NU 311 Final Exam
2017 Hospital National Patient Safety Goals Correct Answer -
Identify patient correctly
-Improve staff communication
-Use medications safely
-Use alarms safely
-Prevent infection
-Identify patient safety risks
-Prevent mistakes in surgery
21% oxygen is Correct Answer room air (yellow)
3 types of canes Correct Answer Helps maintain balance by
widening base of support
-standard crook: provides the least support and is used by pt's
who require minimal assistance to walk. It has a half circle
handle, to hook over chairs
-tripod cane: has three legs
-quad cane: has four legs for wide base support
A 49-year-old woman is recovering from a pressure injury on
her left hip. The patient refuses lunch and tells the nurse that she
fasts at lunchtime as part of her weight loss plan. How should
the nurse respond to this patient?
,A. The nurse should explain to the patient that fasting is against
the hospital policy
.
B. The nurse should scold the patient for her choice of diet.
C. The nurse should inform the patient that fasting will hinder
her healing progress.
D. The nurse should respect the patient's choice and not say
anything. Correct Answer C. The nurse should inform the
patient that fasting will hinder her healing progress.
Rationale: Adequate nutrition helps to prevent and treat pressure
ulcers. A diet high in protein with enough calories, vitamins, and
minerals helps maintain normal tissue status and promotes
healing. With tissue injury, the body needs more calories for
healing; nutrient deficiencies may result in impaired or delayed
healing.
A 52-year-old male just underwent a cardiac catheterization, and
bleeding at the insertion site is noted. What action should the
nurse take?
A. Apply a colloid dressing.
B. Coat the area with petroleum jelly.
C. Secure a pressure bandage.
D. Inject vitamin K at the site. Correct Answer C. Secure a
pressure bandage
,pressure bandages are essential for stopping the flow of blood
and promotes clotting at the site until definitive action can be
taken to stop the source
A nursing assistive personnel (NAP) arrives to assist the nurse
with a dressing change by opening sterile packages. The NAP
states that she does not need to perform hand hygiene before
assisting the nurse because she is not going to touch the patient.
Is the NAP correct?
A. True
B. False Correct Answer B. False
Rationale: The nursing assistive personnel (NAP) is incorrect in
saying that hand hygiene does not need to be performed before
she assists the nurse. Although she may not touch the patient,
she is still participating in patient care. Hand hygiene is
performed by all caregivers.
A patient receiving NIPPV via full face mask should
**NEVER** be restrained
A. true
B. false Correct Answer A. true
A patient's susceptibility to an infection include... Correct
Answer Age, nutritional status, stress, disease processes, and
forms of medical therapy place patients at risk.
A single clinician should not make no more than how many
attempts for an IV? Correct Answer no more than 2 attempts
, absorption Correct Answer -passage of medication molecules
into the blood from the site of administration
-administration route, blood flow to administration site, body
surface area, and lipid solubility of a medication
Administering oxygen therapy with a patient having an artificial
airway Correct Answer require constant humidification from
either a T-tube(briggs adaptor) or trach collar
adverse drug reaction Correct Answer unintended,
undesirable, and often unpredictable effects of a medication
After aspirating for blood return and flushing the line, what are
you observing the vein for? Correct Answer swelling
After donning PPE when performing trach suctioning, what
would you asses for? Correct Answer -signs of upper and
lower airway obstruction
(adventitious lung sounds, crackles, non productive cough,
drooling, restlessness, vomitious in the mouth
-signs and symptoms of hypoxia or hypercapnia (increased HR
and BP, decrease pulse ox, confusion, lethargy, decrease LOC,
lack of concentration etc...)
after opening first flap of central line kit, what do you do?
Correct Answer put the mask on the patient and put your mask
on then apply clean gloves
2017 Hospital National Patient Safety Goals Correct Answer -
Identify patient correctly
-Improve staff communication
-Use medications safely
-Use alarms safely
-Prevent infection
-Identify patient safety risks
-Prevent mistakes in surgery
21% oxygen is Correct Answer room air (yellow)
3 types of canes Correct Answer Helps maintain balance by
widening base of support
-standard crook: provides the least support and is used by pt's
who require minimal assistance to walk. It has a half circle
handle, to hook over chairs
-tripod cane: has three legs
-quad cane: has four legs for wide base support
A 49-year-old woman is recovering from a pressure injury on
her left hip. The patient refuses lunch and tells the nurse that she
fasts at lunchtime as part of her weight loss plan. How should
the nurse respond to this patient?
,A. The nurse should explain to the patient that fasting is against
the hospital policy
.
B. The nurse should scold the patient for her choice of diet.
C. The nurse should inform the patient that fasting will hinder
her healing progress.
D. The nurse should respect the patient's choice and not say
anything. Correct Answer C. The nurse should inform the
patient that fasting will hinder her healing progress.
Rationale: Adequate nutrition helps to prevent and treat pressure
ulcers. A diet high in protein with enough calories, vitamins, and
minerals helps maintain normal tissue status and promotes
healing. With tissue injury, the body needs more calories for
healing; nutrient deficiencies may result in impaired or delayed
healing.
A 52-year-old male just underwent a cardiac catheterization, and
bleeding at the insertion site is noted. What action should the
nurse take?
A. Apply a colloid dressing.
B. Coat the area with petroleum jelly.
C. Secure a pressure bandage.
D. Inject vitamin K at the site. Correct Answer C. Secure a
pressure bandage
,pressure bandages are essential for stopping the flow of blood
and promotes clotting at the site until definitive action can be
taken to stop the source
A nursing assistive personnel (NAP) arrives to assist the nurse
with a dressing change by opening sterile packages. The NAP
states that she does not need to perform hand hygiene before
assisting the nurse because she is not going to touch the patient.
Is the NAP correct?
A. True
B. False Correct Answer B. False
Rationale: The nursing assistive personnel (NAP) is incorrect in
saying that hand hygiene does not need to be performed before
she assists the nurse. Although she may not touch the patient,
she is still participating in patient care. Hand hygiene is
performed by all caregivers.
A patient receiving NIPPV via full face mask should
**NEVER** be restrained
A. true
B. false Correct Answer A. true
A patient's susceptibility to an infection include... Correct
Answer Age, nutritional status, stress, disease processes, and
forms of medical therapy place patients at risk.
A single clinician should not make no more than how many
attempts for an IV? Correct Answer no more than 2 attempts
, absorption Correct Answer -passage of medication molecules
into the blood from the site of administration
-administration route, blood flow to administration site, body
surface area, and lipid solubility of a medication
Administering oxygen therapy with a patient having an artificial
airway Correct Answer require constant humidification from
either a T-tube(briggs adaptor) or trach collar
adverse drug reaction Correct Answer unintended,
undesirable, and often unpredictable effects of a medication
After aspirating for blood return and flushing the line, what are
you observing the vein for? Correct Answer swelling
After donning PPE when performing trach suctioning, what
would you asses for? Correct Answer -signs of upper and
lower airway obstruction
(adventitious lung sounds, crackles, non productive cough,
drooling, restlessness, vomitious in the mouth
-signs and symptoms of hypoxia or hypercapnia (increased HR
and BP, decrease pulse ox, confusion, lethargy, decrease LOC,
lack of concentration etc...)
after opening first flap of central line kit, what do you do?
Correct Answer put the mask on the patient and put your mask
on then apply clean gloves
