FPCC Final (test Questions and answers) /Complete
Solutions
If patient has TB, Covid, measles, chicken pox or shingles and has to travel to another
floor, what intervention should the nurse ? - ✔Mask the patient
Considerations for C DIFF infection? - ✔Clean with bleach wipes and clean hands with
soap and water
What is appropriate for protective Isolation? - ✔No raw fruit or vegetables, no fresh plants.
Clean equipment before going into room, get food quickly in as possible.
Nutritional needs to promote adequate wound healing - ✔Zinc, protein, vitamin
C, multivitamin, proper diet
Braden Scale - ✔A tool for predicting pressure ulcer risk, the lower the number higher the
risk of skin breakdown
Interventions for Low Braden scale score - ✔Turn patient, moisture barrier, proper diet,
wedges, special mattresses mattresses, promote mobility if they can , clean them as frequently
,Steps to obtain a wound culture - ✔Clean with saline water, obtain from beefy
tissue (granulation tissue)
Describe pus - ✔Sign of infection, going to be green, creamy, yellowish and have a smell
sanguineous drainage - ✔red, bloody drainage
Serous drainage - ✔Clear and thin, may be present in a healthy healing wound
serosanguineous drainage - ✔a mixture of serum and red blood cells
purulent drainage - ✔Thick, yellow, green, tan, or brown drainage
What are Sterile technique "rules" - ✔Above the waist, don't turn your back, don't
cross sterile field, sterile on sterile ONLY, only touch one inch margin without sterile
gloves on
Documentation - ✔Always document, be as thorough as possible
Fall precaution measures - ✔Bed alarm, bed rails, nonskid socks, clean floor, bed to
ground, belongings within reach, call light, night light
Who is allowed to know about your patient? - ✔Only the nurse in charge, the oncoming
nurse who is assigned to your patient, doctor who is over pt
Foley care and maintenance - ✔Keep bag off the floor, hang on bed rail, keep port clean
Oliguria interventions - ✔assess the bladder
, Normal UOP amount? - ✔30mL per hour, if less than two consecutive hours, call provider
Interventions for aspiration - ✔Lift head of bed to at least 30 degrees
Colostomy assessment - ✔The ostomy should be red, shiny, and moist. It's normal for it
to shrink
Disimpaction safety - ✔Must have order from a physician, could get bradycardia which
is dysrhythmias, can give enema and lube!
Constipation prevention interventions - ✔Privacy, correct positioning, timing, fluid intake
and proper diet, exercise, managing flatulence
Interventions for medication errors - ✔Contact prescriber for clarification, concerns or
questions
Medication safety measures - ✔Checking against the MAR
o 3 checks: upon initial removal of the medication from the dispensing system. During
preparation. At the bedside. Do not leave meds unattended
• Patient Identifiers: name and DOB
Techniques and special consideration for Enteral - ✔Can be fed through an NG
tube, gastrostomy, jejunal tube. If not in liquid form, you must crush the tablet, do
not give hydrophilic medications because they will solidify in the tube.
Techniques and special consideration for Oral - ✔Tablets, capsules, liquids, buccal (held
in cheek until it dissolves), sublingual (held under the tongue and should not be
swallowed.) Watch out for aspiration
Solutions
If patient has TB, Covid, measles, chicken pox or shingles and has to travel to another
floor, what intervention should the nurse ? - ✔Mask the patient
Considerations for C DIFF infection? - ✔Clean with bleach wipes and clean hands with
soap and water
What is appropriate for protective Isolation? - ✔No raw fruit or vegetables, no fresh plants.
Clean equipment before going into room, get food quickly in as possible.
Nutritional needs to promote adequate wound healing - ✔Zinc, protein, vitamin
C, multivitamin, proper diet
Braden Scale - ✔A tool for predicting pressure ulcer risk, the lower the number higher the
risk of skin breakdown
Interventions for Low Braden scale score - ✔Turn patient, moisture barrier, proper diet,
wedges, special mattresses mattresses, promote mobility if they can , clean them as frequently
,Steps to obtain a wound culture - ✔Clean with saline water, obtain from beefy
tissue (granulation tissue)
Describe pus - ✔Sign of infection, going to be green, creamy, yellowish and have a smell
sanguineous drainage - ✔red, bloody drainage
Serous drainage - ✔Clear and thin, may be present in a healthy healing wound
serosanguineous drainage - ✔a mixture of serum and red blood cells
purulent drainage - ✔Thick, yellow, green, tan, or brown drainage
What are Sterile technique "rules" - ✔Above the waist, don't turn your back, don't
cross sterile field, sterile on sterile ONLY, only touch one inch margin without sterile
gloves on
Documentation - ✔Always document, be as thorough as possible
Fall precaution measures - ✔Bed alarm, bed rails, nonskid socks, clean floor, bed to
ground, belongings within reach, call light, night light
Who is allowed to know about your patient? - ✔Only the nurse in charge, the oncoming
nurse who is assigned to your patient, doctor who is over pt
Foley care and maintenance - ✔Keep bag off the floor, hang on bed rail, keep port clean
Oliguria interventions - ✔assess the bladder
, Normal UOP amount? - ✔30mL per hour, if less than two consecutive hours, call provider
Interventions for aspiration - ✔Lift head of bed to at least 30 degrees
Colostomy assessment - ✔The ostomy should be red, shiny, and moist. It's normal for it
to shrink
Disimpaction safety - ✔Must have order from a physician, could get bradycardia which
is dysrhythmias, can give enema and lube!
Constipation prevention interventions - ✔Privacy, correct positioning, timing, fluid intake
and proper diet, exercise, managing flatulence
Interventions for medication errors - ✔Contact prescriber for clarification, concerns or
questions
Medication safety measures - ✔Checking against the MAR
o 3 checks: upon initial removal of the medication from the dispensing system. During
preparation. At the bedside. Do not leave meds unattended
• Patient Identifiers: name and DOB
Techniques and special consideration for Enteral - ✔Can be fed through an NG
tube, gastrostomy, jejunal tube. If not in liquid form, you must crush the tablet, do
not give hydrophilic medications because they will solidify in the tube.
Techniques and special consideration for Oral - ✔Tablets, capsules, liquids, buccal (held
in cheek until it dissolves), sublingual (held under the tongue and should not be
swallowed.) Watch out for aspiration
