VIRTUAL QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
Do not delegate - ANSWER What you can EAT E-evaluate A-assess T-teach
Addison's & Cushings - ANSWER Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia
Better peripheral perfusion? - ANSWER EleVate Veins, DAngle Arteries
APGAR - ANSWER Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Airborne precautions - ANSWER MTV or My chicken hez tb measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip - ANSWER private room, neg pressure with 6-12 air exchanges/hr
mask & respirator N95 for TB
Droplet precautions - ANSWER spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus,
pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
,mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
Contact precaution - ANSWER MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by micro-
organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the
bag
PMGG= Private room/ share same illness, mask, gown and gloves
Skin infection - ANSWER VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - ANSWER S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of
impending doom. (turn pt to LEFT side and LOWER the head of bed.)
Woman in labor (un-reassuring FHR) - ANSWER (late decels, decreased variability, fetal bradycardia, etc)
Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC - ANSWER Pt on Right side (promotes emptying of the stomach) Head
of bed elevated (prevent aspiration)
, After lumbar puncture and oil based myelogram - ANSWER pt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - ANSWER flat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANSWER catheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - ANSWER position on the side of AFFECTED ear, allows drainage.
After Cateract surgery - ANSWER pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy - ANSWER low or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - ANSWER Prone so that sac does not rupture
Buck's Traction (skin) - ANSWER elevate foot of bed for counter traction
After total hip replacement - ANSWER don't sleep on side of surgery, don't flex hip more than 45-60
degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip abduction by separating thighs
with pillows.
Prolapsed cord - ANSWER Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip - ANSWER position on back or in infant seat to prevent trauma to the suture line. while feeding
hold in upright position.