RN Medical-Surgical Proctored
EGD positioning - question and answerleft side lying
Before an EGD: - question and answer-NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - question and answer-restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - question and answerflap furthest from
body, side flaps, then closest
A nurse has removed a sterile pack from its outside cover and place it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - question and answerD
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse tough without breaking sterile technique (Select all that
apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - question and answerC, D, E
,A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the field
(Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - question and
answerB, C, D
TB is suspected, what to do? - question and answer-negative airflow room, airborne
precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - question and answer-family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - question and answernumb/tingling in the hands
& feet
What to watch for when on Rifampin: - question and answer-orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - question and answervision changes
Client teaching for genital herpes: - question and answer-can be transmitted with or
w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: -
question and answer-thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
, High sodium foods clients with HF & Pulmonary edema should avoid: - question and
answer-cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - question and answeribuprofen
Ketorolac should not be used concurrently with... - question and answerother NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - question and
answernon-opioid analgesics
To access an implanted port, you must use a... - question and answernoncoring (Huber)
needle
When done accessing an implanted port... - question and answerflush with 10 mL 0.9%
sodium chloride
Therapeutic effects of Furosemide - question and answer-decreases preload of the
heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - question and answer-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that affect urinary output (diuretics): - question and answer-
decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - question and answer1. stop activity & rest
2. place nitro tab under tongue
EGD positioning - question and answerleft side lying
Before an EGD: - question and answer-NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - question and answer-restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - question and answerflap furthest from
body, side flaps, then closest
A nurse has removed a sterile pack from its outside cover and place it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - question and answerD
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse tough without breaking sterile technique (Select all that
apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - question and answerC, D, E
,A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the field
(Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - question and
answerB, C, D
TB is suspected, what to do? - question and answer-negative airflow room, airborne
precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - question and answer-family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - question and answernumb/tingling in the hands
& feet
What to watch for when on Rifampin: - question and answer-orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - question and answervision changes
Client teaching for genital herpes: - question and answer-can be transmitted with or
w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: -
question and answer-thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
, High sodium foods clients with HF & Pulmonary edema should avoid: - question and
answer-cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - question and answeribuprofen
Ketorolac should not be used concurrently with... - question and answerother NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - question and
answernon-opioid analgesics
To access an implanted port, you must use a... - question and answernoncoring (Huber)
needle
When done accessing an implanted port... - question and answerflush with 10 mL 0.9%
sodium chloride
Therapeutic effects of Furosemide - question and answer-decreases preload of the
heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - question and answer-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that affect urinary output (diuretics): - question and answer-
decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - question and answer1. stop activity & rest
2. place nitro tab under tongue
