2024 NUR 185 FINAL PRACTICE EXAM WITH 2
VERSIONS QUESTIONS & CORRECT ANSWERS
GRADED A EXAM
Version 1
What should be assessed on a patient that has been prescribed vancoymycin?
BUN & Creatinine
Check for hearing aids
Check for hearing loss
What is lomotil used for?
Stop diarrhea
What do you do for a patient that is on a ventilator and the alarms are sounding?
Check all tubing
Assist with breathing if tubing check is fine
What is needed at bedside for a patient on mucomyst?
Suction due to increased secretions
What is the antidote for tylenol overdose?
mucomyst
What do you do to a stoma to train the bowel?
Irrigate
What is the normal amount of time to not hear bowel sounds after a stoma has been
placed?
48 hours
What color should the stoma be?
Beefy Red
Who can delegate to an LPN?
,MD
RN
NP
PA
What type of medication is midazolam?
Sedative
What are a few side effects of midazoloam?
Respiratory Depression
Low pulse
What patients are commonly given midazolam?
Patient on ventilators
What is the therapeutic level of coumadin?
2-3
What is another name for coumadin?
warfarin
What do you do with a prescription for coumadin and the patients INR is greater
than 3?
Hold it and call the ordering provider
What are the signs and symptoms of bleeding?
Tarry stools
Bleeding gums
Blood in urine
What does ROME stand for?
Respiratory
Opposite
Metabolic
Equal
What are normal pH levels?
7.35-7.45
, What are normal co2 levels?
35-45
What are normal bicarb levels?
22-26
What is respiratory acidosis?
Low pH
Elevate CO2 or Bicarb
What does respiratory acidosis look like?
Tremors
Weakness
Dyspnea
Hypotension
Tachycardia
Dizzy
Disoriented
What is VAP?
Ventilator Associate Pneumonia
What causes VAP?
Bacteria going down the tube into the lungs, causing and infection
What are some interventions to prevent VAP?
-Oral Care with chlorhexidine
-Keep head of bed elevated to 30-45 degrees
-Administration of antacids to prevent ulcers
-Provide daily sedation "vacations" and assess readiness to extubate
-DVT prophylaxis
What does oral care in prevention of VAP include?
Clean mouth with chlorhexidine daily
Brush twice a day
Rinse their mouth four times a day
What are interventions for a patient on restraints?
VERSIONS QUESTIONS & CORRECT ANSWERS
GRADED A EXAM
Version 1
What should be assessed on a patient that has been prescribed vancoymycin?
BUN & Creatinine
Check for hearing aids
Check for hearing loss
What is lomotil used for?
Stop diarrhea
What do you do for a patient that is on a ventilator and the alarms are sounding?
Check all tubing
Assist with breathing if tubing check is fine
What is needed at bedside for a patient on mucomyst?
Suction due to increased secretions
What is the antidote for tylenol overdose?
mucomyst
What do you do to a stoma to train the bowel?
Irrigate
What is the normal amount of time to not hear bowel sounds after a stoma has been
placed?
48 hours
What color should the stoma be?
Beefy Red
Who can delegate to an LPN?
,MD
RN
NP
PA
What type of medication is midazolam?
Sedative
What are a few side effects of midazoloam?
Respiratory Depression
Low pulse
What patients are commonly given midazolam?
Patient on ventilators
What is the therapeutic level of coumadin?
2-3
What is another name for coumadin?
warfarin
What do you do with a prescription for coumadin and the patients INR is greater
than 3?
Hold it and call the ordering provider
What are the signs and symptoms of bleeding?
Tarry stools
Bleeding gums
Blood in urine
What does ROME stand for?
Respiratory
Opposite
Metabolic
Equal
What are normal pH levels?
7.35-7.45
, What are normal co2 levels?
35-45
What are normal bicarb levels?
22-26
What is respiratory acidosis?
Low pH
Elevate CO2 or Bicarb
What does respiratory acidosis look like?
Tremors
Weakness
Dyspnea
Hypotension
Tachycardia
Dizzy
Disoriented
What is VAP?
Ventilator Associate Pneumonia
What causes VAP?
Bacteria going down the tube into the lungs, causing and infection
What are some interventions to prevent VAP?
-Oral Care with chlorhexidine
-Keep head of bed elevated to 30-45 degrees
-Administration of antacids to prevent ulcers
-Provide daily sedation "vacations" and assess readiness to extubate
-DVT prophylaxis
What does oral care in prevention of VAP include?
Clean mouth with chlorhexidine daily
Brush twice a day
Rinse their mouth four times a day
What are interventions for a patient on restraints?
