NUR 108 Final Exam Questions and Answers

NUR 108 Final Exam Questions and Answers NUR104_M8EQ00162 1.25 points possible (graded, results hidden) Which food should the RN include when educating the parents of infants about preventing aspiration? Hot dogs. submitted Cookies. Applesauce. Eggs. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0239 1.25 points possible (graded, results hidden) Which data should be clustered to support the RN’s application of the NANDA-I nursing diagnosis, Risk for injury for an older adult? Select all that apply. Depression. Reduced muscle strength. Slowing of reflexes. Decreased physical stamina. Hearing loss. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0275 1.25 points possible (graded, results hidden) The RN is caring for a patient who is confused and attempting to pull out a urinary drainage catheter and intravenous lines. According to The Joint Commission, what must be considered when implementing restraints for this patient? Family acknowledgment that the use of restraints contributes to safety. Use of less restrictive interventions have not been effective. Restraints can be applied temporarily without a prescription from the primary provider. Reasons for the use of restraints should be clearly documented. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0165 1.25 points possible (graded, results hidden) Which intervention is the priority when the RN discovers a fire in an occupied patient room? Contain the fire. Remove the patient. submitted Call for help. Sound the alarm. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0166 1.25 points possible (graded, results hidden) Which intervention should the RN include when teaching a patient about a transdermal medication? Place the new patch on the same site as the one that was removed. Wash hands after applying the patch. submitted Use areas with thick layers of skin to enhance drug absorption. Position on a flat bony surface. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0167 1.25 points possible (graded, results hidden) During a mass casualty incident, a representative from the media comes to the emergency department requesting information about the victims. Which is an appropriate action for the RN to take? Alert security staff about presence of the media representative on the premises. Suggest the media representative look for updates on the hospital’s webpage. Direct the media representative to the risk management officer. submitted Inform the media representative that this is a violation of HIPAA. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0169 1.25 points possible (graded, results hidden) When resources are scarce during a mass casualty incident, which guiding principle should the RN consider when triage decisions are being made? Do the greatest good for the greatest number of people. Treat people who can assist with care of other victims. Those with the most serious injuries receive care first. submitted Systematically move from one patient to the next. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0170 1.25 points possible (graded, results hidden) When caring for victims of a mass causality incident which cultural considerations should the RN keep in mind? Select all that apply. How to ration care and resources Specific place and time needed for prayer. Timing of funeral services. Rituals for handling the dead. Designating a spokesperson to provide updates. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0250 1.25 points possible (graded, results hidden) The nurse in the emergency department has admitted 5 clients in the last two hours with reports of fever and gastrointestinal distress. Which question is a priority for the nurse to ask each client? “Where were you immediately before you got sick?” submitted “What other health problems do you have?” “Can you write down everything that you ate today?” “Do you live or work near any large power lines?” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0251 1.25 points possible (graded, results hidden) The nurse would obtain information from a material safety data sheet (MSDS) for which situation? A chemical solvent spilled in the hallway. submitted A fall on the floor that had just been washed. An injury with a contaminated needle. A vial of antineoplastic medication broke on the floor. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0252 1.25 points possible (graded, results hidden) Which situation would require the nurse manager of the emergency department manager to conduct a Critical Incident Stress Management (CISM)? Caring for a child who died from severe physical abuse. submitted Responding to a multiple victim bus accident with no fatalities. Performing CPR on an older adult who died. Being required to work for 16 hours without taking a break. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0253 1.25 points possible (graded, results hidden) Which statement made by the parent of an infant indicates to the nurse that more teaching is needed to keep the infant safe? “All the toys are too big to fit in my baby’s mouth.” “The cat loves to sleep on the floor next to the baby.” submitted “All electrical outlets have been covered with safety plugs.” “The pillows have been removed from the crib.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0254 1.25 points possible (graded, results hidden) What precautions should be taken by the family of a toddler when the grandmother with multiple prescription medications comes to visit? Provide a medicine case that locks and place it on a high shelf. submitted Ask the grandmother to keep the medication bottles in her closed purse. Show the medications to the toddler and emphasize not to touch them. Be sure that all the medication bottles have childproof caps. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0255 1.25 points possible (graded, results hidden) Which information would the nurse include in a presentation about community safety for parents of preschoolers? Select all that apply. Say “no” to people whose touching they do not enjoy, including family. Define a stranger as someone that looks and talks in a strange way. Wear a helmet when learning to ride a bicycle. Hold hands with an adult when crossing the street. Not all people are friends. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0256 1.25 points possible (graded, results hidden) During which natural disaster will the RN prepare for high numbers of patients with GI symptoms? Earthquakes Volcanic eruptions Hurricanes submitted Tornadoes You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0171 1.25 points possible (graded, results hidden) During a disaster event, which action is primary when the RN is involved in the decontamination process? Provide masks for all patients and health care workers. Cluster patients with like needs together. Thoroughly wash patients with soap and water. Remove patients’ clothing and jewelry. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0172 1.25 points possible (graded, results hidden) Which may suggest a need for a health care facility to focus on bioterrorism readiness? Increases in population trends within an area. Cluster of patients with unusual symptoms. submitted Media reports of suspicious activity. Internet webpages emphasizing aerosolized chemicals. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0249 1.25 points possible (graded, results hidden) The RN applies the NANDA-I nursing diagnosis Risk for infection. Which laboratory value would need to be monitored? Red blood cells. White blood cells. submitted Platelets. Hemoglobin. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0243 1.25 points possible (graded, results hidden) For a patient with the NANDA-I nursing diagnosis, Impaired skin integrity, which expected patient outcome meets the criteria for being measurable? Utilize appropriate skin ointment when redness occurs. Maintain increased moisture by the next clinic visit. Experience no further skin breakdown by the next clinic visit. submitted Understand the need to apply the dressing daily. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0180 1.25 points possible (graded, results hidden) Which strategy demonstrates a health care agency team has adopted the use of safe medication administration guidelines? Requirement of a two person check for medication administered via gastric tubes. Appearance of “tall man” lettering on the medication administration record (MAR). submitted Provision of one medication cart for each nurse administering medications. Removal of medications that may be crushed from the formulary. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0181 1.25 points possible (graded, results hidden) The health care provider prescribes an intramuscular injection medication for an infant. The RN demonstrates application of standards of practice when the medication is injected into which site? Ventrogluteal Vastus lateralis submitted Deltoid Rectus femoris You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0183 1.25 points possible (graded, results hidden) The medication order reads: amoxicillin 250 mg oral suspension. The pharmacy label reads: How many mL will the RN administer? Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer. [x] mL submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0184 1.25 points possible (graded, results hidden) The medication order reads: furosemide (Lasix) 75 mg IV push. The pharmacy label reads: How many mL will the RN administer? 10 Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer. [x] mL submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0186 1.25 points possible (graded, results hidden) The medication order reads: levothyroxine (Synthroid) 50 mcg. The pharmacy label reads: How many tablets will the RN administer? Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer. 7.5 [x] tablet(s) submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0187 1.25 points possible (graded, results hidden) The order reads: 1,500,000 units penicillin G IV in 100 mL of Normal Saline over 45 minutes. The tubing drop factor reads: 10 drops per mL. At what rate, in drops per minute, will the RN regulate the intravenous solution? Record your answer as a whole number using standard rounding rules. Do not include words or abbreviations in your answer. [x] drops per minute submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0188 1.25 points possible (graded, results hidden) The order reads: 1 liter of Normal Saline to infuse over 8 hours. The tubing drop factor reads: 15 drops per mL. 0.5 22 At what rate, in drops per minute, will the RN regulate the intravenous solution? Record your answer as a whole number using standard rounding rules. Do not include words or abbreviations in your answer. [x] drops per minute submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0244 1.25 points possible (graded, results hidden) The RN is delegating tasks for a patient with Impaired Skin Integrity to the nursing assistive personnel (NAP). Which intervention is included in the instruction for the NAP? Turning and positioning the patient every two hours. submitted Assessing pressure points for erythema every eight hours. Performing a calorie count after each meal. Encouraging intake of oral fluids between meals. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0191 1.25 points possible (graded, results hidden) The RN uses medical asepsis when completing which procedure? Administering medication via gastric tube. Preparing an IV push medication. Inserting a urinary catheter. submitted Providing care for a surgical wound. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. 31 Answer submitted. NUR104_M8EQ0192 1.25 points possible (graded, results hidden) The RN is assessing an open area on the patient’s sacrum and documents “a one-inch shallow ulcer with a pink appearance. No slough is noted.” Which stage is the pressure ulcer? Stage 3 Stage 4 Stage 1 Stage 2 submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0196 1.25 points possible (graded, results hidden) Which intramuscular site is no longer recommended for injection due to the close proximity of the sciatic nerve and superior gluteal artery? Dorsogluteal submitted Vastus lateralis Deltoid Ventrogluteal You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0197 1.25 points possible (graded, results hidden) Which action must be corrected when an RN evaluates the administration of an intradermal injection administered by a nursing student? Inserting the needle at a 10° angle. Applying pressure at the site following injection. Pulling the patient’s forearm skin toward the wrist. Failing to aspirate prior to injecting the medication. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0198 1.25 points possible (graded, results hidden) Guidelines used by nurses for storage, handling, and disposal of controlled substances are regulated by which organization? Drug Enforcement Agency submitted American Nurses Association State Boards of Nursing Food and Drug Administration You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0200 1.25 points possible (graded, results hidden) The parent of an 18-month-old asks the RN when a visit should be scheduled with the dentist. Which instruction should be provided? When all deciduous teeth have erupted. Once the first deciduous tooth erupts. submitted When the first permanent tooth has erupted. Before any deciduous teeth erupt. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0202 1.25 points possible (graded, results hidden) When repositioning a patient in bed, which intervention demonstrates best practice by the RN? Uses a draw sheet when moving the patient up in the bed. submitted Elevates the head of the bed to forty-five degrees. Slides the patient up in the bed with the assistance of another person. Places a donut type device under the patient’s heels. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0245 1.25 points possible (graded, results hidden) Which action demonstrates the RN complies with infection prevention practices? Avoiding placing papers or equipment on the patient’s bed. submitted Wearing a lab coat over a uniform. Using alcohol based hand gel after using the restroom. Keeping finger nail tip length to less than one half of an inch long. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0205 1.25 points possible (graded, results hidden) Which element should the RN recognize as a secondary defense against infection? Low-grade fever submitted Normal flora Coughing and sneezing Intact skin. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0246 1.25 points possible (graded, results hidden) Which intervention should the RN implement to secure a dressing when the patient is profusely diaphoretic? Instruct the patient to call if the dressing becomes loose. Use a polymer skin barrier to aid in adhesion. submitted Secure the dressing by taping perpendicular to the incision. Apply rubbing alcohol to the area where the dressing needs to be secured. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0208 1.25 points possible (graded, results hidden) Which factor noted in a patient’s health history would the RN Interpret as increasing a patient’s risk for adverse drug reactions? Receiving treatment from two providers. submitted Noticeable increase in muscle tone. Family member who assists with drug administration. Frequent reports of nausea. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0209 1.25 points possible (graded, results hidden) The RN should implement droplet precautions for which patient? The patient with Haemophilus influenzae. submitted The patient diagnosed with a viral illness that is coughing and sneezing. The patient diagnosed with varicella (chickenpox). The patient with dehydration due to excessive vomiting and diarrhea. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0210 1.25 points possible (graded, results hidden) Which intervention demonstrates application of standards of practice when the RN administers a dose of enoxaparin (Lovenox)? Massage the area after administering the medication. Leave the air bubble in the syringe before the giving the injection. submitted Aspirate for a blood return prior to injecting the medication. Roll the vial before drawing up the medication. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0211 1.25 points possible (graded, results hidden) Which members of the interdisciplinary team would be appropriate for the RN include when planning care for a patient with limited mobility who has a non-healing pressure ulcer? Select all that apply. Respiratory therapist Wound/ostomy nurse Physical therapist Social worker Registered dietician submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0213 1.25 points possible (graded, results hidden) Which interventions should the RN implement to administer an ophthalmic medication to a child who will not open the eyes? Select all that apply. Try distracting the child by turning on the television. Ask a family member to help with gaining the child’s cooperation. Tell the child the procedure won’t be unpleasant. Offer an age appropriate reward if the child cooperates. Entice the child to cooperate by threatening to spank them. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0215 1.25 points possible (graded, results hidden) Which methods can the RN utilize when a patient gags and states “That medication tastes awful. How am I supposed to be able to take it?” when an oral solution is prescribed? Select all that apply. Store in the refrigerator unless contraindicated. Tell the patient to swallow the medication quickly. Have the patient suck on ice chips prior to taking the medication. Offer oral hygiene immediately after giving the medication. Mix the medication in a favorite food to mask the flavor. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0216 1.25 points possible (graded, results hidden) The RN at a mass casualty incident is triaging patients by implementing the North Atlantic Treaty Organization (NATO) triage system. Which patient situation would the RN triage as a Priority 1, color red? Third degree burns covering 65% of body surface area. submitted A maxillofacial wound that does not compromise the airway. Multiple small lacerations with slow but significant bleeding. Open fracture of the right femur and a hemothorax. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0217 1.25 points possible (graded, results hidden) The school health nurse is planning a presentation on safety for adolescents. Which topic should be the major focus of the presentation? Homicide Motor vehicle accidents submitted Sports injuries Suicide You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0220 1.25 points possible (graded, results hidden) The RN reviews the patient record and notes which factor poses the greatest risk for developing a pressure ulcer? Skin is occasionally moist. Immobility. submitted Sensory perception is slightly limited. Walks occasionally for short distances. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0222 1.25 points possible (graded, results hidden) A postsurgical patient reports a “sudden feeling of warmth, pain, wetness, and release under the wound dressing.” The RN removes the dressing and notes an open wound with protruding viscera. Which intervention is a priority for this patient? Place in low fowler's position and cover the wound with a sterile moist dressing. submitted Replace the same dressing and contact the surgeon. Sit the patient in an upright position and splint the wound. Assess the vital signs and administer pain medication as prescribed. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0223 1.25 points possible (graded, results hidden) Which nursing intervention protects patients from infection at the portal of entry portion of the chain of infection? Wearing clean gloves when handling a patient’s bed pan. Enclosing a urine specimen in a bio-hazardous transport bag. Washing the hands after removing soiled gloves. submitted Using sterile technique when administering an intramuscular injection. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0224 1.25 points possible (graded, results hidden) When should the RN perform medication reconciliation? Select all that apply. At the time of admission to the hospital. At the end of each nursing shift. Pending discharge from the hospital. With each visit to the primary care provider. When transferred from the post-surgery area. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0225 1.25 points possible (graded, results hidden) Which needle length should the RN use to administer a medication into the ventrogluteal muscle for an adult patient? 1 ½ inch submitted 1 inch ⅝ inch ½ inch You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0226 1.25 points possible (graded, results hidden) Which barriers to medication adherence should the RN assess for the older adult? Select all that apply. Decreased dexterity. Altered body fluid balance. Diminished liver function. Visual disturbances. Impaired memory. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0227 1.25 points possible (graded, results hidden) The RN is preparing to administer a tablet to a patient. When should the RN remove the tablet from the unit dose packaging? In the medication room. Outside the door to the patient’s room. At the patient’s bedside. submitted At the medication cart. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0257 1.25 points possible (graded, results hidden) Which intervention demonstrates cultural awareness by the RN when teaching patients about their medications? Teaching the patient or close family member to check for any side effects that could occur. submitted Assuming prolonged eye contact is viewed as an action of anger toward the speaker. Recognizing genetics can alter medication metabolism. Advising patients to contact drug manufacturers directly for specific questions related to ethnic variations. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0229 1.25 points possible (graded, results hidden) Which medication order would require the RN to collaborate with the health care provider who wrote the prescription? Nitrostat 0.3 mg sublingual for reports of chest pain may repeat every 5 minutes x 3. Labatelol 5 mg q6h for systolic over 90 mm Hg. submitted Humulin NPH 9 U sc at breakfast. Lasix 60 mg IV Push daily at 6 am. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0230 1.25 points possible (graded, results hidden) The RN is reviewing instructions about medication administration with the parents of a fouryear- old. Which statement made by a parent would require additional instruction by the RN? “I praise my child when he swallows his medicine.” “I mix the medicine in with my child’s milk or juice.” submitted “I like to give my child an ice pop before the medication.” “I tell my child if the medication has a bad taste.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0231 1.25 points possible (graded, results hidden) Which nursing diagnosis should the RN implement for the patient with a medical diagnosis that requires airborne precautions? Risk for infection Imbalanced nutrition Impaired mobility Social isolation submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0248 1.25 points possible (graded, results hidden) The nursing assistive personnel (NAP) working with the RN wears gloves for all patient contact. Which statement is correct for the RN to make? "Gloves can be worn for more than one patient if washed in between.” "Gloves are not a substitute for proper hand washing." submitted “Gloves are impenetrable from needles and other sharps." "Gloves should be worn whenever in a patient’s room." You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0234 1.25 points possible (graded, results hidden) The medication order reads: dorzolamide (Trusopt) 2 drops twice daily in each eye. Which intervention should the RN implement when administering this medication? Ask the patient to blink quickly after the instillation. submitted Position the container so the drop falls directly on the cornea. Wait 15 seconds before instilling the second drop. Apply gentle pressure over inner canthus after instillation. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0235 1.25 points possible (graded, results hidden) After the administration of a second dose of a medication the patient develops pruritus, urticaria, and rhinitis. Which reaction should the RN conclude that the patient is experiencing? Anaphylactic. Toxic. Allergic. submitted Idiosyncratic. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0236 1.25 points possible (graded, results hidden) Which nursing diagnosis is a priority for a patient that makes the statement “I just do not know why I am taking all of these pills”? Ineffective health maintenance Noncompliance submitted Deficient knowledge Risk for injury You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0237 1.25 points possible (graded, results hidden) A patient has a sputum culture that is positive for Mycobacterium tuberculosis. Which intervention should the RN implement first? Ensure that the patient is in a negative pressure room. submitted Notify the patient’s family of the diagnosis. Report the culture result to the Centers for Disease Control and Prevention. Make a sign that reads “TB” for the door of the patient’s room. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0238 1.25 points possible (graded, results hidden) When mixing two kinds of insulin, which insulin should the RN draw up first into the syringe? Regular submitted NPH Lente Lantus You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0258 1.25 points possible (graded, results hidden) When administering medications, the RN finds an order for insulin that seems high. What action should the RN take? Verify the order with another nurse. Verify the order with the pharmacist. Verify the order with the physician/provider. submitted Verify the order with the nursing supervisor. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0259 1.25 points possible (graded, results hidden) The RN observes a LPN/LVN administer an IM injection with a volume of 1.5 mL into a client’s deltoid muscle. What is the priority action for the RN? Educate the LPN/LVN about the volume of medication that can be injected into the deltoid. submitted Contact the physician and the nursing supervisor. No action is required, this is acceptable practice. Assess the client and complete an occurrence report. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0260 1.25 points possible (graded, results hidden) What action should the RN take when edema and redness are noted at the IV site during administration of an intravenous medication? Stop the medication infusion and remove the catheter. submitted Place a cool pack on the site during the infusion. Decrease the rate of the infusion. Flush the IV site and continue to observe. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0261 1.25 points possible (graded, results hidden) What is the most important consideration for the RN when administering medication using an IV piggyback setup? Ensuring the secondary bag is thoroughly mixed. The rate of the infusion. Adverse effects of the medication. submitted Compatibility with the primary fluid. You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0262 1.25 points possible (graded, results hidden) The medication order reads: Morphine Sulfate 9 mg intravenous push (IVP) diluted with 4 mL of Normal Saline administered over 5 minutes every 4 hours as needed. The pharmacy label reads: What is the total volume in the syringe to be administered? Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer. [x] mL submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0263 1.25 points possible (graded, results hidden) 5.8 The medication order reads: atropine sulfate 0.4 mg intravenously. The pharmacy label reads: How many mL will the RN administer? Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer. [x] mL submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0264 1.25 points possible (graded, results hidden) What are the appropriate actions for the RN to take after a medication was administered in error? Select all that apply. Document the medication that was given. Assess the patient’s condition. Notify the physician/provider. Notify the pharmacy of the error. Complete an incident report. 1 submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0265 1.25 points possible (graded, results hidden) The medication order reads: acetaminophen 50 mg by mouth. The pharmacy label reads: acetaminophen 125 mg/5mL. How many mL will the RN administer? Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer. [x] mL submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0266 1.25 points possible (graded, results hidden) The physician/provider orders one liter of dextrose 5% / 0.45% normal saline to infuse at 75 mL/hr. The intravenous tubing drop factor reads 10 drops per mL. At what rate, in drops per minute, will the RN regulate the intravenous solution? 2 Record your answer as a whole number using standard rounding rules. Do not include words or abbreviations in your answer. [x] drops per minute submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0267 1.25 points possible (graded, results hidden) The physician/provider orders an IV antibiotic of cefazolin 500 mg in 50 mL of normal saline to infuse over 20 minutes. The intravenous tubing drop factor reads 15 drops per mL. At what rate, in drops per minute, will the RN regulate the intravenous solution? Record your answer as a whole number using standard rounding rules. Do not include words or abbreviations in your answer. [x] drops per minute. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0268 1.25 points possible (graded, results hidden) 13 38 Which statement by the student nurse reflect an understanding of the correct procedure for patient identification prior to medication administration? “I tell the patient to nod if I have said their name correctly, and verify their birthdate on the ID band.” “I ask the client’s name if we have not previously met, and double check the room number.” “I ask the client to state their name, and also verify the medical record number on the ID band.”” submitted “I scan the bar code on the ID band instead of asking the patient to say their name and room number.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0276 1.25 points possible (graded, results hidden) Which statement by the new RN nurse indicates additional teaching is necessary regarding The Joint Commission National Patient Safety Goals for medication reconciliation? “I give the client a list of all medications taken before admission as part of the discharge process.” submitted “I expect that routine medications are usually continued while the client is in the hospital.” “I ask the client and family to list all medications the client is taking at home during the admission assessment.” “I teach the patient to share the discharge medication list with the primary care provider.” You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0270 1.25 points possible (graded, results hidden) Which routes would the RN use when administering parenteral medications? Select all that apply. Subcutaneous Intravenous Transdermal Buccal Intramuscular submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0271 1.25 points possible (graded, results hidden) The RN is preparing to teach a patient about discharge medications. Which statement by the RN indicates additional teaching is needed? “I need to ask questions to determine what the learner’s needs are.” “I encourage questions throughout the entire teaching session.” “The patient’s ethnicity does not impact their learning needs.” “I encourage the patient to manage the medications independently.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0272 1.25 points possible (graded, results hidden) The RN knows medication reconciliation is not required during which transition point in health care? Intra-hospital transfer Change in staff assignment submitted Hospital discharge Hospital admission You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0273 1.25 points possible (graded, results hidden) The medication order reads: alprazolam (Xanax) 0.5mg orally. The pharmacy label reads: How many tablets will the RN administer? Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer. [x] tablets submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0274 1.25 points possible (graded, results hidden) The medication order reads: amoxicillin 75 mg orally. 2 The pharmacy label reads: How many mL will the RN administer? Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer. [x] mL submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. NUR104_M8EQ0179 1.25 points possible (graded, results hidden) Which equipment must the RN use when providing direct care to a client on contact precautions? Select all that apply. Eye goggles Clean gloves N-95 respirator mask Isolation gown Shoe coverings submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 3