NU 301 Final Exam – Comprehensive Study Guide and
Practice Questions
General Patient Safety - correct answer ✔✔ •Keep bed in low position.
•Keep bed locked.
•Keep a light on.
•Two side rails up.
•Use assistive devices.
•Call light within reach of patient.
•No-slip socks or shoes.
•Avoid clutter.
•Good ergonomics
•Prevent needle sticks.
•Keep cords and fluids off floor.
•Fire Safety Education
•Keep meds and sharps out of reach.
What do you do is you get an abnormal BP with an electronic machine? - correct answer ✔✔
Verify with manual BP cuff
-Cuff width 40% arm circumference, wrong size can cause an error up to 20mmHg.
-If needed, have a cuff to big instead of too small
Stat Medication - correct answer ✔✔ immediately
Now medication - correct answer ✔✔ 90 minutes
,Where do occurrence or incident reports go? - correct answer ✔✔ -An incident or occurrence
report is any event that is not consistent with the routine, expected care of a patient or the
standard procedures in place on a health care unit.
-You complete an incident report whenever an incidence occurs.
-When an incident occurs, document on objective description of what happened; what you
observed; and the follow up actions taken, including notification of the patient's health care
provider in the patient's medical record.
-Do not include any reference about an incident report in the patient's medical record. This can
make it easier for a lawyer to argue that the reference makes the incident report part of the
medical record and therefore subject to attorney review.
-Paper in the chart.
Why do we do occurrence reports - correct answer ✔✔ quality improvements
Steps to giving an injection. - correct answer ✔✔ -Select appropriate needle and syringe size
-Wash hands and gloves
-Cleanse the site with alcohol in a circular motion
-Inject needle bevel up
-Stabilize needle
-For IM: aspirate for 5- 10 seconds
-Press plunger, wait 10 seconds and remove needle
Know what s/s with a patient who is dehydrated - correct answer ✔✔ -Sudden weight loss,
postural hypotension, tachycardia, thready pulse, dry mucus membranes, poor skin turgor, slow
vein filling, flat neck veins when supine, dark yellow urine
-Severe: thirst, restlessness, confusion, hypotension, oliguria(urine output below 30mL/hr.),
cold, clammy skin, hypovolemic shock,
, Why do SED machines go on patients - correct answer ✔✔ Used to prevent blood clots in the
lower extremities.
Patient more at risks for pressure ulcers. - correct answer ✔✔ -Older adults, who gave
experienced trauma
-Those with spinal-cord injuries
-Those who have sustained a fractured hip
-Those in long-term homes or community care, the acutely ill
-Individuals with diabetes
-Patients in critical care settings
-Urinary incontinence
How often do you turn patients? - correct answer ✔✔ 2 hours
What will occur with a BP cuff that is the wrong size? - correct answer ✔✔ inaccurate reading
Know what adverse reaction to antihypertensive medications. - correct answer ✔✔ -Diarrhea
-Dizziness
-Headache
-nausea/vomiting
-Hypotension: Be sure to check BP before administering
Steps in drawing medication from an ampule - correct answer ✔✔ -Tap top of ampule lightly
and quickly with finger
-Place gauze or unopened alcohol pad around the neck and snap it
-Hold ampule upside down or place on flat surface
-Insert filter needle into the center;no not touch the sides
Practice Questions
General Patient Safety - correct answer ✔✔ •Keep bed in low position.
•Keep bed locked.
•Keep a light on.
•Two side rails up.
•Use assistive devices.
•Call light within reach of patient.
•No-slip socks or shoes.
•Avoid clutter.
•Good ergonomics
•Prevent needle sticks.
•Keep cords and fluids off floor.
•Fire Safety Education
•Keep meds and sharps out of reach.
What do you do is you get an abnormal BP with an electronic machine? - correct answer ✔✔
Verify with manual BP cuff
-Cuff width 40% arm circumference, wrong size can cause an error up to 20mmHg.
-If needed, have a cuff to big instead of too small
Stat Medication - correct answer ✔✔ immediately
Now medication - correct answer ✔✔ 90 minutes
,Where do occurrence or incident reports go? - correct answer ✔✔ -An incident or occurrence
report is any event that is not consistent with the routine, expected care of a patient or the
standard procedures in place on a health care unit.
-You complete an incident report whenever an incidence occurs.
-When an incident occurs, document on objective description of what happened; what you
observed; and the follow up actions taken, including notification of the patient's health care
provider in the patient's medical record.
-Do not include any reference about an incident report in the patient's medical record. This can
make it easier for a lawyer to argue that the reference makes the incident report part of the
medical record and therefore subject to attorney review.
-Paper in the chart.
Why do we do occurrence reports - correct answer ✔✔ quality improvements
Steps to giving an injection. - correct answer ✔✔ -Select appropriate needle and syringe size
-Wash hands and gloves
-Cleanse the site with alcohol in a circular motion
-Inject needle bevel up
-Stabilize needle
-For IM: aspirate for 5- 10 seconds
-Press plunger, wait 10 seconds and remove needle
Know what s/s with a patient who is dehydrated - correct answer ✔✔ -Sudden weight loss,
postural hypotension, tachycardia, thready pulse, dry mucus membranes, poor skin turgor, slow
vein filling, flat neck veins when supine, dark yellow urine
-Severe: thirst, restlessness, confusion, hypotension, oliguria(urine output below 30mL/hr.),
cold, clammy skin, hypovolemic shock,
, Why do SED machines go on patients - correct answer ✔✔ Used to prevent blood clots in the
lower extremities.
Patient more at risks for pressure ulcers. - correct answer ✔✔ -Older adults, who gave
experienced trauma
-Those with spinal-cord injuries
-Those who have sustained a fractured hip
-Those in long-term homes or community care, the acutely ill
-Individuals with diabetes
-Patients in critical care settings
-Urinary incontinence
How often do you turn patients? - correct answer ✔✔ 2 hours
What will occur with a BP cuff that is the wrong size? - correct answer ✔✔ inaccurate reading
Know what adverse reaction to antihypertensive medications. - correct answer ✔✔ -Diarrhea
-Dizziness
-Headache
-nausea/vomiting
-Hypotension: Be sure to check BP before administering
Steps in drawing medication from an ampule - correct answer ✔✔ -Tap top of ampule lightly
and quickly with finger
-Place gauze or unopened alcohol pad around the neck and snap it
-Hold ampule upside down or place on flat surface
-Insert filter needle into the center;no not touch the sides
