11720545
Descripción
Test por Laurie White, actualizado hace más de 1 año
|
Creado por Laurie White
hace más de 6 años
|
|
Pregunta 1
Pregunta
The IV site is changed only as needed
Respuesta
- True
- False
Pregunta 2
Pregunta
It is ok to stop a heparin or antibiotic infusion
Respuesta
- True
- False
Pregunta 3
Pregunta
How many cc to flush a SL lock?
Respuesta
-
2cc
-
3cc
-
5cc
-
10cc
Pregunta 4
Pregunta
1cc and 1ml are the same thing
Respuesta
- True
- False
Pregunta 5
Pregunta
PRBs are often used for
Respuesta
-
trauma/surgery
-
low BP
-
to correct fluid volume
-
for active bleeding to coagulate blood
Pregunta 6
Pregunta
albumin is used to
Respuesta
-
treat blood loss from trauma/surgery
-
to correct fluid volume (draw fluid back into the vessels)
-
for active bleeding to coagulate blood
-
to decrease BP
Pregunta 7
Pregunta
The difference between blood type, screen & cross match is only good for 72 hours
Respuesta
- True
- False
Pregunta 8
Pregunta
what enters the blood stream and has a systemic effect?
Respuesta
-
analgesics
-
anesthetics
-
normal saline
-
antiemetics
Pregunta 9
Pregunta
The top port of the primary IV line is used to connect a PCA
Respuesta
- True
- False
Pregunta 10
Pregunta
You are unconscious when given this type of anesthesia
Respuesta
-
local
-
regional
-
general
Pregunta 11
Pregunta
dermatomes need to be tested after patient has had this type of anesthetic
Respuesta
-
local
-
general
-
regional
Pregunta 12
Pregunta
what dermatome marks the umbilicus?
Respuesta
-
T8
-
T9
-
T10
-
T11
Pregunta 13
Pregunta
Patients with an epidural will also have a foley catheter
Respuesta
- True
- False
Pregunta 14
Pregunta
Spinal are injected in what region?
Respuesta
-
L1-L2
-
T11-T12
-
L3-L4
-
T1-T2
Pregunta 15
Pregunta
The onset of an epidural is much faster then a spinal
Respuesta
- True
- False
Pregunta 16
Pregunta
What caused a spinal headache?
Respuesta
-
dehydration
-
low BP
-
CSF leaking out the injection site
-
anesthesia has spread to the brain
Pregunta 17
Pregunta
LPNs fill out PCA forms
Respuesta
- True
- False
Pregunta 18
Pregunta
Check all the apply
To avoid risk of bleeding or hematoma...
Respuesta
-
Do not give dalteparin for at least 4 hours after epidural catheter is removed
-
Do not give heparin for at least 2 hours after an epidural is removed
-
Do not remove epidural within 12 hours of a deltaparin or heparin injection
Pregunta 19
Pregunta
There is a risk of patients with PCAs getting addicted to opiods
Respuesta
- True
- False
Pregunta 20
Pregunta
When a new med infusion is prescribed via IV and the drug guide does not say that it IS or IS NOT compatible with the current med in the PCA, you can assume it's compatible and prime a secondary line
Respuesta
- True
- False
Pregunta 21
Pregunta
Which type of anesthesia requires the airway to be maintained by a endotracheal tube & ventilator?
Respuesta
-
local
-
regional
-
general
Pregunta 22
Pregunta
local anesthetic is used for most major surgeries
Respuesta
- True
- False
Pregunta 23
Pregunta
pick the correct order of how things return when regional anesthetic wears off
Respuesta
-
pain, sensation, motor
-
motor, sensation, pain
-
sensation, pain, motor
-
sensation, motor, pain
Pregunta 24
Pregunta
urinary retention is a side effect of general anesthesia
Respuesta
- True
- False
Pregunta 25
Pregunta
check all that apply
potential complications post surgery:
Respuesta
-
hemorrhage
-
pnemonia
-
PE
-
DVT
-
paralytic ileus
-
wound infection
Pregunta 26
Pregunta
match the term: excision/ removal
Respuesta
-
ectomy
-
oscopy
-
ostomy
-
plasty
Pregunta 27
Pregunta
match the term: forming an opening
Respuesta
-
ectomy
-
oscopy
-
ostomy
-
plasty
Pregunta 28
Pregunta
match the term: surgical repair
Respuesta
-
ectomy
-
oscopy
-
plasty
-
otomy
Pregunta 29
Pregunta
match the term: anastamosis
Respuesta
-
forming an opening
-
surgical joining of two ducts, vessel or bowel
-
collapse of alveoli
-
visual examination with an instrument
Pregunta 30
Pregunta
match the term: Minimal depression of the LOC with maintenance of protective airway refleces
Respuesta
-
general sedation
-
conscious sedation
-
local sedation
-
regional sedation
Pregunta 31
Pregunta
pick the correct motor block score:
-no motor block, able to fully flex knees and feet
Respuesta
-
0
-
1
-
2
-
3
Pregunta 32
Pregunta
a motor block score of 3 would indicate that the patient...
Respuesta
-
has no motor block and can fully flex knees and feet
-
is only able to move knees and feet (unable to raise extended legs)
-
able to move feet only
-
unable to move hips, knees or feet (unable to flex ankle joint)
Pregunta 33
Pregunta
check all the post-operative exercises that should be done 10x per hour
Respuesta
-
deep breathing
-
coughing
-
leg exercises
-
turning and re-positioning
-
dangling
-
incentive spirometer
Pregunta 34
Pregunta
what is the most common purpose of the NG tube?
Respuesta
-
decompression of the GI tract (suction)
-
feeding
-
compression
-
lavage
Pregunta 35
Pregunta
which tube type is used for decompression of the GI tract
Respuesta
-
entroflex tube
-
saleum sump tube
-
standard suction tube
-
a 12-14fr catheter tube
Pregunta 36
Pregunta
LPNs can insert & remove NG tubes
Respuesta
- True
- False
Pregunta 37
Pregunta
Assessment of the NG tube, pick the correct scenario
Respuesta
-
suction is set between 40-80mmHg, HOB elevated to 30 degrees, NG tube taped securely to bridge of nose and pinned to gown
-
suction is set between 40-80mmHg, HOB elevated to 30 degrees, NG tube taped securely to cheek and gown
-
suction set above 80mmHg, HOB elevated to 45 degrees, NG tube taped securely to bridge of nose and pinned to gown
-
suction is set between 40-80mmHg, bed is supine, NG tube taped securely to bridge of nose and pinned to gown
Pregunta 38
Pregunta
gastric aspirate is alkaline, ph is 7+
Respuesta
- True
- False
Pregunta 39
Pregunta
when giving NG medications...
Respuesta
-
Turn off NG suction, flush NGT with 30-50ml of warm tap water pre & post med admin, do not turn NG tube back on until 30min post med admin
-
Turn off NG suction, flush NGT with 5ml of warm tap water pre & post med admin, do not turn NG tube back on until 30min post med admin
-
Turn off NG suction, flush NGT with 30-50ml of warm tap water pre & post med admin, turn NG suction back on
-
Leave NG suction on, flush NGT with 30-50ml of warm tap water pre & post med admin
Pregunta 40
Pregunta
What to report to physician, check all the apply in regards to NG tubes
Respuesta
-
NG tube drainage: coffee grounds, hemolyzed sanguinous drainage, dark brown granular appearance
-
excessive losses: more than 500-1000 mls per hour
-
minimal losses: less than 30ml/hr
-
NG tube drainage: bile coloured aspirate
Pregunta 41
Pregunta
During TPN, the client pump is alarming, the screen indicates upstream occlusion.
The LPN would assess between...
Respuesta
-
The bag and the pump
-
the pump and the patient
Pregunta 42
Pregunta
TPN can be a shock to a malnourished body
Respuesta
- True
- False
Pregunta 43
Pregunta
Name the syndrome:
Defined as the potentially fatal shifts in fluids and electrolytes that may occur in malnourished patients receiving artificial refeeding eg. TPN (whether enterally or parenterally). These shifts result from hormonal and metabolic changes and may cause serious clinical complications.
Respuesta
-
Refeeding symdrome
-
Malabsorption syndrome
-
toxic shock syndrome
-
cushing's syndrome
Pregunta 44
Pregunta
The pump has broke down for a client receiving TPN and a new one may take a hour to find, what should be done?
Respuesta
-
Give TPN PIV by gravity
-
Give D5W PIV by gravity
-
D10W PIV by gravity
-
No need to do anything, wait the hour and restart TPN with new pump
Pregunta 45
Pregunta
In regards to TPN:
after the initiation of a lipid, the client starts complaining of SOB and chest pain... what do you do?
Respuesta
-
raise the head of the bed and do a chest assessment to check for crackels
-
this is likely a fat embolism, follow air embolism protocol and call a code blue!
-
take an O2 sat, get the patient to do DB & C, re-assess
-
check for a prn order of nitro spray
Pregunta 46
Pregunta
TPN can be administered via a PICC or PIV
Respuesta
- True
- False
Pregunta 47
Pregunta
A patient on TPN would have an NPO diet
Respuesta
- True
- False
Pregunta 48
Pregunta
Max hang time for TPN and/or lipids
Respuesta
-
TPN 24 hours, Lipids 12 hours
-
TPN & Lipds 24 hours
-
TPN & Lipds 4 hours
-
TPN 12 hours & Lipds 6 hours
Pregunta 49
Pregunta
Upon initial initiation of TPN, blood glucose is checked Q6h x48, then daily.
What is the rational for this
Respuesta
-
no rational, standard policy and will very by employer
-
because TPN has a high concentration of dextrose, can cause hyperglycemia
-
Patients may become hypoglycemic on TPN
-
to monitor for refeeding syndrome
Pregunta 50
Pregunta
Name the main metabolic problems that can occur with TPN
Respuesta
-
hyperglycemia, fluid overload, refeeding syndrome, rebound hypoglycemia, hepatic dysfunction
-
hypoglycemia, dehydration, refeeding syndrome, rebound hyperglycemia, hepatic dysfunction
-
Nausea, vomitting and diarrhea
-
infected IV, phlebitis and air embolis,
Pregunta 51
Pregunta
You suspect the patient has an air embolus - what is the protocol?
Respuesta
-
check O2 sat, listen for crackles in the lungs, slow the infusion, raise head of bed, notify RN
-
moitor for chest pain, SOB, rapid weak pulse, place on left side trendelenburg position (unless contraindicated), administer O2, notify RN/ call a code blue if necessary
-
moitor for chest pain, SOB, rapid weak pulse, place on right side trendelenburg position (unless contraindicated), administer O2, notify RN/ call a code blue if necessary
-
moitor for chest pain, SOB, rapid weak pulse, lie patient supine (unless contraindicated), check O2 sat, notify RN if <95% on RA
Pregunta 52
Pregunta
A patient will never discontinue TPN, it is given at the end stages of life as comfort care
Respuesta
- True
- False
Pregunta 53
Pregunta
an ileostomy is placed where?
Respuesta
-
any part of the colon (ascending, transverse, descending)
-
end of the ileum
-
the ideal conduit
Pregunta 54
Pregunta
paralytic ileus is an indicator for a colostomy
Respuesta
- True
- False
Pregunta 55
Pregunta
an ileostomy is permanent
Respuesta
- True
- False
Pregunta 56
Pregunta
a cold stoma is a healthy stoma
Respuesta
- True
- False
Pregunta 57
Pregunta
a black stoma is a beautiful stoma
Respuesta
- True
- False
Pregunta 58
Pregunta
a person with a colostomy will lose 1.5-2L of fluids daily
Respuesta
- True
- False
Pregunta 59
Pregunta
After a bowel surgery, it is normal for bowel sounds & gas to have not returned by POD1.
Respuesta
- True
- False
Pregunta 60
Pregunta
How is C-diff spread?
Respuesta
-
poor hand hygiene
-
airborn
-
droplets
Pregunta 61
Pregunta
Name the required precaution:
Used for patients/residents that have an infection that can be spread by contact with the person’s skin, mucous membranes, feces, vomit, urine, wound drainage, or other body fluids, or by contact with equipment or environmental surfaces that may be contaminated by the patient/resident or by his/her secretions and excretions.
Respuesta
-
airborne precautions
-
droplet precautions
-
contact precaustions
-
standard precautions
Pregunta 62
Pregunta
Name the type of precaution:
Used for patients/residents that have an infection that can be spread through close respiratory or mucous membrane contact with respiratory secretions.
Respuesta
-
standard
-
contact
-
droplet
-
airborne
Pregunta 63
Pregunta
Name the type of precaution:
Used for patients/residents that have an infection that can be spread over long distances when suspended in the air. These disease particles are very small and require special respiratory protection and room ventilation.
Respuesta
-
standard
-
airborne
-
droplet
-
contact
Pregunta 64
Pregunta
Contact precautions are a set of basic infection prevention practices intended to prevent transmission of infectious diseases from one person to another. Because we do not always know if a person has an infectious disease, contact precautions are applied to every person every time to assure that transmission of disease does not occur. These precautions were formerly known as “universal precautions.”
Respuesta
- True
- False
Pregunta 65
Pregunta
Hospitals have pressurized rooms for patients with compromised immune systems. Air will flow out of the room instead of in, so that any airborne microorganisms (e.g., bacteria) that may infect the patient are kept away.
This type of pressure is called:
Respuesta
-
positive pressure
-
negative pressure
-
standard pressure
Pregunta 66
Pregunta
"___________________" room pressure is an isolation technique used in hospitals and medical centers to prevent cross-contaminations from room to room. It includes a ventilation system that generates "________________" pressure to allow air to flow into the isolation room but not escape from the room, as air will naturally flow from areas with higher pressure to areas with lower pressure, thereby preventing contaminated air from escaping the room. This technique is used to isolate patients with airborne contagious diseases such as tuberculosis, measles, or chickenpox.
Respuesta
-
negative and negative
-
negative and positive
-
positive and negative
-
positive and positive
Pregunta 67
Pregunta
A hospital-acquired infection (HAI), also known as a "_____________________", is an infection that is acquired in a hospital or other health care facility.
Respuesta
-
nosocomial infection
-
transient flora
-
latrogenic infection
-
exogenous infection
-
endogenous infection
Pregunta 68
Pregunta
The chain of infection order
Respuesta
-
an infectious agent (pathogen), a reservoir, a portal of exit, a mode of transportation, a portal of entry (to host), a susceptible host
-
an infectious agent (pathogen), portal of exit, a reservoir, a mode of transportation, a susceptible host, a portal of entry (to host),
-
an infectious agent (pathogen), a portal of entry (to host), a susceptible host, a reservoir, a portal of exit, a mode of transportation
-
an infectious agent (pathogen), a susceptible host, a portal of entry (to host), a mode of transportation, a reservoir, a portal of exit
Pregunta 69
Pregunta
check all that apply - modes of how pathogens are spread
Respuesta
-
contact (direct & indirect)
-
droplet (respiratory secretions)
-
airborne (particles suspended in air)
-
vehicle (through contaminated substances)
-
vectorborne (through fleas, ticks, lice, pests)
-
sterileborne (through sterilized products)
Pregunta 70
Pregunta
What is not in the LPN scope in regards to PIVs
Respuesta
-
hang/change non-med bags such as NS, D5W, Ringer's lactate etc
-
adjust IV rate as required on a manual and/or pump
-
care and maintenance of a SL lock
-
remove SL/ discontinue IV
-
prime a primary and/or secondary line
-
hang IV meds and red label bags
Pregunta 71
Pregunta
KCL (potassium) can be hung by an LPN if prepared by a pharmacist and the LPN has additional training
Respuesta
- True
- False
Pregunta 72
Pregunta
LPNs can assess and change a dressing on a central IV line
Respuesta
- True
- False
Pregunta 73
Pregunta
The medication line is hung ______________ than the primary line
Respuesta
-
higher
-
lower
-
same level
Pregunta 74
Pregunta
increased pulse, increased bp, increased resps, edema, weight gain, lung crackles and increased urination are signs of what?
Respuesta
-
phlebitis
-
fluid overload
-
air embolism
-
occlusion
-
infection
Pregunta 75
Pregunta
Blood must be initiated (hung & infusing) by RN within _________ of leaving blood bank. Once out of fridge, a bag of blood is only usable for ___________.
Respuesta
-
30min, 4 hours
-
60min, 4 hours
-
30min, 6 hours
-
4 hours, 24 hours
Pregunta 76
Pregunta
Name the correct term:
A large volume of fluid or dose of a drug given intravenously and rapidly at one time.
Respuesta
-
an IV bolus
-
a TKVO
-
a DRIP
-
an IV infusion
Pregunta 77
Pregunta
In regards to TPN
lipids are fatty acids/glycerol and contain twice as many calories per gram than Carbohydrates and proteins
Respuesta
- True
- False
Pregunta 78
Pregunta
Too many amino acids create a positive nitrogen balance in our bodies and this not helpful
Respuesta
- True
- False
Pregunta 79
Pregunta
Carbohydrates are our main source of energy
Respuesta
- True
- False
Pregunta 80
Pregunta
If the order may read “replace NG losses 2:1” with D5NS with 20 MEq of KCL”
it means every 12 hours the nurse will tally NG losses and replace with twice the amount of IV solution over the next 12 hours
Respuesta
- True
- False
Pregunta 81
Pregunta
In regards to NG tubes
Excessive gastric content loss may yield metabolic alkalosis but, a) the kidneys may compensate, and b) NG may only be short term – so alkalosis may only be mild.
Respuesta
- True
- False
Pregunta 82
Pregunta
When might kayexalate be ordered for a patient?
Respuesta
-
before bowel surgery to clear out the GI system
-
when potassium levels are high
-
when potassium levels are low
-
to wake up a sleepy bowel
Pregunta 83
Pregunta
post-surgery patients are often prescribed more than 1 opioid medication
Respuesta
- True
- False
Pregunta 84
Pregunta
choose all the apply in regards to PCAs
Respuesta
-
only the patient can press the button
-
a family member or nurse can press the button for the patient
-
requires a PIV
-
usually initiated by the RN in PAR
-
average length of use is 7 days
-
a basal rate of pain medication is always transfusing and the PCA is in addition
-
it is often under used due to patient fear of addicion
-
it is often overused due to patient addiction
-
patient education is required
-
LPNs can monitor: dose, med concentration, lockout, basal rate, attempts, and delivered
Pregunta 85
Pregunta
A spinal is given into the epidural space
Respuesta
- True
- False
Pregunta 86
Pregunta
check all that apply
Effects of anesthesia can be maintained as long as required for
Respuesta
-
epidurals
-
spinals
-
local
-
general
Pregunta 87
Pregunta
There is such thing as a patient controlled epidural (PCEA)
Respuesta
- True
- False
Pregunta 88
Pregunta
Which route of med admin has the fastest onset
Respuesta
-
IV
-
IM
-
PO
-
SQ
-
SL
-
Transdermal
Pregunta 89
Pregunta
LPNs need to take report from the PAR nurse and collaborate with RNs when receiving "fresh" post-op patients
Respuesta
- True
- False
Pregunta 90
Pregunta
Pick the correct terminology:
An area of skin innervated by the sensory fibers of a single dorsal root of a spinal nerve
Respuesta
-
dermatome
-
afferent nerve
-
efferent nerve
-
motor/sensory nerve
-
neuron
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