To prevent unnecessary hypoxia during suctioning of a tracheostomy, the caregiver
must
A) Apply suction for no more than 10 seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion Correct ANS>>A) Apply suction for
no more than 10 seconds
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of
the injection equals 2.0 ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site
C) Call to get a smaller volume ordered
D) Check with pharmacy for a liquid form of the medication skip Correct
ANS>>A) Administer the medication in 2 separate injections
The caregiver receives an order to give a patient iron by deep injection. The
caregiver know that the reason for this route is to
A) Enhance absorption of the medication
B) Ensure that the entire dose of medication is given
C) Provide more even distribution of the drug
D) Prevent the drug from tissue irritation Skip Correct ANS>>D) Prevent the
drug from tissue irritation Skip
A patient with heart failure has Lanoxin (digoxin) ordered. What would the
caregiver expect to find when evaluating for the therapeutic effectiveness of
this drug?
,A) Diaphoresis with decreased urinary output
B) Increased heart rate with increase respirations
C) Improved respiratory status and increased urinary output
D) Decreased chest pain and decreased blood pressure Correct ANS>>C)
Improved respiratory status and increased urinary output
While providing home care to a patient with congestive heart failure, the
caregiver is asked how long diuretics must be taken. What is the caregiver's
best response?
A) "As you urinate more, you will need less medication to control fluid.
"B) "You will have to take this medication for about a year."
C) "The medication must be continued so the fluid problem is controlled
"D) "Please talk to your health care provider about medications and treatments."
Correct ANS>>C) "The
medication must be continued so the fluid problem is controlled.
A patient is being discharged with a prescription for chlorpromazine
(Thorazine).Before leaving for home, which of these findings should the caregiver
teach the patient to report?
A) Change in libido, breast enlargement
B) Sore throat, fever
B) Abdominal pain, nausea, diarrhea
C) Dsypnea, nasal congestion Correct ANS>>B) Sore throat, fever
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the caregiver notes that the nail went
through the shoe and pierced the bottom of the child's foot. Which action should
the caregiver implement first?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72
hours.
C. have the mother check the child's temperature q4h for the next 24 hours D.
transfer the child to the emergency department to receive a gamma globulin
,injection Correct ANS>>A. Cleanse the foot with soap and water and apply an
antibiotic ointment
A 26-year-old female patient is admitted to the hospital for treatment of a
simple goiter, and levothyroxine sodium (Synthroid) is prescribed. Which
symptoms indicate to the caregiver that the prescribed dosage is too high for
this patient? The patient experiences:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath Correct ANS>>D. Palpitations and
shortness of breath
A patient with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the caregiver to
assess to the patient? Correct ANS>>Obtain a list of medications taken for cardiac
history
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply)
Correct ANS>>A. Fluid shifts from intravascular to interstitial area due to
decreased serum protein
B. Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
C. Increased circulating aldosterone levels that increase sodium and water
retention
The caregiver is auscultating a patient's heart sounds. Which description should the
caregiver use to document
this sound? (Please listen to the audio first to select the option that applies) Correct
ANS>>Murmur
A patient is admitted with a pressure ulcer in the sacral area. The partial thickness
wound is 4cm by 7cm, the wound base is red and moist with no exudate and the
surrounding skin is intact. Which of the following coverings is most appropriate
for this wound?
, A) Transparent dressing
B) Dry sterile dressing with antibiotic ointment
C) Wet to dry dressing
D) Occlusive moist dressing Correct ANS>>D) Occlusive moist dressing
A 30 month-old child is admitted to the hospital unit. Which of the following toys
would be appropriate for the caregiver to select from the toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball Correct ANS>>B) Large wooden puzzle
A caregiver is to present information about Chinese folk medicine to a group of
student caregivers. Based on this cultural belief, the caregiver would explain that
illness is attributed to the
A) Yang, the positive force that represents light, warmth, and fullness
B) Yin, the negative force that represents darkness, cold, and emptiness
C) Use of improper hot foods, herbs and plants
D) A failure to keep life in balance with nature and others Correct ANS>>B)
Yin, the negative force that represents darkness, cold, and emptiness
A 2 year-old child has just been diagnosed with cystic fibrosis. The child's father
asks the caregiver "What is our major concern now, and what will we have to deal
with in the future?" Which of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic
fibrosis."
D) "You will work with a team of experts and also have access to a support
group that the family can attend." Correct ANS>>C) "Thin, tenacious secretions
from the lungs are a constant struggle in cystic fibrosis."
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