NUR 322 Final Exam Study Guide Questions With
Complete Solutions
3 checks of medication administration Correct Answer 1. check
as you gather the medication (from Pyxis)
2. check before entering the room
3. check at the bedside
- Check the expiration date on the container
- Check the labeling on the container
- Compare MAR with the name of the medication on the
medication label, patient name, and ask for allergies
7 rights of medication Correct Answer 1. The right medication
2. The right dose
3. The right patient
4. The right route
5. The right time
6. The right documentation
7. The right indication
Are there standardized tools that we can use to document the
degree of skin impairment? Why is standardization important?
Correct Answer Standardized Tools for Documentations:
BRADEN SCALE: assesses risk factors for skin integrity (ex:
sensory perception, moisture, activity, etc.)
NORTON SCALE: evaluate current conditions of patients (ex:
physical conditions, mental state, activity, and mobility)
,PRESSURE ULCER SCALE FOR HEALING (PUSH):
quantifies severity of pressure injuries
PHOTOGRAPHIC DOCUMENTATION: visual documentation
of wounds for accurate assessment
Standardization promotes consistency, patient safety, highlights
evidence-based practice, and is efficient
Basic med calculations and conversions Correct Answer
Conversions (Weight)
I kg = 1000 g
1 lb = 453 g
1 oz = 28 g
Conversion (Length)
1 m = 100 cm
1 cm = 10 mm
1 inch = 2.54 cm
Conversion (Volume)
1 L = 1000 mL
1 mL = 1 cubic cm (cc)
1 tsp = 5 mL
1 tbsp = 15 mL
Conversion (Temperature)
C → F: (C x 1.8) + 32
F → C: (F / 1.8) -32
Dosage Calculations
,Dosage = (ordered dose / stock concentration) x volume of stock
IV Flow Rate = (volume to be infused / time in hours)
Best practice for NG tube maintenance, confirming placement,
effective feeding, and medication administration Correct
Answer Preventing Complications:
- Ensure proper placement
- Ensure hygiene and sterility (regular cleaning)
- Keep individual upright or at an angle during and after -
feeding (45 degrees)
Medication Administration:
- LIQUID FORM IS PREFERRED!!
- Easier absorption
- Better absorption
- Reduced risk of tube clogging
Best practices in pain management and standard assessment
tools utilized from a child through adulthood Correct Answer
PQRSTU:
P: palliative or provocative factors
EX: "What makes your pain worse?"
Q: quality;
"Describe your pain to me"
R: relief measures
"What do you take at home to gain pain relief?"
R: region (location)
"Show me where you hurt"
, S: severity
"Can you rate your pain on a scale of 0 - 10?"
T: Timing
"Do you have pain all of the time, at certain times, or on certain
days?"
U: effect of pain
"Describe what you cannot do because of your pain."
Pain may be described on a scale 1-10 or using faces
Best practices regarding indwelling vs straight urinary catheters.
What are some issues that can lead up to needing one of these?
Are they always appropriate or should we consider any risks vs
benefits? Correct Answer INDWELLING CATHETER: stays
inside the bladder for extended periods
Characteristics:
Allows for continuous drainage of urine
Has a balloon to keep it in place
Best Practices
Sterile Techniques (Aseptic Technique)
Regular Assessments
AVOID leaving in longer than needed
Common Issues Leading to Indwelling Catheterization
Urinary retention (inability to empty)
Postoperative
Circtial illness
Incontinence
Complete Solutions
3 checks of medication administration Correct Answer 1. check
as you gather the medication (from Pyxis)
2. check before entering the room
3. check at the bedside
- Check the expiration date on the container
- Check the labeling on the container
- Compare MAR with the name of the medication on the
medication label, patient name, and ask for allergies
7 rights of medication Correct Answer 1. The right medication
2. The right dose
3. The right patient
4. The right route
5. The right time
6. The right documentation
7. The right indication
Are there standardized tools that we can use to document the
degree of skin impairment? Why is standardization important?
Correct Answer Standardized Tools for Documentations:
BRADEN SCALE: assesses risk factors for skin integrity (ex:
sensory perception, moisture, activity, etc.)
NORTON SCALE: evaluate current conditions of patients (ex:
physical conditions, mental state, activity, and mobility)
,PRESSURE ULCER SCALE FOR HEALING (PUSH):
quantifies severity of pressure injuries
PHOTOGRAPHIC DOCUMENTATION: visual documentation
of wounds for accurate assessment
Standardization promotes consistency, patient safety, highlights
evidence-based practice, and is efficient
Basic med calculations and conversions Correct Answer
Conversions (Weight)
I kg = 1000 g
1 lb = 453 g
1 oz = 28 g
Conversion (Length)
1 m = 100 cm
1 cm = 10 mm
1 inch = 2.54 cm
Conversion (Volume)
1 L = 1000 mL
1 mL = 1 cubic cm (cc)
1 tsp = 5 mL
1 tbsp = 15 mL
Conversion (Temperature)
C → F: (C x 1.8) + 32
F → C: (F / 1.8) -32
Dosage Calculations
,Dosage = (ordered dose / stock concentration) x volume of stock
IV Flow Rate = (volume to be infused / time in hours)
Best practice for NG tube maintenance, confirming placement,
effective feeding, and medication administration Correct
Answer Preventing Complications:
- Ensure proper placement
- Ensure hygiene and sterility (regular cleaning)
- Keep individual upright or at an angle during and after -
feeding (45 degrees)
Medication Administration:
- LIQUID FORM IS PREFERRED!!
- Easier absorption
- Better absorption
- Reduced risk of tube clogging
Best practices in pain management and standard assessment
tools utilized from a child through adulthood Correct Answer
PQRSTU:
P: palliative or provocative factors
EX: "What makes your pain worse?"
Q: quality;
"Describe your pain to me"
R: relief measures
"What do you take at home to gain pain relief?"
R: region (location)
"Show me where you hurt"
, S: severity
"Can you rate your pain on a scale of 0 - 10?"
T: Timing
"Do you have pain all of the time, at certain times, or on certain
days?"
U: effect of pain
"Describe what you cannot do because of your pain."
Pain may be described on a scale 1-10 or using faces
Best practices regarding indwelling vs straight urinary catheters.
What are some issues that can lead up to needing one of these?
Are they always appropriate or should we consider any risks vs
benefits? Correct Answer INDWELLING CATHETER: stays
inside the bladder for extended periods
Characteristics:
Allows for continuous drainage of urine
Has a balloon to keep it in place
Best Practices
Sterile Techniques (Aseptic Technique)
Regular Assessments
AVOID leaving in longer than needed
Common Issues Leading to Indwelling Catheterization
Urinary retention (inability to empty)
Postoperative
Circtial illness
Incontinence
