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Exam (elaborations)

Advanced Nursing

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Exam of 8 pages for the course advance nursing at advance nursing (Advanced Nursing)

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Advanced Nursing Skills: Exam 1 revision
questions with certified A+ answers 2025


*What is the order for mixing rapid acting/long acting insulin from two vials? - Correct Answers-
Cloudy-clear-clear-cloudy



*Where should the nurse administer a subcutaneous insulin injection? - Correct Answers-
Abdomen



*What site best absorbs insulin? - Correct Answers-Abdomen (followed by arm, thighs, and
buttocks.



*Chest tube insertion for hemothorax is between the ___ and ___ ICS - Correct Answers-4-6



*Chest tube insertion for pneumothorax goes into the ____or ___ICS - Correct Answers-2nd or
3rd



*Empynema - Correct Answers-pus from an infection (pneumonia)



*It is important for the nurse to obtain informed consent from the patient before
______________. - Correct Answers-administering pain medication (Opioids)



*If needing to take longer to set up a new chest tube system the nurse should______________.
- Correct Answers-Place the end of the chest tube in sterile water.

, *In the instance that the chest tube becomes disconnected the nurse knows to: - Correct
Answers-Quickly cover insertion site with occlusive vaseline gauze during the PEAK of
INSPIRATION.



*The nurse know to ______________ if she notices changes in drainage greater than
________mL/hr. - Correct Answers-Notify MD of changes >100 mL/hr



*The nurse knows to encourage the patient to ______________, and ______________ as the
chest tube is being pulled out. - Correct Answers-Take a deep breath and hold, and tape on
three sides (when the chest tube___________________)



*True/False The nurse should always be sure to take the velcro ties off before she puts the new
one on. - Correct Answers-FALSE she only does this if there is an assistant present to hold
tracheostomy tube in place until new ties are firmly tied down.



*True/False: If the nurse notices a change in the patient with a chest tube's condition she
should notify the MD. - Correct Answers-True



*Correct incision site is made between ____________________ and the tube is inserted directly
into the trachea- just below the larynx. - Correct Answers-second and third tracheal rings



*You must take no longer than _______ when cleaning a trach - Correct Answers-15 sec



*No fluctuations in water-seal chamber indicates: - Correct Answers-Lung re-expansion; kink or
clot in tubing indicates:



*True/False The nurse knows not to recap any needle - Correct Answers-True Box 31-23

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