Exam 3 106 Practice Terms

Question 1

Mass casualty code color

Answer 1

Blue

Question 2

Chemical spill code color

Answer 2

Orange

Question 3

Newborn abduction code color

Answer 3

Pink

Question 4

Fire code color

Answer 4

Red

Question 5

Nurse on med surg unit informed of mass casualty event and needs to discharge clients to make room for injury victims…

Answer 5

Release client scheduled for transurethral resection of the prostate.

Question 6

Nurse should recognize that in mass casualty event care of what client receives highest priority?

Answer 6

Client with partial thickness and full thickness burns on face neck and chest.

Question 7

Client admitted to med surg unit after inhaling anthrax, what anti infective will be choice?

Answer 7

Ciprofloxacin

Question 8

Soon after clients abdominal surgery nurse includes what intervention in plan of care for promoting peristalsis?

Answer 8

Early ambulation.

Question 9

Medication that does not cause GI bleeding…

Answer 9

Antidiarrheal opiate agents.

Question 10

Rounded abdomen does not…

Answer 10

Suspect fecal impaction.

Question 11

When irrigating colostomy nurse uses?

Answer 11

Cone tipped irrigator.

Question 12

Client has diarrhea and cramping when eating ice cream nurse suspects?

Answer 12

Lactose intolerance.

Question 13

Diarrhea occurs with a fecal impaction is the result of…

Answer 13

Seepage of stool around impaction.

Question 14

Nurse caring for client who will perform fecal test at home, what should nurse include when explaining procedure?

Answer 14

Specimen cannot be contaminated with urine.

Question 15

Nurse caring for client whom tap water enema prescribed and said to be reported until water runs clear, what should nurse do?

Answer 15

Contact provider because tap water is hypotonic and can cause toxicity so it shouldn’t be repeated.

Question 16

During enema client reports pain and nurse notes blood in return fluid, actions?

Answer 16

Stop instillation and measure vital signs.

Question 17

Prolonged diarrhea causes…

Answer 17

Tachycardia, dehydration, hypotension, fever, lethargy, poor skin turgor, abdominal cramping.

Question 18

Maximum amount of enema fluid for adult…

Answer 18

750-1000 ml

Question 19

Maximum amount of enema fluid for infant…

Answer 19

150-200 ml

Question 20

Maximum amount of enema fluid for toddler…

Answer 20

250-350 ml

Question 21

Maximum amount of enema fluid administered to school aged child…

Answer 21

300-500 ml

Question 22

Maximum amount of enema fluid administered to adolescent…

Answer 22

550-750 ml

Question 23

Tornado code color

Answer 23

Gray

Question 24

Nurse assistant is working with client who is restrained needs to…

Answer 24

Report any signs of redness, excoriation, or constricting of circulation under restraint.

Question 25

During assessment 56 yr old client reports increased alcohol consumption due to stress. One of the expected outcomes for this client would be...

Answer 25

To provide the client with information about stress management classes.

Question 26

Fire extinguisher for electric wiring

Answer 26

Class C

Question 27

Fire extinguisher for cardboard

Answer 27

Class A

Question 28

Fire extinguisher for gasoline

Answer 28

Class B

Question 29

During the night shift a client is found wandering the hospital the hospital looking for bathroom, nurses initial intervention would be...

Answer 29

Provide scheduled toileting during night shift.

Question 30

Parent calls pediatric office when child drinks bottle of cleaner, nursing instruction?

Answer 30

Call poison control center.

Question 31

When teaching employees in the food handling department about the need to wash hands after using restroom to prevent?

Answer 31

Spread of hep A.

Question 32

Smallpox is...

Answer 32

Airborne

Question 33

Carbon monoxide poisoning

Answer 33

Have all water heater inspected on an annual basis.

Question 34

Aphasia

Answer 34

Client cannot speak or comprehend spoken language.

Question 35

Nurse helping client adjust to normal sensory changes of aging by...

Answer 35

Minimizing glare by selecting satin and nongloss finishes for walls and counters.

Question 36

History of having worn hearing devices

Answer 36

Is not a significant finding that suggests risk of sensory impairment.

Question 37

Nurse considering the effect of sensory function on an individual's level of wellness...

Answer 37

When sensory function is altered, the persons ability to relate and function within the environment changes.

Question 38

Nurse teaching normal sensory changes when aging, further education is needed when what statement is made...

Answer 38

Because older adults have reduced central vision, they are a greater risk for accidents. This is not true because peripheral vision changes when aging not central.

Question 39

Psychotropic drugs...

Answer 39

Do not increase ones risk for sensory deprivation.

Question 40

Client not paying attention during conversation with nurse and rates her hearing as poor, nursing diagnosis?

Answer 40

Disturbed sensory perception (auditory)

Question 41

Home health care nurse providing instructions about older adult with visual loss, nurse tells nurse assistant that clients with visual loss...

Answer 41

Often use colored tape to distinguish settings on electrical appliances and to highlight the edge of stairs.

Question 42

When aspiration suspected with tube feeding?

Answer 42

Stop the feeding or pneumonia will develop.

Question 43

The enteral tube best suited for short term use (4 weeks or less)...

Answer 43

NG tube

Question 44

The purpose of flushing a tube after feeding...

Answer 44

Prevent clogging.

Question 45

Proper way to secure NG tube...

Answer 45

Tape the tube to he nostril.

Question 46

What formula is nutritionally complete?

Answer 46

Polymeric

Question 47

What formula provides a single macronutrient?

Answer 47

Modular formula

Question 48

Predigesting nutrients are in what formula?

Answer 48

Elemental

Question 49

Infiltration presents with...

Answer 49

Swelling, DROP in skin temperature, slowed infusion, pale skin.

Question 50

Fluid overload

Answer 50

Increased blood pressure, tachycardia, shortness of breath, crackles in lungs and distended neck veins.

Question 51

What fluid will be ordered for a client that is dehydrated?

Answer 51

0.45 sodium chloride solution, will cause fluid to move into cells.

Question 52

0.9 sodium chloride solution is...

Answer 52

Isotonic

Question 53

How often should an IV tubing be replaced?

Answer 53

Every 72 hours or 3 days.

Question 54

22-24 gauge needle

Answer 54

Used for children, older adults or stable postoperative clients.

Question 55

16 gauge needle used for

Answer 55

Trauma and rapid fluid volume infusion clients.

Question 56

18 gauge needle used for

Answer 56

Surgical and rapid blood transfusion clients.

Question 57

The smallest gauges needle that blood can run through...

Answer 57

20 gauge, 18 is preferred.

Question 58

Furosemide

Answer 58

Potassium wasting diuretic.

Question 59

Clinical assessment for dehydration would be confirmed if...

Answer 59

Nurse found dry mucous membranes.

Question 60

Nurse assisting physician with blood gas analysis sample from client, after obtaining the sample what does nurse do?

Answer 60

Seal the end of the syringe and put into a cup of ice water.

Question 61

Hypovolemia causes

Answer 61

HYPOtension, tachycardia, tachypnea, furrowed dry tongue, sunken eyeballs.

Question 62

What happens when lab states the blood sample has been lysed?

Answer 62

Potassium level will be abnormally high and specimen needs to be redrawn.

Question 63

What client is at greater risk for development of hypocalcemia?

Answer 63

Renal failure client.

Question 64

Caring for hypernatremic client, what should be done?

Answer 64

Infuse hypotonic IV fluids.

Question 65

Client has peritonitis and dehydration what would not be expected?

Answer 65

Decreased urine specific gravity.

Question 66

Thiazide diuretics cause...

Answer 66

Hypokalemia

Question 67

To prevent client from performing Valsalva maneuver, nurse will NOT request stool softener for client with...

Answer 67

Hypotension