Prophecy RN B v3 Questions and Answers scored A

Prophecy RN B v3 Questions and Answers scored A When setting up a room for a new patient, what emergency equipment MUST be accessible and working at the bedside? - ANS- Bag Valve mask You are on shift and overhear another nurse discussing confidential patient information on their cell phone during their break. What would be the BEST action to take? - ANS- Speak with the nurse in private afterwards to remind her of HIPAA regulations What should you monitor for a patient at risk for respiratory depression? - ANS- PaO2 What is a complication of high PEEP? - ANS- Pneumothorax What hospital acquired condition do proton pump inhibitors help prevent? - ANS- Ventilator acquired pneumonia What is the primary medication for glucose in a patient with acute diabetic ketoacidosis? - ANS- Continuous IV regular insulin What staff member would you ask to accompany you when transporting an intubated patient to imaging for a CT? - ANS- Respiratory Therapist Which ventilator setting correlates with the amount of volume of air delivered to the lungs with each breath? - ANS- Tidal volume What data supports the accuracy of an arterial line BP reading? - ANS- Transducer 3mm above right atrium WRONG You are in the middle of receiving a bedside report at change of shift when you and the other nurse notice a new order for NG tube insertion that the physician placed 30 minutes ago on the previous nurse's shift. How should you handle the order? - ANS- Complete an incident report and give it to the supervisor WRONG Why should heparin IV infusion be administered in a dedicated IV line? - ANS- To minimize the risk of accidental bolus to patient You have received an order to remove your patient's surgical staples. What assessment finding indicates the need for further discussion with the ordering provider? - ANS- Gap between sides of incision A new nurse asks you if a patient who is intubated and receiving an IV paralytic can sense what is going on around them. Which of the following is the BEST response? - ANS- "The paralytic decreases the patient's awareness of their surroundings." Your patient's with a wound vac keeps alarming with an air leak and the wound care nurse cannot see the patient until tomorrow. What steps can you take to troubleshoot the alarm? - ANS- Gently pat around the edge of the transparent dressing What is a frequent complication of pancreatoduodectomy, also known as Whipple surgery? - ANS- Delayed gastric empytying You are helping admit a new patient who is unconscious and does not have family at the bedside. While inspecting their belongings you find many $100 bills in their wallet. What should you do NEXT? - ANS- Document in the patient's medical record WRONG Which of the following helps prevent errors when programming a smart IV pump to administer a medication infusion? - ANS- Utilize the preset concentration whenever possible Which of the following infusions must be stopped before a patient on a ventilator can be extubated? - ANS- Propofol (Diprivan) What type of treatments might be continued after life sustaining interventions are withdrawn? - ANS- Applying balm to the lips Your patient's vital signs have been stable for 2 days and their vasoactive infusions, arterial line, and CVP monitoring was discontinued yesterday. What step is MOST important for you to take to help prevent central line associated blood stream infection? - ANS- Advocate for the removal of the central line Your patient had a chest tube inserted 3 hours ago. they are not experiencing unexplained respiratory distress. After notifying the provider, what STAT order would you expect to receive? - ANS- Chest X ray Your patient has a history of diabetes, polycyclic ovary disease, and recent hip surgery. The patient calls you to the bedside and says, "I just don't feel right." What is your BEST NEXT action? - ANS- Check blood glucose Which of the following PPE should be removed FIRST? - ANS- Gloves Which of the following requires IMMEDIATE nursing intervention when present in a patient with increased ICP? - ANS- Sudden onset of vomiting