PN 3006 Exam Solved Questions
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1. Where do you find an adult apical pulse? - ANSWER
rib mid clavicular
Left 5th intercostal
2. A patient initially weighs 200 lbs, but on the 2nd day of admission the
pati...
1. Where do you find an adult apical pulse? - ANSWER Left 5th intercostal
rib mid clavicular
2. A patient initially weighs 200 lbs, but on the 2nd day of admission the
patient weighed 209 lbs, what should the nurse evaluate the patient for? -
ANSWER Fluid retention
3. In preparation for a rectal exam of non ambulatory patient w/ arthritis in
both hips, patient exam in which position? - ANSWER Sims position
4. Subjective data - ANSWER feelings, perceptions, reported symptoms
5. After assessing the patient and using 2 ID needed to provide headache
relief the nurse gives tylenol. What do you do after? - ANSWER
reassess again after 30 mins
6. Patient with high dose of opioid medication for severe pain, which
assessment finding do you find due to opioid toxicity - ANSWER
respiratory depression
,7. Nurse caring for patientt with peripheral IV being used intermittently for
medications but not continuous infusion, what does that mean?what
should the nurse do for cleaning this? - ANSWER Flush with 0.9 saline
and lock it
8. The nurse completed a head to toe ax on patient. Which clinical sign does
the nurse find? - ANSWER Bilateral crackles
9. The nurse instruct the patient to void or empty the urinary drainage
collection container before administering a blood transfusion. T/F -
ANSWER True, due to fluid overload
10. A piggyback IV med, should it be hung above or below the primary IV bag?
- ANSWER should be hung above the primary IV bag, not below
11. what does it indicate if your IV site is swollen and pale? - ANSWER
fluid may have leaked into the interstitial space
12. Patient is day one post op, is serosangeounous drainage is abnormal? -
ANSWER no it is normal
13.Wound is tunneling and wound bed is not visible. Can the LPN care for this?
- ANSWER No, not in LPN scope
14.What is the correct way to do abdomen ax? - ANSWER inspect,
auscultate, palpate
, 15. What is the LPN going to prime the blood line with? - ANSWER 0.9
saline
16. Erythema along the vein line where there is an IV. What is it called? -
ANSWER Phlebitis
17. A nurse does water ax before administering IV, is bilateral crackles a
precaution? - ANSWER Yes, fluid in lungs
Pack of red blood cells have been administered after 4 hours it is not done, what
do u do? - ANSWER Discard transfusion
4th day post op, surgical incision will be slightly reddened and swollen, without
any drainage, is this abnormal or normal? - ANSWER normal
Z track technique for IM, must pull skin laterally before inserting the needle? -
ANSWER true
Peripheral vascular disease, for this you are going to ax pulses bilateral to legs -
ANSWER true
If anyone had a bolus amount of meds - ANSWER Ax respiration distress
Smoking increases the risk for infection due to affecting the cilia lining of upper
air way. T/F - ANSWER True
, Infusion. - ANSWER Apply pressure
Child is not cooperating with irrigation of wound. How would the nurse
communicate with the child? - ANSWER Use a doll how to irrigate wound
instead of describing it to them
What is the best nursing intervention related long term outcome? - ANSWER
providing well balance diet protein
When the nurse is ax a wound after removing dressing, what does the nurse
implement to reduce infection? - ANSWER Remove dirty gloves and dawn
new gloves
When ur using a glass ampule, what needle do you use? - ANSWER Filter
needle
A nurses ax indicates that incision is red and purulent drainage, tenderness at
site, temperature = 38.1, WBC is elevated - ANSWER Infection, contact
patients status to physician
A male patient, 5'10 and weighs 155 lbs, needs 2.2 mL IM of oil based
medication, which needle/syringe should the nurse use to administer injection? -
ANSWER 23 gauge, 1 inch, 3 mL syringe
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