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ANSWERS
You are ordered to give digoxin (Lanoxin). Your patients
vital signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2
Sat 100% on room air. What should you do NEXT?
Correct Answer Hold digoxin (Lanoxin) and call the
provider
Upon entry to your patient's room, you find her sitting in
High Fowler's position and complaining of shortness of
breath. Her respiratory rate is 34 breaths/min and O2 sat
is 84%. Which mode of oxygen delivery would MOST
likely reverse these symptoms? Correct Answer Non-
rebreather mask
Your patient is on contact precautions for active MRSA.
What proper PPE should you use before entering the
room? Correct Answer Gown and gloves
Your patient recently had a G-tube placed and intermittent
enteral feedings have been initiated. What symptoms may
indicate intolerance to the feedings? Correct Answer
Vomiting and diarrhea
,Upon entering your patient's room, you note that they are
having a seizure. What is your FIRST action? Correct
Answer Position the patient on their side to maintain the
airway.
Your 18-year-old female patient was admitted with
dehydration secondary to anorexia nervosa. During your
assessment you note she has a flat affect and says, "I just
want to die. I'm tired of my life." What should be your
FIRST intervention? Correct Answer Stay with the patient
and ask fi she has a plan to carry out this wish.
Your patient has a non-productive cough and presence of
secretions in his tracheostomy. Prior to suctioning the
patient, what should you do FIRST? Correct Answer
Hyperoxygenate patient.
Your patient takes 5 mg of warfarn (Coumadin/Jantoven)
daily and reports having black colored stool today. What
do you most likely suspect? Correct Answer
Gastrointestinal bleeding
Your new patient was admitted with blunt force trauma to
the abdomen following a motor vehicle accident (MVA). A
NG tube is in place for decompression; however, you note
during the assessment that the stomach is rigid and hard
during palpation. What condition do you suspect? Correct
Answer Hemorrhage
, Which of the following nursing diagnoses is MOST
important for a patient with chronic obstructive pulmonary
disease (COPD)? Correct Answer Impaired gas exchange
You have a patient going for dialysis. Their medications
include lisinopril (Prinivil), ondansetron (Zofran),
famotidine (Pepcid), and atorvastatin (Lipitor). Which
medication would you possibly hold and seek clarification?
Correct Answer famotidine (Pepcid)
What is an early symptom that the patient is developing a
complication of heart failure? Correct Answer Edema in
the legs and feet
Black and tarry colored stools are CLASSIC symptoms of
what condition? Correct Answer Bleeding gastric ulcer
You have 4 patients who have high priority needs. One
needs to go to surgery, one needs STAT lab draws from a
PICC line, another has chest pain rated 8/10, and another
needs toileting. Which patient should you tend to FIRST?
Correct Answer The patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and
a distended abdomen. What procedure would you
anticipate being performed by the provider at the bedside
for this patient? Correct Answer Paracentesis
What is clubbing of the fingers MOST likely associated
with? Correct Answer Chronic oxygen deficiency