Solutions (Pass!)
Can you give Morphine through a butterfly designated for hydromorphone ?
Right Ans - No, b/c you'd be injecting both medications as the butterfly is
primed with 0.45 mL of hydromorphone
The nurse is preparing to auscultate the pulmonic area at which site should
the nurse place the stethoscope? Right Ans - Left 2nd intercostal space
Male Patient with back pain asks why the nurse needs so many details about
his hx what the most effective response by the nurse is Right Ans - we need
complete data for nursing care
The nurse is performing a neurological assessment in which patient behavior
demonstrates a level of consciousness within normal limits Right Ans -
responds to questions spontaneously is alert and oriented
hand washing technique of the NAP which behavior by the NAP requires
additional training by the nurse Right Ans - rubs sudsy hands for 5-10
seconds
The nurse assesses peripheral perfusion which does the nurse finds in a
patient with arterial insufficiency Right Ans - pain upon exercise (vein is
blocked in legs)
The nurse is listening to the patients' lungs which information the nurse
should use to document normal patient lung sounds Right Ans - no
adventitious sounds
The nurse documents the patients swollen lower extremities and measures
the depth of a four-millimeter indentation made one minute ago which is the
best description for the nurse to use to describe patients' lower extremities
Right Ans - 2+ pitting eddema
The nurse assesses the patient's lungs to find high pitched musical sounds on
inspiration and expiration which description does the nurse used to document
this the findings- Right Ans - wheezing
, the nurse observes but the patients' eyes are yellow Right Ans - jaundice
Patient with light skin and observed normally shaped nailbeds exhibiting
pallor and a slight blueish color which should the nurse implement Right
Ans - assess pt. O2 stats
pt. s having decreased oxygenation what's the first or one of the first
abnormal assessments we find- Right Ans - central cynaosis
nurse knocks her sterile package onto the floor what she going to do- Right
Ans - replace it
For contact precautions what's the correct order for PPE Right Ans - gown,
cap, eyewear, gloves
nurse is having difficulty reading a med order what you going to do- Right
Ans - clarify order with doctor
The nurse is reviewing concepts of safe med prep and admin with a group of
nursing students which statement should the nurse include during review-
Right Ans - verify dose is in a safe range
The nurse is preparing a liquid medication which technique should the nurse
use- Right Ans - Pour the dose will the scale is even with the fluid level at
the base of the meniscus
what of the following medications can be crushed- Right Ans - scored tablet
The nurse teaches the patient how to administer eye ointment instruction by
the nurse has been correct if the patient demonstrates which technique-
Right Ans - thin line on conjunctiva
patient with major chest injury was originally alert and oriented after
recovering from surgery but is now becoming apprehensive and dizzy which
assessment are we going to do Right Ans - Preform cardiopulmonary ax
The nurse teaches patient-controlled coughing which should the nurse include
in patient teaching Right Ans - inhale deeply with mouth open