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VERSION 1 AND 2 NEWEST 2025 ACTUAL EXAM m m m m m m m
COMPLETE 200 QUESTIONS AND CORRECT DETAILEDA m m m m m m
NSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+m m m m m
A nurse has prepared a sterile field for assisting a provider with a chest tu
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be insertion. Which of the following events should the nurse recognizeas
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contaminating the field (Select all that apply) m m m m m m
A. provider drops a sterile instrument onto the near side of the sterile
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field
B. nurse moistens a cotton ball with sterile normal saline and places it on
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sterile field m
C. procedure is delayed 1hr because the provider receives an emergency
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call
D. nurse turns to speak to someone who enters through the door behind
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the nurse
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E. clients hand brushes against the outer edge of the sterile field -
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ANSWER B, C, D
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Endoscopy (EGD) positioning - m m m
ANSWER left side lyingBefore an Endoscopy (EGD): -
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mANSWER -NPO 6-8 hr m m m
-remove dentures m
Gastroenteritis care plan: - ANSWER -restrict dairy, caffeine, milk
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-eat foods high in potassium
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-increase fluid intake m m
,-contact precautions m
In what order do you open the sterile package? -
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mANSWER flap furthestfrom body, side flaps, then closest
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A nurse has removed a sterile pack from its outside cover and place it on
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a clean work surface in preparation for an invasive procedure. Which of
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the following flaps should the nurse unfold first:
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A. closest to body m m
B. right side m
C. left side m
D. farthest from body - ANSWER D m m m m m
A nurse is wearing sterile gloves in prep for performing a sterile procedur
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e. Which of the following objects can the nurse touch withoutbreaking ste
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rile technique (Select all that apply)
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A. bottle containing sterile solution
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B. edge of sterile drape at the base of the field
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C. inner wrapping of an item on the sterile field
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D. irrigation syringe on the sterile field m m m m m
E. one gloved hand with the other gloved hand - ANSWER C, D, E
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TB is suspected, what precautionary actions to do? - ANSWER -
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negative airflow room, airborne precautions
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-nurses wear N95 mask, client wears if going out of the room
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-admin heat & humidified O2 therapy as prescribed
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TB interventions: - ANSWER -family members should be screened
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-4 meds taken for 6-12 months
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-not contagious when they have 3 negative sputum cultures
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What to watch for when on Isoniazid: -
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ANSWER numb/tingling in thehands & feet
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,What to watch for when on Rifampin: - ANSWER -
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orange secretionsnormal
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-watch for jaundice m m
-interferes with birth control m m m
What to watch for when on Ethambutol: - ANSWER vision changes
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Client teaching for genital herpes: - ANSWER -
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can be transmitted withor w/out blisters
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-sexual partners should be informed & screened
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-no cure, just meds to help w/symptoms
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-abstain from intercourse until lesions are completely healed
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-gently clean areas w/mild soap & water
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Caring for a client following a stroke of the right side with left-
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sidedhemipalegia: - ANSWER -thicken liquids/foods
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-high fowlers
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-speech therapist for helping w/eating & speech
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-monitor gag reflex/swallowing abilities
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-have suction equipment available
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-occupational therapy m
-support left arm with pillows, slings, etc
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High sodium foods clients with HF & Pulmonary edema should avoid: -
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ANSWER -cheese
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-soups
-bread
-cold cuts/cured meats
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-pizza
-eggs & omelets
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-hot dogs
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-baked ham m
, Which non-opioid drug decreases the effect of aspirin? -
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ANSWERibuprofen
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Ketorolac should not be used concurrently with... -
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ANSWER otherNSAIDS
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Glucocorticoids increase the risk of gastric bleeding when taken with... -
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ANSWER non-opioid analgesics
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To access an implanted port, you must use a... -
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ANSWER noncoring(Huber) needle
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When done accessing an implanted port... -
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ANSWER flush with 10 mL0.9% sodium chloride
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Therapeutic effects of furosemide (Lasix) - ANSWER -
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decreasespreload of the heart
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-decreases potassium levels m m
-increases urine output m m
-decrease BP m
-decrease edema m
Valsartan for HF expected outcomes/findings: - ANSWER -vasodilation
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-excretion of sodium & waterm m m m
-reduces BP m
-reduces risk of mortality in post-MI pts left w/vent dysfunction
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Expected findings of meds that increase urinary output (diuretics): -
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ANSWER -decreased potassium
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-weight loss m
-decrease in edema m m
-decreased calcium m
-increased urine output m m
-decreased BP m
-decrease in ICP & IOP m m m m