PN 3006 MIDTERM QUESTIONS &
ANSWERS
Where do you find an adult apical pulse? - ANSWER-Left 5th intercostal rib
mid clavicular
A patient initially weighs 200 lbs, but on the 2nd day of admission the patient
weighed 209 lbs, what should the nurse evaluate the patient for? - ANSWER-
Fluid retention
In preparation for a rectal exam of non ambulatory patient w/ arthritis in both
hips, patient exam in which position? - ANSWER-Sims position
Subjective data - ANSWER-feelings, perceptions, reported symptoms
After assessing the patient and using 2 ID needed to provide headache relief
the nurse gives tylenol. What do you do after? - ANSWER-reassess again
after 30 mins
Patient with high dose of opioid medication for severe pain, which
assessment finding do you find due to opioid toxicity - ANSWER-respiratory
depression
Nurse caring for patientt with peripheral IV being used intermittently for
medications but not continuous infusion, what does that mean?what should
the nurse do for cleaning this? - ANSWER-Flush with 0.9 saline and lock it
The nurse completed a head to toe ax on patient. Which clinical sign does
the nurse find? - ANSWER-Bilateral crackles
The nurse instruct the patient to void or empty the urinary drainage
collection container before administering a blood transfusion. T/F - ANSWER-
True, due to fluid overload
A piggyback IV med, should it be hung above or below the primary IV bag? -
ANSWER-should be hung above the primary IV bag, not below
what does it indicate if your IV site is swollen and pale? - ANSWER-fluid may
have leaked into the interstitial space
Patient is day one post op, is serosangeounous drainage is abnormal? -
ANSWER-no it is normal
ANSWERS
Where do you find an adult apical pulse? - ANSWER-Left 5th intercostal rib
mid clavicular
A patient initially weighs 200 lbs, but on the 2nd day of admission the patient
weighed 209 lbs, what should the nurse evaluate the patient for? - ANSWER-
Fluid retention
In preparation for a rectal exam of non ambulatory patient w/ arthritis in both
hips, patient exam in which position? - ANSWER-Sims position
Subjective data - ANSWER-feelings, perceptions, reported symptoms
After assessing the patient and using 2 ID needed to provide headache relief
the nurse gives tylenol. What do you do after? - ANSWER-reassess again
after 30 mins
Patient with high dose of opioid medication for severe pain, which
assessment finding do you find due to opioid toxicity - ANSWER-respiratory
depression
Nurse caring for patientt with peripheral IV being used intermittently for
medications but not continuous infusion, what does that mean?what should
the nurse do for cleaning this? - ANSWER-Flush with 0.9 saline and lock it
The nurse completed a head to toe ax on patient. Which clinical sign does
the nurse find? - ANSWER-Bilateral crackles
The nurse instruct the patient to void or empty the urinary drainage
collection container before administering a blood transfusion. T/F - ANSWER-
True, due to fluid overload
A piggyback IV med, should it be hung above or below the primary IV bag? -
ANSWER-should be hung above the primary IV bag, not below
what does it indicate if your IV site is swollen and pale? - ANSWER-fluid may
have leaked into the interstitial space
Patient is day one post op, is serosangeounous drainage is abnormal? -
ANSWER-no it is normal
