Prep Questions 2

Question 1

What is recommended for someone with postural drainage?

Answer 1

More fluids

Question 2

How to check BP on pt with a mastectomy?

Answer 2

If only one breast removed check it on unaffected side

Both removed - administer analgesic before

Question 3

Positioning for someone with increased ICP?

Answer 3

Reverse trendenberg and head support

Question 4

Common symptoms of multiple sclerosis?

Answer 4

Decreased sensation to pain and heat

Question 5

How to do an abdominal assessment?

Answer 5

Inspection
Auscultation
Percussion
Palpation

Question 6

Postmortem care?

Answer 6

Place in supine position 
Put in dentures if applicable 
Try to close eyes 
Change soiled linens 
Brush hair
Place pillow under head 

Make as normal as possible for family viewing

Question 7

Pathological vs physiological jaundice?

Answer 7

Physiological: occurred anytime >24hrs of birth and can last 2 weeks

Pathological: present

Question 8

Assessing dehydration in a child?

Answer 8

Mucus membranes

Question 9

Assessing dehydration in an infant?

Answer 9

Assess anterior and posterior fontanels for depression

Question 10

When do posterior and anterior fontanelles close?

Answer 10

Anterior (diamond) closes at 18 months

Posterior (almond) closes 2-3 months

Question 11

Correct procedure to follow before inserting a catheter?

Answer 11

Physician order
Consent from pt if cognitive 
Wash hands 
Sterile technique 
Document

Question 12

Catheter sizes for men?

Answer 12

16-20 French

Question 13

Catheter sizes for women?

Answer 13

12-16 French

Question 14

How to perform a procedure for the first time?

Answer 14

Check agency policy/procedure/protocol

Request Lpn or Rn for is experienced to watch and intervene if necessary

Question 15

What is sundowning?

Answer 15

Change in behaviour or attitude in pts with dementia

Question 16

What is pseudomenstruation?

Answer 16

Blood appearing like menstruation in a newborn girl due to large introduction of hormones during gestation

Question 17

Sign of infection in JP drain?

Answer 17

Brown colouring

Question 18

Parkinson symptoms?

Answer 18

Tremors 
Slow movement 
Slurred speech 
Stutter 
Dysphasia 
Rigidity

Question 19

Colostomy care?

Answer 19

Empty when bag half full
Give grapefruit + yogurt to decrease odour of stool
Avoid corn
If blue report to physician immediately

Question 20

How is TB transmitted?

Answer 20

Airborne

Question 21

How is influenza transmitted?

Answer 21

Droplet

Question 22

Treatment of emphysema?

Answer 22

Teaching triggers ex. Smoking
Deep breathing
Pursed lip breathing

Question 23

Positioning for pt with emphysema?

Answer 23

Semi fowlers

Question 24

Average weight of newborn?

Answer 24

5-8 pounds

Question 25

How to prioritize?

Answer 25

Level of risk Unknown factors Routine care Scheduled appointments

Question 26

Who to contact when there is an unexpected death?

Answer 26

Coroner and physician

Question 27

Common symptom of BPH ?

Answer 27

Nocturia

Question 28

Who to contact with expected death?

Answer 28

Family | Physician

Question 29

What is given first ventolin or atrovent?

Answer 29

Ventolin

Question 30

Varicella zoster transmitted?

Answer 30

Airborne and contact if sores are open

Question 31

cast assessment?

Answer 31

``` Color Warmth Movement Sensation Cap refill ```

Question 32

What is an advance directive?

Answer 32

Written testament of a pt before death - assets - decision maker - care/interventions - DNR?

Question 33

Common side effect of ASA?

Answer 33

GI bleed

Question 34

Different types of drainage?

Answer 34

Sang: red Serous: clear Serosang: pink Purulent: yellow

Question 35

Oxytocin and labour?

Answer 35

Responsible for the dilation of the cervix and release of breast milk

Question 36

How many drops are in micro drip?

Answer 36

60

Question 37

How many drops are in macro drip?

Answer 37

10-15

Question 38

Correct response to something unusual?

Answer 38

Vitals Assessment data Complete SBAR Contact physician

Question 39

Dietary recommendation for pregnant women?

Answer 39

Regular diet with additional 300-400 calories a day

Question 40

Dietary recommendation for nursing mothers?

Answer 40

Regular diet with additional 300-500 calories a day

Question 41

Typical set up for blood transfusion?

Answer 41

Y tubing with NS

Question 42

How many hours can blood hang for?

Answer 42

4 hours | Anything longer and bacterial growth can occur

Question 43

Blood and antibiotics are ordered on MAR. Which should be given first?

Answer 43

Antibiotics then blood

Question 44

Types of transfusion reactions?

Answer 44

Circulatory overload Febrile Anaphylactic Bacterial

Question 45

Most important thing to check before administering blood?

Answer 45

Blood type and Rh compatibility

Question 46

What is Reye's syndrome?

Answer 46

Common condition in children with a fever after taking ASA. Symptoms include nausea and vomiting

Question 47

What should you do if you enter pts room and you are unaware of pts condition?

Answer 47

Leave room Read about condition Check facility protocol, procedure and policy

Question 48

Common symptom of arterial insufficiency?

Answer 48

Extremity is cold to the touch and pedal pulses are not felt

Question 49

What type of precaution is c-diff?

Answer 49

Contact

Question 50

Interventions of orthostatic hypotension?

Answer 50

Check BP when sitting, lying down and standing

Question 51

Common side effects of nitro patches?

Answer 51

Hypotension and headaches

Question 52

How are anti inflammatory and analgesics given?

Answer 52

With food to decrease GI upset

Question 53

What to do if pt with emphysema is deteriorating?

Answer 53

Give oxygen -you can give up to 2L without a dr order

Question 54

3 things to assess pregnancy?

Answer 54

Goodells sign (softening cervix) Chadwick's sign (bluish colouring of vag mucosa) Hegars sign (softening of the lower uterine segment)

Question 55

Common symptoms of pregnancy?

Answer 55

``` Polyuria Nausea Breast tenderness Urinary frequency Urinary urgency Missing menstrual cycle ```

Question 56

What IV fluid should be given for reversing hypoglycemia?

Answer 56

D5W

Question 57

What should you do if you notice dehiscence?

Answer 57

Cover with sterile mousy saline dressings

Question 58

When should you plan to bath baby?

Answer 58

Before feeding to prevent vomiting

Question 59

How are anti inflammatory and analgesics given?

Answer 59

With food to decrease GI upset

Question 60

What to do if pt with emphysema is deteriorating?

Answer 60

Give oxygen -you can give up to 2L without a dr order