Nu 220 Full Practice Test Questions With Correct Answers

NU 220 FULL PRACTICE TEST QUESTIONS WITH CORRECT ANSWERS The student nurse is preparing to perform nasotracheal suctioning on an adult patient wearing a face mask. Which action by the student should the nursing instructor question? Increasing the oxygen flow rate for the face mask and asking the patient to deep breathe slowly before suctioning Inserting the catheter into the nares and slanting slightly downard Asking the patient to swallow while the catheter is being inserted Inserting the catheter about 8 inches without applying suction - Answer-Asking the patient to swallow while the catheter is being inserted The nurse is performing nasotracheal suctioning for a patient. Which action by the nurse is appropriate? Asking the patient to deep breathe for 15 seconds before passing the catheter a second time Applying suction for 15 seconds or less. Applying intermittent suctioning while slowing withdrawing the suction catheter Carefully pushing the suction catheter in and out while applying suction - Answer-Applying intermittent suctioning while slowly withdrawing the suction catheter The nurse assesses a wound and notes the wound bed has granulation in it. What does this mean? The wound is moving towards the healing stage The wound needs to be monitored for systemic signs and symptoms The wound is infected The wound need debridement - Answer-The wound is moving towards the healing stage Which statement by the family member would indicate the need for further teaching after learning how to care for a pressure ulcer? I will let you know if the pressure ulcer starts to have a foul odor. I will be sure to reposition her frequently and keep her off her pressure ulcer. I will wash the pressure ulcer with saline and report any changes in drainage. I know that a thick black covering will protect the pressure ulcers from getting worse. - Answer-I know that the black thick covering will protect the pressure ulcers from getting worse Which of the following patients is at greatest risk for developing a pressure ulcer? A patient who can ambulate to the bathroom independently. A patient who is bed ridden but who turns on their own. A patient whose Braden Scale score is 18. A patient whose Braden Scale score is 8. - Answer-A patient whose braden score is an 8 Which of the following are indicative of pressure ulcers? (Select all that apply) Pressure ulcers may form from any position that causes soft tissue compression. Pressure ulcers form due to lack of blood flow. Pressure ulcers form only on bedbound patients. Pressure ulcers form in as little as 90 minutes. - Answer-Pressure ulcers may form from any position that causes soft tissue compression. Pressure ulcers form due to lack of blood flow. Pressure ulcers form in as little as 90 minutes. A nurse is administering eardrops to an 8-year-old patient. How does the nurse pull the patient's ear when administering the medication? Downward and back to 6-9 o'clock position Outward Upward and back Downward and back - Answer-Upward and Back The nurse takes medication to a patient. The patient states, "Take that away. I am not going to take it." What is the nurse's next action? Ask the patient's reason for refusal. Tell the patient that the physician knows what is best. Explain that he must take the medication. Take the medication away and chart patient refusal. - Answer-Ask the patient's reason for refusal The patient is complaining of severe leg pain, 8 out of 10 on a pain scale. The nurse receives the following telephone order from the health care provider: Tylenol with Codeine PO q4 hours prn. Morphine sulfate x one dose stat. Which action will the nurse do first? Perform another pain assessment. Give the morphine and Tylenol with Codeine immediately. Give the morphine immediately. Give the Tylenol with Codeine now. - Answer-Give the morphine immediately When controlled substances are administered, which action is required by the nurse? Have a second nurse witness disposal of unused substances and document. Discard and document for unused substances. Keep narcotics to be given with other patient medications. Count the amount of medication daily. - Answer-Have a second nurse witness disposal of unused substances and document To prevent errors with medication administration, which action should be taken by the nurse? Clarify all illegible orders with the health care provider. Document the medication before administration. Read medication labels twice when preparing. Prepare all medications for the shift at the same time. - Answer-Clarify all illegible orders with the health care provider Select-all-that-apply: An anticoagulant is ordered for 0900 daily. What times follow the "right time" of medication administration? 0930 0800 0830 1000 - Answer-0930, 0830 The patient has several medications via a nasogastric (NG) tube ordered. What should the nurse do first? Crush all tablets and capsules before administration. Add the medications to the tube feeding being given. Check for placement of the NG tube. Administer all of the medications mixed together. - Answer-Check for placement of the NG tube The nurse is applying a new nitroglycerin transdermal patch. What action by the nurse is appropriate? Apply the patch to an oily portion of skin. Apply the patch and hold palm of one hand firmly over the patch for 10 seconds. Apply the new patch to the same site as the old patch. Cut the patch in half since a change of dose has been ordered. - Answer-Apply the patch and hold palm of one hand firmly over the patch for 10 seconds The patient should be assisted to which position for insertion of a rectal suppository? Supine Dorsal Recumbent Left Sim's Prone - Answer-Left Sim's The nurse is preparing an injection of 0.45 mL of medication for a patient. Which syringe is most appropriate? 10 mL syringe Tuberculin syringe 3 mL syringe Insulin syringe - Answer-Tuberculin Which actions by the nurse assist with safe medication administration to patients? Select all that apply. Prepare medications for one patient at a time. Use two patient identifiers prior to administration. Check medical labels carefully when preparing medication. Use the six rights of medication administration when administering medications. Allow the patient to take the prepared medications at the time they have done so at home. - Answer-Prepare medications for one patient at a time. Use two patient identifiers prior to administration. Check medical labels carefully when preparing medication. Use the six rights of medication administration when administering medications.