PNUR 2230 EXAM QUESTIONS AND
CORRECT ANSWERS.
What size needle and gauge do we use for IM?
1.0 (youth) to 1.5 (adult) inch needle
22mm-25mm gauge
size of patient
size of muscle
Where do we do a capillary glucose measurement?
Side of the finger tip
- less nerve endings
Why do we wipe away the first drop of blood?
It is typically contaminated with excess tissue fluid and may contain alcohol residue that can
hemolyze the specimen. There have been reports of isopropyl alcohol contamination causing
errors in blood glucose testing.
When are glucometer readings done?
Before meals
After administering insulin
What are the 3 most common types of syringes?
Luer-Lock
Tuberculin
Insulin
What are the 3 parts of the syringe?
1. Tip
2. Barrel
3. Plunger
,Why do we do a TB skin test?
To check if we have the TB bacteria in our body.-
- Usually attacks lungs but can damage other organs
- Airborne
- Also known as Mantoux test or PPD test
Induration
raised, thickening area where injection was done
- redness alone is not enough to indicate + result
Where is the correct spot for a TB skin test?
palm side of the forearm
5cm to 10cm below elbow
dose of 0.1 mL of PPD
bevel up
a wheal/bleb forms just under epidermis (surface) skin
What other things might be given intradermal?
- allergy test
- influenza vaccine
How many liters would you put the oxygen to for nasal prongs?
up to 6L
FiO2 = 22% to 45%
How many liters would you put the oxygen to for simple face mask?
5L to 10L
FiO2 = 35% to 50%
How many liters would you put the oxygen to for Non-rebreather mask?
10L to 15L
FiO2 = 60% to 80%
, Signs of Hypoxia include
restlessness
confusion - LOC
pallor - cyanotic
tachycardia - agitation
tachypnea - increased respiration
use of accessory muscles
SOB
Name two breathing exercises that require no equipment
pursed-lip breathing
deep breathing
coughing
Is oxygen therapy a doctor's order?
Yes, it is considered medication
How would you explain the use of an incentive spirometer?
- teaches clients how to take slow deep breaths
- keeps lungs active and free of fluid
What time of day is the best for sputum sample?
Morning
Before oral care and before meals
What is the legal definition of death?
irreversible cessation of all brain function
Pronouncement of death
no respirations for 1 full minute.
no apical pulse or heart sounds for 1 full minute
pupils are completely fixed (no reflex) & dilated
CORRECT ANSWERS.
What size needle and gauge do we use for IM?
1.0 (youth) to 1.5 (adult) inch needle
22mm-25mm gauge
size of patient
size of muscle
Where do we do a capillary glucose measurement?
Side of the finger tip
- less nerve endings
Why do we wipe away the first drop of blood?
It is typically contaminated with excess tissue fluid and may contain alcohol residue that can
hemolyze the specimen. There have been reports of isopropyl alcohol contamination causing
errors in blood glucose testing.
When are glucometer readings done?
Before meals
After administering insulin
What are the 3 most common types of syringes?
Luer-Lock
Tuberculin
Insulin
What are the 3 parts of the syringe?
1. Tip
2. Barrel
3. Plunger
,Why do we do a TB skin test?
To check if we have the TB bacteria in our body.-
- Usually attacks lungs but can damage other organs
- Airborne
- Also known as Mantoux test or PPD test
Induration
raised, thickening area where injection was done
- redness alone is not enough to indicate + result
Where is the correct spot for a TB skin test?
palm side of the forearm
5cm to 10cm below elbow
dose of 0.1 mL of PPD
bevel up
a wheal/bleb forms just under epidermis (surface) skin
What other things might be given intradermal?
- allergy test
- influenza vaccine
How many liters would you put the oxygen to for nasal prongs?
up to 6L
FiO2 = 22% to 45%
How many liters would you put the oxygen to for simple face mask?
5L to 10L
FiO2 = 35% to 50%
How many liters would you put the oxygen to for Non-rebreather mask?
10L to 15L
FiO2 = 60% to 80%
, Signs of Hypoxia include
restlessness
confusion - LOC
pallor - cyanotic
tachycardia - agitation
tachypnea - increased respiration
use of accessory muscles
SOB
Name two breathing exercises that require no equipment
pursed-lip breathing
deep breathing
coughing
Is oxygen therapy a doctor's order?
Yes, it is considered medication
How would you explain the use of an incentive spirometer?
- teaches clients how to take slow deep breaths
- keeps lungs active and free of fluid
What time of day is the best for sputum sample?
Morning
Before oral care and before meals
What is the legal definition of death?
irreversible cessation of all brain function
Pronouncement of death
no respirations for 1 full minute.
no apical pulse or heart sounds for 1 full minute
pupils are completely fixed (no reflex) & dilated
