Level 4 Written Skills Study - MGCCC Nursing
Questions With Complete Solutions
Are the lines/ports heparinized? Correct Answers
yes
Assessments of patient receiving TPN Correct
Answers Weight (1-2 lb gain/week),
electrolyte/protein levels, blood glucose, kidney
and liver function tests
Briefly describe how ear drops are administered
and the difference between child and adult.
Correct Answers drops should be body
temperature, on side-ear up, pinna up and back
(adult), pinna down and back (child), administer
drop 1 cm above ear canal, remain side lying for
couple minutes, massage if needed.
Briefly describe how eye drops are administered?
Correct Answers place in supine position, head
back, pull eyelid down, press down on bony orbit
exposing conjunctival sac, look up, 1-2 cm above,
administer
Describe the assessment that needs to be
completed on a patient with a chest tube Correct
Answers site assessment - dressing (dry,
occlusive, anchoring tape), crepitus, pain,
input/output
, Describe the steps of starting an IVPB Correct
Answers compatible - port farthest away from pt
non-compatible - port closest to patient, stop IV
fluid, flush line before and after administer
Describe the two types of pleurovac systems
Correct Answers wet - suction column has sterile
water (level of suction)
dry - dial pressure
Describe Z-Track method Correct Answers seal
med in muscle tissue - pull skin back 1-1 1/2 in,
insert needle, aspirate, inject med, wait 10
seconds, remove needle, release skin, massage
Do you massage insulin after administration and
why? Correct Answers No, too quick absorption
For an average sized adult what gauge catheter is
used? Correct Answers 22G
How do you check tube placement on a 2 day old
NG tube? Correct Answers Chest X ray
How do you measure to place an NG tube? Correct
Answers nose, ear, xiphoid process
How long can a long term central line be used?
Correct Answers > 1 month to 1-2 years
Questions With Complete Solutions
Are the lines/ports heparinized? Correct Answers
yes
Assessments of patient receiving TPN Correct
Answers Weight (1-2 lb gain/week),
electrolyte/protein levels, blood glucose, kidney
and liver function tests
Briefly describe how ear drops are administered
and the difference between child and adult.
Correct Answers drops should be body
temperature, on side-ear up, pinna up and back
(adult), pinna down and back (child), administer
drop 1 cm above ear canal, remain side lying for
couple minutes, massage if needed.
Briefly describe how eye drops are administered?
Correct Answers place in supine position, head
back, pull eyelid down, press down on bony orbit
exposing conjunctival sac, look up, 1-2 cm above,
administer
Describe the assessment that needs to be
completed on a patient with a chest tube Correct
Answers site assessment - dressing (dry,
occlusive, anchoring tape), crepitus, pain,
input/output
, Describe the steps of starting an IVPB Correct
Answers compatible - port farthest away from pt
non-compatible - port closest to patient, stop IV
fluid, flush line before and after administer
Describe the two types of pleurovac systems
Correct Answers wet - suction column has sterile
water (level of suction)
dry - dial pressure
Describe Z-Track method Correct Answers seal
med in muscle tissue - pull skin back 1-1 1/2 in,
insert needle, aspirate, inject med, wait 10
seconds, remove needle, release skin, massage
Do you massage insulin after administration and
why? Correct Answers No, too quick absorption
For an average sized adult what gauge catheter is
used? Correct Answers 22G
How do you check tube placement on a 2 day old
NG tube? Correct Answers Chest X ray
How do you measure to place an NG tube? Correct
Answers nose, ear, xiphoid process
How long can a long term central line be used?
Correct Answers > 1 month to 1-2 years
