HONDROS NUR 172 FINAL EXAM 2025/2026 COMPLETE QUESTIONS WITH VERIFIED CORRECT SOLUTIONS || 100% GUARANTEED PASS LATEST VERSION

HONDROS NUR 172 FINAL EXAM 2025/2026 COMPLETE QUESTIONS WITH VERIFIED CORRECT SOLUTIONS || 100% GUARANTEED PASS LATEST VERSION 1. Isotonic solutions - ANSWER 0.9%NaCl, LR, D5W, D5W1/4NS, Albumin 5% there is no fluid shift with isotonic solutions 2. Hypotonic solutions - ANSWER 1/4NS, 1/2NS, 1/3NS, D2.5W, 45%NaCl 3. Hypotonic solutions move from the vasculature into the cells, causing cells to swell. DO NOT GIVE TO BURN/TRAUMA/ICP patients!!! 4. Hypertonic solutions - ANSWER D5/NS, D5LR, D5 1/2NS, TPN, Albumin 25% Fluid moves from the cell into the vasculature, raising blood pressure and shrinking cells. 5. Fluid Volume Deficit symptoms - ANSWER tenting, tachycardia, hypotension, narrow pulse pressure, weight loss, flat neck veins, dry mucous membranes, elevated BUN, elevated hemoglobin and hematocrit, elevated urine specific gravity, urine output less than 30mL/hr 6. Fluid Volume Excess symptoms - ANSWER tachycardia, hypertension, bounding pulses, cough, pink frothy sputum, weight gain, JVD, crackles, dyspnea, tachypnea 7. Electrolyte labs - ANSWER Na 135-145 K+ 3.5-5.0 Ca 8.5-10 Mag 1.5-2.5 8. Renal Labs - ANSWER BUN 10-20 Creatinine 0.6-1.2 Urine spec. Gravity 1.003-1.030 9. ABG values - ANSWER pH: 7.35-7.45 PaO2: 35-45 CO3: 22-26 O2:80-100 10. examples of health care associated infections - ANSWER central lines, indwelling catheters, ventilator associated pneumonia 11. true or false: single does vials are preferred over multi dose vials in terms of infection prevention - ANSWER true 12. Which order would you question for a patient showing signs of IICP? - ANSWER Hypotonic solution 13. Chvostek's and Trousseau's signs are indicative of? - ANSWER Hypocalcemia 14. symptoms to look for with patients on Levaquin - ANSWER Tendon rupture, neurotoxicity, seizures 15. Can an LPN start an IV on a 4 year old child? - ANSWER No - must be 18 or older 16. Can an LPN initiate chemotherapy treatment to a 65 year old patient? - ANSWER No - LPN cannot initiate chemotherapy or antineoplastic agents 17. Can an LPN initiate IVPB of antibiotic on a 16 year old patient who has been diagnosed with a staph infection? - ANSWER No - must be 18 or older 18. Can an LPN initiate NS on a 21 year old patient? - ANSWER Yes 19. When can an LPN administer solutions that contain vitamins or electrolytes? - ANSWER After an RN initiates first solution 20. Can an LPN administer D2W per a central line? - ANSWER No - not in specified list of solutions allowed to give 21. Can an LPN inject heparin or NS to flush an intermittent infusion device or hep lock? - ANSWER Yes - in scope of practice 22. Can an LPN place a venous catheter that is 4.5 inches long in hand, forearm, or antecubital space? - ANSWER No - catheter cannot be longer than 3 inches 23. Can an LPN change tubing on a central line if solution is TPN? - ANSWER No - TPN not in scope of practice, may change tubing if solution in scope of practice 24. Can an LPN stop a PCA pump or an infusion of blood component when complication arises? - ANSWER Yes 25. What is beneficience? - ANSWER doing good for patients 26. What is veracity? - ANSWER truthfulness 27. What is justice? - ANSWER obligation to be fair to all people 28. What is nonmaleficence? - ANSWER doing no harm to patients 29. What is fidelity? - ANSWER obligation to be faithful 30. What is autonomy? - ANSWER right to self-determination; independence 31. What is a peripheral nerve catheter? - ANSWER A form a pain relief at surgery site; small plastic catheter placed under the skin where nerves provide feeling to the area where surgery will be performed 32. What would you teach your patient about the peripheral nerve catheter? - ANSWER Can remove bandages and catheter after return of sensation (12 hours), must keep dressing over catheter clean and dry, avoid hot/cold objects and keep extremity close to body, s/s of infection 33. Needleless connector - ANSWER allows for tip of male lure, simple of complex, can be classified based on function, allows for venous access without removing connector (IS NOT ALLOWED FOR SCRUB ACCESSING) 34. You have pt. who pulled out IV before time - ANSWER Replace all tubing, replace all new ones because peripheral IV is also new 35. Can an LPN give IV multi-vitamins? - ANSWER Yes 36. PICC Advantages - ANSWER Advantages → reduced risk of insertion, decrease risk of air emboli, decreased pain/discomfort, cost-effective, time efficient, long term (up to a year), used for all ages, used in home therapy, can be used to draw labs, can be removed by trained RN 37. PICC Disadvantages - ANSWER Disadvantages → site care, (every 3 days in covered with gauze, every 7 days if transparent dressing), constant flushing needed, difficulty with obtaining blood with smaller lumen cath, not able to get wet, complications (bloodstream infections, thrombosis) 38. Warfarin - ANSWER (Coumadin, Jantoven) Anticoagulant Excessive risk for bleeding PO 2mg/day x 2-4 days, then titrate to PT/INR Therapeutic INR range: 2-3 39. Therapeutic INR - ANSWER 2-3 40. Plastic IV Container - ANSWER positives → flexible, offer closed system, lightweight, easy to store, no need for vented tubing, two ports on bag (spike port and med port). Negatives→ puncture easy, fluid level is difficult to read, plasticizers, potential for leaching. 41. Glass IV Container - ANSWER positive → clear, good visualization, fluid markers are easy to read, no plasticizers. Negatives → need vented tubing, when spiking coring may occur, easily breakable, cumbersome 42. Use activated containers - ANSWER contains an IV solution and a premeasured medication, usually an antibiotic, can be a powder in a vial hanging on the bag, can be internal reservoir that must be broken, after the solution is mixed, it must be used quickly 43. Syringe as a solution container - ANSWER pre-filled wrapped syringes (NS), can be medications (PCA pump, D50, lexenox, heparin) 44. Pump Alarms & what to do to fix it? - ANSWER Air in line, occlusion, infusion complete, low battery, non functioning, not infusing, tubing, door open, Assess pt assess line assess iv pump 45. Where does the tip of the PICC line end? - ANSWER PICC ends in the Superior Vena Cava 46. PN Role in blood administration - ANSWER May monitor pt for signs and symptoms of a reaction after the 1st 15 mins. May prime blood tubing for RN. May discontinue 47. Dangers of 3-way stopcock - ANSWER The general use of stopcocks for administration of medications or IV infusions and for collection of blood samples creates a potential portal of entry for microorganisms and should be avoided for this reason. When the stopcock portals are uncapped, they are vulnerable to touch contamination. The stopcock itself is small and requires handling in such a way that sterility can be easily ce compromised. Syringes are frequently attached to IV push administration, and the portal is poorly