EXAM QUESTIONS AND VERIFIED
ANSWERS; GET IT 100% ACCURATE
4 oz. water = 120 ml - correct answer- document half
of ice chip volume to account for air
Abnormal lung sounds - correct answer- -Crackles:
discontinuous sounds heard primarily during inhalation and
resulting from air bubbling through fluid or mucus in airways
-Friction Rub: scratching/ squeaking persisting throughout resp.
cycle
-Rhonchi: dry, low-pitched, snore-like noises produced in throat
or bronchial tube due to partial obstruction
administering 0.5 ml of single-dose liquid - correct
answer- gently shake container of medication prior to
administration
Advance Directives purpose - correct answer-
Indicates the form of treatment a client is willing to accept in the
event of a serious illness
,antiembolic stockings - correct answer- remove
stockings at least once per shift
Antiembolic stockings postop - correct answer- Check
stockings for wrinkles
Aromatherapy - correct answer- consult with provider
if patient is asthmatic
Assess to identify safety needs - correct answer- -Pupil
clarity
-Visual fields
-Visual acuity
At risk for skin breakdown - correct answer- provide
client with diet high in protein
Bed bound. Sign of thrombophlebitis - correct answer-
swelling, redness, tenderness in calf muscle
C. diff patient - correct answer- Nurses must have
family members wear a gown and gloves when visiting
, Cane - correct answer- hold on stronger side of body
Client angry over colorectal cancer diagnosis - correct
answer- Reassure him that this is an expected response to
grief
Client reports no known allergies, but developed a rash after
taking a certain antibiotic. - correct answer-
Document exact medication bc they may be allergic to it.
Cold therapy
Discontinue due to this systemic response - correct
answer- Shivering
DNR - correct answer- Oxygen can provide comfort
and is not resuscitative when the nurse delivers it via nasal
cannula
Documentation - correct answer- Descriptive,
objective information