TEST PAPER WITH CORRECT ANSWERS
GRADED A+
⩥ You are caring for a confused patient with edema who has large
swollen wrist. You find that someone has taped their ID bracelet to the
side of the bed. How should you secure their ID bracelet? Answer: Place
a new ID bracelet on the patient's wrist while confirming perfusion to
the hand
⩥ You are caring for a patient with diabetic ketoacidosis with suspected
sepsis. You have the following tasks to complete: Draw blood cultures,
check blood glucose, administer antibiotic, insert urinary catheter, and
check urine for glucose. Which task should you complete FIRST?
Answer: Draw blood culture
⩥ A code is initiated and the second nurse is observed not following
ACLS protocol. What is the BEST action to take? Answer: Stop the
nurse immediately and institute ACLS protocol
⩥ During the first hour of tPA infusion, how frequently should you
monitor blood pressure? Answer: Every 15 minutes
, ⩥ Which of the following is a priority for the bedside nurse when a
patient gets inpatient hemodialysis? Answer: Maintaining adequate
blood pressure
⩥ What MUST you confirm before removing a cervical spine collar?
Answer: Presence of active order to remove
⩥ Which of the following signs or symptoms indicates a patient might
not be tolerating the extubation? Answer: The patient is coughing and
has tachycardia
⩥ Which age group is MORE likely to experience a "Blown" vein
Answer: Older adults
⩥ What acid/base imbalance is MOST likely to be found in a patient
with COPD Answer: Respiratory acidosis
⩥ Which of the following should you do if your patient suddenly
becomes diaphoretic, anxious, tachycardic, and has clammy skin?
Answer: Check their glucose
⩥ What information is MOST important for you to confirm in smart IV
pump settings? Answer: Weight