Guaranteed Success with Real Exam
⫸ What is duration of long acting insulin? Answer: 24 hours.
⫸ What method for giving iron parenterally? Answer: Z track method
⫸ Large doses of folic acid may mask what? Answer: a vitamin b12 deficancy
⫸ How long does it take for an improvement in blood cell counts and problems with
anemia take when blood is given? Answer: immediately
⫸ If a gastrectomy has happened how often would b12 be given to a pt? Answer:
monthly
⫸ Can a pt with a gastrectomy use a nasal spray everyday? Answer: yes
⫸ What deformity is caused by anemia? Answer: spoon-shaped fingernails
⫸ Where is decreased skin integrity found? (what type of pt?). Answer: in dehydrated
pt's, excessively moist patients, immobile patients
⫸ How often should someone taking erthypoietin get hgb and hct monitored? Answer:
twice weekly
⫸ What is a common side effect of giving IV antibiotics in high dosages? Answer:
hepatoxicity
⫸ What are two signs of hepatoxicity. Answer: lethargy and jaundice
⫸ How should antibiotics like doxycycline be taken? (when with meals). Answer: with
meals
⫸ If penicillin is given in the same IV as aminoglycosides what happens? Answer: it
inactivates aminoglycocides
⫸ What is a common side effect of administering aminoglycides? Answer: ototoxicity
⫸ What can diarrhea indicate with tetracyclines? Answer: a suprainfection
⫸ What drink should be avoided with tetracyclines? Answer: milk
,⫸ When should you take a tetracycline? (what time of day). Answer: in the morning to
prevent lessen the risk of ulceration
⫸ When should a blood sample of gentamicin be taken? Answer: 30 minutes after after
dosage is completely given
⫸ What could be adverse effect of streptomycin? Answer: paresthesia (numbness and
tingling/Pins and needles)
⫸ What antibiotic is used in surgeries for the normal flora of the intestines? Answer:
neomycin
⫸ Do respirations increase or decrease with hypovolemia? Answer: increase
⫸ What o2 mask delivers the highest amount of O2? Answer: nonrebreather
⫸ Should you use a nonrebreather with a pt with high risks of aspirations or airway
obstructions? Answer: no
⫸ What kind of symptom comes with oxygen toxicity? Answer: nonproductive cough
⫸ If a pt gets oxygen toxicity, do they hyper or hypo ventilate? Answer: hypoventilate
⫸ What is expected refrence range for PaO2? Answer: 80-100
⫸ What may be prescribed to help with oxygen induced toxicity (2)? Answer: CPAP or
BiPaP PEEP (Something that has positive pressure)
⫸ What does low pressure alarms indicated? Answer: disconnection or cuff leak
⫸ What is high pressure alarms indicated? Answer: excess secretions
⫸ What disorder to set off high pressure alarm? Answer: pneumothorax or
bronchospasm
⫸ What does positive pressure do? Answer: allows preset pressure to deliver during
spontaneous ventilation to help decrease the work of breathing for the patient
⫸ What is an early sign of hypoxemia? Answer: pale skin
⫸ What is late signs of hypoxemia? Answer: bradycardia and hypotension
⫸ How often should the nurse assess breath sounds on a vented pt? Answer: q1 to 2
⫸ What type of mask to deliver precise amount of O2? Answer: venturi mask
, ⫸ If a pt has diabetes type 1, what is impaired(2)? Answer: circulation and immune
system
⫸ If organs become exposed when tissue protrudes through the skin, what should you
put on them? Answer: sterile dressing soaked with sterile normal saline
⫸ What position is best for abdominal incision complication? Answer: supine and hips
and knees bent
⫸ Should a nurse massage a bony prominence and why or why not? Answer: no
because it can traumatize deep tissue
⫸ With a burns do they become hypothermic or hyperthermic? Answer: hypothermic
⫸ What type of burn is sunburn? Answer: superficial thickness burn
⫸ What can be a cause of superficial partial thickness burns? Answer: a flame
⫸ What can a deep partial thickness burn result from? Answer: hot grease
⫸ What can a full thickness burn result from? Answer: hot tar
⫸ Does HCT increase or decrease with burn? Answer: there is an initial increase due to
hemo-concentration
⫸ Why would hyperkalemia occur with a burn victim? Answer: leakage of fluid from
intracellular space
⫸ Why would hyponatremia happen in a burn victim? Answer: sodium resides in
interstial spaces
⫸ Why shouldn't a nurse use subq for burn victims? Answer: because it might not
absorb well because of skin isn't intact
⫸ What is best route for admin meds to burn pt? Answer: IV
⫸ Why would you increase protein for a burn? Answer: it promotes wound healing
⫸ Should calories increase or decrease after burn? (if so by how much). Answer:
increase calories by double or triple
⫸ If a pt is taking epinephrine what med class should they avoid? Answer: MAOIs
⫸ Would you want the pt to vomit during drug toxcitiy? Answer: no- it increases the risk
for aspiration
⫸ What is duration of long acting insulin? Answer: 24 hours.
⫸ What method for giving iron parenterally? Answer: Z track method
⫸ Large doses of folic acid may mask what? Answer: a vitamin b12 deficancy
⫸ How long does it take for an improvement in blood cell counts and problems with
anemia take when blood is given? Answer: immediately
⫸ If a gastrectomy has happened how often would b12 be given to a pt? Answer:
monthly
⫸ Can a pt with a gastrectomy use a nasal spray everyday? Answer: yes
⫸ What deformity is caused by anemia? Answer: spoon-shaped fingernails
⫸ Where is decreased skin integrity found? (what type of pt?). Answer: in dehydrated
pt's, excessively moist patients, immobile patients
⫸ How often should someone taking erthypoietin get hgb and hct monitored? Answer:
twice weekly
⫸ What is a common side effect of giving IV antibiotics in high dosages? Answer:
hepatoxicity
⫸ What are two signs of hepatoxicity. Answer: lethargy and jaundice
⫸ How should antibiotics like doxycycline be taken? (when with meals). Answer: with
meals
⫸ If penicillin is given in the same IV as aminoglycosides what happens? Answer: it
inactivates aminoglycocides
⫸ What is a common side effect of administering aminoglycides? Answer: ototoxicity
⫸ What can diarrhea indicate with tetracyclines? Answer: a suprainfection
⫸ What drink should be avoided with tetracyclines? Answer: milk
,⫸ When should you take a tetracycline? (what time of day). Answer: in the morning to
prevent lessen the risk of ulceration
⫸ When should a blood sample of gentamicin be taken? Answer: 30 minutes after after
dosage is completely given
⫸ What could be adverse effect of streptomycin? Answer: paresthesia (numbness and
tingling/Pins and needles)
⫸ What antibiotic is used in surgeries for the normal flora of the intestines? Answer:
neomycin
⫸ Do respirations increase or decrease with hypovolemia? Answer: increase
⫸ What o2 mask delivers the highest amount of O2? Answer: nonrebreather
⫸ Should you use a nonrebreather with a pt with high risks of aspirations or airway
obstructions? Answer: no
⫸ What kind of symptom comes with oxygen toxicity? Answer: nonproductive cough
⫸ If a pt gets oxygen toxicity, do they hyper or hypo ventilate? Answer: hypoventilate
⫸ What is expected refrence range for PaO2? Answer: 80-100
⫸ What may be prescribed to help with oxygen induced toxicity (2)? Answer: CPAP or
BiPaP PEEP (Something that has positive pressure)
⫸ What does low pressure alarms indicated? Answer: disconnection or cuff leak
⫸ What is high pressure alarms indicated? Answer: excess secretions
⫸ What disorder to set off high pressure alarm? Answer: pneumothorax or
bronchospasm
⫸ What does positive pressure do? Answer: allows preset pressure to deliver during
spontaneous ventilation to help decrease the work of breathing for the patient
⫸ What is an early sign of hypoxemia? Answer: pale skin
⫸ What is late signs of hypoxemia? Answer: bradycardia and hypotension
⫸ How often should the nurse assess breath sounds on a vented pt? Answer: q1 to 2
⫸ What type of mask to deliver precise amount of O2? Answer: venturi mask
, ⫸ If a pt has diabetes type 1, what is impaired(2)? Answer: circulation and immune
system
⫸ If organs become exposed when tissue protrudes through the skin, what should you
put on them? Answer: sterile dressing soaked with sterile normal saline
⫸ What position is best for abdominal incision complication? Answer: supine and hips
and knees bent
⫸ Should a nurse massage a bony prominence and why or why not? Answer: no
because it can traumatize deep tissue
⫸ With a burns do they become hypothermic or hyperthermic? Answer: hypothermic
⫸ What type of burn is sunburn? Answer: superficial thickness burn
⫸ What can be a cause of superficial partial thickness burns? Answer: a flame
⫸ What can a deep partial thickness burn result from? Answer: hot grease
⫸ What can a full thickness burn result from? Answer: hot tar
⫸ Does HCT increase or decrease with burn? Answer: there is an initial increase due to
hemo-concentration
⫸ Why would hyperkalemia occur with a burn victim? Answer: leakage of fluid from
intracellular space
⫸ Why would hyponatremia happen in a burn victim? Answer: sodium resides in
interstial spaces
⫸ Why shouldn't a nurse use subq for burn victims? Answer: because it might not
absorb well because of skin isn't intact
⫸ What is best route for admin meds to burn pt? Answer: IV
⫸ Why would you increase protein for a burn? Answer: it promotes wound healing
⫸ Should calories increase or decrease after burn? (if so by how much). Answer:
increase calories by double or triple
⫸ If a pt is taking epinephrine what med class should they avoid? Answer: MAOIs
⫸ Would you want the pt to vomit during drug toxcitiy? Answer: no- it increases the risk
for aspiration
