graded A+ 2024/2025
1). Rn delegating to lpn. which would you be able to do within your scope of practice?
Ans: Insert IV in 45 year old rating pain 10/10 about to go to the Cath lab
2). Nurse taking care of male patient with burns over 50% of body. pt. has been in er for 20
minutes. the nurse would take which action first?
Ans: Hang 10 CC's Lactated Ringers
3). Patient is a 25 year old admitted to er. o2 stat of 89 and resp of 86. unresponsive to stimuli.
nurse anticipates administration of which medication?
Ans: Naloxone (Narcan)
4). During code blue epinephrine is admin iv push. vial open and dose given. after using the
epinephrine, where should the nurse place the vial?
Ans: Sharps container
5). Which patient requires a tetanus toxoid injection?
Ans: The patient who has 10% burns and has not had a tetanus shot in 10 years.
6). Patient with a burn receiving treatments of topical mafenide (sulfamylon). what kind of
teaching would you do regarding this?
Ans: It is normal to experience local discomfort and burning after application.
7). Home safety burn prevention. which requires further teaching?
Ans: Heat bottles of infant formula in the microwave
8). Teaching newly hired nurse about caring for patient with burns. which statement requires
further teaching?
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, Ans: Burn patients should not have medication pain medications due to drop in BP.
9). What is impaired physical mobility
Ans: A limitation in independent, purposeful physical movement of the body or 1 or
more extremities
10). Why are mechanical aids necessary for patient handling
and movement?
a. nurses do not have sufficient training using proper
body mechanics to be safe.
b. manual lifting techniques are not sufficient to protect
nurses from injury.
c. they reduce the time and number of staff needed to
move the patient.
d. nurses are not as physically fit as they should be
Ans: b. The use of assistive equipment as part of a safe patient
handling and movement program can significantly reduce
the risk of musculoskeletal disorders and contributes to
patient comfort. The use of "body mechanics" (a) has
been shown to be unsafe in relation to the transfer and
movement of patients. The time and number of staff
11). Which of the following would the nurse expect to assess
when a patient experiences a greater breakdown of protein
than that which is manufactured?
a.fluid volume excess
b. a contracture
c. osteoporosis
d. negative nitrogen balance
Ans: d. Negative nitrogen balance results when the body
excretes more nitrogen than it takes in. Contractures
12). Mr. brown is experiencing some difficulty breathing.
the nurse most appropriately assists him into which
position?
a. dorsal recumbent position
b. lateral position
c. fowler's position
d. sims' position
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