PN 1006 FINAL EXAM 2024-2025
reposition the patient for at least every 2 hours - ANSWER The nurse is caring for
a patient with a small chronic pressure ulcer on the ankle what can be assigned to
the health care assistant
an elderly patient with mobility issues - ANSWER Which of the following patients
would be at most risk to develop a pressure ulcer?
an elderly patient with mobility issues, a diabetic patient with properly controlled
blood sugars, a patient receiving physiotherapy following knee replacement,
middle-aged woman with lupus who is having back surgery but is ambulatory
full-thickness skin loss from the surface down to the fascia - ANSWER what
assessment data would a nurse see to support the ID of a stage 3 pressure ulcer
malnourished homeless patient with nasogastric tube who is bedridden - ANSWER
The nurse is caring for four patients at risk for impaired skin integrity which patient
need most frequent assessment and possible intervention?
a malnourished, homeless patient with a nasogastric tube who is bedridden, a
college football player with bilateral long leg casts after a motorcycle accident, an
elderly female ambulating after hip replacement surgery, a school-age child
recovering from a tonsillectomy and adenoidectomy
place a piece of different colored tape on each pill bottle to differentiate the
medication - ANSWER an older adult who lives alone takes three different white
flat unscored medication every day. He has trouble remembering if he has taken the
correct pill at the correct time. What Strategy would be best to help this patient
maintain independence and safety in taking his medications?
place a piece of different colored tape on each pill bottle to differentiate the
medication, take the medications out of the bottles and place them in a pill holder,
have a neighbor give the patient his pills once a day, ask the patient how he wants
to identify the medications
, 8 am, 2 pm, 8 pm, and 2 am - ANSWER Which schedule would the nurse select to
achieve a therapeutic level if the medication is prescribed for administration 4
times a day?
8am, 10 am , 2pm, 8pm; 10am,2pm, 6pm, 8pm;10 am,noon, 4pm, 6pm; 8am 2pm
8pm and 2am
clarify the order with the physician who wrote it. - ANSWER the nurse is having
difficulty reading a medication order what action should they take
clarify the administration frequency and whether the medication should be PRN or
standing - ANSWER a prescription reads " aspirin 325 mg 2 tablets orally for pain
"What action should the nurse take when the patient has pain?
record the time administered and the nurse's name immediately after administration
- ANSWER The nurse needs to document a PRN medication that has just been
administered what technique does the nurse use
to inform the nurse of the BM - ANSWER The nurse needs to administer a rectal
suppository to a patient to treat constipation which action may the nurse assign to
the health care assistant?
confirming the medication on the medication administration record, notifying the
patient's physician of the suppository results, documenting the admin of a
suppository after insertion, informing the nurse of the BM
the allergy history - ANSWER the nurse prepares a medication for a patient 1 hour
after admission. What information about the patient is the nurse's priority
assessment before the initial administration of medication?
the diet history, drug tolerance, any allergy history, the surgical history
establish the patient's ability to participate and cooperate - ANSWER The nurse
teaches the patient progressive self-relaxation techniques. Which should the nurse
implement first?
direct the patient to envision sailing on a sailboat, instruct the patient to increase
respiratory rate and depth, establish the patients ability to participate and cooperate,
darken the patients room significantly and close the door
assess for pain anxiety and discomfort - ANSWER the nurse massages the patient
reposition the patient for at least every 2 hours - ANSWER The nurse is caring for
a patient with a small chronic pressure ulcer on the ankle what can be assigned to
the health care assistant
an elderly patient with mobility issues - ANSWER Which of the following patients
would be at most risk to develop a pressure ulcer?
an elderly patient with mobility issues, a diabetic patient with properly controlled
blood sugars, a patient receiving physiotherapy following knee replacement,
middle-aged woman with lupus who is having back surgery but is ambulatory
full-thickness skin loss from the surface down to the fascia - ANSWER what
assessment data would a nurse see to support the ID of a stage 3 pressure ulcer
malnourished homeless patient with nasogastric tube who is bedridden - ANSWER
The nurse is caring for four patients at risk for impaired skin integrity which patient
need most frequent assessment and possible intervention?
a malnourished, homeless patient with a nasogastric tube who is bedridden, a
college football player with bilateral long leg casts after a motorcycle accident, an
elderly female ambulating after hip replacement surgery, a school-age child
recovering from a tonsillectomy and adenoidectomy
place a piece of different colored tape on each pill bottle to differentiate the
medication - ANSWER an older adult who lives alone takes three different white
flat unscored medication every day. He has trouble remembering if he has taken the
correct pill at the correct time. What Strategy would be best to help this patient
maintain independence and safety in taking his medications?
place a piece of different colored tape on each pill bottle to differentiate the
medication, take the medications out of the bottles and place them in a pill holder,
have a neighbor give the patient his pills once a day, ask the patient how he wants
to identify the medications
, 8 am, 2 pm, 8 pm, and 2 am - ANSWER Which schedule would the nurse select to
achieve a therapeutic level if the medication is prescribed for administration 4
times a day?
8am, 10 am , 2pm, 8pm; 10am,2pm, 6pm, 8pm;10 am,noon, 4pm, 6pm; 8am 2pm
8pm and 2am
clarify the order with the physician who wrote it. - ANSWER the nurse is having
difficulty reading a medication order what action should they take
clarify the administration frequency and whether the medication should be PRN or
standing - ANSWER a prescription reads " aspirin 325 mg 2 tablets orally for pain
"What action should the nurse take when the patient has pain?
record the time administered and the nurse's name immediately after administration
- ANSWER The nurse needs to document a PRN medication that has just been
administered what technique does the nurse use
to inform the nurse of the BM - ANSWER The nurse needs to administer a rectal
suppository to a patient to treat constipation which action may the nurse assign to
the health care assistant?
confirming the medication on the medication administration record, notifying the
patient's physician of the suppository results, documenting the admin of a
suppository after insertion, informing the nurse of the BM
the allergy history - ANSWER the nurse prepares a medication for a patient 1 hour
after admission. What information about the patient is the nurse's priority
assessment before the initial administration of medication?
the diet history, drug tolerance, any allergy history, the surgical history
establish the patient's ability to participate and cooperate - ANSWER The nurse
teaches the patient progressive self-relaxation techniques. Which should the nurse
implement first?
direct the patient to envision sailing on a sailboat, instruct the patient to increase
respiratory rate and depth, establish the patients ability to participate and cooperate,
darken the patients room significantly and close the door
assess for pain anxiety and discomfort - ANSWER the nurse massages the patient
