NUR 172 FINAL EXAM REVIEW
17. Which statement made by the patient about their peripheral
nerve catheter care would indicate a need for further teaching?
Correct Answers "If my pain level increases I should just
squeeze the 'ball' of pain medicine"
20. A LPN is explaining to a student nurse who may direct his
care as an LPN and gave the student a list. The LPN will include
which of the following on his list? Select all that apply. Correct
Answers A RN who was recently hired and passed her NCLEX
one week ago.
An orthopedic surgeon.
An obstetrical nurse practitioner
20. A nurse is explaining to a student nurse IV insertion. The
student is re-stating what he has learned. Which statement
indicates the nurse needs to reteach some information? Correct
Answers The tourniquet must be removed after the IV is
flushed.
20. A nurse knows which side effect from Zithromax is
potentially severe and needs reported immediately? Correct
Answers Patient's lips become swollen 30 min. after the second
dose was given.
20. A patient has an infusion of D5/NS at 125 mL/hour and the
pump is alarming due to an empty bag. The patient's vitals are
temp. 98.0, pulse 112, resp. 28, BP 180/96 pulse oximeter 90%.
What is the correct action by the nurse? Correct Answers
,Notify the physician of the vitals and ask for the IV solution to
be discontinued.
A 25 year old patient with type diabetes mellitus is in the ER
with blood sugar of 550 and ketones in the urine. No c/o of
nausea at this time. The ABG result is: pH 7.30 PCO2
29 HCO3 19 PO2 95. The potassium level is 5.8. The nurse
would question the physician about which order? Correct
Answers Apply a non-re-breather mask at 15 liters/min. oxygen
A 28 yo patient has been brought into the emergency department
by ambulance after a motor vehicle accident. The LPN has an
order to insert a peripheral IV; which gauge will the LPN use
and where is the best place to insert the IV for this patient?
Correct Answers 3 inch 16 gauge OTC (over-the-needle
catheter) in the antecubital fossae
A 40 year old patient was in a car accident three days ago. The
patient is NPO. The patient is to receive a unit of blood today for
a hemoglobin of 6.8. Which task would be appropriate for the
RN to delegate to a LPN? Correct Answers Start the IV with an
18 gauge needle in the right forearm.
A 50 year old patient has been vomiting for 3 days. Which
orders/interventions will the LPN implement? (Select all that
apply.) Correct Answers Start an IV of Lactated Ringer's
Solution at 125 ml/hr.
Insert an N-G tube and connect to low intermittent suction.
, Hold the patient's normal daily furosemide (Lasix) pill and then
notify the physician.
Keep a strict I&O on this patient.
A 65 year old patient is receiving D5W at 150mL/hr. What
assessment/data results would concern the nurse the most?
Correct Answers BP 150/90, pulse-oximeter 89%, jugular vein
distension
A LPN is monitoring a patient that has a unit of Packed Red
cells infusing. Pre blood assessment: no pain BP 100/62, AP 88
RR14 O2 Sat 93% Oral temp. 98.8
Which
signsandsymptomsdoesthenurserecognizeasanAcuteHemolyticT
ransfusion Reaction? Correct Answers Pt. c/o sudden back
pain.
The urine in the Foley catheter bag looks red
BP 78/46
Temperature 102
A LPN is reviewing IV Law in Ohio with her LPN peers at a
staff meeting. The peers are restating what they have learned.
Which statements by these peers would be incorrect and require
more teaching? Correct Answers The LPN may stick the upper
arm only if there are no visible veins in the lower arm.
The LPN may hang the second bag of an anti-infective, but not
the first bag.
The LPN may remove a PICC line with an order.
17. Which statement made by the patient about their peripheral
nerve catheter care would indicate a need for further teaching?
Correct Answers "If my pain level increases I should just
squeeze the 'ball' of pain medicine"
20. A LPN is explaining to a student nurse who may direct his
care as an LPN and gave the student a list. The LPN will include
which of the following on his list? Select all that apply. Correct
Answers A RN who was recently hired and passed her NCLEX
one week ago.
An orthopedic surgeon.
An obstetrical nurse practitioner
20. A nurse is explaining to a student nurse IV insertion. The
student is re-stating what he has learned. Which statement
indicates the nurse needs to reteach some information? Correct
Answers The tourniquet must be removed after the IV is
flushed.
20. A nurse knows which side effect from Zithromax is
potentially severe and needs reported immediately? Correct
Answers Patient's lips become swollen 30 min. after the second
dose was given.
20. A patient has an infusion of D5/NS at 125 mL/hour and the
pump is alarming due to an empty bag. The patient's vitals are
temp. 98.0, pulse 112, resp. 28, BP 180/96 pulse oximeter 90%.
What is the correct action by the nurse? Correct Answers
,Notify the physician of the vitals and ask for the IV solution to
be discontinued.
A 25 year old patient with type diabetes mellitus is in the ER
with blood sugar of 550 and ketones in the urine. No c/o of
nausea at this time. The ABG result is: pH 7.30 PCO2
29 HCO3 19 PO2 95. The potassium level is 5.8. The nurse
would question the physician about which order? Correct
Answers Apply a non-re-breather mask at 15 liters/min. oxygen
A 28 yo patient has been brought into the emergency department
by ambulance after a motor vehicle accident. The LPN has an
order to insert a peripheral IV; which gauge will the LPN use
and where is the best place to insert the IV for this patient?
Correct Answers 3 inch 16 gauge OTC (over-the-needle
catheter) in the antecubital fossae
A 40 year old patient was in a car accident three days ago. The
patient is NPO. The patient is to receive a unit of blood today for
a hemoglobin of 6.8. Which task would be appropriate for the
RN to delegate to a LPN? Correct Answers Start the IV with an
18 gauge needle in the right forearm.
A 50 year old patient has been vomiting for 3 days. Which
orders/interventions will the LPN implement? (Select all that
apply.) Correct Answers Start an IV of Lactated Ringer's
Solution at 125 ml/hr.
Insert an N-G tube and connect to low intermittent suction.
, Hold the patient's normal daily furosemide (Lasix) pill and then
notify the physician.
Keep a strict I&O on this patient.
A 65 year old patient is receiving D5W at 150mL/hr. What
assessment/data results would concern the nurse the most?
Correct Answers BP 150/90, pulse-oximeter 89%, jugular vein
distension
A LPN is monitoring a patient that has a unit of Packed Red
cells infusing. Pre blood assessment: no pain BP 100/62, AP 88
RR14 O2 Sat 93% Oral temp. 98.8
Which
signsandsymptomsdoesthenurserecognizeasanAcuteHemolyticT
ransfusion Reaction? Correct Answers Pt. c/o sudden back
pain.
The urine in the Foley catheter bag looks red
BP 78/46
Temperature 102
A LPN is reviewing IV Law in Ohio with her LPN peers at a
staff meeting. The peers are restating what they have learned.
Which statements by these peers would be incorrect and require
more teaching? Correct Answers The LPN may stick the upper
arm only if there are no visible veins in the lower arm.
The LPN may hang the second bag of an anti-infective, but not
the first bag.
The LPN may remove a PICC line with an order.
