NUR 311 final Questions With Complete Solutions
4 P's of hourly rounding Correct Answer pain, potty,
positioning, possessions
5 rights to medication administration Correct Answer right
patient, right drug, right dose, right route, right time
administering a tube feeding Correct Answer - auscultate and
palpate first
- HOB 30-45 degrees
- confirm place of tube
- aspirate gastric contents and pH (<5.5)
- check for residuals (>200-250 mL is at risk for aspiration)
- flush with 30-50 mL of water
- pt remains upright 1 hour after feeding
AIDET Correct Answer acknowledge, introduce, duration,
explanation, thank you
airborne precautions and infections Correct Answer MTV:
measles, TB, viracells
- negative pressure
- mask
- N95 for TB
assessment after seizure Correct Answer -Signs of paralysis or
weakness
-Inability to speak
-Sleeping
, -Cognitive Status
- o2 and VS
- hygiene
- document and notify provider
assessment during seizure Correct Answer - occurrence of
aura
- location of stiffness, gaze,
- position of head, body part and type of movement involved
- pupil size
- head position
- involuntary motor activity
- incontinence
- observe cyanosis
- duration
- presence of unconsciousness and duration
clean catch, midstream urine specimen Correct Answer - ask
pt about meds
- dont let container touch hair or perineal area
- dont touch inside of container or lid
- void small amount before
- note characteristics, color, odor, amount, and clarity
collecting sputum for culture Correct Answer • Expectoration
into a sterile container
• By endotracheal suctioning
• During bronchoscopy
• Transtracheal aspiration
colostomy Correct Answer - formal fecal content
4 P's of hourly rounding Correct Answer pain, potty,
positioning, possessions
5 rights to medication administration Correct Answer right
patient, right drug, right dose, right route, right time
administering a tube feeding Correct Answer - auscultate and
palpate first
- HOB 30-45 degrees
- confirm place of tube
- aspirate gastric contents and pH (<5.5)
- check for residuals (>200-250 mL is at risk for aspiration)
- flush with 30-50 mL of water
- pt remains upright 1 hour after feeding
AIDET Correct Answer acknowledge, introduce, duration,
explanation, thank you
airborne precautions and infections Correct Answer MTV:
measles, TB, viracells
- negative pressure
- mask
- N95 for TB
assessment after seizure Correct Answer -Signs of paralysis or
weakness
-Inability to speak
-Sleeping
, -Cognitive Status
- o2 and VS
- hygiene
- document and notify provider
assessment during seizure Correct Answer - occurrence of
aura
- location of stiffness, gaze,
- position of head, body part and type of movement involved
- pupil size
- head position
- involuntary motor activity
- incontinence
- observe cyanosis
- duration
- presence of unconsciousness and duration
clean catch, midstream urine specimen Correct Answer - ask
pt about meds
- dont let container touch hair or perineal area
- dont touch inside of container or lid
- void small amount before
- note characteristics, color, odor, amount, and clarity
collecting sputum for culture Correct Answer • Expectoration
into a sterile container
• By endotracheal suctioning
• During bronchoscopy
• Transtracheal aspiration
colostomy Correct Answer - formal fecal content
