RNSG 1216 Midterm Questions With Complete Solutions
_______________ are the most common type of inpatient
accident. Correct Answer Patient falls
0.9% NaCl (NS): Correct Answer expands fluid volume
dilutes medication
used for KVO
isotonic
1 month BP: Correct Answer 85/54
1 year BP: Correct Answer 95/65
10-13 years BP: Correct Answer 110/65
14-17 years BP: Correct Answer 119/75
18-older BP: Correct Answer <120/<80
22-26 cm arm circumference: Correct Answer "small adult"
BP cuff
or
12 x 22 cm
27-34 cm arm circumference: Correct Answer "adult" BP cuff
or
16 x 30 cm
3 Central Venous Access Device Groups: Correct Answer
1.Peripherally inserted central catheters (PICC)
,2.Centrally inserted catheters (subclavian/jugular/femoral lines)
3.Implantable ports (Port-a-caths/P.A.S. PORT )
3 H's of nursing practice Correct Answer Head
Heart
Hands
3 types of medication names: Correct Answer Chemical
Generic
Trade or brand
35-44 cm arm circumference: Correct Answer "large adult"
BP cuff
or
16 x 36 cm
6 rights of medication administration: Correct Answer right
medication
right dose
right patient
right route
right time
right documentation
6 years BP: Correct Answer 105/65
7 parts of a complete order: Correct Answer 1. Full name of
the patient
2. Date and time order is written
3. Name of the drug
4. Dosage of the drug
,5. Route of administration
6. Frequency of administration
7. Signature of the person writing the order
A catheter that had migrated externally: Correct Answer never
re-advance into the vein
stabilize at the point of external migration
have site assessed by HCP before further use
A darcon cuff Correct Answer stabilizes the catheter and
decreases incidence of infection.
A restraint-free environment is the ____ goal of care. Correct
Answer 1st
Abdominal Assessment: Correct Answer -Inspect contour,
symmetry, movement/pulsations
-Auscultate (gurgling, popping) - then palpate
Adolescent HR: Correct Answer 60-90 beats/min
Adolescent RR: Correct Answer 16-20
Adult RR Correct Answer 12-20
Adult VS: Correct Answer T: Afebrile 98.6-100.4 F
P: 60-100 beats/min
<60 bradycardia
>100 tachycardia
RR: 12-20 breath/min
BP: <120/<80 mmHg
, Pain: Scale of 0-10
Pulse Oximetry: 95-100% SpO2
Advantages of implanted infusion port: Correct Answer good
for long-term therapy
low risk of infection
cosmetic discretion
Alcohol-based hygiene products (more/less) effective than soap.
Correct Answer more (reduce infections)
Always check _____ of CVAD before use. Correct Answer
placement (usually x-ray)
Apical pulse: Correct Answer Point of Maximal Impulse
(PMI): Midclavicular line, 5th intercostal space (ICS), apex of
the heart
Apnea: Correct Answer respirations cease for several seconds
Assessing allergies: Correct Answer ask what they are and the
type of reaction
Before inserting a NGT, it must be Correct Answer
lubricated.
Bell (Stethoscope): Correct Answer low pitched sounds (heart
& vascular)
Biot's Respiration: Correct Answer shallow 2-3 breaths,
followed by irregular apnea
_______________ are the most common type of inpatient
accident. Correct Answer Patient falls
0.9% NaCl (NS): Correct Answer expands fluid volume
dilutes medication
used for KVO
isotonic
1 month BP: Correct Answer 85/54
1 year BP: Correct Answer 95/65
10-13 years BP: Correct Answer 110/65
14-17 years BP: Correct Answer 119/75
18-older BP: Correct Answer <120/<80
22-26 cm arm circumference: Correct Answer "small adult"
BP cuff
or
12 x 22 cm
27-34 cm arm circumference: Correct Answer "adult" BP cuff
or
16 x 30 cm
3 Central Venous Access Device Groups: Correct Answer
1.Peripherally inserted central catheters (PICC)
,2.Centrally inserted catheters (subclavian/jugular/femoral lines)
3.Implantable ports (Port-a-caths/P.A.S. PORT )
3 H's of nursing practice Correct Answer Head
Heart
Hands
3 types of medication names: Correct Answer Chemical
Generic
Trade or brand
35-44 cm arm circumference: Correct Answer "large adult"
BP cuff
or
16 x 36 cm
6 rights of medication administration: Correct Answer right
medication
right dose
right patient
right route
right time
right documentation
6 years BP: Correct Answer 105/65
7 parts of a complete order: Correct Answer 1. Full name of
the patient
2. Date and time order is written
3. Name of the drug
4. Dosage of the drug
,5. Route of administration
6. Frequency of administration
7. Signature of the person writing the order
A catheter that had migrated externally: Correct Answer never
re-advance into the vein
stabilize at the point of external migration
have site assessed by HCP before further use
A darcon cuff Correct Answer stabilizes the catheter and
decreases incidence of infection.
A restraint-free environment is the ____ goal of care. Correct
Answer 1st
Abdominal Assessment: Correct Answer -Inspect contour,
symmetry, movement/pulsations
-Auscultate (gurgling, popping) - then palpate
Adolescent HR: Correct Answer 60-90 beats/min
Adolescent RR: Correct Answer 16-20
Adult RR Correct Answer 12-20
Adult VS: Correct Answer T: Afebrile 98.6-100.4 F
P: 60-100 beats/min
<60 bradycardia
>100 tachycardia
RR: 12-20 breath/min
BP: <120/<80 mmHg
, Pain: Scale of 0-10
Pulse Oximetry: 95-100% SpO2
Advantages of implanted infusion port: Correct Answer good
for long-term therapy
low risk of infection
cosmetic discretion
Alcohol-based hygiene products (more/less) effective than soap.
Correct Answer more (reduce infections)
Always check _____ of CVAD before use. Correct Answer
placement (usually x-ray)
Apical pulse: Correct Answer Point of Maximal Impulse
(PMI): Midclavicular line, 5th intercostal space (ICS), apex of
the heart
Apnea: Correct Answer respirations cease for several seconds
Assessing allergies: Correct Answer ask what they are and the
type of reaction
Before inserting a NGT, it must be Correct Answer
lubricated.
Bell (Stethoscope): Correct Answer low pitched sounds (heart
& vascular)
Biot's Respiration: Correct Answer shallow 2-3 breaths,
followed by irregular apnea
