Xavier ABSN fundamentals Final 202
What is important to remember when using medications from a glass ample? -
CORRECT ANSWER-The ample must be cleaned with an alcohol swab be broken at
the neck with a dry sterile gauze. The fluid should be aspirated into a syringe using a
filter needle.
What is PVR and what does it mean? - CORRECT ANSWER-Post void residual, which
is urine remaining in the bladder following voiding. The normal range is 50-100mL
What size syringe would a nurse need for a SQ injection? - CORRECT ANSWER-
Generally a 1-2mL syringe is needed, but may differ based on medication.
What size dose of medications is generally administered in a SQ injection? - CORRECT
ANSWER-Only small doses (0.5-1 ML) medication, but check agency protocol.
What is the first thing the nurse does before administering medications through a port? -
CORRECT ANSWER-Change the catheter cap as indicated by agency protocol. Always
flush the catheter before to check patency of IV.
What do you do with blood products? - CORRECT ANSWER-1. check with the primary
care providers order
2. check the requisition form and the blood bag label (check all client information)
3. verify information with another nurse before beginning transfusion
4. make sure blood is left at room temperature for no more than 30 minutes
What instructions should the nurse give a client about collecting a stool specimen? -
CORRECT ANSWER-1. defecate in a clean bedpan
2. try not to contaminate with urine or menstrual discharge
3. do not place toilet tissue in the bedpan after defecating
4. notify nurse immediate after defecating
What medications cause urinary retention? - CORRECT ANSWER-anticholinergic,
antidepressants, antihistamine, antihypertensives, antiparkisonism, beta-adrenergic
blockers, opioids
Why do people not get treated when they have an STI? - CORRECT ANSWER-STI's
elect feelings of guilt, shame, and fear.
What are methods of preventing STI's? - CORRECT ANSWER-Limit the number of
sexual partners, abstinence, condoms, talk with partner about "safer sex"
, How would a nurse test plantar (Babinski) reflex? - CORRECT ANSWER-use a
moderately sharp object and stroke the lateral border starting at the heel continuing to
the ball of the foot, across the ball toward the big toe.
What does a mental status assessment reveal? - CORRECT ANSWER-The clients
general cerebral function, these functions include intellectual (cognitive) and emotional
(affective), assessment includes language, orientation, memory and attention span
Cranial nerve #9 (IX)? - CORRECT ANSWER-Glossopharyngeal: motor and sensory
type, swallowing ability, taste, tongue movement
Cranial nerve #10 (X) ? - CORRECT ANSWER-vagus
sensory: taste
motor: salivary glands, swallowing, voice muscles, autonomic fibers to many abdominal
organs such as heart, lungs, liver, stomach, intestines, etc
Cranial nerve #11 (XI)? - CORRECT ANSWER-accessory: motor type, head movement
and shrugging shoulders
Cranial nerve #12 (XII)? - CORRECT ANSWER-hypoglossal: motor type, protusion of
tongue, moves tongue up and down/side to side.
What medications require a dual sign off? - CORRECT ANSWER-high alert medications
What is the process of administering medications? - CORRECT ANSWER-1. Identify
the client
2. Inform the client
3. administer the drug
4. provide adjunctive interventions as indicated
5. record the drug admisterd
6. evaluate the clients response
How do you administer otic solutions? - CORRECT ANSWER-1. compare the label to
the MAR and check the expiration date
2. calculate dose if needed
3. explain to the client the procedure
4. perform hand hygiene and provide privacy
5. prepare the client in a comfortable position with ear that is being treated upward
6. clean the pinna of the ear and the meatus of the ear canal with cotton tip applicators
and solution
7. administers the ear medication: warm the medication, partially fill the ear dropper with
medication
8. pull the pinna up and back
9. install the correct number of drops
What is important to remember when using medications from a glass ample? -
CORRECT ANSWER-The ample must be cleaned with an alcohol swab be broken at
the neck with a dry sterile gauze. The fluid should be aspirated into a syringe using a
filter needle.
What is PVR and what does it mean? - CORRECT ANSWER-Post void residual, which
is urine remaining in the bladder following voiding. The normal range is 50-100mL
What size syringe would a nurse need for a SQ injection? - CORRECT ANSWER-
Generally a 1-2mL syringe is needed, but may differ based on medication.
What size dose of medications is generally administered in a SQ injection? - CORRECT
ANSWER-Only small doses (0.5-1 ML) medication, but check agency protocol.
What is the first thing the nurse does before administering medications through a port? -
CORRECT ANSWER-Change the catheter cap as indicated by agency protocol. Always
flush the catheter before to check patency of IV.
What do you do with blood products? - CORRECT ANSWER-1. check with the primary
care providers order
2. check the requisition form and the blood bag label (check all client information)
3. verify information with another nurse before beginning transfusion
4. make sure blood is left at room temperature for no more than 30 minutes
What instructions should the nurse give a client about collecting a stool specimen? -
CORRECT ANSWER-1. defecate in a clean bedpan
2. try not to contaminate with urine or menstrual discharge
3. do not place toilet tissue in the bedpan after defecating
4. notify nurse immediate after defecating
What medications cause urinary retention? - CORRECT ANSWER-anticholinergic,
antidepressants, antihistamine, antihypertensives, antiparkisonism, beta-adrenergic
blockers, opioids
Why do people not get treated when they have an STI? - CORRECT ANSWER-STI's
elect feelings of guilt, shame, and fear.
What are methods of preventing STI's? - CORRECT ANSWER-Limit the number of
sexual partners, abstinence, condoms, talk with partner about "safer sex"
, How would a nurse test plantar (Babinski) reflex? - CORRECT ANSWER-use a
moderately sharp object and stroke the lateral border starting at the heel continuing to
the ball of the foot, across the ball toward the big toe.
What does a mental status assessment reveal? - CORRECT ANSWER-The clients
general cerebral function, these functions include intellectual (cognitive) and emotional
(affective), assessment includes language, orientation, memory and attention span
Cranial nerve #9 (IX)? - CORRECT ANSWER-Glossopharyngeal: motor and sensory
type, swallowing ability, taste, tongue movement
Cranial nerve #10 (X) ? - CORRECT ANSWER-vagus
sensory: taste
motor: salivary glands, swallowing, voice muscles, autonomic fibers to many abdominal
organs such as heart, lungs, liver, stomach, intestines, etc
Cranial nerve #11 (XI)? - CORRECT ANSWER-accessory: motor type, head movement
and shrugging shoulders
Cranial nerve #12 (XII)? - CORRECT ANSWER-hypoglossal: motor type, protusion of
tongue, moves tongue up and down/side to side.
What medications require a dual sign off? - CORRECT ANSWER-high alert medications
What is the process of administering medications? - CORRECT ANSWER-1. Identify
the client
2. Inform the client
3. administer the drug
4. provide adjunctive interventions as indicated
5. record the drug admisterd
6. evaluate the clients response
How do you administer otic solutions? - CORRECT ANSWER-1. compare the label to
the MAR and check the expiration date
2. calculate dose if needed
3. explain to the client the procedure
4. perform hand hygiene and provide privacy
5. prepare the client in a comfortable position with ear that is being treated upward
6. clean the pinna of the ear and the meatus of the ear canal with cotton tip applicators
and solution
7. administers the ear medication: warm the medication, partially fill the ear dropper with
medication
8. pull the pinna up and back
9. install the correct number of drops
