PN 1006 FINAL EXAM QUESTIONS AND CORRECT
ANSWERS LATEST UPDATED
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 - ANSWER reposition the
patient at least eveey 2 hours
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 - ANSWER an elderly patient with mobility issues
what assessment data would a nurse see to support the ID of a stage 3 pressure
ulcer - ANSWER full thickness skin loss from the surface down to the fascia
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 nasogastric tube who is bed ridden, a
college football player with bilateral long leg casts after motorcycle accident, an
elderly female ambulating after hip replacement surgery, a school age child
recovering from a tonsillectomy and adenoidectomy - ANSWER malnourished
homeless patient with nasogastric tube who is bedridden
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 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 th 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 - ANSWER place a piece of different
coloured tape on each pill bottle to differentiate the medication
, which schedule would the nurse select to achieve a therapeutic level if the
medication 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 - ANSWER 8 am, 2pm, 8pm, and 2am
the nurse is having difficulty reading a medication order what action should
they take - ANSWER clarify the order with the physician who wrote it.
a prescription reads " aspirin 325 mg 2 tablets orally for pain " what action
should the nurse take when the patient has pain ? - ANSWER clarify the
administration frequency whether the medication should be PRN or standing
The nurse needs to document a PRN medication that has just been administered
what technique does the nurse use - ANSWER record the time administered
and the nurses name immediately after administration
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 patients physician of the suppository results, documenting the admin of a
suppository after insertion, informing the nurse of the BM - ANSWER
informing the nurse of the BM
the nurse prepares a medication for a patient 1 hour after admission. What
information about the patient is the nurses priority assessment before the initial
administration of medication?
the diet history, any drug tolerance, any allergy history , the surgical history -
ANSWER the allergy history
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 -
ANSWER establish the patients ability to participate and cooperate
the nurse massages the patient to promote relaxation. Which is suitable
intervention for the patient to implement during the massage?
ANSWERS LATEST UPDATED
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 - ANSWER reposition the
patient at least eveey 2 hours
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 - ANSWER an elderly patient with mobility issues
what assessment data would a nurse see to support the ID of a stage 3 pressure
ulcer - ANSWER full thickness skin loss from the surface down to the fascia
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 nasogastric tube who is bed ridden, a
college football player with bilateral long leg casts after motorcycle accident, an
elderly female ambulating after hip replacement surgery, a school age child
recovering from a tonsillectomy and adenoidectomy - ANSWER malnourished
homeless patient with nasogastric tube who is bedridden
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 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 th 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 - ANSWER place a piece of different
coloured tape on each pill bottle to differentiate the medication
, which schedule would the nurse select to achieve a therapeutic level if the
medication 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 - ANSWER 8 am, 2pm, 8pm, and 2am
the nurse is having difficulty reading a medication order what action should
they take - ANSWER clarify the order with the physician who wrote it.
a prescription reads " aspirin 325 mg 2 tablets orally for pain " what action
should the nurse take when the patient has pain ? - ANSWER clarify the
administration frequency whether the medication should be PRN or standing
The nurse needs to document a PRN medication that has just been administered
what technique does the nurse use - ANSWER record the time administered
and the nurses name immediately after administration
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 patients physician of the suppository results, documenting the admin of a
suppository after insertion, informing the nurse of the BM - ANSWER
informing the nurse of the BM
the nurse prepares a medication for a patient 1 hour after admission. What
information about the patient is the nurses priority assessment before the initial
administration of medication?
the diet history, any drug tolerance, any allergy history , the surgical history -
ANSWER the allergy history
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 -
ANSWER establish the patients ability to participate and cooperate
the nurse massages the patient to promote relaxation. Which is suitable
intervention for the patient to implement during the massage?
