NSC 232 Exam 3 Questions With Complete Solutions
-during administration of an intradermal injection, the nurse
notices that the outline of the needle bevel is visible under the
clients skin. how should the nurse proceed? Correct Answers -
recognize that this is an expected finding in a properly
administered intradermal injection
-what client would most likely have a nasogastric tube
placement for feeding? Correct Answers -a client with difficulty
swallowing
-when a patient experiences orthopnea the nurse understands
what intervention is beneficial? Correct Answers -putting the
patient in high fowlers position
3 medication checks Correct Answers 1. when medication is
first located
2. after the medication is prepared
3. just before administering to pt at bedside
6 medication rights Correct Answers 1. Medication
2. Dose
3. Documentation
4. Route
5. Patient
6. Time
a nurse is preparing to remove a nasogastric (NG) tube from a
client. the nurse would instruct thew client to do what just before
,the nurse removes the tube? Correct Answers -take a deep
breath and hold
a serum potassium value is Correct Answers -3.5mEq/L
according to nursing medication administration guidelines, when
preparing medications to be administered to clients, the nurse
should read the medication label against the MAR at least
Correct Answers -three times
acidosis Correct Answers -6.8-7.3
active transport Correct Answers movement of solutes across
cell membranes from a less concentrated solutions to a more
concentrated one
alkalosis Correct Answers -7.5-7.8
altered respiratory function Correct Answers -patency:
unobstructed
-movement of air in and out of lungs
-diffusion of gasses between alveoli and pulmonary capillaries
-transport of gasses via blood to and from tissue cells
alveolar gas exchange Correct Answers -2nd phase of
respiratory process
-diffusion
-oxygen in alveoli diffuses into blood
-carbon dioxide in blood defuses into alveoli
-concentration in higher in the blood
-shift from alveoli to capillaries then attach to hemoglobin
,-inhaled and alveoli is full of air
-capillaries are 1 cell thick
ambu bag Correct Answers -provides positive pressure
ventilation to patient who are not breathing
ampule Correct Answers -clear medication from top before
opening
an order for medication which can be given upon request by the
client or when needed by the client is Correct Answers -PRN
order
anaphalactic shock Correct Answers -worst allergic shock
-"what was your allergic response?"
anthropometric data Correct Answers -Ht/Wt
-BMI
-skin fold
-MAC: mid-are circumference
-clinical data
-nursing history
-physical exam: skin, hair, nails, mucous membranes, activity
levels
apnea Correct Answers -cessation of breathing
artificial airways Correct Answers -upper and lower ET
-lower is the most common
-want to breath through the tube not around
-ballon gets inflated to obstruct airway
, -prevent secretion in lungs
-ventilatory support
assessment for oxygen Correct Answers -vital signs
-appearance
-SO2
atelectasis Correct Answers -where the lungs get stiff
-post-op
-cough and have breathing to prevent
basic concepts of nutrition Correct Answers -basic human needs
throughout the lifestyle
-specific biochemical substances used by the body
-vital to life & health
-important component of nursing
bicarbonate system Correct Answers -located in kidneys
-kidneys control excess bicarb
-slower to respond (hrs or days)
-smaller
-excrete/absorb
biochemical data Correct Answers -Hgb: 12-18g/dL
-HCT: 40-50%
-serum albumin: 3.3-5g/dL
-transferrin
-total lymphocyte: >10,000
-electrolytes: K+, Na+, Cl-, CO2
-BUN: 17-18mg/dL
-creatinine: 0.4-1.5mg/dL
-during administration of an intradermal injection, the nurse
notices that the outline of the needle bevel is visible under the
clients skin. how should the nurse proceed? Correct Answers -
recognize that this is an expected finding in a properly
administered intradermal injection
-what client would most likely have a nasogastric tube
placement for feeding? Correct Answers -a client with difficulty
swallowing
-when a patient experiences orthopnea the nurse understands
what intervention is beneficial? Correct Answers -putting the
patient in high fowlers position
3 medication checks Correct Answers 1. when medication is
first located
2. after the medication is prepared
3. just before administering to pt at bedside
6 medication rights Correct Answers 1. Medication
2. Dose
3. Documentation
4. Route
5. Patient
6. Time
a nurse is preparing to remove a nasogastric (NG) tube from a
client. the nurse would instruct thew client to do what just before
,the nurse removes the tube? Correct Answers -take a deep
breath and hold
a serum potassium value is Correct Answers -3.5mEq/L
according to nursing medication administration guidelines, when
preparing medications to be administered to clients, the nurse
should read the medication label against the MAR at least
Correct Answers -three times
acidosis Correct Answers -6.8-7.3
active transport Correct Answers movement of solutes across
cell membranes from a less concentrated solutions to a more
concentrated one
alkalosis Correct Answers -7.5-7.8
altered respiratory function Correct Answers -patency:
unobstructed
-movement of air in and out of lungs
-diffusion of gasses between alveoli and pulmonary capillaries
-transport of gasses via blood to and from tissue cells
alveolar gas exchange Correct Answers -2nd phase of
respiratory process
-diffusion
-oxygen in alveoli diffuses into blood
-carbon dioxide in blood defuses into alveoli
-concentration in higher in the blood
-shift from alveoli to capillaries then attach to hemoglobin
,-inhaled and alveoli is full of air
-capillaries are 1 cell thick
ambu bag Correct Answers -provides positive pressure
ventilation to patient who are not breathing
ampule Correct Answers -clear medication from top before
opening
an order for medication which can be given upon request by the
client or when needed by the client is Correct Answers -PRN
order
anaphalactic shock Correct Answers -worst allergic shock
-"what was your allergic response?"
anthropometric data Correct Answers -Ht/Wt
-BMI
-skin fold
-MAC: mid-are circumference
-clinical data
-nursing history
-physical exam: skin, hair, nails, mucous membranes, activity
levels
apnea Correct Answers -cessation of breathing
artificial airways Correct Answers -upper and lower ET
-lower is the most common
-want to breath through the tube not around
-ballon gets inflated to obstruct airway
, -prevent secretion in lungs
-ventilatory support
assessment for oxygen Correct Answers -vital signs
-appearance
-SO2
atelectasis Correct Answers -where the lungs get stiff
-post-op
-cough and have breathing to prevent
basic concepts of nutrition Correct Answers -basic human needs
throughout the lifestyle
-specific biochemical substances used by the body
-vital to life & health
-important component of nursing
bicarbonate system Correct Answers -located in kidneys
-kidneys control excess bicarb
-slower to respond (hrs or days)
-smaller
-excrete/absorb
biochemical data Correct Answers -Hgb: 12-18g/dL
-HCT: 40-50%
-serum albumin: 3.3-5g/dL
-transferrin
-total lymphocyte: >10,000
-electrolytes: K+, Na+, Cl-, CO2
-BUN: 17-18mg/dL
-creatinine: 0.4-1.5mg/dL
