2024 NUR 185 FINAL PRACTICE EXAM WITH 2
VERSIONS QUESTIONS & CORRECT ANSWERS
GRADED A EXAM
Version 1 What should be assessed on a patient that has been prescribed vancoymycin?BUN & Creatinine Check for hearing aids Check for hearing loss What is lomotil used for?Stop diarrhea What do you do for a patient that is on a ventilator and the alarms are sounding?Check all tubing Assist with breathing if tubing check is fine What is needed at bedside for a patient on mucomyst?Suction due to increased secretions What is the antidote for tylenol overdose?mucomyst What do you do to a stoma to train the bowel?Irrigate What is the normal amount of time to not hear bowel sounds after a stoma has been placed?48 hours What color should the stoma be?Beefy Red Who can delegate to an LPN? 1 / 3
MD RN NP PA What type of medication is midazolam?Sedative What are a few side effects of midazoloam?Respiratory Depression Low pulse What patients are commonly given midazolam?Patient on ventilators What is the therapeutic level of coumadin?2-3 What is another name for coumadin?warfarin What do you do with a prescription for coumadin and the patients INR is greater than 3?Hold it and call the ordering provider What are the signs and symptoms of bleeding?Tarry stools Bleeding gums Blood in urine What does ROME stand for?Respiratory Opposite Metabolic Equal What are normal pH levels?
7.35-7.45 2 / 3
What are normal co2 levels?35-45 What are normal bicarb levels?22-26 What is respiratory acidosis?Low pH Elevate CO2 or Bicarb What does respiratory acidosis look like?Tremors Weakness Dyspnea Hypotension Tachycardia Dizzy Disoriented What is VAP?Ventilator Associate Pneumonia What causes VAP?Bacteria going down the tube into the lungs, causing and infection What are some interventions to prevent VAP?-Oral Care with chlorhexidine -Keep head of bed elevated to 30-45 degrees -Administration of antacids to prevent ulcers -Provide daily sedation "vacations" and assess readiness to extubate -DVT prophylaxis What does oral care in prevention of VAP include?Clean mouth with chlorhexidine daily Brush twice a day Rinse their mouth four times a day What are interventions for a patient on restraints?
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