NURS 242 Final Exam Questions With Answers With
Complete Solutions Latest Updated Exam
A nurse is administering a one time dose of IV Push Lasix to her
patient. She knows the following are true regarding flushing the
peripheral IV during this procedure: Correct Answers -flush the
IV before administering the medication (push pause method)
-flush the IV after administering the medication
-flush the IV afterwards at the rate that the medication was
administered
A nurse is caring for a patient with a peripheral IV line located
in the right forearm. The patient informs the nurse that the IV
site is burning. The nurse determines that the IV solution has
infiltrated. What sites are appropriate to consider when
restarting the IV line? Select all that apply Correct Answers -
left hand
-right antecubital area
a nurse is inserting an indwelling catheter into a female patient.
how far should the nurse initially insert the catheter? Correct
Answers -2 to 3 inches
a nurse is inserting an indwelling catheter into a female patient.
how much further should the nurse insert the catheter after
seeing urine flow through the catheter? Correct Answers - 1 to
2 inches
a nurse is inserting an indwelling catheter into a female patient.
the nurse has inserted the catheter several inches and is not
getting any urine return. she realizes she has likely inadvertently
,placed the catheter into the vagina. what is the best way to
proceed? Correct Answers -leave that catheter in place while
inserting a new catheter
A patient experiencing which of the following may need
suctioning of their tracheostomy? Select all that apply Correct
Answers -pulse ox alarming at 75% spO2
-respiratory rate increased to 35 breaths per minute
-coarse lung sounds on auscultation
-restlessness
A patient has an NG tube that is connected to suction. They have
an order to receive a liquid medication at 0900. How should the
nurse proceed? Correct Answers -turn off suction for 30
minutes after administration of the medication
A patient is being admitted from the ED to the ICU and is going
to require frequent blood draws, CVP monitoring, parenteral
nutrition, and multiple IV fluids. Which type of central line will
likely be inserted upon admission to the ICU? Correct Answers
-non-tunneled central venous catheter
A patient is instructed by a nurse to correctly perform incentive
spirometry when the nurse's education includes: Correct
Answers -Place mouthpiece in your mouth and seal your lips
around it
-Breathe in slowly
-Hold your breath at least to a count of 3
-Remove mouthpiece and exhale
-Rest for a few seconds and repeat 10 times every hour
, A patient needs an FiO2 of 40%. Which of these oxygen
delivery devices can deliver oxygen at this FiO2 level? Select all
that apply Correct Answers -nasal cannula at 5 L/min
-venturi mask using correct adaptor and set at correct flow rate
A patient who is receiving a blood transfusion rings the call light
for the nurse. When entering the room, the RN observes the
patient is coughing and has distended neck veins. He auscultates
the patient's lungs and hears crackles. The nurse suspects the
patient is having the following type of reaction to the blood
transfusion: Correct Answers -circulatory overload
After two unsuccessful attempts at insertion of an IV, the best
thing for a RN to do would be: Correct Answers -consult
another nurse to try
An appropriate technique for nasogastric (NG) tube insertion is
for the nurse to: Correct Answers -advance the tube while the
client swallows
An appropriate technique for the nurse to implement for a blood
transfusion is to: Correct Answers -open the roller clamp to the
normal saline to flush the line when blood is finished
An appropriate technique is followed while providing care for a
patient with a new chest tube when the nurse: (select all that
apply) Correct Answers -assess insertion site for crepitus at
least every 4 hours
-monitors the chest tube drainage every 15 minutes for the first 2
hours then as prescribed
Complete Solutions Latest Updated Exam
A nurse is administering a one time dose of IV Push Lasix to her
patient. She knows the following are true regarding flushing the
peripheral IV during this procedure: Correct Answers -flush the
IV before administering the medication (push pause method)
-flush the IV after administering the medication
-flush the IV afterwards at the rate that the medication was
administered
A nurse is caring for a patient with a peripheral IV line located
in the right forearm. The patient informs the nurse that the IV
site is burning. The nurse determines that the IV solution has
infiltrated. What sites are appropriate to consider when
restarting the IV line? Select all that apply Correct Answers -
left hand
-right antecubital area
a nurse is inserting an indwelling catheter into a female patient.
how far should the nurse initially insert the catheter? Correct
Answers -2 to 3 inches
a nurse is inserting an indwelling catheter into a female patient.
how much further should the nurse insert the catheter after
seeing urine flow through the catheter? Correct Answers - 1 to
2 inches
a nurse is inserting an indwelling catheter into a female patient.
the nurse has inserted the catheter several inches and is not
getting any urine return. she realizes she has likely inadvertently
,placed the catheter into the vagina. what is the best way to
proceed? Correct Answers -leave that catheter in place while
inserting a new catheter
A patient experiencing which of the following may need
suctioning of their tracheostomy? Select all that apply Correct
Answers -pulse ox alarming at 75% spO2
-respiratory rate increased to 35 breaths per minute
-coarse lung sounds on auscultation
-restlessness
A patient has an NG tube that is connected to suction. They have
an order to receive a liquid medication at 0900. How should the
nurse proceed? Correct Answers -turn off suction for 30
minutes after administration of the medication
A patient is being admitted from the ED to the ICU and is going
to require frequent blood draws, CVP monitoring, parenteral
nutrition, and multiple IV fluids. Which type of central line will
likely be inserted upon admission to the ICU? Correct Answers
-non-tunneled central venous catheter
A patient is instructed by a nurse to correctly perform incentive
spirometry when the nurse's education includes: Correct
Answers -Place mouthpiece in your mouth and seal your lips
around it
-Breathe in slowly
-Hold your breath at least to a count of 3
-Remove mouthpiece and exhale
-Rest for a few seconds and repeat 10 times every hour
, A patient needs an FiO2 of 40%. Which of these oxygen
delivery devices can deliver oxygen at this FiO2 level? Select all
that apply Correct Answers -nasal cannula at 5 L/min
-venturi mask using correct adaptor and set at correct flow rate
A patient who is receiving a blood transfusion rings the call light
for the nurse. When entering the room, the RN observes the
patient is coughing and has distended neck veins. He auscultates
the patient's lungs and hears crackles. The nurse suspects the
patient is having the following type of reaction to the blood
transfusion: Correct Answers -circulatory overload
After two unsuccessful attempts at insertion of an IV, the best
thing for a RN to do would be: Correct Answers -consult
another nurse to try
An appropriate technique for nasogastric (NG) tube insertion is
for the nurse to: Correct Answers -advance the tube while the
client swallows
An appropriate technique for the nurse to implement for a blood
transfusion is to: Correct Answers -open the roller clamp to the
normal saline to flush the line when blood is finished
An appropriate technique is followed while providing care for a
patient with a new chest tube when the nurse: (select all that
apply) Correct Answers -assess insertion site for crepitus at
least every 4 hours
-monitors the chest tube drainage every 15 minutes for the first 2
hours then as prescribed
