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CPRNE Prep > Prep Questions 1 > Flashcards

Prep Questions 1 Flashcards

1
Q

Most effective was to assess resp distress in an infant?

A

Nasal flaring

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2
Q

Most effective way to administer eye drops?

A

Into the middle of the conjunctival sac of the eye

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3
Q

If a mother is Rh + and the infant is Rh -.. Who will get Rhogam?

A

The infant.

+ can be transferred to -.

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4
Q

Most common eating disorder?

A

Anorexia

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5
Q

How are seizures assessed and recorded?

A

Aura
Incontinence
Awareness

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6
Q

Most common side effects of antibiotics?

A

Diarrhea

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7
Q

Common side effects of antipsychotics?

A

Gives and chills

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8
Q

How are 2 types of insulin prepared?

A

Short acting (R) before long acting (N)

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9
Q

Infiltration vs interstitial IV?

A

They are the same.

They are the same complication causing the surrounding IV site tissue to become cold

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10
Q

Phlebitis vs vein inflammation?

A

They are the same.

Exact same complication causing the surrounding site to be warm

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11
Q

Common symptom after craniotomy?

A

Slurred speech

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12
Q

What is the BUBBLE assessment?

A

Used to assess post partum mothers

Breasts
Uterus 
Bladder 
Bowel 
Lochia
Episiotomy
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13
Q

Coming effect of iron supplements?

A

Black stool

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14
Q

Best way to explain procedures to a toddler?

A

Teddy bear

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15
Q

When should digoxin be held?

A

Apical pulse is less than 60 in adult and 90 in children

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16
Q

How to verify NG tube placement?

A

X Ray : most accurate

Aspiration

Auscultation

Measurement on tube

Looking into throat

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17
Q

How to give NG meds?

A

Flush with warm water first to ensure patency : 30-60mLs

Crush PO meds and mix with liquid and admin

Flush tubing again

Place in high fowlers to prevent aspiration

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18
Q

Best way to assist someone with CVA weakness?

A

Always assist on weaker side

Place chair on stronger side

Place food/drink on stronger side

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19
Q

If someone had a CVA what side is weak?

A

Left CVA: right sided weakness

Right CVA: left sided weakness

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20
Q

MAR says to give digoxin and antacid?

A

Give digoxin and hold antacid for 2-3 hrs cause they interact negatively

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21
Q

MAR says to give digoxin and antibiotic?

A

Give digoxin and hold antibiotic for 2-3hrs because they interact negatively

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22
Q

MAR says to give digoxin and naproxin?

A

Give naproxin first

**pain meds are a priority

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23
Q

What is NS used for?

A

When blood transfusion is planned

Fluid replacement pre and post op

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24
Q

What is D5W used?

A

Dehydration

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25
Q

What is Ringers used for?

A

Electrolyte replacement

  • sodium
  • potassium
  • calcium
26
Q

What labs should you check if you pt has warfarin?

A

PT

INR

27
Q

What labs should you check for heparin?

A

PTT

28
Q

What is arteriosclerosis?

A

Hardening of an artery

29
Q

What is a autologous blood transfusion?

A

A pt donates their own blood to give to themselves

30
Q

What do vital signs look like in a pt with increased ICP?

A

All vitals increase except pulse and resps decrease

31
Q

What do you need when drawing up out of an ampule?

A

Filter needle

32
Q

Ted stockings application?

A

Always in the morning and off at night

Elevate legs for 10-15 before admin and apply in supine position

Do not apply if pt has lots of bruising or open areas on extremities

33
Q

DVT treatment?

A

Bed rest and heparin

34
Q

Assessment after newborn circumcision?

A

Bleeding
Redness
Urination

-petroleum jelly can be applied to penis and loose fitting diaper

35
Q

You are administering a nitro patch but common areas for application are all red. Where else can you put it?

A

Pts thigh

36
Q

What is the best positioning post op hip fracture?

A

Supine position with abductor pillow

37
Q

Crohns vs diverticulitis diet?

A

Crohns: high protein and calories, avoid corn

Diverticulitis: high fibre

38
Q

What is a normal INR for warfarin?

A

2-3

39
Q

What is a normal clot time for PT?

A

11-13 seconds

40
Q

What is the best diet for a pt on warfarin?

A

Avoid foods rich in vitamin K -leafy greens

Apples
Eggs

41
Q

How long does lochia rubra last?

A

3-5 days
Red, blood
Large amounts

42
Q

How long does lochia serosa last?

A

5-10 days
Red/pink
Exudate/blood

43
Q

How long does lochia alba last?

A

2-6 weeks
Mostly mucousy/clear
Not as heavy

44
Q

What does gravida 3, para 1 mean?

A

3 pregnancies 1 child

45
Q

What is the best treatment for breast engorgement?

A

Ice pack for 10-15min

Let down is necessary

46
Q

Where should you palpate for a uterus?

A

Below umbilicus and above the symphysis pubis

47
Q

What should a uterus feel like?

A

Should be firm

If it’s soft hemorrhage is expected
-massage fundus

If the uterus is high or shifted to the right encourage pt to void

48
Q

What is the most common treatment after an episiotomy? (Tear during labour)

A

Assess pain
Administer ice pack
Performing peri care
Assess approximation/sighs of complications

49
Q

What is the size for IM injections?

A

1-1.5” syringe needle and 22 gauge

If obese 2”-2.5”

If child 0.5-1”

50
Q

Common sc syringe size?

A

3/8-5/8” 25 gauge needle given at 45 and 90 degrees

Heparin is always given at 90

51
Q

Fast vs short acting insulin?

A

Short: humalin R

  • onset 30-60min
  • peak 2-3hrs

Long: humalin N

  • onset: 2-3hrs
  • peak: 4-12hrs
52
Q

Proper ratio for CPR?

A

30:2

30 compressions

2 breaths

53
Q

10 rights of med admin

A

Right:

Dose
Drug
Documentation 
Route
Reason 
Refusal
Patient 
Education 
Time 
Evaluation
54
Q

Why are LPNs regulated by CLPNBC?

A

To protect the public

55
Q

What is the preferred IM injection technique?

A

Z track

56
Q

Best IM site for adults vs children?

A

Adults: ventrogluteal

Children: vastuslateralus

57
Q

How is the deltoid IM injection site properly landmarked?

A

2 fingers beneath achromium process

58
Q

How is ventrogluteal landmarked?

A

Head of the greater trochanter

59
Q

Common side effect of NSAIDs?

A

Gastric upset

60
Q

Common side effects of beta blockers?

A

Persistent cough

CPRNE Prep (3 decks)

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