Answers Graded A+ 2025.
A patient with glaucoma would likely have which of the following IOP readings? - Answer
48mmHG really high
normal range: 12-20mmHg
Putting on sunscreen is an example of which type of prevention? - Answer Primary
Which of the following foods should a patient with leukemia avoid? - Answer Carrot Sticks-
Fresh fruits and veggies
What is a major disadvantage to morphine use? - Answer Potential for drug dependency
You suspect your patient has Small Bowel Obstruction, what orders would you expect from the
physician? - Answer Maintain high fowlers position
Palpate abdomen every 2 hours
Insert NG but leave it clamped
Which assessment finding would be considered objective? - Answer Purulent Drainage-
anything you can measure
Correct order for drawing up insulin? - Answer clear, cloudy, cloudy, clear
if a patient is immobile post op, what are they at high risk for? - Answer
What are some signs and symptoms of DVT? - Answer Swelling, cramps, reddness
The nurse is assessing a post op patient. Which of the following is considered subjective? -
Answer Pain-subjective data
What intervention is the most important in a patient with visual impairment? - Answer Keep
walk way clear
,nurses are mandated to report abuse - Answer true- should be reported to the social worker
what is the normal side effect of Latanoprost eye drops? - Answer burning
what assessment finding could indicate infection during post op? - Answer foul odor
What assessment finding is included in the Glasgow coma scale? - Answer Patient winces
during sternal rub
Subjective data - Answer anything the patient says it is
objective data - Answer anything that can be observed and measured from the nurses
perspective
Surgical Pre-Op check list? - Answer Med: Ativan, valium, versed, morphine, zantax, Zofran,
heparin, coumadin. NO ibprophen or blood thinners
Informed consent, ID a=band, blood transfusion consent, allergies identified, allergies list,
height, weight, removal of nail polish, makeup, jewelry, skin prep, anti antibolism stocking's,
npo (2 hours prior), lab results, ECG, vital sheet, voided Cather, mode of transfer, med list
Surgical Postop list? - Answer Incentive spirometer(every two hours , help keeps lungs well
inflated while healing), coughing, turning, deep breathing, mobility(prevents blood clots and
parasatisis), splint
raise head to 45 degrees
Latex allergy considereations? - Answer 1. Screening for latex allergy risk
2. Identified to all staff involved
3. Allergy bracelet placement4. What kind of reaction?
Infection control? - Answer wash your hands
wet to dry dressing change - Answer
, Living will vs. healthcare power of atternoy - Answer
black box warning - Answer Life threatening affects, warnings
glaucoma symptoms - Answer tunnel vision, halos, loss of periphreal vision
Morphine side effects - Answer depressed breathing
order for inspecting abdomen - Answer inspect, auscultate, palpate
when teaching diabetes what is one thing you want to teach them? - Answer avoid heating
pads, wear shoes, heated blankets, don't cut their own nails, dry location, check feet daily
orthopenic position - Answer crossed arms on side table
if there is an abnormal finding during an assessment what do you do? - Answer further
assessment (focused assessment)
Neurological focused assessment - Answer Glasgow coma scale
level of consciousness(1-person,2-person and place, 3-person, place, and time, 4-person, place,
time, and purpose)
motor function(smile, frown, puff cheeks)ROM
PERLA(pupils, equal, round, reactive, light, accommodation)
cardiac focused assessment - Answer 60-100
caratoid pulse( never press hard or use both hands. used for unconsious pts)
brachial(fore arm)
radial(inner wrist. common pulse)
Apical( 5th innercostal space)listen 60 sec
Femoral(thigh)
popitiel(behind knee)