Final Exam Pn 1006 Test Questions
with Correct Verified Solutions.
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 every 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?
use the friction technique over the spine, assess for pain, anxiety and discomfort, instruct the
patient to sit upright and forward , knead the patients scalp with warm lotion - Answer
assess for pain anxiety and discomfort
a patient is receiving as much opioid analgesia as the prescription allows and continues to have
difficulty sleeping at night because of pain. Which should the nurse implement to relieve pain
and improve sleep? encourage controlled breathing, provide a glass of wine at bedtime,
administer more analgesia and inform the physician in the morning, increase fluids and
reposition the patient - Answer encourage controlled breathing
the patient complains of a slight burning- like pain and numbness on the skin under a cold
compress. Which action should the nurse take immediately? reassure the patient that some
numbness is expected, assess the entire patient before continuing the treatment, remove the
compress and assess the affected area, provide a warm blanket for the patients treatment -
Answer remove the compress and assess the affected area
with Correct Verified Solutions.
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 every 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?
use the friction technique over the spine, assess for pain, anxiety and discomfort, instruct the
patient to sit upright and forward , knead the patients scalp with warm lotion - Answer
assess for pain anxiety and discomfort
a patient is receiving as much opioid analgesia as the prescription allows and continues to have
difficulty sleeping at night because of pain. Which should the nurse implement to relieve pain
and improve sleep? encourage controlled breathing, provide a glass of wine at bedtime,
administer more analgesia and inform the physician in the morning, increase fluids and
reposition the patient - Answer encourage controlled breathing
the patient complains of a slight burning- like pain and numbness on the skin under a cold
compress. Which action should the nurse take immediately? reassure the patient that some
numbness is expected, assess the entire patient before continuing the treatment, remove the
compress and assess the affected area, provide a warm blanket for the patients treatment -
Answer remove the compress and assess the affected area
