PPNC2 EXAM 1 NEWEST 2024 REAL COMPLETE
160 EXAM QUESTIONS AND VERIFIED DETAILED
ANSWERS/GRADED A+
When using a chlorhexidine-impregnanted patch, how often should a
central line dressing be changed?
A. Every 24 hours
B. Every 48 hours
C. Every 3 days
D. Every 7 days - ANS D. Every 7 days
The nurse has just inserted an NG tube into the left naris for the purpose
of initiating enteral feedings. Identify the appropriate documentation for
this procedure
A. 18 Fr NG tube inserted into the left naris, patient tolerated well,
feeding infusing
B. 18 Fr NG tube inserted as ordered, radiographic film obtained and the
tip is positioned in the stomach, both nares are in good condition and
intact, and feeding infusing
C. 18 Fr. NG tube inserted in the left naris, patient tolerated procedure
with minimal discomfort, the left naris is intact with no skin breakdown or
redness noted. X-ray called and confirmed that the tip of the tube is
located in the stomach.
D. 18 Fr NG tube inserted for the first time by the nurse, patient tolerated
the procedure well. Gastric pH was noted to be 5.0, NG tube secured to
gown, and feeding infusing. - ANS C. 18 Fr. NG tube inserted in the
left naris, patient tolerated procedure with minimal discomfort, the left
naris is intact with no skin breakdown or redness noted. X-ray called and
confirmed that the tip of the tube is located in the stomach.
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The provider has ordered a feeding of 500 mL of formula, to be given
over 12 hours via an enteral feeding pump. What rate will the nurse set
on the pump? Round your answer to the nearest tenth. - ANS 41.7
ml
Adherence to which of the following measures aims to improve safety in
administration of enteral feedings? Select all that apply
A. Using only Luer-Lock syringes or extension sets on enteral systems
B. Use of pumps designated for tube feedings not IV fluids
C. Auscultate the epigastric area while instilling air through the tube
D. Instructing patients and family caregivers to seek nursing assistance
before reconnecting tubing that has separated
E. Clearly labeling enteral administration sets "tube feeding only"
F. Elevate the HOB to 30 - 45 degrees during feedings - ANS B. Use
of pumps designated for tube feedings not IV fluids
D. Instructing patients and family caregivers to seek nursing assistance
before reconnecting tubing that has separated
E. Clearly labeling enteral administration sets "tube feeding only"
F. Elevate the HOB to 30 - 45 degrees during feedings
What are recommended disinfection actions to reduce the risk of
Central-Line Associated Bloodstream Infections (CLABSI)? Select All
That Apply (Which was originally left off the stem in class.)
a. Use of a chlorhexadine- impregnanted dressing
b. Clean all needleless connectors- ports- or hubs with 70% isopropyl
alcohol
c. Use of disinfecting caps on all hubs
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d. Use of hydrogen peroxide on all needleless connectors-ports- or hubs
- ANS a. Use of a chlorhexadine- impregnanted dressing
b. Clean all needleless connectors- ports- or hubs with 70% isopropyl
alcohol
c. Use of disinfecting caps on all hubs
Joseph's long time partner, Charles, has died from HIV associated
complications. Charles' family never acknowledged their relationship and
plans on a private funeral excluding Joseph. What type of grief would
you expect Joseph to experience
a. Anticipatory
b. Complicated
c. Disenfranchised
d. Uncomplicated - ANS c. Disenfranchised
Which of the following best describes complicated grief?
a. maladaptive, dysfunctional
b. emotionally intense but diminish over time
c. connected with a loss that is not socially supported
d. experienced before a loss occurs - ANS a. maladaptive,
dysfunctional
What are the nurses' responsibilities and roles in providing care and
support for individuals at end of life? Select All That Apply
a. Disease management
b. Physical Comfort
c. Support well-being
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d. Manage pain and distressing symptoms
e. Encourage curative strategies - ANS a Disease management
B Physical Comfort
C Support well-being
D Manage pain and distressing symptoms
An intravenous (IV) fluid is infusing slower than ordered. The infusion
pump is set correctly. Which factors could cause this slowing? (Select all
that apply.)
1. Infiltration at vascular access device (VAD) site
2. Patient lying on tubing
3. Roller clamp wide open
4. Tubing kinked in bedrails
5. Circulatory overload - ANS 1. Infiltration at vascular access device
(VAD) site
2. Patient lying on tubing
4. Tubing kinked in bedrails
The nurse assesses pain and redness at a vascular access device
(VAD) site. Which action is taken first?
1. Apply a warm, moist compress.
2. Aspirate the infusing fluid from the VAD.
3. Report the situation to the health care provider.
4. Discontinue the intravenous infusion. - ANS 4. Discontinue the
intravenous infusion.
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