When prioritizing problems, what should always come first?
When asking your charge nurse for input on a patient, she replies that �you should do whatever you feel is right�. What style of leadership does your charge nurse have?
If a patient is not able to move independently, how often will their position need to be changed?
Every two hours
A pressure ulcer has that has full-thickness skin loss involving the subcutaneous tissue is which stage pressure ulcer?
Which respirations are those that are fast and deep?
Which is not considered a sign or symptom of dehydration?
A patient has been diagnosed with hypokalemia. As a nurse, you know that this means there are low levels of what?
Normal ph is?
Your patient has had a urine output over the last 24 hours of less than 100ml. Your patient is experiencing which condition?
During the Crimean War, which woman asked the Secretary of War to allow her to train women to care for the sick and the wounded?
A patient states that he is nauseated and dizzy. What kind of information is this?
What are accurate statements about aspects of the nursing process?
Interview allows rapport, physical exam allows for objective data, chart review is performed during the assessment step
A clinical nurse is documenting in a patient chart about the pain that brought the patient in to seek medical attention. Which of the following is the best description?
Periumbilical sharp pain at level of 7 or 8
A nurse is assessing a surgical patient admitted a few hours ago, and a main concern is internal hemorrhage. The clinical signs that indicate this problem are
Restlessness, rising pulse, and falling BP
Which of the following are characteristics of effective communication?
Using eye contact, obtaining feedback about directions given, using concise statements when giving information
A patient has just had a liver biopsy. What position should the nurse place him in for 2 hours after procedure?
The patient needs diet counseling to prevent further constipation. You would explain that he should
Increase the amount of fluid daily and increase vegetable, fruit, and whole grain intake
When using the leg for an intramuscular injection, the area landmarks include
A hand�s breadth below the end of the greater trochanter
One patient has been receiving an antibiotic for several days. You would evaluate its effectiveness by
checking the vital signs trends, looking for decreased WBCs, checking the culture and sensitivity report for the drug�s ability to the organism
The difference between a medical diagnosis and a nursing diagnosis is that a nursing diagnosis
defines the patient�s response to illness
Which of the following are electrolyes in the body
Mg, K, Cl
Cindy Lou comes into the ER with her 6 children. She has no money and cannot pay for ER services. She complains of a stomachache and one of her children says �Mommy has been throwing up all night. She eats pills that look like my sidewalk chalk.� After blood is drawn, you notice that the serum pH is 8.25. Which acid-base balance issue is she most likely having?
Which of the following are on a patient�s face sheet?
Next of kin, Admitting physician, religious preference
The first signs of hypoxia include
Increasing respiratory rate and increasing restlessness
How much urine should be outputted each hour reflecting adequate kidney perfusion?
Dr. Bob orders a full lab report consisting of CBC, CMP, TSH, Free T4, Hemoglobin A1C, and urine drug screen. After reading the lab results, you notice that there is bilirubin in the urine. What does this result most likely suggest?
Meds ending in �azepam are used to treat?
Anxiety related issues
Jenny comes in for her routine medication A injection. She weighs 150 pounds. If medication A is to be administered based on her weight in kilograms, which of the following would equal her weight in kilograms.
68.2 kg, 68200 mg, 68200000 mcg
Which of the following medications would eb appropriate for you as a first year LPN student to administer?
Heparin sub cu, Varicella IM, Regular insulin
Which of the following are common parasitic worms in intestines?
Tapeworm, pinworm, roundworm
The amount of weight exerted by traction is determined by
the amount of weight placed on traction ropes
A 24-hour urine specimen is ordered for a patient. The UAP discards some of the urine that should have been saved. Which is the most appropriate nursing action?
Notify the RN about the incident and restart the test
Heat is helpful in healing a wound because it
causes vasodilation bringing oxygen and nutrients to the injury
Dietary recommendations for the elderly include
Between 50 and 63 g/day of protein
An important nursing responsibility when caring for a patient with a central line is to
Flush the line according to agency policy
A patient has food poisoning and has been vomiting frequently for the past 8 hours. If this continues, he will develop
The nurse teaches a patient who will receive TPN at home to report symptoms of excessive thirst, voiding, and hunger to the health care provider. These symptoms are indicative of what complication of TPN?
When caring for a patient who has just undergone a liver biopsy, you must
Keep the patient positioned on the right side for 2 hours
The nurse needs to establish a peripheral IV access on an adult trauma patient. Which catheter is the best choice?
Medications that work by increasing acetylcholine in the cerebral cortex may produce
Improved memory, alertness and more social engagement
What are the main electrolytes in the body?
Potassium, Sodium, Magnesium, Phosphate, Calcium
When a patient has poor circulation in lower extremities, how would you assess this?
Check patient�s pedal pulses
A patient has an order for an iron injection that is to be given using the Z-track technique. What is the reason for using this technique?
Avoid medication irritation
The nurse is assigned to a patient who is comatose. The best approach when caring for this patient is to
Explain the care being given and what is going on in the world
A patient has just had a leg cast with plaster of paris. What action should the nurse implement to reduce the risk of edema?
Elevate the leg on one to two pillows
A stage III pressure is indicated by which of the following findings? Select all
Full-thickness skin loss, drainage from the ulcer, damaged subcutaneous tissue
Which patient is most at risk for a pressure ulcer?
A 54 year old overweight man who is unconscious from a stroke, has a catheter in place, and has been incontinent of liquid stool since a feeding tube was places
What are the five rights of medication administration?
Patient, time, route, dose, drug
A patient has a sublingual medication order. Where should the patient put this medication?
Under the tongue
What function does the cilia perform for the respiratory system?
Helps move mucus and debris from the lungs
What are the routes for parenteral injections?
ID, Subq, IM, IV
When mixing insulin, which one do you withdraw first into the syringe?
How many different sites are there to locate a patient�s pulse?
What are the fat-soluble vitamins that may cause toxicity in the body?
Patients with obstructive lung disease should be placed on what liter of Oxygen?
The dr orders Lanoxin 125 mcg q day. The pharmacy sends 500 mcg per 2 ml. How many nl will the nurse administer?
How much further do you insert a catheter after urine flows?
With signs of infection there may be an increase in