300 Topic 8 Medication Administratio
xc xc xc xc
n EXAM 3 PRACTICE QUESTIONS
NSG-300 AND
ANSWERS
Axcpatientxcwithxcaxctracheostomyxchasxcthickxctenaciousxcsecretions.xcToxcmaintainxcthexcairway,xcthexcmostxcappropriat
actionxcforxcthexcnursexcincludes:
A.xcTrachealxcsuctioning
B.xcOropharyngealxcsuctioning
C.xcNasotrachealxcsuctioning
D.xcOrotrachealxcsuctioningxc-xcanswer--Answer:xcA
Whenxcevaluatingxcaxcpost-
thoracotomyxcpatientxcwithxcaxcchestxctube,xcthexcbestxcmethodxctoxcproperlyxcmaintainxcthexcchestxctubexcwouldxcbexcto:
A.xcstripxcthexcchestxctubexceveryxchourxctoxcmaintainxcdrainage
B.xcplacexcthexcdevicexcbelowxcthexcpatient'sxcchest
C.xcdoublexcclampxcthexctubexcexceptxcduringxcassessment
D.xcremovexcthexctubingxcfromxcthexcdrainagexcdevicexctoxccheckxcforxcproperxcsuctioningxc-xcanswer--Answerxc:xcB
"Handlexcthexcchestxcdrainagexcunitxccarefullyxcandxcmaintainxcthexcdrainagexcdevicexcbelowxcthexcpatient'sxcchest,"xc(pg
899).xcChestxctubesxcarexcnotxcroutinelyxcstrippedxcorxcmilkedxctoxcmovexcclotsxcorxcincreasexcchestxcdrainage.xcClamping
canxcresultxcinxcaxctensionxcpneumothoraxxcandxcaxcchestxctubexcisxconlyxcclampedxcwhenxcreplacingxcthexcchestxcdrainag
csystem,xcassessingxcforxcanxcairxcleak,xcorxcduringxcremoval.xcYouxcdoxcnotxcwantxctoxcremovexcthexctubingxcbecausexcitxc
quiresxcpatientxcpreparationxcduexctoxcthexcburning,xcpulling,xcandxcpainfulxcsensation.
Axcpatientxccomplainsxcofxcchestxcpain.xcWhenxcassessingxcthexcpain,xcyouxcdecidexcthatxcitsxcoriginxcisxccardiacxc-
xcratherxcthanxcrespiratoryxcorxcgastrointestinalxc-xcwhenxcit:
A.xcdoesxcnotxcoccurxcwithxcrespiratoryxcvariations
B.xcisxcperipheralxcandxcmayxcradiatexctoxcthexcscapularxcregion
C.xcisxcaggravatedxcbyxcinspiratoryxcmovements
D.xcisxcnonxcradiatingxcandxcoccursxcduringxcinspirationxc-xcanswer--Answer:xcAxc
Cxc&xcDxchavexcthexcwordsxc"inspiratory"xcandxc"inspiration"xcbothxcindicatingxcrespiration.
Duringxcroundsxconxcthexcnightxcshift,xcyouxcnotexcthatxcaxcpatientxcstopsxcbreathingxcforxc1xctoxc2xcminutesxcseveralxctimes
uringxcthexcshift.xcThisxcconditionxcisxcknowxcas:
A.xcCataplexy
B.xcInsomnia
C.xcNarcolepsy
D.xcSleepxcApneaxc-xcanswer--Answer:xcD
Axcpatientxcsuffersxcfromxcsleepxcpatternxcdisturbance.xcToxcpromotexcadequatexcsleep,xcthexcmostxcimportantxcnursingxc
erventionxcis...
A.xcAdministeringxcaxcsleepxcaid
B.xcSynchronizingxcthexcmedication,xctreatment,xcandxcvitalxcsignsxcschedule
1xc/
xc7
, NSG-
300 Topic 8 Medication Administratio
xc xc xc xc
C.xc xc xc xc xc
n the patient to exercise immediately before sleep
Encouraging xc xc xc
D.xcDiscussingxcwithxcthexcpatientxcthexcbenefitsxcofxcbeginningxcaxclong-termxcnight-timexcmedicationxcregimenxc-
xcanswer--Answer: xcB
Anxcelderlyxcpatientxcwhoxclivesxcinxcanxcadultxcassisted-
livingxcfacilityxcmentionsxcthatxchexcisxcexperiencingxchearingxcandxcvisionxcchanges.xcDuringxcyourxcassessment,xcyouxcw
uldxcassociatexcthisxctypexcofxcsensoryxcdeprivationxcwith...
A.xcStablexcaffect
B.xcAlteredxcperception
C.xcImprovedxctaskxccompletion
D.xcIncreasedxcneedxcforxcsocialxcinteractionxc-xcanswer--Answer:xcB
Axcpatientxcwithxcglaucomaxcisxcbeingxcdischargedxcfromxcthexchospital.xcWhenxcteachingxcthexcpatientxcandxcfamilyxcway
toxcimprovexchomexcsafety,xcthexcnursexctellsxcthexcfamilyxcto...
A.xcUsexcthrowxcrugsxctoxcpreventxctripping
B.xcPaintxcthexcfloorxcblackxcandxcwhitexctoxcimprovexcperception
C.xcInstallxcextraxcincandescentxclighting
D.xcInstallxchandrailsxcpaintedxcthexcsamexccolorxcasxcthexcwallsxc-xcanswer--Answer:xcC
Whenxcaxcsmilingxcandxccooperativexcpatientxccomplainsxcofxcdiscomfort,xcnursesxccaringxcforxcthisxcpatientxcoftenxcharbo
misconceptionsxcaboutxcthexcpatient'sxcpain.xcWhichxcofxcthexcfollowingxcisxctrue?
A.xcChronicxcpainxcisxcpsychologicalxcinxcnature
B.xcPatientsxcarexcthexcbestxcjudgesxcofxctheirxcpain
C.xcRegularxcusexcofxcnarcoticxcanalgesicsxcleadxctoxcdrugxcaddiction
D.xcAmountxcofxcpainxcisxcreflectivexcofxcactualxctissuexcdamagexc-xcanswer--Answer:xcB
Axcpatientxchasxcjustxcundergonexcanxcappendectomy.xcWhenxcdiscussingxcwithxcthexcpatientxcseveralxcpain-
reliefxcinterventions,xcthexcmostxcappropriatexcrecommendationxcwouldxcbe...
A.xcAdjunctivexctherapy
B.xcNonopioids
C.xcNSAIDs
D.xcPCAxcPainxcManagementxc-xcanswer--Answer:xcD
Thisxcisxcthexcbestxcanswerxcsincexctheyxcjustxcgotxcoutxcofxcthexchospital!
AxcpostoperativexcpatientxcisxcusingxcPCA.xcYouxcwillxcevaluatexcthexceffectivenessxcofxcthexcmedicationxcwhen...
A.xcYouxccomparexcassessedxcpainxcwithxcbaselinexcpain
B.xcBodyxclanguagexcisxcincongruentxcwithxcreportsxcofxcpainxcrelief
C.xcFamilyxcmembersxcreportxcthatxcpainxchasxcsubsided
D.xcVitalxcsignsxchavexcreturnedxctoxcbaselinexc-xcanswer--Answer:xcA
Whichxcskillsxccanxcthexcnursexcdelegatexctoxcassistivexcpersonnelxc(AP)?xc(Selectxcallxcthatxcapply)
A.xcInitiatexcoxygenxctherapyxcviaxcnasalxccannula
B.xcPerformxcnasotrachealxcsuctioningxcofxcaxcpatientxc
C.xcEducatexcthexcpatientxcaboutxcthexcusexcofxcanxcincentivexcspirometer
D.xcAssistxcwithxccarexcofxcanxcestablishedxctracheostomyxctube
2xc/
xc7