1
NR224–FUNDAMENTALSOF
NURSINGFINALEXAM |
COMPREHENSIVESTUDYGUI
DE
(LATESTUPDATED)
Anurseknowsthatpat
ienteducat
ionhas
beeneff
ecti
vewhenthepatientst
ate
-ANSWER✓✓"
Iwi
llrotat
et helocat
ion
wher
eIgi
vemy
sel
finject
ions."
Whi
chstat
ementbyt
hepatienti
san
i
ndi
cat
iontouset
heZ-t
rackmethod?
-ANSWER✓✓" Thel
astshotl
i
ket
hat
t
urnedmyski
ncolor
s."
,2
A2-year-
oldchi
ldi
sorderedt
ohaveear
i
rri
gati
onperfor
meddaily
.Thenurse
corr
ectl
yperfor
mstheprocedur
eby
-ANSWER✓✓Pulli
ngtheauri
cledown
andbackt
ost
rai
ghtentheearcanal
.
Apat i
enthasanor dert
orecei
ve10uni t
s
ofU-50insuli
n.Thenurseisusi
ngaU- 100
syri
nge.Howmanyuni t
sshouldthenurse
drawupi nthesyri
ngeandadmi ni
ster
?
-ANSWER✓✓20uni
ts
Apat i
enthasanor dert
orecei
ve20uni t
s
ofU-50insuli
n.Thenurseisusi
ngaU- 100
syri
nge.Howmanyuni t
sshouldthenurse
drawupi nthesyri
ngeandadmi ni
ster
?
-ANSWER✓✓0.
4mL
Thepat
ienti
stor
ecei
vepheny
toi
n
,3
(
Dil
anti
n)at0900.Thenurseknowsthat
t
heidealt
imetodrawat r
oughlevel
is
-ANSWER✓✓0830.
Apat i
entwhohasbeenr eceivi
ng
i
ntermitt
entchemother apyt hrougha
peri
pheralIVsit
eisorder edt oreceivea
hi
ghdoseofv ancomyci nthrought he
samev ein.Whydoest hisconcer nt he
nurse?
-ANSWER✓✓Chemot herapyi
sir
ri
tat
ing
tot
hevascularsy
stem andmaycausethe
vei
ntoi
nfi
ltr
ate.
Aphy si
cianorder
s1000mLofnor
mal
sal
inetoinfuseatar
ateof50mL/
hr.The
nurseplansonhangi
nganewbagatwhat
ti
me?
-ANSWER✓✓20hour
s
, 4
Thenurseispr epari
ngt oadmini
stera0.
5-
mLr abi
esv accineintothedel
toi
dmuscle
ofapat i
ent.Whi chneedlesi
zeisbestf
or
theprocedure?
-ANSWER✓✓25gaugex5/
8inch
Thenurseknowsthatthepur
poseof
aspi
rat
iononIMinject
ionsi
sto
-ANSWER✓✓Ensur
epr
operpl
acementof
t
heneedl
e.
Thenurseisgivi
nganI Minj
ection.Upon
aspir
ati
on,thenursenot
icesbloodr et
urn
i
nt hesyr
inge.Whatshouldthenur sedo?
-ANSWER✓✓Wi thdr
awtheneedl
eand
pr
epar
ethei
nject
ionagai
n.
Thenursei
splanningt
oadmi ni
stera
tuber
cul
int
estwitha27-gauge,
3/ 8-
inch
NR224–FUNDAMENTALSOF
NURSINGFINALEXAM |
COMPREHENSIVESTUDYGUI
DE
(LATESTUPDATED)
Anurseknowsthatpat
ienteducat
ionhas
beeneff
ecti
vewhenthepatientst
ate
-ANSWER✓✓"
Iwi
llrotat
et helocat
ion
wher
eIgi
vemy
sel
finject
ions."
Whi
chstat
ementbyt
hepatienti
san
i
ndi
cat
iontouset
heZ-t
rackmethod?
-ANSWER✓✓" Thel
astshotl
i
ket
hat
t
urnedmyski
ncolor
s."
,2
A2-year-
oldchi
ldi
sorderedt
ohaveear
i
rri
gati
onperfor
meddaily
.Thenurse
corr
ectl
yperfor
mstheprocedur
eby
-ANSWER✓✓Pulli
ngtheauri
cledown
andbackt
ost
rai
ghtentheearcanal
.
Apat i
enthasanor dert
orecei
ve10uni t
s
ofU-50insuli
n.Thenurseisusi
ngaU- 100
syri
nge.Howmanyuni t
sshouldthenurse
drawupi nthesyri
ngeandadmi ni
ster
?
-ANSWER✓✓20uni
ts
Apat i
enthasanor dert
orecei
ve20uni t
s
ofU-50insuli
n.Thenurseisusi
ngaU- 100
syri
nge.Howmanyuni t
sshouldthenurse
drawupi nthesyri
ngeandadmi ni
ster
?
-ANSWER✓✓0.
4mL
Thepat
ienti
stor
ecei
vepheny
toi
n
,3
(
Dil
anti
n)at0900.Thenurseknowsthat
t
heidealt
imetodrawat r
oughlevel
is
-ANSWER✓✓0830.
Apat i
entwhohasbeenr eceivi
ng
i
ntermitt
entchemother apyt hrougha
peri
pheralIVsit
eisorder edt oreceivea
hi
ghdoseofv ancomyci nthrought he
samev ein.Whydoest hisconcer nt he
nurse?
-ANSWER✓✓Chemot herapyi
sir
ri
tat
ing
tot
hevascularsy
stem andmaycausethe
vei
ntoi
nfi
ltr
ate.
Aphy si
cianorder
s1000mLofnor
mal
sal
inetoinfuseatar
ateof50mL/
hr.The
nurseplansonhangi
nganewbagatwhat
ti
me?
-ANSWER✓✓20hour
s
, 4
Thenurseispr epari
ngt oadmini
stera0.
5-
mLr abi
esv accineintothedel
toi
dmuscle
ofapat i
ent.Whi chneedlesi
zeisbestf
or
theprocedure?
-ANSWER✓✓25gaugex5/
8inch
Thenurseknowsthatthepur
poseof
aspi
rat
iononIMinject
ionsi
sto
-ANSWER✓✓Ensur
epr
operpl
acementof
t
heneedl
e.
Thenurseisgivi
nganI Minj
ection.Upon
aspir
ati
on,thenursenot
icesbloodr et
urn
i
nt hesyr
inge.Whatshouldthenur sedo?
-ANSWER✓✓Wi thdr
awtheneedl
eand
pr
epar
ethei
nject
ionagai
n.
Thenursei
splanningt
oadmi ni
stera
tuber
cul
int
estwitha27-gauge,
3/ 8-
inch
