HONDROS NURSING NUR 150 EXAM
SCRIPT FULL QUESTIONS AND CORRECT
ANSWERS REVIEW
●● What are the Long Term Care National Patient Safety Goals
Answer: 1. ID Residents correctly 2. Use meds safely 3. Prevent
Infection 3. Prevent residents from falling 4. Prevent bed sores
●● Procedure for fecal Impaction Removal
Answer: 1. Verify physician written order, Introduce self, hand hygiene,
ID patient, explain procedure and provide privacy.
●● Fecal impaction cont'd...after explaining procedure, what's next?
Answer: Raise bed and lower side rail, position pt to Sim's position
●● Fecal impaction cont'd...after putting pt in Sim's, what do you do
next?
Answer: Drape pt's trunk and lower extremities with bath blankets, put
waterproof pad under buttocks/hips. Place bedpan next to pt.
●● Fecal Impaction cont'd...after placing bedpan next to pt, what is
next?
, Answer: Hand hygiene and don clean gloves, lubricate gloved index
finger and middle finger of dominant hand and tell pt to take deep, slow
breaths, in and out during procedure.
●● Fecal impaction cont'd... after instructing pt to breathe deeply, what
is the next step?
Answer: Insert gloved index finger, gradually and gently, feel anus relax
and insert middle finger. Move fingers gradually towards wall of rectum
towards umbilicus and loosen mass by moving fingers in a scissor like
motion. Work stool downward and remove small pieces of feces into
bedpan.
●● Fecal impaction cont'd....what signs to observe during removal
Answer: Pt response, heart rate, dyspnea or heart palpitations
●● fecal impaction cont'd...after observing pt response, what do u do
next?
Answer: Continue to clear feces and allow pt to rest at intervals. Perineal
hygiene and Inspect feces color and consistency. Properly dispose of
feces and gloves. Hand hygiene, position pt to comfortable position and
call light within reach.
●● Sequence for med admin via NG tube...
Answer: 1. Check proper placement
2. Check residual
SCRIPT FULL QUESTIONS AND CORRECT
ANSWERS REVIEW
●● What are the Long Term Care National Patient Safety Goals
Answer: 1. ID Residents correctly 2. Use meds safely 3. Prevent
Infection 3. Prevent residents from falling 4. Prevent bed sores
●● Procedure for fecal Impaction Removal
Answer: 1. Verify physician written order, Introduce self, hand hygiene,
ID patient, explain procedure and provide privacy.
●● Fecal impaction cont'd...after explaining procedure, what's next?
Answer: Raise bed and lower side rail, position pt to Sim's position
●● Fecal impaction cont'd...after putting pt in Sim's, what do you do
next?
Answer: Drape pt's trunk and lower extremities with bath blankets, put
waterproof pad under buttocks/hips. Place bedpan next to pt.
●● Fecal Impaction cont'd...after placing bedpan next to pt, what is
next?
, Answer: Hand hygiene and don clean gloves, lubricate gloved index
finger and middle finger of dominant hand and tell pt to take deep, slow
breaths, in and out during procedure.
●● Fecal impaction cont'd... after instructing pt to breathe deeply, what
is the next step?
Answer: Insert gloved index finger, gradually and gently, feel anus relax
and insert middle finger. Move fingers gradually towards wall of rectum
towards umbilicus and loosen mass by moving fingers in a scissor like
motion. Work stool downward and remove small pieces of feces into
bedpan.
●● Fecal impaction cont'd....what signs to observe during removal
Answer: Pt response, heart rate, dyspnea or heart palpitations
●● fecal impaction cont'd...after observing pt response, what do u do
next?
Answer: Continue to clear feces and allow pt to rest at intervals. Perineal
hygiene and Inspect feces color and consistency. Properly dispose of
feces and gloves. Hand hygiene, position pt to comfortable position and
call light within reach.
●● Sequence for med admin via NG tube...
Answer: 1. Check proper placement
2. Check residual
