Nu 220 Exam Review Questions With Correct Detailed Answers Graded A+

NU 220 EXAM REVIEW QUESTIONS WITH CORRECT DETAILED ANSWERS GRADED A+ Which of the following are indicative of pressure ulcers? (Select all that apply) Pressure ulcers may form from any position that causes soft tissue compression. Pressure ulcers form due to lack of blood flow. Pressure ulcers form only on bedbound patients. Pressure ulcers form in as little as 90 minutes. - Answer-Pressure ulcers may form from any position that causes soft tissue compression. Pressure ulcers form due to lack of blood flow. Pressure ulcers form in as little as 90 minutes. A nurse is administering eardrops to an 8-year-old patient. How does the nurse pull the patient's ear when administering the medication? Downward and back to 6-9 o'clock position Outward Upward and back Downward and back - Answer-Upward and Back The nurse takes medication to a patient. The patient states, "Take that away. I am not going to take it." What is the nurse's next action? Ask the patient's reason for refusal. Tell the patient that the physician knows what is best. Explain that he must take the medication. Take the medication away and chart patient refusal. - Answer-Ask the patient's reason for refusal The patient is complaining of severe leg pain, 8 out of 10 on a pain scale. The nurse receives the following telephone order from the health care provider: Tylenol with Codeine PO q4 hours prn. Morphine sulfate x one dose stat. Which action will the nurse do first? Perform another pain assessment. Give the morphine and Tylenol with Codeine immediately. Give the morphine immediately. Give the Tylenol with Codeine now. - Answer-Give the morphine immediately When controlled substances are administered, which action is required by the nurse? Have a second nurse witness disposal of unused substances and document. Discard and document for unused substances. Keep narcotics to be given with other patient medications. Count the amount of medication daily. - Answer-Have a second nurse witness disposal of unused substances and document To prevent errors with medication administration, which action should be taken by the nurse? Clarify all illegible orders with the health care provider. Document the medication before administration. Read medication labels twice when preparing. Prepare all medications for the shift at the same time. - Answer-Clarify all illegible orders with the health care provider Select-all-that-apply: An anticoagulant is ordered for 0900 daily. What times follow the "right time" of medication administration? 0930 0800 0830 1000 - Answer-0930, 0830 The patient has several medications via a nasogastric (NG) tube ordered. What should the nurse do first? Crush all tablets and capsules before administration. Add the medications to the tube feeding being given. Check for placement of the NG tube. Administer all of the medications mixed together. - Answer-Check for placement of the NG tube The nurse is applying a new nitroglycerin transdermal patch. What action by the nurse is appropriate? Apply the patch to an oily portion of skin. Apply the patch and hold palm of one hand firmly over the patch for 10 seconds. Apply the new patch to the same site as the old patch. Cut the patch in half since a change of dose has been ordered. - Answer-Apply the patch and hold palm of one hand firmly over the patch for 10 seconds The patient should be assisted to which position for insertion of a rectal suppository? Supine Dorsal Recumbent Left Sim's Prone - Answer-Left Sim's The nurse is preparing an injection of 0.45 mL of medication for a patient. Which syringe is most appropriate? 10 mL syringe Tuberculin syringe 3 mL syringe Insulin syringe - Answer-Tuberculin Which actions by the nurse assist with safe medication administration to patients? Select all that apply. Prepare medications for one patient at a time. Use two patient identifiers prior to administration. Check medical labels carefully when preparing medication. Use the six rights of medication administration when administering medications. Allow the patient to take the prepared medications at the time they have done so at home. - Answer-Prepare medications for one patient at a time. Use two patient identifiers prior to administration. Check medical labels carefully when preparing medication. Use the six rights of medication administration when administering medications. When administering an IV push medication the nurse should choose which site? The needleless injection port closest to the patient. The injection port above the IV pump to ensure the medication does not get administered too quickly. The needleless injection port closest to the IV pump. The injection port in the IV solution bag. - Answer-The needless injection port closest to the patient While administering a newly prescribed antibiotic, the patient begins to complain of shortness of breath. The nurse recognizes this may an allergic reaction to the antibiotic. What is the initial action by the nurse? Add allergy information to the patient record. Call the physician. Administer an antihistamine. Stop the delivery of the antibiotic. - Answer-Stop the delivery of the antibiotic