MOC FINAL EXAM UPDATED QUESTIONS AND ANSWERS
What medications should the nurse document for a pre-op patient? - CORRECT
ANSWER✅✅✅Ginger, gingko, ginseng, garlic, warfarin, heparin, aspirin, recreational drugs
What are the priority nursing interventions for a patient undergoing surgery? - CORRECT
ANSWER✅✅✅Consent, IV access, bowel prep/skin prep, advanced directives, power of attorney,
NPO 8-12 with conscious sedation or general anesthesia*
What needs to be done in regard to the WBC to determine the possible cause of the infection? -
CORRECT ANSWER✅✅✅CBC w/ differential
What does elevated neutrophils indicate? Lymphocytes? Eosinophils? - CORRECT
ANSWER✅✅✅bacterial
viral
allergies & parasites
What does a culture & sensitivity test tell us?
How long does it take to get results back? - CORRECT ANSWER✅✅✅culture - type of organism
growing
sensitivity - what antibiotic the bacteria responds/resistant to
24-48 hr
Rule for C&S and when do give antibiotic - CORRECT ANSWER✅✅✅Do C&S first before starting on
antibiotic
When is ESR elevated? - CORRECT ANSWER✅✅✅infection/inflammation
What is the difference in an antibody screening test in comparison to an antigen test? - CORRECT
ANSWER✅✅✅Antigen- tells us if you have an active disease/active pathogen
Antibody - tells us if person has ever been exposure to pathogen, tells us if they have antibodies against
it
,Early signs of hypoxemia?
Late? - CORRECT ANSWER✅✅✅E: mild confusion/forgetfulness, cyanosis in distal extremities, can't
sit still, irritable, tachycardia, tachypnea
L: severe confusion, unresponsive/coma, bradycardia
ABGs
What do they look at?
Interventions? - CORRECT ANSWER✅✅✅O2 & PaO2 levels; acid-base balance
put pressure after drawing blood from artery, blood is placed in heparinized syringe & on ice. Time and
date it and also how much oxygen they were on
When should a TB test be read?
What is the measurements (high risk, general population & immunocompromised) - CORRECT
ANSWER✅✅✅48-72 hrs
10 mm
15 mm
5 mm (immunocompromised, HIV, chronic steroid use)
Pre-op interventions for bronchoscopy
& Post - CORRECT ANSWER✅✅✅Pre: lidocaine & hurricane spray to numb gag reflex, NPO, consent
Post: check for gag reflex
Expected findings post bronch & not expected/complication findings - CORRECT ANSWER✅✅✅sore
throat & cough, if biopsy was also done: cough up blood tinged sputum
persistently high temp, WBC staying high - infection
How is a patient positioned during a thoracentesis?
What must the client do during the procedure?
How are they positioned afterwards? - CORRECT ANSWER✅✅✅Leaning forward on bedside table
,Hold still
Lay on unaffected side
S&S of influenza
Care - CORRECT ANSWER✅✅✅cough, SOB, fever, malaise, body aches
rest, hydration, tamiflu
What is the main complication of influenza? What is the main sign influenza is turning into this? -
CORRECT ANSWER✅✅✅Pneumonia; crackles
If you know you have someone is coming up with a new trach, what do you want in the room? What
happens if it becomes dislodged? - CORRECT ANSWER✅✅✅oxygen, suction, ambu bag, obturation,
2 replacement trachs (one same size, one size smaller)
call for help, oxygenate & get trach back in
What can you use to allow a patient to talk while they have a trach in? - CORRECT
ANSWER✅✅✅passy-muir valve (allows air into trach to speak)
write down stuff on boards
Epistaxis: What are the nurse's responsibilities in caring for a client with this disorder? - CORRECT
ANSWER✅✅✅lean forward
DO NOT lean back
pinch & hold for 10 min
S&S of pneumonia
CAP vs HAP - CORRECT ANSWER✅✅✅fever, cough, sputum, crackles
CAP - coming in w/ symptoms or 1-2 days during stay
HAP - symptoms begin a few days after admission
Who is at most risk for developing pneumonia?
, What is the diagnostic test used for pneumonia? - CORRECT ANSWER✅✅✅Elderly, post op,
immobilized & flu patients
chest x-ray
When is the best time of the day to do a sputum culture on someone? - CORRECT
ANSWER✅✅✅first thing in morning after oral care
Pneumonia: What are the pertinent nursing interventions in regard to positioning, nutrition, and
prevention? - CORRECT ANSWER✅✅✅Position: high fowler's
High calorie dense foods; Hydration (2-3L/day)
flu vaccine
What are the risk factors for a PE? - CORRECT ANSWER✅✅✅Post-op pt
oral contraceptives
pregnant
smoker
obesity
hypercoaguability/vasoconstriction
What is the main manifestation of a PE?
What is the diagnostic tool mainly used?
How can a PE be surgically treated? - CORRECT ANSWER✅✅✅SOB
CT scan
thrombectomy or embolectomy
What medications are used to treat a PE? - CORRECT ANSWER✅✅✅heparin, warfarin,
anticoagulants (lovenox) - prevent clot from growing
to dissolve clot: thrombolytics
What medications should the nurse document for a pre-op patient? - CORRECT
ANSWER✅✅✅Ginger, gingko, ginseng, garlic, warfarin, heparin, aspirin, recreational drugs
What are the priority nursing interventions for a patient undergoing surgery? - CORRECT
ANSWER✅✅✅Consent, IV access, bowel prep/skin prep, advanced directives, power of attorney,
NPO 8-12 with conscious sedation or general anesthesia*
What needs to be done in regard to the WBC to determine the possible cause of the infection? -
CORRECT ANSWER✅✅✅CBC w/ differential
What does elevated neutrophils indicate? Lymphocytes? Eosinophils? - CORRECT
ANSWER✅✅✅bacterial
viral
allergies & parasites
What does a culture & sensitivity test tell us?
How long does it take to get results back? - CORRECT ANSWER✅✅✅culture - type of organism
growing
sensitivity - what antibiotic the bacteria responds/resistant to
24-48 hr
Rule for C&S and when do give antibiotic - CORRECT ANSWER✅✅✅Do C&S first before starting on
antibiotic
When is ESR elevated? - CORRECT ANSWER✅✅✅infection/inflammation
What is the difference in an antibody screening test in comparison to an antigen test? - CORRECT
ANSWER✅✅✅Antigen- tells us if you have an active disease/active pathogen
Antibody - tells us if person has ever been exposure to pathogen, tells us if they have antibodies against
it
,Early signs of hypoxemia?
Late? - CORRECT ANSWER✅✅✅E: mild confusion/forgetfulness, cyanosis in distal extremities, can't
sit still, irritable, tachycardia, tachypnea
L: severe confusion, unresponsive/coma, bradycardia
ABGs
What do they look at?
Interventions? - CORRECT ANSWER✅✅✅O2 & PaO2 levels; acid-base balance
put pressure after drawing blood from artery, blood is placed in heparinized syringe & on ice. Time and
date it and also how much oxygen they were on
When should a TB test be read?
What is the measurements (high risk, general population & immunocompromised) - CORRECT
ANSWER✅✅✅48-72 hrs
10 mm
15 mm
5 mm (immunocompromised, HIV, chronic steroid use)
Pre-op interventions for bronchoscopy
& Post - CORRECT ANSWER✅✅✅Pre: lidocaine & hurricane spray to numb gag reflex, NPO, consent
Post: check for gag reflex
Expected findings post bronch & not expected/complication findings - CORRECT ANSWER✅✅✅sore
throat & cough, if biopsy was also done: cough up blood tinged sputum
persistently high temp, WBC staying high - infection
How is a patient positioned during a thoracentesis?
What must the client do during the procedure?
How are they positioned afterwards? - CORRECT ANSWER✅✅✅Leaning forward on bedside table
,Hold still
Lay on unaffected side
S&S of influenza
Care - CORRECT ANSWER✅✅✅cough, SOB, fever, malaise, body aches
rest, hydration, tamiflu
What is the main complication of influenza? What is the main sign influenza is turning into this? -
CORRECT ANSWER✅✅✅Pneumonia; crackles
If you know you have someone is coming up with a new trach, what do you want in the room? What
happens if it becomes dislodged? - CORRECT ANSWER✅✅✅oxygen, suction, ambu bag, obturation,
2 replacement trachs (one same size, one size smaller)
call for help, oxygenate & get trach back in
What can you use to allow a patient to talk while they have a trach in? - CORRECT
ANSWER✅✅✅passy-muir valve (allows air into trach to speak)
write down stuff on boards
Epistaxis: What are the nurse's responsibilities in caring for a client with this disorder? - CORRECT
ANSWER✅✅✅lean forward
DO NOT lean back
pinch & hold for 10 min
S&S of pneumonia
CAP vs HAP - CORRECT ANSWER✅✅✅fever, cough, sputum, crackles
CAP - coming in w/ symptoms or 1-2 days during stay
HAP - symptoms begin a few days after admission
Who is at most risk for developing pneumonia?
, What is the diagnostic test used for pneumonia? - CORRECT ANSWER✅✅✅Elderly, post op,
immobilized & flu patients
chest x-ray
When is the best time of the day to do a sputum culture on someone? - CORRECT
ANSWER✅✅✅first thing in morning after oral care
Pneumonia: What are the pertinent nursing interventions in regard to positioning, nutrition, and
prevention? - CORRECT ANSWER✅✅✅Position: high fowler's
High calorie dense foods; Hydration (2-3L/day)
flu vaccine
What are the risk factors for a PE? - CORRECT ANSWER✅✅✅Post-op pt
oral contraceptives
pregnant
smoker
obesity
hypercoaguability/vasoconstriction
What is the main manifestation of a PE?
What is the diagnostic tool mainly used?
How can a PE be surgically treated? - CORRECT ANSWER✅✅✅SOB
CT scan
thrombectomy or embolectomy
What medications are used to treat a PE? - CORRECT ANSWER✅✅✅heparin, warfarin,
anticoagulants (lovenox) - prevent clot from growing
to dissolve clot: thrombolytics
