NUR 240 Exam 1 study Questions And
Answers
5 Right of Delegation - ANSW-Right Task
Right Person
Right Communication
Right Supervision
Right Circumstances
What do nurses use for proper delegation? - ANSW-Delegation Tree
Who is ultimately responsible for right care/tast? - ANSW-Nurses
Can UAP do vitals and I&O's? - ANSW-Yes
Who is responsible for initial assessment? - ANSW-Registered Nurses
Who is ultimately responsible when a task or care is delegated? - ANSW-Nurses
What do you do to a patient who has Suicidal Ideation in the ER? - ANSW-Strip patient and place in
gown, remove wires and cords that could cause danger, 1 on 1 constant supervision.
What should the nurse do with family in a resuscitation situation? - ANSW-Encourage family presence,
announce that family is in the room.
What happens to our brains as we age? - ANSW-The brain shrinks, taking longer to exhibit signs of
bleeding/increases inter cranial pressure, resulting in slower decline.
What do you need to remember in a respiratory code? - ANSW-Airway
Breathing
Circulation
Can lead to cardiac arrest
What is the point of Triage and why do we do it? - ANSW-Triage is for the sorting and classifying patients
into priority levels depending on illness or injury severity. Those with highest acuity (1 out of 5) need to
be seen soonest.
Why do we discuss Reality Shock? - ANSW-In the hopes of reducing stress during your transition into
practice.
What are the phases of reality shock? - ANSW-Honeymoon
Shock/Rejection
Recovery
Feeling overwhelmed/burned out signs
How do you choose a mentor? - ANSW-Interview the nurse, review the responses and if the nurses
seems to be a supportive model, ask them to be your mentor.
What is Oxytocin? - ANSW-Oxytocin is a hormone in the female reproductive system.
What is Oxytocin used for? - ANSW-Secreted to help with contractions during labor. Also secreted
postpartum to constrict the uterus.
, How do you collect a urine sample from a Foley catheter? - ANSW-Clamp the tubing for 10-15 min, clean
the hub of the lure lock, twist on a sterile syringe to the port and slowly withdraw 20-30 mL of urine.
Push urine in sterile specimen cup.
How do you calm a patient with anxiety in the ER? - ANSW-Place pt. in a quiet area and decrease
stimulation as much as possible.
How low should a MAP be and how do you increase it? - ANSW-No lower than 60, give a vasoconstrictor:
norepinephrine, neosynephrine, epinephrine
Alkylating agents - ANSW-Cyclophosphamide
Ifosfamide
Cardiac Toxicity
Echo/Muga scans
Antitumor antibiotics - anthracyclines - ANSW-Doxorubicin
Daunorubicin
Cardiac Toxicity
Echo/Muga scans
Antimetabolites - ANSW-Methotrexate
5 - flurouracil (severe N/V/D)
Renal Toxicity
Hepatotoxicity
Plant (Vinca) Alkaloids - ANSW-Vincristine
Vinblastine
Vesicants! Pay attention to IV
Peripheral neuropathies
Taxanes - ANSW-Paclitaxel
Docetaxel
Risk for anaphylaxis (special tubing)
Androgens - ANSW-Testosterone
Acne, hypercalcemia, liver dysfunction
Anti-androgens - ANSW-Masculine effects in women, feminine effects in men (gynocomastia), liver
dysfunction, hot flashes
Amifostine - ANSW-used in head and neck cancer to protect mucous membranes
External Beam Radiation (EBR) - ANSW-Pt. is NOT source of radiation exposure to others
EBR Lethal dose - ANSW-95% destroyed yet preserves normal tissue
EBR Total dose - ANSW-Divided into daily doses delivered over 2-8 weeks
Intensity Modulated Radiation Therapy (IMRT) - ANSW-High-dosage radiation delivered via a beam that
changes its dosage and shape with less radiation reaching normal surrounding tissue.
IMRT - ANSW-Uses CT scans
Stereotonic Radiosurgery SR - ANSW-Surgical precision radiation beams directed at tumors
Answers
5 Right of Delegation - ANSW-Right Task
Right Person
Right Communication
Right Supervision
Right Circumstances
What do nurses use for proper delegation? - ANSW-Delegation Tree
Who is ultimately responsible for right care/tast? - ANSW-Nurses
Can UAP do vitals and I&O's? - ANSW-Yes
Who is responsible for initial assessment? - ANSW-Registered Nurses
Who is ultimately responsible when a task or care is delegated? - ANSW-Nurses
What do you do to a patient who has Suicidal Ideation in the ER? - ANSW-Strip patient and place in
gown, remove wires and cords that could cause danger, 1 on 1 constant supervision.
What should the nurse do with family in a resuscitation situation? - ANSW-Encourage family presence,
announce that family is in the room.
What happens to our brains as we age? - ANSW-The brain shrinks, taking longer to exhibit signs of
bleeding/increases inter cranial pressure, resulting in slower decline.
What do you need to remember in a respiratory code? - ANSW-Airway
Breathing
Circulation
Can lead to cardiac arrest
What is the point of Triage and why do we do it? - ANSW-Triage is for the sorting and classifying patients
into priority levels depending on illness or injury severity. Those with highest acuity (1 out of 5) need to
be seen soonest.
Why do we discuss Reality Shock? - ANSW-In the hopes of reducing stress during your transition into
practice.
What are the phases of reality shock? - ANSW-Honeymoon
Shock/Rejection
Recovery
Feeling overwhelmed/burned out signs
How do you choose a mentor? - ANSW-Interview the nurse, review the responses and if the nurses
seems to be a supportive model, ask them to be your mentor.
What is Oxytocin? - ANSW-Oxytocin is a hormone in the female reproductive system.
What is Oxytocin used for? - ANSW-Secreted to help with contractions during labor. Also secreted
postpartum to constrict the uterus.
, How do you collect a urine sample from a Foley catheter? - ANSW-Clamp the tubing for 10-15 min, clean
the hub of the lure lock, twist on a sterile syringe to the port and slowly withdraw 20-30 mL of urine.
Push urine in sterile specimen cup.
How do you calm a patient with anxiety in the ER? - ANSW-Place pt. in a quiet area and decrease
stimulation as much as possible.
How low should a MAP be and how do you increase it? - ANSW-No lower than 60, give a vasoconstrictor:
norepinephrine, neosynephrine, epinephrine
Alkylating agents - ANSW-Cyclophosphamide
Ifosfamide
Cardiac Toxicity
Echo/Muga scans
Antitumor antibiotics - anthracyclines - ANSW-Doxorubicin
Daunorubicin
Cardiac Toxicity
Echo/Muga scans
Antimetabolites - ANSW-Methotrexate
5 - flurouracil (severe N/V/D)
Renal Toxicity
Hepatotoxicity
Plant (Vinca) Alkaloids - ANSW-Vincristine
Vinblastine
Vesicants! Pay attention to IV
Peripheral neuropathies
Taxanes - ANSW-Paclitaxel
Docetaxel
Risk for anaphylaxis (special tubing)
Androgens - ANSW-Testosterone
Acne, hypercalcemia, liver dysfunction
Anti-androgens - ANSW-Masculine effects in women, feminine effects in men (gynocomastia), liver
dysfunction, hot flashes
Amifostine - ANSW-used in head and neck cancer to protect mucous membranes
External Beam Radiation (EBR) - ANSW-Pt. is NOT source of radiation exposure to others
EBR Lethal dose - ANSW-95% destroyed yet preserves normal tissue
EBR Total dose - ANSW-Divided into daily doses delivered over 2-8 weeks
Intensity Modulated Radiation Therapy (IMRT) - ANSW-High-dosage radiation delivered via a beam that
changes its dosage and shape with less radiation reaching normal surrounding tissue.
IMRT - ANSW-Uses CT scans
Stereotonic Radiosurgery SR - ANSW-Surgical precision radiation beams directed at tumors
