NUR 172 Hondros Final Exam – Questions And Answers
Can an LPN start an IV on a 4 year old child? Right Ans - No - must be 18 or
older
Can an LPN initiate chemotherapy treatment to a 65 year old patient? Right
Ans - No - LPN cannot initiate chemotherapy or antineoplastic agents
Can an LPN initiate IVPB of antibiotic on a 16 year old patient who has been
diagnosed with a staph infection? Right Ans - No - must be 18 or older
Can an LPN initiate NS on a 21 year old patient? Right Ans - Yes
When can an LPN administer solutions that contain vitamins or electrolytes?
Right Ans - After an RN initiates first solution
Can an LPN administer D2W per a central line? Right Ans - No - not in
specified list of solutions allowed to give
Can an LPN inject heparin or NS to flush an intermittent infusion device or hep
lock? Right Ans - Yes - in scope of practice
Can an LPN place a venous catheter that is 4.5 inches long in hand, forearm, or
antecubital space? Right Ans - No - catheter cannot be longer than 3 inches
Can an LPN change tubing on a central line if solution is TPN? Right Ans -
No - TPN not in scope of practice, may change tubing if solution in scope of
practice
Can an LPN stop a PCA pump or an infusion of blood component when
complication arises? Right Ans - Yes
What is beneficience? Right Ans - doing good for patients
What is veracity? Right Ans - truthfulness
What is justice? Right Ans - obligation to be fair to all people
What is nonmaleficence? Right Ans - doing no harm to patients
, What is fidelity? Right Ans - obligation to be faithful
What is autonomy? Right Ans - right to self-determination; independence
What is a peripheral nerve catheter? Right Ans - A form a pain relief at
surgery site; small plastic catheter placed under the skin where nerves
provide feeling to the area where surgery will be performed
What would you teach your patient about the peripheral nerve catheter?
Right Ans - Can remove bandages and catheter after return of sensation (12
hours), must keep dressing over catheter clean and dry, avoid hot/cold
objects and keep extremity close to body, s/s of infection
If the patient notices the dressing of the peripheral nerve catheter coming off
before sensation returns, what should you instruct them to do? Right Ans -
Reinforce with tape, DO NOT remove the dressing
True or False: the patient should not take a shower or tub bath while the
catheter is in place. Right Ans - True - patient should do a sponge bath
instead
What are the goals of IV therapy? Right Ans - Maintenance, replacement,
restoration of homeostasis
Maintenance therapy Right Ans - provides nutrients that meet the daily
needs of a patient for water, electrolytes, and dextrose
Replacement therapy Right Ans - necessary to take care of fluid,
electrolyte, or blood product deficits of patients in acute distress
Restoration Right Ans - when maintenance and replacement therapy don't
meet the needs of the patient, fluid and electrolyte management is
accomplished through this
What is the preferred antiseptic agent recommended by INS? Right Ans -
Chlorhexidine
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