Exam (elaborations)
Advanced Nursing Skills Exam 1 Questions with actual answers.
- Course
- Institution
Advanced Nursing Skills Exam 1 Questions with actual answers.
[Show more]
Seller
Follow
Content preview
Advanced Nursing Skills Exam 1Questions with actual answers.
*What is the order for mixing rapid acting/long acting insulin from two vials? ANS - Cloudy-
clear-clear-cloudy
*Where should the nurse administer a subcutaneous insulin injection? ANS - Abdomen
*What site best absorbs insulin? ANS - Abdomen (followed by arm, thighs, and buttocks.
*Chest tube insertion for hemothorax is between the ___ and ___ ICS ANS - 4-6
*Chest tube insertion for pneumothorax goes into the ____or ___ICS ANS - 2nd or 3rd
*Empynema ANS - pus from an infection (pneumonia)
*It is important for the nurse to obtain informed consent from the patient before
______________. ANS - administering pain medication (Opioids)
*If needing to take longer to set up a new chest tube system the nurse
should______________. ANS - Place the end of the chest tube in sterile water.
*In the instance that the chest tube becomes disconnected the nurse knows to: ANS -
Quickly cover insertion site with occlusive vaseline gauze during the PEAK of INSPIRATION.
*The nurse know to ______________ if she notices changes in drainage greater than
________mL/hr. ANS - Notify MD of changes >100 mL/hr
*The nurse knows to encourage the patient to ______________, and ______________ as
the chest tube is being pulled out. ANS - Take a deep breath and hold, and tape on three
sides (when the chest tube___________________)
*True/False The nurse should always be sure to take the velcro ties off before she puts the
new one on. ANS - FALSE she only does this if there is an assistant present to hold
tracheostomy tube in place until new ties are firmly tied down.
*True/False: If the nurse notices a change in the patient with a chest tube's condition she
should notify the MD. ANS - True
*Correct incision site is made between ____________________ and the tube is inserted
directly into the trachea- just below the larynx. ANS - second and third tracheal rings
, *You must take no longer than _______ when cleaning a trach ANS - 15 sec
*No fluctuations in water-seal chamber indicates: ANS - Lung re-expansion; kink or clot in
tubing indicates:
*True/False The nurse knows not to recap any needle ANS - True Box 31-23
*True/False The nurse should maintain a sharps injury log that includes: type and brand of
device involved in the incident; location of the incident; description of the incident; and
privacy of the employees who have had sharps injuries to prevent needlestick injury ANS -
True
*The nurse knows to ______________ in order to allow the patient to speak. ANS - place a
speaking valve in the patient's trach and DEFLATE the cuff
*The nurse knows that when she completes trach care, she must always have the patient in
________________ position. ANS - Semi-fowlers
*A tracheostomy allows for comfort and mobility over a/an___________. ANS -
Endotracheal tube
*The nurse knows that if a tracheostomy tube becomes dislodged she needs to__________.
ANS - Attempt to replace it (Deb)
*An endotracheal tube or tracheostomy tube is connected by ______________ to the
ventilator. ANS - oxygen tubing
*The nurse must ______________ BEFORE initiating ventilation. ANS - ensure that the
healthcare team is aware of the patient's advance directives and consult with family
members
*The nurse knows that an oropharyngeal airway should be used in _________________
patients ANS - Unconscious (because they are likely to trigger gagging, vomiting, or
laryngospasms in responsive patient with airway intact reflexes.)
*The nurse knows that oropharyngeal airways are likely to trigger _________,________, or
____________ in responsive patient's with intact reflexes. ANS - gagging, vomiting, or
laryngospasms
*Oropharyngeal airways ANS - C-shaped, hard plastic devices available in infant, pediatric,
and adult sizes
*Nasopharyngeal airway are contraindicated in patients with ANS - In patients with a jaw
fracture or skull fracture this in contraindicated.
*The tip rests on the hypo-pharynx ANS - Nasopharyngeal airway
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Professorkaylee. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.29. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78677 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now