NURS 4301 Exam 1 Questions With Complete Solutions
( HGF)Erythropoietin is used for Anemia of chronic cancer
Correct Answer True
1 unit of blood raises hemoglobin by? Correct Answer 1g/dL
per unit of blood
1. Non-trombotic occlusion: Correct Answer is a mechanical
occlusion
kinking of the catheter, malpositioned/ pinch off syndrome
Ask patient to cough, repositioned arm
1. Peripherally inserted central catheter (PICC) Correct Answer
dwell time: UP to 1 YEAR
Lower rate CRBSI than non-tunneled
use for TPN, chemotherapy, vesicants
blood sampling if lumen is 4 french or larger
2. Non-tunneled CVADs Correct Answer dwell time: LESS
than 1 MONTH
have the HIGHEST rate for CRBSI
rapid fluid resuscitation/ blood replacement
Short term delivery- TPN, chemotherapy, and vesicants
Blood sampling
monitor CVP
2. Thrombotic occlusion: Correct Answer Thrombus within or
around the device or vessel
option order for the use of thrombolytic agent
check proper flushing
,3 urgent priorities for persons experiencing suicidality? Correct
Answer 1. reconnect
2. restore
3. ensure
3. Tunneled CVADs Correct Answer dwell time MORE than
1 YEAR
Lower rate CRBSI than non-tunneled
long term, intermittent of TPN, chemo, and vesicants
blood sampling
dialysis or aphaeresis
antimicrobial cuff: extra barrier against infection
4. implanted infusion port Correct Answer dwell time MORE
than 1 YEAR
LOWEST RATE of CRBSIs
only access with HUBER needle ( non-coring needle)
A breast modified radical mastectomy: Correct Answer
removes the entire breast — including the breast tissue, skin,
areola and nipple — and most of the underarm (axillary) lymph
nodes.
A low-grade fever in neutropenic patients is of great
significance because it may indicate infection and lead to septic
shock and death unless treated promptly. Correct Answer
True
A nurse caring for a pt who has gastric cancer is initiating an
infusion of parenteral nutrition via the patient's implanted port.
,Which of the following is an appropriate action for the nurse to
take? Correct Answer Cover the device and the needle with a
sterile transparent dressing.
A nurse is caring for a patient who has a central venous catheter
and suddenly develops dyspnea, tachycardia, and dizziness. The
nurse suspects air embolism and clamps the catheter
immediately. The nurse should reposition the patient in which of
the following positions? Correct Answer place patient in the
left side trendelenburg
A nursing interventions related to thermoregulation for patients
with schizophrenia is? Correct Answer -Monitor attire and
protect against extreme temperatures
A patient has been cancer free for three years the nurse
understands that the patient needs more education when he
states Correct Answer It will take years and many follow up
appointments to consider my cancer to be cured
A patient is experiencing reproductive dysfunction r/t
chemotherapy what are some important intervention Correct
Answer EDUCATE EDUCATE before delievering chemo it
could destroy reproductive functioning
Adnminister meds for erectile dysfunction
teach Sperm/eggs to stored prior chemotherapy
A patient who is anticipating total hip replacement is
considering autologous transfusion. When teaching this patient
about autologous transfusion, it is important to emphasize that?
Correct Answer it eliminates the risk of alloimmunization
, A patient who sustained trauma. The provider determines the
need for immediate CVA for fluid/ blood replacement and
antibiotic therapy. The appropriate central venous access device
for this patient is? Correct Answer a nontunneled
percutaneous central catheter.
-This type of central catheter is ideal for emergency situations
where short-term (less than 6 weeks) central venous access is
required for multiple therapies.
A patient with cancer is being treated with chemo and has
leukopenia. Which of the following functions should be closely
monitored Correct Answer Lung sounds (risk of infection)
Tell tale sign of infection is usually in the lungs
A patient with schizophrenia has been treated with an
antiphsychotic but is developing extreme muscile rigidty, a fever
of 104 F, and is becoming increasingly confused. The nurse
recognizes that BLANK is occurring ? Correct Answer
NEUROLEPTIC MALIGNAT SYDROME-IT IS LIFE
THREATENING
A peripheral IV dressing requires that an IV catheter to be
removed and replaced Correct Answer FALSE: dressing need
to be changed at least 5-7 days
A peripheral IV has no complications and no gauze in its
dressing. How often should the dressing be changed? Correct
Answer At least 5- 7 days
( HGF)Erythropoietin is used for Anemia of chronic cancer
Correct Answer True
1 unit of blood raises hemoglobin by? Correct Answer 1g/dL
per unit of blood
1. Non-trombotic occlusion: Correct Answer is a mechanical
occlusion
kinking of the catheter, malpositioned/ pinch off syndrome
Ask patient to cough, repositioned arm
1. Peripherally inserted central catheter (PICC) Correct Answer
dwell time: UP to 1 YEAR
Lower rate CRBSI than non-tunneled
use for TPN, chemotherapy, vesicants
blood sampling if lumen is 4 french or larger
2. Non-tunneled CVADs Correct Answer dwell time: LESS
than 1 MONTH
have the HIGHEST rate for CRBSI
rapid fluid resuscitation/ blood replacement
Short term delivery- TPN, chemotherapy, and vesicants
Blood sampling
monitor CVP
2. Thrombotic occlusion: Correct Answer Thrombus within or
around the device or vessel
option order for the use of thrombolytic agent
check proper flushing
,3 urgent priorities for persons experiencing suicidality? Correct
Answer 1. reconnect
2. restore
3. ensure
3. Tunneled CVADs Correct Answer dwell time MORE than
1 YEAR
Lower rate CRBSI than non-tunneled
long term, intermittent of TPN, chemo, and vesicants
blood sampling
dialysis or aphaeresis
antimicrobial cuff: extra barrier against infection
4. implanted infusion port Correct Answer dwell time MORE
than 1 YEAR
LOWEST RATE of CRBSIs
only access with HUBER needle ( non-coring needle)
A breast modified radical mastectomy: Correct Answer
removes the entire breast — including the breast tissue, skin,
areola and nipple — and most of the underarm (axillary) lymph
nodes.
A low-grade fever in neutropenic patients is of great
significance because it may indicate infection and lead to septic
shock and death unless treated promptly. Correct Answer
True
A nurse caring for a pt who has gastric cancer is initiating an
infusion of parenteral nutrition via the patient's implanted port.
,Which of the following is an appropriate action for the nurse to
take? Correct Answer Cover the device and the needle with a
sterile transparent dressing.
A nurse is caring for a patient who has a central venous catheter
and suddenly develops dyspnea, tachycardia, and dizziness. The
nurse suspects air embolism and clamps the catheter
immediately. The nurse should reposition the patient in which of
the following positions? Correct Answer place patient in the
left side trendelenburg
A nursing interventions related to thermoregulation for patients
with schizophrenia is? Correct Answer -Monitor attire and
protect against extreme temperatures
A patient has been cancer free for three years the nurse
understands that the patient needs more education when he
states Correct Answer It will take years and many follow up
appointments to consider my cancer to be cured
A patient is experiencing reproductive dysfunction r/t
chemotherapy what are some important intervention Correct
Answer EDUCATE EDUCATE before delievering chemo it
could destroy reproductive functioning
Adnminister meds for erectile dysfunction
teach Sperm/eggs to stored prior chemotherapy
A patient who is anticipating total hip replacement is
considering autologous transfusion. When teaching this patient
about autologous transfusion, it is important to emphasize that?
Correct Answer it eliminates the risk of alloimmunization
, A patient who sustained trauma. The provider determines the
need for immediate CVA for fluid/ blood replacement and
antibiotic therapy. The appropriate central venous access device
for this patient is? Correct Answer a nontunneled
percutaneous central catheter.
-This type of central catheter is ideal for emergency situations
where short-term (less than 6 weeks) central venous access is
required for multiple therapies.
A patient with cancer is being treated with chemo and has
leukopenia. Which of the following functions should be closely
monitored Correct Answer Lung sounds (risk of infection)
Tell tale sign of infection is usually in the lungs
A patient with schizophrenia has been treated with an
antiphsychotic but is developing extreme muscile rigidty, a fever
of 104 F, and is becoming increasingly confused. The nurse
recognizes that BLANK is occurring ? Correct Answer
NEUROLEPTIC MALIGNAT SYDROME-IT IS LIFE
THREATENING
A peripheral IV dressing requires that an IV catheter to be
removed and replaced Correct Answer FALSE: dressing need
to be changed at least 5-7 days
A peripheral IV has no complications and no gauze in its
dressing. How often should the dressing be changed? Correct
Answer At least 5- 7 days
