PN 2006 Final exam with correct
detailed answers already graded
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d. Inject heparin into the abdomen but avoid the umbilical area. -
ANS-The nurse's outcome for the patient is, "Patient self-
administers subcutaneous heparin before discharge." What does
the nurse include in patient teaching?
a. Expect large areas of bruising around the injection site.
b. Promote heparin absorption by massaging the injection site.
c. Choose one large area for consistent heparin absorption.
d. Inject heparin into the abdomen but avoid the umbilical
area.
d. Inserts the suppository 10 cm (4 inches) into the patient's
rectum - ANS-The nurse prepares to administer acetaminophen
(Tylenol) 650 mg rectally. Which does the nurse implement to
administer the suppository properly?
,a. Assists the patient to right lateral position and flexes the
left leg
b. Performs a preadministration digital rectal examination
c. Washes hands and applies sterile gloves before the
procedure
d. Inserts the suppository 10 cm (4 inches) into the patient's
rectum
d. Obtain an order for EMLA cream or vapo-coolant spray. -
ANS-A toddler is to receive an intramuscular injection. What
action can the nurse take to make the injection less traumatic?
a. Have the parents hold the toddler down during the
injection.
b. Collaborate with the health care provider about what to do.
c. Encourage the toddler to move the leg after the injection.
,d. Obtain an order for EMLA cream or vapo-coolant spray.
d. Pale pink wound 2 cm ´ 3 cm ´ 2 cm deep with undermining
at 12 o'clock - ANS-While cleaning a wound, the nurse
determines that undermining is at the top of the wound. Which
documentation of the wound by the nurse is best?
a. Dark pink wound with undermining at 2 o'clock
b. Wound clean and without odor with slight undermining
toward patient's head
c. See photograph of wound taken today
d. Pale pink wound 2 cm ´ 3 cm ´ 2 cm deep with
undermining at 12 o'clock
d. Pinch a large area of skin and inject heparin into the center of
the skin fold. - ANS-The nurse is teaching a patient to self-
administer subcutaneous heparin at home. What does the nurse
include in patient teaching?
, a. Use a 22-gauge, 1-inch needle for the heparin injections.
b. Change needles after withdrawing the heparin from the
vial.
c. Instruct the patient and family to recap all needles used at
home.
d. Pinch a large area of skin and inject heparin into the center
of the skin fold.
d. Put the mask, gown, and gloves on in view of the child. -
ANS-The nurse is caring for a patient who is 4 years old and in
isolation. Which approach should the nurse implement to reduce
the patient's anxiety?
a. Put the child in a room with a locked door.
b. Ask the parents to keep the child in the room.
c. Explain isolation to the child by using a cartoon.
d. Put the mask, gown, and gloves on in view of the child.
detailed answers already graded
a+|newest update
d. Inject heparin into the abdomen but avoid the umbilical area. -
ANS-The nurse's outcome for the patient is, "Patient self-
administers subcutaneous heparin before discharge." What does
the nurse include in patient teaching?
a. Expect large areas of bruising around the injection site.
b. Promote heparin absorption by massaging the injection site.
c. Choose one large area for consistent heparin absorption.
d. Inject heparin into the abdomen but avoid the umbilical
area.
d. Inserts the suppository 10 cm (4 inches) into the patient's
rectum - ANS-The nurse prepares to administer acetaminophen
(Tylenol) 650 mg rectally. Which does the nurse implement to
administer the suppository properly?
,a. Assists the patient to right lateral position and flexes the
left leg
b. Performs a preadministration digital rectal examination
c. Washes hands and applies sterile gloves before the
procedure
d. Inserts the suppository 10 cm (4 inches) into the patient's
rectum
d. Obtain an order for EMLA cream or vapo-coolant spray. -
ANS-A toddler is to receive an intramuscular injection. What
action can the nurse take to make the injection less traumatic?
a. Have the parents hold the toddler down during the
injection.
b. Collaborate with the health care provider about what to do.
c. Encourage the toddler to move the leg after the injection.
,d. Obtain an order for EMLA cream or vapo-coolant spray.
d. Pale pink wound 2 cm ´ 3 cm ´ 2 cm deep with undermining
at 12 o'clock - ANS-While cleaning a wound, the nurse
determines that undermining is at the top of the wound. Which
documentation of the wound by the nurse is best?
a. Dark pink wound with undermining at 2 o'clock
b. Wound clean and without odor with slight undermining
toward patient's head
c. See photograph of wound taken today
d. Pale pink wound 2 cm ´ 3 cm ´ 2 cm deep with
undermining at 12 o'clock
d. Pinch a large area of skin and inject heparin into the center of
the skin fold. - ANS-The nurse is teaching a patient to self-
administer subcutaneous heparin at home. What does the nurse
include in patient teaching?
, a. Use a 22-gauge, 1-inch needle for the heparin injections.
b. Change needles after withdrawing the heparin from the
vial.
c. Instruct the patient and family to recap all needles used at
home.
d. Pinch a large area of skin and inject heparin into the center
of the skin fold.
d. Put the mask, gown, and gloves on in view of the child. -
ANS-The nurse is caring for a patient who is 4 years old and in
isolation. Which approach should the nurse implement to reduce
the patient's anxiety?
a. Put the child in a room with a locked door.
b. Ask the parents to keep the child in the room.
c. Explain isolation to the child by using a cartoon.
d. Put the mask, gown, and gloves on in view of the child.
