a a a a a a
SION 1 AND 2 NEWEST 2025 ACTUAL EXAM COMPLETE140 Q
a a a a a a a a a a
UESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED a a a a a a
ANSWERS) |ALREADY GRADED A+ a a a
A nurse has prepared a sterile field for assisting a provider with a chest tube i
a a a a a a a a a a a a a a a
nsertion. Which of the following events should the nurse recognizeas conta
a a a a a a a a a a a
minating the field (Select all that apply)
a a a a a a
A. provider drops a sterile instrument onto the near side of the sterilefie
a a a a a a a a a a a a
ld
B. nurse moistens a cotton ball with sterile normal saline and places it onste
a a a a a a a a a a a a a
rile field
a
C. procedure is delayed 1hr because the provider receives an emergencyca
a a a a a a a a a a
ll
D. nurse turns to speak to someone who enters through the door behindthe
a a a a a a a a a a a a
nurse
a
E. clients hand brushes against the outer edge of the sterile field -
a a a a a a a a a a a
ANSWER B, C, D
a a a a
Endoscopy (EGD) positioning - a a a
ANSWER left side lyingBefore an Endoscopy (EGD): -
a a a a a a a a a
ANSWER -NPO 6-8 hr
a a a a
-remove dentures a
Gastroenteritis care plan: - ANSWER -restrict dairy, caffeine, milk a a a a a a a a
-eat foods high in potassium
a a a a
-increase fluid intake a a
-contact precautions a
,In what order do you open the sterile package? -
a a a a a a a a a
ANSWER flap furthestfrom body, side flaps, then closest
a a a a a a a a a
A nurse has removed a sterile pack from its outside cover and place it ona cl
a a a a a a a a a a a a a a a a
ean work surface in preparation for an invasive procedure. Which of the fol
a a a a a a a a a a a a
lowing flaps should the nurse unfold first:
a a a a a a
A. closest to body a a
B. right side a
C. left side a
D. farthest from body - ANSWER D a a a a a
A nurse is wearing sterile gloves in prep for performing a sterile procedure.
a a a a a a a a a a a a a
Which of the following objects can the nurse touch withoutbreaking sterile
a a a a a a a a a a a a
technique (Select all that apply) a a a a
A. bottle containing sterile solution a a a
B. edge of sterile drape at the base of the field
a a a a a a a a a
C. inner wrapping of an item on the sterile field
a a a a a a a a
D. irrigation syringe on the sterile field a a a a a
E. one gloved hand with the other gloved hand - ANSWER C, D, E
a a a a a a a a a a a a
TB is suspected, what precautionary actions to do? - ANSWER -
a a a a a a a a a a
negative airflow room, airborne precautions
a a a a a
-nurses wear N95 mask, client wears if going out of the room
a a a a a a a a a a a
-admin heat & humidified O2 therapy as prescribed
a a a a a a a
TB interventions: - ANSWER -family members should be screened
a a a a a a a a
-4 meds taken for 6-12 months
a a a a a
-not contagious when they have 3 negative sputum cultures
a a a a a a a a
What to watch for when on Isoniazid: -
a a a a a a a
ANSWER numb/tingling in thehands & feet
a a a a a a a
,What to watch for when on Rifampin: - ANSWER -
a a a a a a a a a
orange secretionsnormal a a
-watch for jaundice a a
-interferes with birth control a a a
What to watch for when on Ethambutol: - ANSWER vision changes
a a a a a a a a a a
Client teaching for genital herpes: - ANSWER -
a a a a a a a
can be transmitted withor w/out blisters
a a a a a a
-sexual partners should be informed & screened
a a a a a a
-no cure, just meds to help w/symptoms
a a a a a a
-abstain from intercourse until lesions are completely healed
a a a a a a a
-gently clean areas w/mild soap & water
a a a a a a
Caring for a client following a stroke of the right side with left-
a a a a a a a a a a a a
sidedhemipalegia: - ANSWER -thicken liquids/foods
a a a a a
-high fowlers
a
-speech therapist for helping w/eating & speech
a a a a a a
-monitor gag reflex/swallowing abilitiesa a a
-have suction equipment available
a a a
-occupational therapy a
-support left arm with pillows, slings, etc
a a a a a a
High sodium foods clients with HF & Pulmonary edema should avoid: -
a a a a a a a a a a a
ANSWER -cheese
a a
-soups
-bread
-cold cuts/cured meats
a a
-pizza
-eggs & omelets a a
-hot dogs
a
-baked ham a
Which non-opioid drug decreases the effect of aspirin? -
a a a a a a a a
ANSWERibuprofen
a a
, Ketorolac should not be used concurrently with... -
a a a a a a a
ANSWER otherNSAIDS
a a a
Glucocorticoids increase the risk of gastric bleeding when taken with... -
a a a a a a a a a a
ANSWER non-opioid analgesics
a a a
To access an implanted port, you must use a... -
a a a a a a a a a
ANSWER noncoring(Huber) needle
a a a a
When done accessing an implanted port... -
a a a a a a
ANSWER flush with 10 mL0.9% sodium chloride
a a a a a a a a
Therapeutic effects of furosemide (Lasix) - ANSWER -
a a a a a a a
decreasespreload of the heart
a a a a
-decreases potassium levels a a
-increases urine output a a
-decrease BP a
-decrease edema a
Valsartan for HF expected outcomes/findings: - ANSWER -vasodilation
a a a a a a a
-excretion of sodium & water
a a a a
-reduces BP a
-reduces risk of mortality in post-MI pts left w/vent dysfunction
a a a a a a a a a
Expected findings of meds that increase urinary output (diuretics): -
a a a a a a a a a
ANSWER -decreased potassium
a a a
-weight lossa
-decrease in edema a a
-decreased calcium a
-increased urine output a a
-decreased BP a
-decrease in ICP & IOP
a a a a
Client teaching for Nitroglycerin: - ANSWER 1. stop activity & rest
a a a a a a a a a a