661 FINAL EXAM - REVIEW QUESTIONS
(NOT WEEKLY QUIZZES) QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
Which action should be implemented by the nurse when a medication is to be administered by the Z-
track method?
A. Use a special syringe designed for Z-track injections
B. Pull the skin laterally away from the injection site before inserting the needle
C. Administer the injection in the muscle on anterolateral aspect of the thigh
D. Insert the needle in a separate spot for each dose - ANSWER B. Pull the skin laterally away from the
injection site before inserting the needle
D is correct for all injections not just Z-track. You always want to change injection sites for multiple
injections
You must reconstitute a powdered medication. Which action should you implement FIRST?
A. Keep needle below the fluid level as the rest of the fluid is injected
B. Instill the solvent consistent with manufacturers directions
C. Shake the vial to dissolve the powder
D. Score the neck of the ampule before breaking it - ANSWER B. Instill the solvent consistent with
manufacturers directions
,You teach a patient about taking a sublingual nitroglycerin tablet. Which part of the body identified by
the patient indicates that she understands the teaching?
A. "On my skin"
B. "Inside my cheek"
C. "Under my tongue"
D. "In my eye under the lower lid" - ANSWER C. "Under my tongue"
Pneumonia is inflammation of the lung associated with alveolar edema and congestion that impairs gas
exchange. It can be caused by bacteria or can be caused by a virus. It is described by the setting in which
is was acquired (CAP or HAC) or can be acquired though Aspiration
S&S
Treatment and Nursing Care - ANSWER S&S:
coughing, SOB, DOE (Dyspnea on exertion), Decreased breath sounds and crackles, fatigue, headache,
fever, shaking, chills, pleuritic chest pain, sputum production, decreased appetite
Tx and Nursing Care:
Sputum culture, chest X-ray, PFT, antimicrobial therapy based on causative agent, IV therapy, O2 therapy,
high calorie diet, calm/quiet environment (promote rest), analgesics for pleuritic pain
Nurse is assessing 79yo patient diagnosed with pneumonia. Which signs and symptoms should they
expect to find?
A. High fever and chills
B. Confusion and lethargy
, C. Frothy sputum and edema
D. Bradypnea and JVD - ANSWER B. Confusion and lethargy
Elderly patient - confusion is more common.
You are nurse caring for a patient diagnosed with pneumonia. Which information would you include in
your care plan? (SATA)
a. Monitor patient's pulse ox readings every 4 hours
b. Plan periods of rest during ADLs
c. Administer O2 delivered via nasal cannula
d. Maintain patient on a fluid restriction of 1000m in 24 hours
e. Restrict patient's smoking to 2 cigarettes per day - ANSWER a, b, c
a. Monitor patient's pulse ox readings every 4 hours
b. Plan periods of rest during ADLs
c. Administer O2 delivered via nasal cannula
A patient diagnosed with CAP is being admitted to your unit. Which nursing interventions has highest
priority?
(NOT WEEKLY QUIZZES) QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
Which action should be implemented by the nurse when a medication is to be administered by the Z-
track method?
A. Use a special syringe designed for Z-track injections
B. Pull the skin laterally away from the injection site before inserting the needle
C. Administer the injection in the muscle on anterolateral aspect of the thigh
D. Insert the needle in a separate spot for each dose - ANSWER B. Pull the skin laterally away from the
injection site before inserting the needle
D is correct for all injections not just Z-track. You always want to change injection sites for multiple
injections
You must reconstitute a powdered medication. Which action should you implement FIRST?
A. Keep needle below the fluid level as the rest of the fluid is injected
B. Instill the solvent consistent with manufacturers directions
C. Shake the vial to dissolve the powder
D. Score the neck of the ampule before breaking it - ANSWER B. Instill the solvent consistent with
manufacturers directions
,You teach a patient about taking a sublingual nitroglycerin tablet. Which part of the body identified by
the patient indicates that she understands the teaching?
A. "On my skin"
B. "Inside my cheek"
C. "Under my tongue"
D. "In my eye under the lower lid" - ANSWER C. "Under my tongue"
Pneumonia is inflammation of the lung associated with alveolar edema and congestion that impairs gas
exchange. It can be caused by bacteria or can be caused by a virus. It is described by the setting in which
is was acquired (CAP or HAC) or can be acquired though Aspiration
S&S
Treatment and Nursing Care - ANSWER S&S:
coughing, SOB, DOE (Dyspnea on exertion), Decreased breath sounds and crackles, fatigue, headache,
fever, shaking, chills, pleuritic chest pain, sputum production, decreased appetite
Tx and Nursing Care:
Sputum culture, chest X-ray, PFT, antimicrobial therapy based on causative agent, IV therapy, O2 therapy,
high calorie diet, calm/quiet environment (promote rest), analgesics for pleuritic pain
Nurse is assessing 79yo patient diagnosed with pneumonia. Which signs and symptoms should they
expect to find?
A. High fever and chills
B. Confusion and lethargy
, C. Frothy sputum and edema
D. Bradypnea and JVD - ANSWER B. Confusion and lethargy
Elderly patient - confusion is more common.
You are nurse caring for a patient diagnosed with pneumonia. Which information would you include in
your care plan? (SATA)
a. Monitor patient's pulse ox readings every 4 hours
b. Plan periods of rest during ADLs
c. Administer O2 delivered via nasal cannula
d. Maintain patient on a fluid restriction of 1000m in 24 hours
e. Restrict patient's smoking to 2 cigarettes per day - ANSWER a, b, c
a. Monitor patient's pulse ox readings every 4 hours
b. Plan periods of rest during ADLs
c. Administer O2 delivered via nasal cannula
A patient diagnosed with CAP is being admitted to your unit. Which nursing interventions has highest
priority?
