HONDROS 172 FINAL TEST
QUESTIONS WITH CORRECT
ANSWERS
A 67 yr old discharged from hospital with PICC line. Pt will receive Vanco IV daily for 10
days at home with assistance of a home health nurse. What will the discharge nurse
include in pt education? - Answer- Notify home health care nurse if there is drainage
noted on the dressing
The nurse does which of the following to maintain a sterile field? - Answer- Drops sterile
object into sterile field so that only the object touches sterile field
A pt with atelectasis has the following ABG result. Ph 7.36 PCO2 49 HCO3 30 PO2 75.
Which ABG is correct? - Answer- Respiratory acidosis with full compensation
LPN is monitoring a pt that has a unit of packed RBC infusing. What does the nurse
recognize as an acute hemolytic transfusion reaction? - Answer- Sudden flank pain
Shivering
Urine in foley looks red
Nurse is teaching a student nurse about hypotonic solutions. The nurse will include
which statement in the teaching? - Answer- This is dangerous solution choice for
someone with increased intracranial pressure
An elderly pt is experiencing pulmonary edema. Which intervention will the LPN carry
out for this pt? - Answer- Give lasix intramuscular
Apply O2 per nasal cannula at 4 liters/min
Place pt in Hugh Fowler's pt
The nurse must be vigilant in observing an IV site with a vesicant infusing because
which of the following could occur due to extravasation? - Answer- Amputation
Infection
Loss of limb function
Necrosis
Cosmetic disfiguration
A pt is taking Coumadin 5mg daily. The INR today was 2.8 the nurse using SBAR
recommends which of the following? - Answer- No changes to the Coumadin dose
A nurse is spiking and priming an IV bag with tubing and is showing UAP who is a
student nurse how to do this skill.. the student needs more teaching when she says
, which of the following? - Answer- If the tubing touches the floor, it is not a problem as
long as the cap is on the end.
A nurse is explaining to a student nurse IV insertion. Which of the statement indicates
the need for further teaching? - Answer- The tourniquet must be removed after the IV is
flushed
A pt has a sodium level of 120 the nurse will do which of the following? - Answer- Place
seizure pads on the pt side rails
Stevens Johnson syndrome manifests as which of the following? - Answer- Rash
Blisters
Skin peels off
5% saline
3% saline NaCL
D5W .99% NS
D5W/LR
TPN
Albumin 25%
Hypo,hyper or isotonic - Answer- Hypertonic
Fluid volume excess symptoms - Answer- Tachycardia
Hypertension
Bounding pulses
Irritating cough
Weight gain
JVD
Crackles
Dyspnea
Tachypnea
Low pulse ox
Imbalanced intake and output
Is potassium stored in the body? - Answer- NO must be injected daily
Hypokalemia causes - Answer- GI loss
Renal loss
Diuretics
Increased perspiration
NG tube suctioning
Vomiting
Laxatives
Excessive use of glucocorticoids
Poor dietary intake
QUESTIONS WITH CORRECT
ANSWERS
A 67 yr old discharged from hospital with PICC line. Pt will receive Vanco IV daily for 10
days at home with assistance of a home health nurse. What will the discharge nurse
include in pt education? - Answer- Notify home health care nurse if there is drainage
noted on the dressing
The nurse does which of the following to maintain a sterile field? - Answer- Drops sterile
object into sterile field so that only the object touches sterile field
A pt with atelectasis has the following ABG result. Ph 7.36 PCO2 49 HCO3 30 PO2 75.
Which ABG is correct? - Answer- Respiratory acidosis with full compensation
LPN is monitoring a pt that has a unit of packed RBC infusing. What does the nurse
recognize as an acute hemolytic transfusion reaction? - Answer- Sudden flank pain
Shivering
Urine in foley looks red
Nurse is teaching a student nurse about hypotonic solutions. The nurse will include
which statement in the teaching? - Answer- This is dangerous solution choice for
someone with increased intracranial pressure
An elderly pt is experiencing pulmonary edema. Which intervention will the LPN carry
out for this pt? - Answer- Give lasix intramuscular
Apply O2 per nasal cannula at 4 liters/min
Place pt in Hugh Fowler's pt
The nurse must be vigilant in observing an IV site with a vesicant infusing because
which of the following could occur due to extravasation? - Answer- Amputation
Infection
Loss of limb function
Necrosis
Cosmetic disfiguration
A pt is taking Coumadin 5mg daily. The INR today was 2.8 the nurse using SBAR
recommends which of the following? - Answer- No changes to the Coumadin dose
A nurse is spiking and priming an IV bag with tubing and is showing UAP who is a
student nurse how to do this skill.. the student needs more teaching when she says
, which of the following? - Answer- If the tubing touches the floor, it is not a problem as
long as the cap is on the end.
A nurse is explaining to a student nurse IV insertion. Which of the statement indicates
the need for further teaching? - Answer- The tourniquet must be removed after the IV is
flushed
A pt has a sodium level of 120 the nurse will do which of the following? - Answer- Place
seizure pads on the pt side rails
Stevens Johnson syndrome manifests as which of the following? - Answer- Rash
Blisters
Skin peels off
5% saline
3% saline NaCL
D5W .99% NS
D5W/LR
TPN
Albumin 25%
Hypo,hyper or isotonic - Answer- Hypertonic
Fluid volume excess symptoms - Answer- Tachycardia
Hypertension
Bounding pulses
Irritating cough
Weight gain
JVD
Crackles
Dyspnea
Tachypnea
Low pulse ox
Imbalanced intake and output
Is potassium stored in the body? - Answer- NO must be injected daily
Hypokalemia causes - Answer- GI loss
Renal loss
Diuretics
Increased perspiration
NG tube suctioning
Vomiting
Laxatives
Excessive use of glucocorticoids
Poor dietary intake
