NUR 150 EXAM 2 Q&A
What side effect of morphine would be priority?
a. Hypertension and Tachycardia
b. Abdominal Pain and Nausea
c. Rash and Headache
d. Respiratory Depression - Answer-Respiratory Depression
When pouring a med into a cup what is the correct way to do so? - Answer-Flat Surface,
Eye Level
What is the proper positioning for NG/G tube feedings?
a. Fowlers 45-60 degrees
b. Semi Fowlers
c. Orthopnea 90 degrees
d. High Fowler's 60 degrees
e. Low Fowler's 45 degrees - Answer-High Fowler's 60 degrees
When it comes to enemas, what needs further teaching?
a. Place patient in sims
b. Ask patient to hold solution in as much as possible
c. Insert the lubed tip 3-4 inches into the rectum
d. Mix with cold tap water - Answer-Mix with cold tap water
Patient has a pressure ulcer. What food promotes healing?
a. Carrots and Peas
b. Potatoes and Rice
c. Pie and Tea
d. Chicken and Beans - Answer-Chicken and Beans
Patient has a reddened spot on their coccyx. What shows the need of further teaching?
a. Report to RN
b. Measure Area
c. Blanch the Area
d. Massage the area to restore circulation - Answer-Massage the area to restore
circulation
When doing a head to toe assessment what system do you start with?
a. Skin
b. Respiratory
c. GI
d. Neurological - Answer-Neurological
LPN is educating a new mother to keep a baby from getting ill by taking immunizations.
What level of prevention is this?
, a. Primary
b. Secondary
c. Tertiary - Answer-Primary
Changing dressing on heel, serous drainage, partial thickness loss. What stage in this?
a. Stage 1 (red skin)
b. Stage 2
c. Stage 3 (fat tissue)
d. Stage 4 (muscles, tendon, bones) - Answer-Stage 2
Pt. who says "i'm not sleeping well while i'm here" what are some sleep interventions
you can implement?
a. Leave TV on
b. Bedtime Snack
c. Encouraging Vigorous Exercise
d. Avoid Drinking Large Avoid of Fluids
e. Void, Dim Lights, and Decrease Noise Level - Answer-B, D, E
Pressure Ulcers: 85 yo female pt. What will put her at risk for pressure ulcers? Select all
that apply
a. Poor nutrition
b. Chronically Ill
c. Incontinent of Urine
d. Impaired Mobility
e. Antibiotics - Answer-A-D
6 Rights of Medication - Answer-a. Right Patient (2 Identifiers)
b. Right Route
c. Right Dose
d. Right Time
e. Right Medication
f. Right Documentation
What scale identifies patients at risk for pressure ulcers? - Answer-Braden
What three ways can you check if an NG tube is placed correctly? - Answer-a. pH
b. X Ray
c. Air Bolus
When assessing GI - Answer--Look- Inspection
-Listen- Auscultate
-Feel- Palpate
What is the rectal suppository position? - Answer-Sims
What side effect of morphine would be priority?
a. Hypertension and Tachycardia
b. Abdominal Pain and Nausea
c. Rash and Headache
d. Respiratory Depression - Answer-Respiratory Depression
When pouring a med into a cup what is the correct way to do so? - Answer-Flat Surface,
Eye Level
What is the proper positioning for NG/G tube feedings?
a. Fowlers 45-60 degrees
b. Semi Fowlers
c. Orthopnea 90 degrees
d. High Fowler's 60 degrees
e. Low Fowler's 45 degrees - Answer-High Fowler's 60 degrees
When it comes to enemas, what needs further teaching?
a. Place patient in sims
b. Ask patient to hold solution in as much as possible
c. Insert the lubed tip 3-4 inches into the rectum
d. Mix with cold tap water - Answer-Mix with cold tap water
Patient has a pressure ulcer. What food promotes healing?
a. Carrots and Peas
b. Potatoes and Rice
c. Pie and Tea
d. Chicken and Beans - Answer-Chicken and Beans
Patient has a reddened spot on their coccyx. What shows the need of further teaching?
a. Report to RN
b. Measure Area
c. Blanch the Area
d. Massage the area to restore circulation - Answer-Massage the area to restore
circulation
When doing a head to toe assessment what system do you start with?
a. Skin
b. Respiratory
c. GI
d. Neurological - Answer-Neurological
LPN is educating a new mother to keep a baby from getting ill by taking immunizations.
What level of prevention is this?
, a. Primary
b. Secondary
c. Tertiary - Answer-Primary
Changing dressing on heel, serous drainage, partial thickness loss. What stage in this?
a. Stage 1 (red skin)
b. Stage 2
c. Stage 3 (fat tissue)
d. Stage 4 (muscles, tendon, bones) - Answer-Stage 2
Pt. who says "i'm not sleeping well while i'm here" what are some sleep interventions
you can implement?
a. Leave TV on
b. Bedtime Snack
c. Encouraging Vigorous Exercise
d. Avoid Drinking Large Avoid of Fluids
e. Void, Dim Lights, and Decrease Noise Level - Answer-B, D, E
Pressure Ulcers: 85 yo female pt. What will put her at risk for pressure ulcers? Select all
that apply
a. Poor nutrition
b. Chronically Ill
c. Incontinent of Urine
d. Impaired Mobility
e. Antibiotics - Answer-A-D
6 Rights of Medication - Answer-a. Right Patient (2 Identifiers)
b. Right Route
c. Right Dose
d. Right Time
e. Right Medication
f. Right Documentation
What scale identifies patients at risk for pressure ulcers? - Answer-Braden
What three ways can you check if an NG tube is placed correctly? - Answer-a. pH
b. X Ray
c. Air Bolus
When assessing GI - Answer--Look- Inspection
-Listen- Auscultate
-Feel- Palpate
What is the rectal suppository position? - Answer-Sims
