NACE Questions and Answers 100% Pass

NACE Questions and Answers 100% Pass Know where to palpate pulses Know where to palpate pulses: Apical, Brachial, Dorsalis pedis, left posterior tibial ( on the test they give you an image and tell you where to locate each one) Know where vastus lateralis muscle is located vastus lateralis muscle Steps for assessing the abdomen 1-inspect; 2-auscultate (listen); 3-Percussion; and 4-palpate(THIS IS THE ORDER WHEN ASSESSING) which do you perform first on the abdomen: Inspect Know Terms: PC, BID,TID,STAT,QID pc-after; ac-before; PRN-as needed; stat-immediately, now; BID-twice daily; TID-three times daily; QID-four times daily ( I was only asked about PC) Steps for drawing medication from a glass ampule. attach filter needle; invert the ampule and insert filter needle inside ampule and draw medication out. Once done, you will change filter needle out with needle you are going to give medication with. Know what petechiae means small 1-2mm red or purple spots on the skin that is caused by bleeding underneath the skin. What area of the back would you mark to palpate for renal calculi? Mid-back where the kidneys are located. Causes severe pain. ( another questions ask you to locate where you would palpate for a kidney infection 1 ounce= 30ml Know clinical manifestations for Osteoarthritis: muscle weakness; morning joint stiffness; joint pain; poor balance; locomotor restrictions; and fibromyalgia Nurse walks in patient's room and shirt is on fire. What is the priority action for the nurse to do? Wrap the patient in a blanket-smother the fire to put it out. 1 tsp q 6 hours= Know 1 tsp q 6 hours = 30ml If patient is taking Coumadin, what lab value will the nurse have to check? If patient is taking Coumadin, what lab value will the nurse have to check? INR-2.8 What part of the nursing process would the nurse come up with a nursing diagnoses? a. Assessment b. Analysis c. Implement d. Evaluation Analysis 1 liter of fluid at 1100 is going at 125ml/hr. What time will the next bag of fluids be hung? 1900hrs Patient is taking Alendronate for osteoporosis. What diet the patient choose, lets you know they understand what to eat when taking this medication? a. Turnup greens, salmon b. Take first thing in the morning with 6-8 ounces of milk c. Take 30 minutes before other medications and food d. Only take with plain water Turnip greens, salmon Take 30 minutes before other medication Only take with plain water Patient's order states to give digoxin 0.125mg and what's ordered is digoxin 0.05. How many mg of digoxin will the patient receive? l/0.05 x 0.125 =2.5 mg Remember orderxdosage Doctor asks the nurse on the elevator how is his patient in room 913 doing? What is the nurses' response? Let's step off the elevator to discuss this A patient is having a grand mal seizure and is found unconscious. What will the nurse do first? Protect the patient from injury (loosen neck tie) Hold head in lap if on the floor; then position the patient to provide a patient airway What size gauge needles you would use to give intramuscular injections? Gauges 22-25 needles (in the muscles) What size gauge needle would you use to give Subcutaneous injections? Gauges 23-25 needles. Subcutaneous injections are given in fatty tissue over triceps Subjective Data things a person tells you about that you cannot observe through your senses; symptoms; patient tells you how/what they feel: pain, ex. Patient states he feels dizzy and patient said he fell down the stairs, itching. Objective Data information that is seen, heard, felt, or smelled by an observer; signs. Examples: bleeding, heart rate, wound appearance, blood pressure, respirations, ambulation description, hives, abdominal distention, vomiting. This is what you observe. A co-worker of a patient who is hospitalized called and asked the diagnosis of the patient in the hospital. What is the nurses response? You have to contact the hospital's contact person. The nurse was asked by a patient to pray with them. What is the nurses response? I don't feel comfortable but will find someone else who does feel comfortable praying with you. How long should you wash your hands when soiled? 15 seconds What are the two identifiers used to identify The patient's name and date of birth. Given 30meq/ml per 20meq/10ml of diluting solution. How much D5W would be added? 10mL/20meq x 30meq/mL=15 would be added What insulins are given via intravenous (IV) route a. Humulin R b. Novolin R c. Regular Insulin Humilin R A total of 3800ml of fluids have been infused. The infusing rate is 200ml/12hrs. How much fluid have been infused? 1400ml has been infused Steps to walking with a quad cane? (Know all steps.? Hold the quad cane in the hand opposite your injured or weaker leg (stronger side). Make sure the flat side of the quad cane is closest to your body. Place all four legs of the quad cane on the ground when you move it forward. The cane should be about one step length ahead of you. Keep close to body for support and balance. Step forward with weaker leg. Support your weight with both the quad cane and your injured leg. Step through with your stronger leg. Evisceration wound separation with protrusion of organs and require immediate attention. Dehiscence Wound edges are separated and no longer meet. No organs protruding. NG tube placement is verified before administering tube feedings via? NG tube placement is verified before administering tube feeding via :X-ray Heparin administration Administered via IV or subcutaneous, DO NOT ASPIRATE NEEDLE. Antidote for heparin overdose The antidote for this is: Protamine SULFATE A patient who is laying down gets up Post Op complains of feeling light headed the nurse suspect. Orthostatic hypotension Which oxygen saturation requires emergency attention from a MD with a patient who has a diagnosis of Pneumonia? a. 90 b. 92 c. 84 d. 98 84 What nursing implications would help a nurse to effectively communicate with a patient that has a hearing impairment? a. speak loudly b. eliminate background noises (tv, radio, etc) c. use loud speaker eliminate background noises A patient has been doing yard work and becomes ill. Patient comes to the Emergency room complaining of feeling light headed and dizzy. What would the nurse do first? a. check temperature b. give water c. check blood sugar give water