Skills Finals Review (Jeopardy, Expanded + More In-Depth)

Question 1

This action prevents drainage from the NG Tube from going into the esophagus and pharynx upon removal of the NG tube =

Answer 1

Pinching the tube

Question 2

This is the gold standard for confirmation of NG Tube placement =

Answer 2

X-Ray

Question 3

Name of the 1st anatomical landmark used when measuring NG Tube placement =

Answer 3

Tip of the Nose

Question 4

Name of the 2nd anatomical landmark used when measuring NG Tube placement =

Answer 4

Ear Lobe

Question 5

Name of the 3rd anatomical landmark used when measuring or NG Tube placement =

Answer 5

Xiphoid Process

Question 6

What is the position used for placement of an NG Tube?

Answer 6

High Fowler’s

Question 7

Having a pt hold their breath during NG Tube placement prevents-

Answer 7

Aspiration

Question 8

The unintended administration of a vesicant drug or fluid into the subcutaneous tissue =

Answer 8

Extravasation

Question 9

What should the change interval be for continuous IV fluids?

Answer 9

Every 96 hrs

Question 10

Veins in this proximity to the body should be attempted first =

Answer 10

Distal / Distally

Question 11

Blue Hub Angiocath =

Answer 11

22 G

Question 12

Yellow Hub Angiocath =

Answer 12

24 G

Question 13

Pink Hub Angiocath =

Answer 13

20 G

Question 14

Green Hub Angiocath =

Answer 14

18 G

Question 15

Grey Hub Angiocath =

Answer 15

16 G

Question 16

Orange Hub Angiocath =

Answer 16

14 G

Question 17

What fluid has an Osmolality that’s the same as bodily fluids?

Answer 17

Isotonic Solution

Question 18

What fluid has an Osmolality that’s lower than bodily fluids?

Answer 18

Hypotonic Solution

Question 19

What fluid has an Osmolality that’s higher than bodily fluids?

Answer 19

Hypertonic Solution

Question 20

Assessment tool used to assess pressure ulcer risk =

Answer 20

Braden Scale

Question 21

A high diet in this nutrient will aid in wound healing =

Answer 21

Protein

Question 22

Acute wounds should be treated with what kind of dressings?

Answer 22

Hydrogels, Hydrocolloids, Alginates, Foams, Films

Question 23

Chronic wounds should be treated with what kind of dressings?

Answer 23

Cellulose / Bacterial Cellulose, Collagen, Chitosan, Hyaluronic Acid, Fibrinogen / Fibrin, Polylysine

Question 24

Define chronic wounds =

Answer 24

A wound that doesn’t heal in an orderly set of stages (is unpredictable) and lasts longer than 3 months

Question 25

Brown / Black dead tissue attached to a wound =

Answer 25

Eschar Tissue

Question 26

Thick, yellow, green, tan, or brown wound drainage =

Answer 26

Purulent Exudate

Question 27

Clear, watery serum from a wound =

Answer 27

Serous Exudate

Question 28

Bright red wound =

Answer 28

Sanguineous Exudate

Question 29

Pale, red, watery wound =

Answer 29

Serosanguinous Exudate

Question 30

Pus & Blood =

Answer 30

Purosanguinous Exudate

Question 31

Intact, nonblancheable area of redness over a bony prominence =

Answer 31

Pressure Ulcer Stage 1

Question 32

Partial-thickness skin loss which involves the epidermis layer and possibly the dermis layer of skin. May be present as an abrasion, a blister, or a very shallow crater =

Answer 32

Pressure Ulcer Stage 2

Question 33

Full-thickness skin loss involving subcutaneous tissue =

Answer 33

Pressure Ulcer Stage 3

Question 34

Full-thickness skin loss involving muscle, bone, or other supporting structures such as tendons or joint capsules. Undermining and sinus tracts may also be present =

Answer 34

Pressure Ulcer Stage 4

Question 35

What’s the maximum amount of time spent with one pass of the suction catheter =

Answer 35

10 Seconds

Question 36

Used to deliver high flow rates + High concentrations of oxygen =

Answer 36

Non-Rebreather Mask

Question 37

Used for clients with chronic airflow limitations or for long term use. Most commonly used. Inexpensive. Doesn’t interfere with eating or talking =

Answer 37

Nasal Cannula

Question 38

These are used in clients who are deteriorating who might require intubation =

Answer 38

Non-Rebreather Mask

Question 39

What do Venturi masks provide?

Answer 39

High-Flow Oxygen (You can select the amount of oxygen desired)

Question 40

What are the nursing interventions for a Croup Tent?

Answer 40

Make sure they know to not have any electrical toys in the tent. May have to change the sheet often to keep the bed dry.

Question 41

Used to treat obstructive sleep apnea, prevent endotracheal intubation, pulmonary edema, COPD, and Respiratory failure =

Answer 41

CPAP, BIPAP, ST

Question 42

This holds the airway open allowing for patients with COPD longer to exhale CO2 if they are retaining CO2 =

Answer 42

BIPAP

Question 43

Used to deliver aerosol Medications + Usually takes 15-20 mins =

Answer 43

Nebulizer

Question 44

What are things that an Incentive Spirometer can solve?

Answer 44

Improve Pulmonary Ventilation Loosen Secretions Expand Collapsed Alveoli Facilitate Respiratory Gas Exchange Counteract the effects of Anesthesia or Hypoventilation

Question 45

This type of Incentive Spirometer does not measure volume of air inhaled =

Answer 45

Flow Oriented

Question 46

This type of Incentive Spirometer measures the volume of air inhaled =

Answer 46

Volume Oriented

Question 47

This is when you use gravity to facilitate the removal of bronchial secretions =

Answer 47

Postural Drainage

Question 48

When should coughing and deep breathing exercises be taught?

Answer 48

Chest surgery, COPD, or cystic fibrosis

Question 49

Device used to prevent pneumonia in Post-Op pt’s =

Answer 49

Incentive Spirometer

Question 50

Habit that should be avoided by anyone receiving oxygen therapy =

Answer 50

Smoking

Question 51

What is the setting for wall suction when performing an endotracheal suction?

Answer 51

80-100 MMHG

Question 52

The appearance of this structure may change in an infant depending on hydration status =

Answer 52

Anterior Fontanel

Question 53

Skin variation characterized by hyperpigmentation in the buttocks region =

Answer 53

Mongolian Spots

Question 54

Head circumference should be obtained until what age?

Answer 54

3 Years Old

Question 55

What are the 2 pain scales used for children who are not yet able to verbalize pain?

Answer 55

FLACC Scale Wong-Baker FACES Scale

Question 56

What is the BMI?

Answer 56

A measurement of body fat determined by comparing height and weight

Question 57

The donation of the pt’s own blood prior to a pt’s scheduled procedure =

Answer 57

Autologous Donation

Question 58

Collecting the patient's blood during surgery, filtering the blood, and then reinfusing the red cells back to the patient =

Answer 58

Blood Salvage

Question 59

This occurs when a patient's compatible family members and/or friends donate blood for their upcoming procedure =

Answer 59

Designated Donor

Question 60

What’s the amount of time the nurse must remain with a pt after they start a blood transfusion?

Answer 60

15 Mins

Question 61

This must be obtained prior to the administration of blood or blood products =

Answer 61

Informed Consent

Question 62

Religious group that may refuse he transfusion of blood or blood products =

Answer 62

Jehovah’s Witnesses

Question 63

Universal Donor =

Answer 63

O-

Question 64

Universal Recipient =

Answer 64

AB+

Question 65

What blood types can AB blood be donated to?

Answer 65

AB blood is only compatible for recipients who also have AB blood

Question 66

Rh+ blood can’t be donated to recipients with Rh- blood. However, Rh- blood can be donated to Rh+ recipients. True or false?

Answer 66

True

Question 67

What are the 4 factors that must be assessed after placement of a splinting device or cast?

Answer 67

Color Movement Sensation Pulse