NURSING 172 COMPREHENSIVE EXAM UPDATED
QUESTIONS AND ANSWERS GRADED A+
✔✔Spiking and priming order - ✔✔1. Verify orders and allergies
2. Follow 6 medication rights
3. Perform 3 label checks (pulling from shelf, spiking and priming, before attatching.)
4. Check label for pt identity, solution expirtation.
5.inspect for contamination
6. Open iv tubing
7. Close roller slide/clamp
8. Remove plastic protector from tubing spike
9. Insert spike tubing in bag
10. Upright bag and place on iv pole
11. Squeeze chamber half full
12. Open clamp and allow fluid to run through
13. Inspect tubing for air bubbles and clear then.
14. Clean gloves attach to pt and regular order.
15. Remove gloves, wash hands patient education, document.
✔✔What is IV piggy back for? - ✔✔1. Secondary tubing
2. Antibiotics
3. Pain meds
✔✔What size iv catheter can an lpn insert? - ✔✔3 inches or less
✔✔What shoukd you think when KCL - ✔✔Just potassium
✔✔Standard of care - ✔✔Focuses on pt
✔✔Standard of practice - ✔✔Focuses on provider
✔✔How can lpn reduce risk of complications of iv therapy. - ✔✔1. 6 medication rights
2. Monitor for iv complications
3. Allergies
4. Evidence based practice.
✔✔What is benefience? - ✔✔Doing good for patient.
✔✔What is autonomy? - ✔✔Independent
✔✔What is non-maleficence? - ✔✔Doing no harm to patient.
✔✔What is veracity? - ✔✔Truthfullness
, ✔✔What is fidelity? - ✔✔Obligation to be faithful
✔✔What is justice? - ✔✔Obligation to be fair for all people.
✔✔Tanners in accordance to iv - ✔✔1. Identify complications
2. Previous experience with similar outcome
3. Recognise inconsistancies
4. What complications and what to do.
✔✔GTT formula - ✔✔Total ml/ time in minutes × drop factor
✔✔Movement of isotonic solution - ✔✔Stays in extracellukar compartment
✔✔What does isotonic solutions do to BP - ✔✔Raises bp ⬆
✔✔Movement of hypotonic solution - ✔✔Moves from intravascular (in vein) to
intracellular (in cell)
✔✔What is the movenent of hypertonic solutions? - ✔✔Moves from intracellular to
intravascular.
✔✔What does hypotonic solution do to bp? - ✔✔Lowers bp ⬇
✔✔What does hypertonic solution do to bp? - ✔✔Raises ⬆ bp
✔✔6 medication rights - ✔✔1. Medication
2. Dose
3. Documentation
4. Route
5. Patient
6. Time
✔✔What is the patient self determination act? - ✔✔Right to choose if therapy is right.
✔✔What size gauge needle for blood transfusion? - ✔✔14g 16g or 18g. The bigger
needle
✔✔Isotonic solutions - ✔✔0.9%NaCl
D5/W
LR
D5/0.255%NaCl
✔✔Hypotonic solutions - ✔✔0.45 NaCl
D2/W
QUESTIONS AND ANSWERS GRADED A+
✔✔Spiking and priming order - ✔✔1. Verify orders and allergies
2. Follow 6 medication rights
3. Perform 3 label checks (pulling from shelf, spiking and priming, before attatching.)
4. Check label for pt identity, solution expirtation.
5.inspect for contamination
6. Open iv tubing
7. Close roller slide/clamp
8. Remove plastic protector from tubing spike
9. Insert spike tubing in bag
10. Upright bag and place on iv pole
11. Squeeze chamber half full
12. Open clamp and allow fluid to run through
13. Inspect tubing for air bubbles and clear then.
14. Clean gloves attach to pt and regular order.
15. Remove gloves, wash hands patient education, document.
✔✔What is IV piggy back for? - ✔✔1. Secondary tubing
2. Antibiotics
3. Pain meds
✔✔What size iv catheter can an lpn insert? - ✔✔3 inches or less
✔✔What shoukd you think when KCL - ✔✔Just potassium
✔✔Standard of care - ✔✔Focuses on pt
✔✔Standard of practice - ✔✔Focuses on provider
✔✔How can lpn reduce risk of complications of iv therapy. - ✔✔1. 6 medication rights
2. Monitor for iv complications
3. Allergies
4. Evidence based practice.
✔✔What is benefience? - ✔✔Doing good for patient.
✔✔What is autonomy? - ✔✔Independent
✔✔What is non-maleficence? - ✔✔Doing no harm to patient.
✔✔What is veracity? - ✔✔Truthfullness
, ✔✔What is fidelity? - ✔✔Obligation to be faithful
✔✔What is justice? - ✔✔Obligation to be fair for all people.
✔✔Tanners in accordance to iv - ✔✔1. Identify complications
2. Previous experience with similar outcome
3. Recognise inconsistancies
4. What complications and what to do.
✔✔GTT formula - ✔✔Total ml/ time in minutes × drop factor
✔✔Movement of isotonic solution - ✔✔Stays in extracellukar compartment
✔✔What does isotonic solutions do to BP - ✔✔Raises bp ⬆
✔✔Movement of hypotonic solution - ✔✔Moves from intravascular (in vein) to
intracellular (in cell)
✔✔What is the movenent of hypertonic solutions? - ✔✔Moves from intracellular to
intravascular.
✔✔What does hypotonic solution do to bp? - ✔✔Lowers bp ⬇
✔✔What does hypertonic solution do to bp? - ✔✔Raises ⬆ bp
✔✔6 medication rights - ✔✔1. Medication
2. Dose
3. Documentation
4. Route
5. Patient
6. Time
✔✔What is the patient self determination act? - ✔✔Right to choose if therapy is right.
✔✔What size gauge needle for blood transfusion? - ✔✔14g 16g or 18g. The bigger
needle
✔✔Isotonic solutions - ✔✔0.9%NaCl
D5/W
LR
D5/0.255%NaCl
✔✔Hypotonic solutions - ✔✔0.45 NaCl
D2/W
