Level 4 Written Skills Study - MGCCC Nursing questions
with verified answers
Are the lines/ports heparinized? Ans✓✓✓ yes
Assessments of patient receiving TPN Ans✓✓✓ Weight (1-2 lb
gain/week), electrolyte/protein levels, blood glucose, kidney and liver
function tests
Briefly describe how ear drops are administered and the difference
between child and adult. Ans✓✓✓ drops should be body temperature,
on side-ear up, pinna up and back (adult), pinna down and back (child),
administer drop 1 cm above ear canal, remain side lying for couple
minutes, massage if needed.
Briefly describe how eye drops are administered? Ans✓✓✓ place in
supine position, head back, pull eyelid down, press down on bony orbit
exposing conjunctival sac, look up, 1-2 cm above, administer
Describe the assessment that needs to be completed on a patient with
a chest tube Ans✓✓✓ site assessment - dressing (dry, occlusive,
anchoring tape), crepitus, pain, input/output
Describe the steps of starting an IVPB Ans✓✓✓ compatible - port
farthest away from pt
, non-compatible - port closest to patient, stop IV fluid, flush line before
and after administer
Describe the two types of pleurovac systems Ans✓✓✓ wet - suction
column has sterile water (level of suction)
dry - dial pressure
Describe Z-Track method Ans✓✓✓ seal med in muscle tissue - pull skin
back 1-1 1/2 in, insert needle, aspirate, inject med, wait 10 seconds,
remove needle, release skin, massage
Do you massage insulin after administration and why? Ans✓✓✓ No,
too quick absorption
For an average sized adult what gauge catheter is used? Ans✓✓✓ 22G
How do you check tube placement on a 2 day old NG tube? Ans✓✓✓
Chest X ray
How do you measure to place an NG tube? Ans✓✓✓ nose, ear, xiphoid
process
How long can a long term central line be used? Ans✓✓✓ > 1 month to
1-2 years
with verified answers
Are the lines/ports heparinized? Ans✓✓✓ yes
Assessments of patient receiving TPN Ans✓✓✓ Weight (1-2 lb
gain/week), electrolyte/protein levels, blood glucose, kidney and liver
function tests
Briefly describe how ear drops are administered and the difference
between child and adult. Ans✓✓✓ drops should be body temperature,
on side-ear up, pinna up and back (adult), pinna down and back (child),
administer drop 1 cm above ear canal, remain side lying for couple
minutes, massage if needed.
Briefly describe how eye drops are administered? Ans✓✓✓ place in
supine position, head back, pull eyelid down, press down on bony orbit
exposing conjunctival sac, look up, 1-2 cm above, administer
Describe the assessment that needs to be completed on a patient with
a chest tube Ans✓✓✓ site assessment - dressing (dry, occlusive,
anchoring tape), crepitus, pain, input/output
Describe the steps of starting an IVPB Ans✓✓✓ compatible - port
farthest away from pt
, non-compatible - port closest to patient, stop IV fluid, flush line before
and after administer
Describe the two types of pleurovac systems Ans✓✓✓ wet - suction
column has sterile water (level of suction)
dry - dial pressure
Describe Z-Track method Ans✓✓✓ seal med in muscle tissue - pull skin
back 1-1 1/2 in, insert needle, aspirate, inject med, wait 10 seconds,
remove needle, release skin, massage
Do you massage insulin after administration and why? Ans✓✓✓ No,
too quick absorption
For an average sized adult what gauge catheter is used? Ans✓✓✓ 22G
How do you check tube placement on a 2 day old NG tube? Ans✓✓✓
Chest X ray
How do you measure to place an NG tube? Ans✓✓✓ nose, ear, xiphoid
process
How long can a long term central line be used? Ans✓✓✓ > 1 month to
1-2 years
