NUR 185 TEST 1 HONDROS
QUESTIONS & CORRECT
ANSWERS
The nurse is administering acetylcysteine (mucamist) as nebulizer treatment to patient. Which
should the nurse have available for adverse effect on the patient? - correct answer ✔✔Suction
equipment
Caring for pt. who is intubated and receiving mechanical ventilation. What action by the nurse
would decrease the patient's incidence of developing ventilator associated pneumonia? -
correct answer ✔✔Put head of bed at 30-45 degrees.
Nurse admits patient to med surg unit. Resp rate of 38. Patient using chest muscles to breathe,
pulse ox of 87 on room air, pink frothy sputum. What intervention would you implement first? -
correct answer ✔✔O2 at 2 Liters/Min
Patient coming in with SOB and resp. rate of 32. ABG results PH 7.3 (acid), Co2-50 Bicarb-28,
PO2-70
Resp. Acidosis, what orders do you anticipate carrying out? - correct answer ✔✔Apply O2 and
give med-neb treatment.
You have 4 patients in a long term care facility. Which would you check first? - correct answer
✔✔COPD patient with resp rate of 30, O2 of 87 and on 3 Liters of O2 complaining of dyspnea.
Caring for newly intubated patient getting mechanical ventilation. Pt.'s wife was not at hosp.
when this occurred. Wife appears angry and states "What have you all done to him?" What
would be your response as a nurse? - correct answer ✔✔Explain to the patient why the patient
, had to be intubated, continue to update patient's wife on condition and plan of care, I'm sorry
that you walked in on him like that, I understand this must have been very frightening.
Patient has SOB, edema in legs and face and has the following labs: BUN-95 (high), Creatinine of
9.2, Potassium of 6.0 (high). What are you going to do - correct answer ✔✔Give Kexolate,
prepare the patient a central line for dialysis. Cardiac monitoring.
Working with a UAP, what task can be delegated? - correct answer ✔✔Instill non-prescription
eye drops in patient's eyes.
Nurse is caring for patient who had total knee replacement yesterday. Patient up in chair stating
he feels good. Pain is 3/10. Resp. 16, pulse is 75, bp is 110/78. Pulse ox 88 reading is after
incentive spirometer. What actions would you take at this time? - correct answer ✔✔Move
pulse ox to another finger on the other hand and recheck.
Vancomycin - correct answer ✔✔Nephrotoxic (meaning it can really damage the kidney's) and
Ototoxic (temp. hearing loss) Can be given IV, orally, or via enema. pharmacy is usually involved
with this medication.
Lomotil - correct answer ✔✔mix of 2 different drugs (atropine-can dry up fluids or for
bradycardia & diphenoxylate can raise the BP/HR and lower the urinary output). Monitor BP and
HR. Monitor urinary output.
Caring for patient with hx of diarrhea. Weight loss, bloating, run labs on them. Which to report
potassium-5.1 WBC 10.8 Sodium 146 Hgb-9.1. ? - correct answer ✔✔HgB
Patient with dx of colorectal cx. Colostomy tomorrow. Pt. says "What's the use I am just going to
die anyway?" What is your response? - correct answer ✔✔Ask the patient to tell you more
about these feelings.
QUESTIONS & CORRECT
ANSWERS
The nurse is administering acetylcysteine (mucamist) as nebulizer treatment to patient. Which
should the nurse have available for adverse effect on the patient? - correct answer ✔✔Suction
equipment
Caring for pt. who is intubated and receiving mechanical ventilation. What action by the nurse
would decrease the patient's incidence of developing ventilator associated pneumonia? -
correct answer ✔✔Put head of bed at 30-45 degrees.
Nurse admits patient to med surg unit. Resp rate of 38. Patient using chest muscles to breathe,
pulse ox of 87 on room air, pink frothy sputum. What intervention would you implement first? -
correct answer ✔✔O2 at 2 Liters/Min
Patient coming in with SOB and resp. rate of 32. ABG results PH 7.3 (acid), Co2-50 Bicarb-28,
PO2-70
Resp. Acidosis, what orders do you anticipate carrying out? - correct answer ✔✔Apply O2 and
give med-neb treatment.
You have 4 patients in a long term care facility. Which would you check first? - correct answer
✔✔COPD patient with resp rate of 30, O2 of 87 and on 3 Liters of O2 complaining of dyspnea.
Caring for newly intubated patient getting mechanical ventilation. Pt.'s wife was not at hosp.
when this occurred. Wife appears angry and states "What have you all done to him?" What
would be your response as a nurse? - correct answer ✔✔Explain to the patient why the patient
, had to be intubated, continue to update patient's wife on condition and plan of care, I'm sorry
that you walked in on him like that, I understand this must have been very frightening.
Patient has SOB, edema in legs and face and has the following labs: BUN-95 (high), Creatinine of
9.2, Potassium of 6.0 (high). What are you going to do - correct answer ✔✔Give Kexolate,
prepare the patient a central line for dialysis. Cardiac monitoring.
Working with a UAP, what task can be delegated? - correct answer ✔✔Instill non-prescription
eye drops in patient's eyes.
Nurse is caring for patient who had total knee replacement yesterday. Patient up in chair stating
he feels good. Pain is 3/10. Resp. 16, pulse is 75, bp is 110/78. Pulse ox 88 reading is after
incentive spirometer. What actions would you take at this time? - correct answer ✔✔Move
pulse ox to another finger on the other hand and recheck.
Vancomycin - correct answer ✔✔Nephrotoxic (meaning it can really damage the kidney's) and
Ototoxic (temp. hearing loss) Can be given IV, orally, or via enema. pharmacy is usually involved
with this medication.
Lomotil - correct answer ✔✔mix of 2 different drugs (atropine-can dry up fluids or for
bradycardia & diphenoxylate can raise the BP/HR and lower the urinary output). Monitor BP and
HR. Monitor urinary output.
Caring for patient with hx of diarrhea. Weight loss, bloating, run labs on them. Which to report
potassium-5.1 WBC 10.8 Sodium 146 Hgb-9.1. ? - correct answer ✔✔HgB
Patient with dx of colorectal cx. Colostomy tomorrow. Pt. says "What's the use I am just going to
die anyway?" What is your response? - correct answer ✔✔Ask the patient to tell you more
about these feelings.
