Level 4 Written Skills Study - MGCCC Nursing Exam Practice Questions and Answers

Level 4 Written Skills Study - MGCCC Nursing Exam Practice Questions and Answers Position for tube feedings? - Answer-Semi-Fowlers How often is tube placement checked w/ continuous NG feedings? - Answer-every 24 hours How often are feeding containers and tubing changed for continuous NG feeding? - Answer-every 24 hours How do you check tube placement on a 2 day old NG tube? - Answer-Chest X ray How do you measure to place an NG tube? - Answer-nose, ear, xiphoid process What is the margin size of a sterile field? - Answer-1 inch How often is an IV site changed? - Answer-96 hours How often is an IV site assessed? - Answer-with every pt assessment and med given For an average sized adult what gauge catheter is used? - Answer-22G Briefly describe how eye drops are administered? - Answer-place in supine position, head back, pull eyelid down, press down on bony orbit exposing conjunctival sac, look up, 1-2 cm above, administer Briefly describe how ear drops are administered and the difference between child and adult. - Answer-drops should be body temperature, on side-ear up, pinna up and back (adult), pinna down EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 2/5 and back (child), administer drop 1 cm above ear canal, remain side lying for couple minutes, massage if needed. Identify the best subcutaneous injection sites - Answer-abdomen, arm, back What angle are subcutaneous injections administered? - Answer-90 degrees Do you massage insulin after administration and why? - Answer-No, too quick absorption Steps of mixing NPH and Regular insulin - Answer-Air into NPH , air into regular, pull up regular, pull up NPH Preferred site of injection for heparin? - Answer-abdomen Needle size for average adult for heparin administration? - Answer-25 G 5/8 inch needle, 90 Degree angle Is massage indicated with heparin injection? - Answer-No, too quick absorption Lovenox prefilled syringe comes with an air bubble, is this removed prior to injection? - Answer-No Identify site for IM injection - Answer-deltoid, vastus lateralis, ventrogluteal Is massage indicated with IM injection? - Answer-No Describe Z-Track method - Answer-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 What solution is used to fill foley catheter retention balloons? - Answer-sterile water, 10ml EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 3/5 Is supplemental oxygen applied with nasopharyngeal suctioning and why? - Answer-yes for preoxygenation When is suctioning applied and for how long? - Answer-once catheter is in place, apply suction for 10-15 seconds while removing Proper depth for endotracheal suctioning - Answer-insert full length or until resistance is met and pull back 1 cm Proper depth for deep tracheal suctioning - Answer-insert until resistance is met and pull back 1 cm Describe the steps of starting an IVPB - Answer-compatible - port farthest away from pt non-compatible - port closest to patient, stop IV fluid, flush line before and after administer How long can a PICC line be used? - Answer-up to 1 year How long can a short term central line be used? - Answer-few days - 1 month How long can a long term central line be used? - Answer-> 1 month to 1-2 years What size syringe is used when flushing a line? - Answer-10 mL Are the lines/ports heparinized? - Answer-yes What is infiltration and how is it described, what are the S&S and what are th