versed is a sedative
and is a powder. Vecuronium is a paralytic agent and is a liquid
How does barcode scanning prevent medication errors? - Answers - 1. Verifies the right
drug, time, route and administration
What are other ways to prevent medication errors? - Answers - 1. Decrease distractions
2. Know medications drug and trade names
3. 3 checks and 6 rights
What is a pressure injury? - Answers - A localized injury to the skin and underlying
tissue. usually over a bony prominence but not always. Is identified in stages
What are some pressure injury contributing factors? - Answers - 1. Pressure from
compressed small blood vessels. Will hinder blood flow and nutrient supply
2. Moisture, such as urine, stool and sweat
, 3. Friction, such as moist, fragile or rubbed against surfaces
4. Shear, such as when layers of the skin slide and compress other layers
What are some pressure injury risk factors? - Answers - 1. Impaired circulation, such as
clients with diabetes mellitus, hypotension and atherosclerosis
2. Limited oxygen supply in the blood, such as anemic patients or patients who use
tobacco
3. Limited mobility, such as reduced sensation at pressure points from nerve damage,
stroke, spine injury, DM
4, Poor nutrition, dehydration and advanced age
How long does a nurse have to chart a pressure injury once a patient has been
admitted? - Answers - A nurse has 24 hours to chart
What labs are checked to know if a patient has or is at risk for anemia? - Answers -
Hemoglobin in CBC labs
What are some ways to reduce pressure injuries? - Answers - 1. Surface selection
2. Keep repositioning
3. Incontinence management
4. Nutritional support
5. Check medical devices
6. Assess risk/skin daily
7. Reduce bed to 30
8. Elevate heels
What position should a bed be to help prevent pressure injuries? - Answers - 30
degrees or less
What can be used to prevent pressure injuries on heels and the sacrum - Answers -
Pillows and mepilax
What is a stage 1 wound? - Answers - 1. An area with INTACT skin.
2. Nonblanchable, so stays red at all times
3. painful, firm, soft, warm/cool
4. Discoloration will remain for more than 30 minutes after pressure is relived
5. Epidermis ONLY
What is a stage 2 wound? - Answers - 1. Partial-thickness loss of dermis
2. Open and shallow
3. Red-pink color
4. NO slough
5. Can be open/ruptured serum-filled blister or shallow ulcer
What is a stage 3 wound? - Answers - 1. Deep crater and FULL-thickness loss
2. Damaged/necrosis subcu tissue.
