HONDROS 172 FINAL EXAM
QUESTIONS WITH CORRECT
ANSWERS
What statement indicates the nurses needs more teaching about D5/NS hypertonic
solution? - Answer- Can cause cell to swell
cause of leukopenia - Answer- Blood cell
Bone marrow conditions
Chemotherapy
Radiation therapy
Bone marrow transplant
What to watch for when administering 25% albumin - Answer- Tachycardia
SOB
Fluid volume overload
Pulmonary edema
Albumin 5% is what type of solution - Answer- isotonic
A pt with severe vomiting came to the ER. ABGs were Ph 7.49, PC02 47, HC03 29.
What are the ABG results - Answer- Compensated metabolic alkalosis
A Nurse hung an IV of NS by gravity but for got to prime the tubing. The patient gets a
line full of air. What action should the nurse take? Select all that apply - Answer- Notify
the doctor
Call rapid response
Turn pt to left
Place in trendlenburg position
Apply 100% non breather mask
Remove the IV, determine cause. Apply sterile dressing, determine the grade - Answer-
Phlebitis
The RN May delegate which to the LPN - Answer- Hang the third bag of 100l NS with
one ampule multi-vitamin per a peripheral IV
Slow the IV fluids to KVO, elevate head of bed, diuretic as ordered - Answer- Fluid
Volume Overload
Interventions for fluid volume overload - Answer- Raise head of bed
, Stop IV fluid
Call doctor and get an order for Lasix ( furosemide)
Normal dose 20-40
How do you know if Vancomycin is working - Answer- Check WBC normal range
5-10k
Acute hemolytic transfusion reaction - Answer- is an antibody-mediated (type II)
hypersensitivity reaction caused by preexisting anti-ABO antibodies that bind antigens
on the new RBCs. Subsequent complement activation results in erythrocyte lysis,
vasodilation, and symptoms of shock. Findings include fever, hypotension, chest and
back pain, and hemoglobinuria.
Lactated Ringer's Solution - Answer- Fluid stays in vascular space
Can increase BP
Vesicant infusing which of the following could occur due to extravasation? Select all that
apply - Answer- Necrosis
Infection
Amputation
Loss of limb function
Cosmetic deconfiguration
What patient would start and IV on first? - Answer- Airway issues always comes first
sterile field - Answer- All objects must remain sterile
Hands and sterile objects must remain above the waist
Sterile items must remain in sight at all times
If sterile object becomes unsterile you must start over
IV with air (select all that apply) - Answer- Call rapid response
Left side trendleburge position
Emergency 100% breather mask
Emergency cart to bedside
Which IV would a nurse insert first? - Answer- Peripheral intravenous catheter
What to expect during infiltration - Answer- Cool skin
Pale
Edema
ABGs: pH 7.36, PC02 49, HC03 30, P02 75, figure out if full or partial compensating. -
Answer- Respiratory acidosis full compensation
Cause: COPD, asthma, acute pulmonary edema, obesity, MS, muscular dystrophy,
scoliosis
QUESTIONS WITH CORRECT
ANSWERS
What statement indicates the nurses needs more teaching about D5/NS hypertonic
solution? - Answer- Can cause cell to swell
cause of leukopenia - Answer- Blood cell
Bone marrow conditions
Chemotherapy
Radiation therapy
Bone marrow transplant
What to watch for when administering 25% albumin - Answer- Tachycardia
SOB
Fluid volume overload
Pulmonary edema
Albumin 5% is what type of solution - Answer- isotonic
A pt with severe vomiting came to the ER. ABGs were Ph 7.49, PC02 47, HC03 29.
What are the ABG results - Answer- Compensated metabolic alkalosis
A Nurse hung an IV of NS by gravity but for got to prime the tubing. The patient gets a
line full of air. What action should the nurse take? Select all that apply - Answer- Notify
the doctor
Call rapid response
Turn pt to left
Place in trendlenburg position
Apply 100% non breather mask
Remove the IV, determine cause. Apply sterile dressing, determine the grade - Answer-
Phlebitis
The RN May delegate which to the LPN - Answer- Hang the third bag of 100l NS with
one ampule multi-vitamin per a peripheral IV
Slow the IV fluids to KVO, elevate head of bed, diuretic as ordered - Answer- Fluid
Volume Overload
Interventions for fluid volume overload - Answer- Raise head of bed
, Stop IV fluid
Call doctor and get an order for Lasix ( furosemide)
Normal dose 20-40
How do you know if Vancomycin is working - Answer- Check WBC normal range
5-10k
Acute hemolytic transfusion reaction - Answer- is an antibody-mediated (type II)
hypersensitivity reaction caused by preexisting anti-ABO antibodies that bind antigens
on the new RBCs. Subsequent complement activation results in erythrocyte lysis,
vasodilation, and symptoms of shock. Findings include fever, hypotension, chest and
back pain, and hemoglobinuria.
Lactated Ringer's Solution - Answer- Fluid stays in vascular space
Can increase BP
Vesicant infusing which of the following could occur due to extravasation? Select all that
apply - Answer- Necrosis
Infection
Amputation
Loss of limb function
Cosmetic deconfiguration
What patient would start and IV on first? - Answer- Airway issues always comes first
sterile field - Answer- All objects must remain sterile
Hands and sterile objects must remain above the waist
Sterile items must remain in sight at all times
If sterile object becomes unsterile you must start over
IV with air (select all that apply) - Answer- Call rapid response
Left side trendleburge position
Emergency 100% breather mask
Emergency cart to bedside
Which IV would a nurse insert first? - Answer- Peripheral intravenous catheter
What to expect during infiltration - Answer- Cool skin
Pale
Edema
ABGs: pH 7.36, PC02 49, HC03 30, P02 75, figure out if full or partial compensating. -
Answer- Respiratory acidosis full compensation
Cause: COPD, asthma, acute pulmonary edema, obesity, MS, muscular dystrophy,
scoliosis
