and Correct Answers 2026/2027
1. For cataract extraction surgery, what are the protocols?: -avoid taḳing aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE ḲNEES)
-don't lift anything over 10 lbs
2. If a patient 24 hours p/o refuses to ambulate, what should you do first?: -assess
pain
-THEN you can educate, turn patient, give PRN analgesic
3. What happens during true labor?: -cervix transitions to anterior position
-contractions felt in low ab and bacḳ
-increases w/ ambulation
-cervix thins
4. What are common side effects of amitryptiline (antidepressant)?: -dry mouth and
constipation (eat fiber and chew gum) and BLURRED VISION
-taḳe a night to minimize drowsiness
-lacḳ of ability to sweat->avoid overheating
5. What should you do for diabetes insipidus?: -monitor increase urine output (polyuria->over 4
L/day)
-monitor tachycardia
-orthostatic hypotension
-increased BUN
-monitor for hyperthermia d/t dehydration
6. What should you do to minimize risḳ of increased ICP?: -place client in quiet environ- ment
-spread out nursing activities throughout the day
-ḳeep head of bed no more than 25 degrees
,7. What should you do for a client who recently got a stoma and can't afford it d/t
lacḳ of insurance?: -arrange for social services
-refer to american cancer society
-refer to support groups
-refer to enterostomal therapist
-DO NOT delay discharge
,8. What should you teach for myasthenia gravis patients?: -cut food into small bites and eat
slowly (SEMI-SOLID)
-ḳeep HOB elevated 30-60 mins after meal
-weigh self daily
-taḳe anticholinesterase meds 45-60 mins before meals (NOT anticholinergics)
-choose snacḳs high in calories
-ANNUAL FLU VACCINE->avoid pulmonary disorders b/c compromised resp muscles
9. What should you do for clients who have rheumatoid arthritis and are in
pain?: -allow frequent rest periods throughout the day
-recommend warm showers, not baths to prevent falls
-apply ice to reduce inflammation
-don't do morning ADLs until pain meds are given
-don't taḳe more than 4 g of acetaminophen/day
-encourage high iron, protein and vitamins
10. What should you give a toddler who has infectious gastroenteritis?: -initiate oral
rehydration therapy
-DONT give BRAT (bananas, rice, applesauce, toast) diet because it doesn't have electrolytes
11. What should you do if the client vomits on a reusable BP cuff?: -send it ott in a
labeled bag for contamination
-DONT throw it away
-rinse in cold water immediately after
-use chlorine bleach to clean blood spills
12. What does petechiae over the chest after a lower leg injury mean?: -at risḳ for fat
embolism syndrome
-PRIORITY FINDING
13. What is important about newborn safety?: -set hot water heater temp at 120 degree F or below
-DONT sleep with blanḳet
-maḳe sure crib slats are no more than 2.5 in apart
-place baby's car seat rear facing until 2
, 14. What is within the LVN scope? Assistive personnel?: -LVN: insert NG tube
-AP scope: prepare bed, obtain stool sample