N3160 Midterm Questions With Complete Solutions
the nurse is using chlorhexidine to prepare the site before
inserting a venous access device into the median cubital vein of
a 60y/o patient - which action is correct?
a. wash the site with soap and water
b. allow the site to dry 1-2 mins after cleansing it with
chlorhexidine
c. cleanse the site using a circular motion, starting at the
insertion site and working outward
d. cleanse the area first by swabbing horizontally, then vertically
with the applicator for about 30 seconds
cleanse the area first by swabbing horizontally, then vertically
with the applicator for about 30 seconds
a patient for whom an IV antibiotic is prescribed has a
multilumen central line in place for CPN, what should the nurse
do?
a. infuse the antibiotic through another lumen of the multilumen
central line
b. interrupt the CPN infusion only long enough to administer the
antibiotic
c. rearrange the antibiotic admin schedule so it does not interfere
with the CPN
d. ask the prescriber if the route of admin for the antibiotic can
be changed
infuse the antibiotic through another lumen of the multilumen
central line
,a patients CPN order has been changed to a different solution
and the present solution is to be discontinued immediately. What
should the nurse do until the new solution is delivered by the
pharmacy?
a. discontinue the present CPN solution and clamp the catheter
hub
b. continue the present CPN solution but readjust the flow
TKVO rate
c. hang an infusion of 0.9% NS at the same infusion rate as the
CPN
d. hang an infusion of 10% dextrose in water at the same
infusion rate as the CPN
hang an infusion of 10% dextrose in water at the same infusion
rate as the CPN (to prevent hypoglycemia)
which action will best minimize a patients risk for infection
while receiving CPN?
a. infuse the CPN only with a filter in the line
b. assess the patient frequently for s/s of infection
c. change the CPN infusion tubing at least once every 24hrs
d. frequently inspect the patients CVC site
change the CPN infusion tubing at least once every 24hrs
when preparing to infuse a bag of parenteral nutrition through a
patients central line, the nurse notices that the solution has
coalesced - what is the best response?
a. warm the infusion in the microwave
b. vigorously shake the bag
, c. contact the pharmacy for a new infusion bag
d. increase the infusion rate on the pump
contact the pharmacy for a new infusion bag
which nursing action will best ensure the safety of a patient who
is about to receive an infusion of parenteral nutrition?
a. assess the patients blood glucose level by fingerstick
b. verify the physicians order for CPN and the flow rate
c. confirm that the CPN infusion pumps alarm system is
functioning properly
d. instruct the patient concerning the purpose for administering
the CPN solution
verify the physicians order for CPN and the flow rate
which action would the nurse perform to ensure patient safety
during PPN and fat emulsion therapy?
A. Change the tubing on the fat emulsion every 48 hours.
B. Infuse the fat emulsion through a 0.22-µm IV filter.
C. Plan to infuse the fat emulsion over 18 hours.
D. Allow a refrigerated fat emulsion to sit at room temperature
for 1 hour before infusing it.
allow a refrigerated fat emulsion to sit at room temp for 1h
before infusing it
the nurse is using chlorhexidine to prepare the site before
inserting a venous access device into the median cubital vein of
a 60y/o patient - which action is correct?
a. wash the site with soap and water
b. allow the site to dry 1-2 mins after cleansing it with
chlorhexidine
c. cleanse the site using a circular motion, starting at the
insertion site and working outward
d. cleanse the area first by swabbing horizontally, then vertically
with the applicator for about 30 seconds
cleanse the area first by swabbing horizontally, then vertically
with the applicator for about 30 seconds
a patient for whom an IV antibiotic is prescribed has a
multilumen central line in place for CPN, what should the nurse
do?
a. infuse the antibiotic through another lumen of the multilumen
central line
b. interrupt the CPN infusion only long enough to administer the
antibiotic
c. rearrange the antibiotic admin schedule so it does not interfere
with the CPN
d. ask the prescriber if the route of admin for the antibiotic can
be changed
infuse the antibiotic through another lumen of the multilumen
central line
,a patients CPN order has been changed to a different solution
and the present solution is to be discontinued immediately. What
should the nurse do until the new solution is delivered by the
pharmacy?
a. discontinue the present CPN solution and clamp the catheter
hub
b. continue the present CPN solution but readjust the flow
TKVO rate
c. hang an infusion of 0.9% NS at the same infusion rate as the
CPN
d. hang an infusion of 10% dextrose in water at the same
infusion rate as the CPN
hang an infusion of 10% dextrose in water at the same infusion
rate as the CPN (to prevent hypoglycemia)
which action will best minimize a patients risk for infection
while receiving CPN?
a. infuse the CPN only with a filter in the line
b. assess the patient frequently for s/s of infection
c. change the CPN infusion tubing at least once every 24hrs
d. frequently inspect the patients CVC site
change the CPN infusion tubing at least once every 24hrs
when preparing to infuse a bag of parenteral nutrition through a
patients central line, the nurse notices that the solution has
coalesced - what is the best response?
a. warm the infusion in the microwave
b. vigorously shake the bag
, c. contact the pharmacy for a new infusion bag
d. increase the infusion rate on the pump
contact the pharmacy for a new infusion bag
which nursing action will best ensure the safety of a patient who
is about to receive an infusion of parenteral nutrition?
a. assess the patients blood glucose level by fingerstick
b. verify the physicians order for CPN and the flow rate
c. confirm that the CPN infusion pumps alarm system is
functioning properly
d. instruct the patient concerning the purpose for administering
the CPN solution
verify the physicians order for CPN and the flow rate
which action would the nurse perform to ensure patient safety
during PPN and fat emulsion therapy?
A. Change the tubing on the fat emulsion every 48 hours.
B. Infuse the fat emulsion through a 0.22-µm IV filter.
C. Plan to infuse the fat emulsion over 18 hours.
D. Allow a refrigerated fat emulsion to sit at room temperature
for 1 hour before infusing it.
allow a refrigerated fat emulsion to sit at room temp for 1h
before infusing it
