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NUR195 TERM 4 TEST 2 HONDROS EXAM QUESTIONS
WITH CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS
Reflection in action and on action. Which action by the nurse demonstrates
reflection IN action evaluating the effectiveness of an intervention (giving
pain med IV push)? - ANS ✓Nurse continually monitors the patient's pain level.
Which statements are wrong about safe and effective caring? (SATA) - ANS
✓Wearing simple face mask in airborne precautions, id'ing patient with DOB and
room number, give injections with clean hands without gloves.
What should the nurse do first when using the failure mode effective
analysis? - ANS ✓Define the problem
Caring for patient in respiratory depression. What would indicate the
patient has adequate ventilation?
(SATA) - ANS ✓Effortless breath sounds at lung basis, nailbeds are pink with
good cap refill.
Administering pain meds. Order states 1-2 tablets every 1-2 hour PRN for
pain. Which statement will only lead you to administer 1 tablet? - ANS
✓Patient with hx of renal disease, patient states pain is 4/10.
Tanner's Model of clinical judgement. How would you define the clinical
judgement process? - ANS ✓Reflective process where the nurse notices,
interprets, responds, and reflects IN action.
Diabetic patient who is sweating profusely and grouchy. Lunch trays are
being delivered late. What actions are you going to take? (SATA) - ANS
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✓Check finger blood glucose, stay with the patient and recheck blood sugar in 15
minutes, give the patient a glass of OJ.
You about to flush a PICC line full of heparin flush. You are out of heparin
flush, and you get a bottle that reads 10,000/ML. What actions would you
take?(SATA) - ANS ✓Assess for signs of bleeding (gums, petechial rash, blood in
stool), Notify the physician and expect a STAT PTT and platelet count
Which patient will the nurse identify as having problems with impaired gas
exchange resulting from problems with perfusion? - ANS ✓Congestive Heart
Failure.
Diabetic patient. Dr. tells him you need to fix this or you may die. Comes
back 2 weeks later and tells Dr. "Cant live without candy". How do you
proceed with teaching this patient? - ANS ✓Examine the patient's daily
glucose log and incorporate candy when it is at it's lowest.
What are some potential causes for central line related blood infections?
(SATA) - ANS ✓Breaking sterile technique, Application of a dressing that does
not completely cover the wound, Failure to clean the port thoroughly before
assessing the line, contaminating the catheter during insertion.
Which factors will you consider when deciding how much pain meds to
give?(SATA) - ANS ✓Patient's age, amount of pain reported, patient's renal and
liver function.
Elderly patient post-femur fx, you receive report that the patient is
somnolent with no response to verbal or physical stimulation. The patient
has received opioids Q4H. What action would you take first? - ANS ✓Assess
vital signs and consider the need for naltrexone.
From an interpretivist perspective, what interventions do you use to make
clinical judgements? (SATA) - ANS ✓knowledge of the clinical environment,
knowledge of the patient, and empirical knowledge.
NUR195
NUR
NUR195 TERM 4 TEST 2 HONDROS EXAM QUESTIONS
WITH CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS
Reflection in action and on action. Which action by the nurse demonstrates
reflection IN action evaluating the effectiveness of an intervention (giving
pain med IV push)? - ANS ✓Nurse continually monitors the patient's pain level.
Which statements are wrong about safe and effective caring? (SATA) - ANS
✓Wearing simple face mask in airborne precautions, id'ing patient with DOB and
room number, give injections with clean hands without gloves.
What should the nurse do first when using the failure mode effective
analysis? - ANS ✓Define the problem
Caring for patient in respiratory depression. What would indicate the
patient has adequate ventilation?
(SATA) - ANS ✓Effortless breath sounds at lung basis, nailbeds are pink with
good cap refill.
Administering pain meds. Order states 1-2 tablets every 1-2 hour PRN for
pain. Which statement will only lead you to administer 1 tablet? - ANS
✓Patient with hx of renal disease, patient states pain is 4/10.
Tanner's Model of clinical judgement. How would you define the clinical
judgement process? - ANS ✓Reflective process where the nurse notices,
interprets, responds, and reflects IN action.
Diabetic patient who is sweating profusely and grouchy. Lunch trays are
being delivered late. What actions are you going to take? (SATA) - ANS
NUR195
, 2
NUR
✓Check finger blood glucose, stay with the patient and recheck blood sugar in 15
minutes, give the patient a glass of OJ.
You about to flush a PICC line full of heparin flush. You are out of heparin
flush, and you get a bottle that reads 10,000/ML. What actions would you
take?(SATA) - ANS ✓Assess for signs of bleeding (gums, petechial rash, blood in
stool), Notify the physician and expect a STAT PTT and platelet count
Which patient will the nurse identify as having problems with impaired gas
exchange resulting from problems with perfusion? - ANS ✓Congestive Heart
Failure.
Diabetic patient. Dr. tells him you need to fix this or you may die. Comes
back 2 weeks later and tells Dr. "Cant live without candy". How do you
proceed with teaching this patient? - ANS ✓Examine the patient's daily
glucose log and incorporate candy when it is at it's lowest.
What are some potential causes for central line related blood infections?
(SATA) - ANS ✓Breaking sterile technique, Application of a dressing that does
not completely cover the wound, Failure to clean the port thoroughly before
assessing the line, contaminating the catheter during insertion.
Which factors will you consider when deciding how much pain meds to
give?(SATA) - ANS ✓Patient's age, amount of pain reported, patient's renal and
liver function.
Elderly patient post-femur fx, you receive report that the patient is
somnolent with no response to verbal or physical stimulation. The patient
has received opioids Q4H. What action would you take first? - ANS ✓Assess
vital signs and consider the need for naltrexone.
From an interpretivist perspective, what interventions do you use to make
clinical judgements? (SATA) - ANS ✓knowledge of the clinical environment,
knowledge of the patient, and empirical knowledge.
NUR195
