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1. You have just obtained your patients vital signs and they are T-95.8, R-20,
HR-110, BP-90/60 you should,: Notify the RN immediately and recheck the temp rectally unless cin-
traindicated, enter thd VS into EMS, notofy RN of rectal temp.
2. A pulse of 124 bpm would indicate: Tachycardia, rapid heart rate
3. The normal range of resting respirations in an adult is: 12-20
4. You are assisting a patient with ambulating in the hall, the patient complains
of feeling dizzy and begins to collapse. You should...: Call for assistance and slowly lower the
patient to the floor, protecting the patient from hitting their head and bending your knees to prevent back injury
5. True or False, When you lower a patient to the floor with assistance, it is NOT
considered a fall.: False
6. When you find a patient on the floor, the first thing you should do is: Call for help
and stay with the patient
7. For which of the following situations would you use the stand and pivot
technique to transfer a patient?
A. Patient is brought on a stretcher and needs to get into bed
B. Patient can bear weight once standing, but has has trouble getting up from
the chair
C. Patient has paraplegia: B- Patient can bear weight once standing, but has has trouble getting up from
the chair
8. While taking a rectal temp, you notice the dressing over the sacral region fell
off and you can see muscle and bone. What stage pressure ulcer would this
be?: Stage 4
9. List three major risk factors that contribute to pressure injury?: 1. Moisture
2. Stationary/immobility
3.Nutrition
10. True or false, it is not necessary to rinse the mini nebulizer cup after each
use: False, wines with sterile water
11. True or false, the PCA may initiate oxygen treatments: False
12. True or false, a high flow nasal cannula must have a bubble humidifier: True
13. A PCA can encourage a patient to use their incentive spirometer: True
14. True or false, if you hear an alarm on the ventilator, you must mute the alarm
ASAP: False
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15. A patient on your unit has enhanced contact precautions, you should clean
surfaces with what?: Gold wipes
16. CGHbaths are given to patients with what: Multiple IVSs,
PICC lines
Triple lumen catheters
Patients with dialysis catheters
All central lines
All ICU patients
17. What is the procedure for cleaning the perineal region of s patient with an
indwelling urinary catheter?: Use Castile soap wipes and clean 6 inches away from the urethra
18. What is the procedure used to draw a lactic acid?: Gray top tube, tourniquet is on, needs
to be sent on ice, label has to be signed, dated and timed
19. What type of mask would you. Use before entering a room of a patient on
Droplet Precautions: Surgical procedure mask with a shield
20. What PPE would you take off FIRST when you come out of the isolation
room: Gown. Old fashion would be gloves
21. What is the most important activity that you can perform to prevent the
spread of infection?: Hand hygiene
22. Which if the following are true relating to contact time of wipes?
A. Amount of time you have to leave the furnace undisturbed after wiping
B. Contact time and treatment time refer to the same thing
C. The time in minutes needed to kill all bacteria, virus, germs
D. All of the above: D. All of the above
23. What is the name of the assessment tool that nurses use to calculate how
high the patients risk for a fall is?: Morse
24. Circle the food items that are eliminated on a potassium restricted diet?: Ba-
nanas, tomatoes, orange juice
25. Mr. Carmelita has a dirt order of 1800 calorie ADA, 2 gym NA sodium. He has
requested something to drink, the best thing to offer is,: Sugar free iced tea
26. A duet ordered with ADA restriction means: American Diabetes Association diet that limits
concentrated sweets and sugars
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