CCN Combined

POST TEST # 4 (Respi)
Due
Oct 8 at 11:59pm
Points
20
Questions
20
Available
until Oct 8 at 11:59pm
Time Limit
20 Minutes
This quiz was locked Oct 8 at 11:59pm.
Attempt History
Attempt Time Score
LATEST Attempt 1
13 minutes 18 out of 20
Score for this quiz:

18 out of 20
Submitted Oct 8 at 10:25pm
This attempt took 13 minutes.
Question 1 1
/ 1 pts
A 85 year old patient is admitted with a initial impression of

pneumococcal pneumonia. The patient has dyspnea. The patient’s
temperature is 38degrees celcius respirations are 36, and pulse is 92.
Bed rest is ordered typically to:

prevent the development of atelectasis
Correct!
decrease metabolic needs

promote thoracic expansion

prevent infection of others
Question 2 1
/ 1 pts
The nurse just received reports on the following four clients. Which client
should the nurse see first?

A client who was admitted for a urinary tract infection with antibiotics
infusing
Correct!
A client who was admitted for sepsis with vasopressors infusing

A client who was admitted for respiratory distress with normal saline
infusing and a respiratory rate of 20

A client who was admitted for a non-ST elevated MI (NSTEMI) with
heparin infusing
Question 3 1
/ 1 pts
A nurse withinside the ICU is worrying for a female client that has been
ventilated for two weeks because of Acute Respiratory Distress Syndrome
(ARDS). The client’s FiO2 has been at 60% for the final forty eight hours.
What is the nurse’s instant precedence issue at this time?
Correct!
Oxygen toxicity

Ventilator associated pneumonia

Risk for sepsis

Fluid retention
Question 4 1
/ 1 pts
Which laboratory tests need to Miguel get first before prophylactic drug
remedy for tuberculosis is started?

White blood cell (WBC) count and urinalysis
Correct!
Aspartate aminotransferase (AST; SGOT) and alanine aminotransferase
(ALT; SGPT)

Complete blood count (CBC) and hematocrit

Serum creatinine and blood urea nitrogen (BUN)
Question 5 1
/ 1 pts
A 34-year-old client in the ICU is being treated for acute respiratory

distress syndrome (ARDS). The client is on a ventilator and requires 80
percent FiO2. Which information would the nurse most likely need to
report about the client to the respiratory therapist assigned to this case?
Correct!
The client needs an arterial blood gas drawn

The client needs a hemoglobin level drawn

The client needs endotracheal suctioning

The client needs more oxygen because of O2 saturations
Question 6 1
/ 1 pts
A junior nurse is caring for a patient who’s in respiratory distress due to
ARDS. Which of the subsequent situations could most possible be found
in this patient?

Problems with thermoregulation
Correct!
Lack of tissue perfusion

Anuria

Disturbed personal identity
Question 7 0
/ 1 pts
A medical intensive care unit nurse is caring for a client diagnosed with
Respiratory distress is managed with a Venturi mask who is receiving
40% oxygen. What nursing actions are indicated? (Select all that apply).
orrect Answer
Prevent the client’s blanket from covering the adaptor’s orifices.
ou Answered
Ensure that the bag does not de ate completely during inspiration.

Adjust the liter flow according to the oxygen saturation.

Keep the oxygen source higher than the client’s airway.
Correct!
Check that the appropriate adaptor to deliver the prescribed FiO2 is
attached to the mask.
Question 8 1
/ 1 pts
A 45 year old patient is suffering from fluid overload due to a history of
severe liver disease. Which of the following interventions would be the
highest priority for this client?

Check skin regularly for signs of skin breakdown

Elevate the lower extremities to reduce edema

Weigh the client daily
Correct!
Monitor for heart arrhythmias and the presence of crackles on auscultation
Question 9 1
/ 1 pts
Maria has a tracheostomy tube in place. Which of the subsequent moves

is most appropriate for the nurse to take while suctioning the
tracheostomy?

Use clean technique and suction for 10 seconds
Correct!
Use sterile technique and turn the suction off as the catheter is introduced

. Use a sterile tube each time and suction for 30 seconds

Discard the catheter at the end of every shift
Question 10 1
/ 1 pts
A senior patient is to have postural drainage four times a day. In
producing the care plan, the nurse must make a schedule for:

6 A.M.; 10 A.M.; 2 P.M.; 6 P.M

10 A.M.; 2 P.M.; 6 P.M.; 10 P.M.

6 A.M.; 12 noon; 6 P.M.; 12 midnight
Correct!
7 A.M.; 11 A.M.; 4 P.M.; 10 P.M.
Question 11 1
/ 1 pts
Patient Marco is admitted with chronic obstructive pulmonary disease

(COPD). The nurse notes that he has neck vein distention and mild
peripheral edema. The nurse notifies the senior nurse and keeps on
assessing because the nurse is aware of those symptoms are sign of
onset of which of the following?
Correct!
Cor pulmonale

Left-sided heart failure

Cardiogenic shock

Pneumothorax
Question 12 1
/ 1 pts
Nurse Miko is taking care a client with ARDS. Which of the subsequent
medical signs might symbolize that this client is in respiration failure?
Select all that apply
Correct!
A PaO2 level below 60 mmHg

An ABG pH level of 7.35

Pulse oximetry of 94% on room air
Correct!
A pCO2 level over 50 mmHg
Question 13 1
/ 1 pts
The nurse is making plans take care of a patient who has COPD. Which
declaration is the patient most possible to say about activity tolerance?

“I feel best in the morning after a good night’s sleep.

Correct!
“The most difficult time of the day for meis the first hour after waking up in
the morning.”

“I don’t know why, but I get my ‘second wind’ at night and don’t want to go
to bed.”
Question 14 1
/ 1 pts
A nurse is using a non-rebreather masks to manage oxygen to a person

who's in respiratory distress. Which nursing intervention must the nurse
employ when usage of this sort of oxygen delivery device?

Slowly increase the amount of oxygen administered over the first hour
Correct!
Ensure that the mask fits well over the mouth and nose

Assess the client's skin and hair every 4 hours

Avoid administering solid food and only give liquids with this type of mask
Question 15 0
/ 1 pts
A 70-year-old Melissa is admitted with emphysema and acute upper

respiratory infection. Oxygen is ordered at 2 L/min. The motive for low
flow with the drift oxygen is to:
ou Answered
4The stimulus to breathe in a person with COPD is a low oxygen level
rather than a carbon dioxide level

facilitate oxygen diffusion of the blood.
orrect Answer
prevent depression of the respiratory drive.

. prevent excessive drying of secretions.
Question 16 1
/ 1 pts
A thoracentesis become executed on a male cient. After the procedure,

the client has hemoptysis and a pulse of 80, respirations of 30, and
temperature of 101°F. Which of those is of best concern to the nurse?

Pulse of 80

Temperature of 99°F
Correct!
Hemoptysis

Respirations of 28
Question 17 1
/ 1 pts
A middle aged Nery has a chest drainage system. Several hours after the
chest tube become inserted, the nurse observes that there's no bubbles
inside the water seal chamber. What is the most reason for the absence
of bubbling?
Correct!
There is an obstruction in the tubing coming from the client.

There is a mechanical problem in the pump.

Air is leaking into the drainage apparatus

The client’s lungs have reexpanded.
Question 18 1
/ 1 pts
A nurse is worrying for a patient who was rushed into the ED

complaining of chest pain and difficulty of breathing. Which of the
subsequent essential vital sign measurements suggest that the customer
is suffering with dyspnea?

Concave abdomen
Correct!
Respiratory rate greater than 25/min

Oxygen saturation of 95%

Dry, hot skin
Question 19 1
/ 1 pts
A female patient who is 29 years old asks the nurse why inspiration thru
the nostril is most preferred to inhale than the mouth. What is the fine
response?

It is easier to breathe through the nose

It produces greater blood oxygen levels

Mouth breathing dilutes the air and reduces the amount of air entering the
lungs.
Correct!
The nares humidify, warm, and filter the air
Question 20 1
/ 1 pts
A nurse is being concerned for an old client who’s on a mechanical

ventilator. Blood gas shows a pH of 7.50 and a PCO2 of 30 mm Hg. The
nurse has decided that the patient is experiencing respiration alkalosis.
Which laboratory value would be stated on this condition?

Magnesium level of 2.0 mg/L

Sodium level of 145 mEq/L

Phosphorus level of 4.0 mg/dl
Correct!
Potassium level of 3.0 mEq/L
Quiz Score:
18 out of 20
10/14/21, 9:07 AM POST TEST # 4 (Respi): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND

Due
Oct 8 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 20 minutes 19 out of 20

19 out of 20
Question 1 1
/ 1 pts
A 85 year old patient is admitted with a initial impression of pneumococcal

pneumonia. The patient has dyspnea. The patient’s temperature is
38degrees celcius respirations are 36, and pulse is 92. Bed rest is ordered
typically to:



Correct!
Question 2 1
/ 1 pts
https://feuph.instructure.com/courses/3114/quizzes/19941?module_item_id=149893 1/11

assessing because the nurse is aware of those symptoms are sign of
onset of which of the following?

Cardiogenic shock

Correct!
Cor pulmonale

Pneumothorax
Question 3 1
/ 1 pts
A grownup man is admitted with a pneumothorax following an accident.

Immediately after insertion of a chest tube, the patient says to the nurse,
“Why do I even have a tube in my chest and that thing placing at the side t of
the bed? I don’t like it.” What must the nurse encompass when replying to the
patient?

Tell the client that the nurse will contact the physician to have it removed

Focus on the client’s feelings

Tell the client that the chest tube helps the client take bigger breaths
Correct!
Explain that the chest tube will remove air and/or fl uid from the pleural
cavity and allow the lung to reexpand
Question 4 1
/ 1 pts
Maria has a tracheostomy tube in place. Which of the subsequent moves is

most appropriate for the nurse to take while suctioning the tracheostomy?

Correct!
Use sterile technique and turn the suction off as the catheter is
introduced


Question 5 1
/ 1 pts
Respiratory distress is managed with a Venturi mask who is receiving 40%
oxygen. What nursing actions are indicated? (Select all that apply).

Correct!
Correct!


Question 6 1
/ 1 pts
While the nurse is suctioning a tracheostomy tube, Ms. Ong begins to cough.
What is the appropriate action for the nurse to take?

Suction deeper to pick up secretions

Put the suction tube in and out several times to pick up secretions
Correct!
Gently withdraw suction tubing to allow suction or coughing out of mucus

Remove the suction as quickly as possible
Question 7 1
/ 1 pts
A nurse is assessing a patient for fluid overload. The nurse is aware of that
which of the subsequent orders must be applied to decide if the patient is in
fluid overload?
Correct!
Take the client to radiology for chest x-ray

Place the client on 5L O2 nasal cannula

Draw blood cultures

Count client respirations
Question 8 1
/ 1 pts

ARDS. Which of the subsequent situations could most possible be found in
this patient?


Correct!

Anuria
Question 9 1
/ 1 pts
A nurse ought to position the client prone after a prognosis of acute

respiratory distress syndrome (ARDS). Which of the subsequent is an
advantage of the use of this position? Select all that apply

Reduced need for endotracheal intubation

Increased response to corticosteroid therapy
Correct!
Decreased pleural pressure
Correct!
Mobilization of secretions
Correct!
Decreased atelectasis
Question 10 1
/ 1 pts
A nurse is using a non-rebreather masks to manage oxygen to a person

who's in respiratory distress. Which nursing intervention must the nurse
employ when usage of this sort of oxygen delivery device?

Assess the client's skin and hair every 4 hours
Correct!
Ensure that the mask fits well over the mouth and nose

Avoid administering solid food and only give liquids with this type of mask

Slowly increase the amount of oxygen administered over the first hour
Question 11 1
/ 1 pts
A thoracentesis become executed on a male cient. After the procedure, the

client has hemoptysis and a pulse of 80, respirations of 30, and

Correct!
Hemoptysis

Respirations of 28

Pulse of 80
Question 12 1
/ 1 pts
medical signs might symbolize that this client is in respiration failure? Select
all that apply


Correct!
Correct!
Question 13 0
/ 1 pts

respiratory infection. Oxygen is ordered at 2 L/min. The motive for low flow
with the drift oxygen is to:

orrect Answer
ou Answered

Question 14 1
/ 1 pts
ventilated for two weeks because of Acute Respiratory Distress Syndrome
(ARDS). The client’s FiO2 has been at 60% for the final forty eight hours.
What is the nurse’s instant precedence issue at this time?

Correct!
Oxygen toxicity

Risk for sepsis

Fluid retention
Question 15 1
/ 1 pts

Correct!
Monitor for heart arrhythmias and the presence of crackles on
auscultation


Question 16 1
/ 1 pts
A nurse is worrying for a patient who was rushed into the ED complaining
of chest pain and difficulty of breathing. Which of the subsequent essential
vital sign measurements suggest that the customer is suffering with

dyspnea?


Dry, hot skin
Correct!

Concave abdomen
Question 17 1
/ 1 pts
The nurse is worrying for a lady who's admitted with pneumonia. On

admission, the client is anxious and short of breath however capable of reply
to questions. One hour later, the patient turns into more dyspneic and much
less responsive, answering only yes and no questions. What is the
movement for the nurse to take at this time?

Stimulate the client until the client responds.

Increase the oxygen from the ordered 6 L to 10 L.
Correct!
Notify the charge nurse of the change in the client’s mental status

Assess the client again in 15 minutes.
Question 18 1
/ 1 pts


Correct!
(ALT; SGPT)

Question 19 1
/ 1 pts
A 34-year-old client in the ICU is being treated for acute respiratory distress
syndrome (ARDS). The client is on a ventilator and requires 80 percent
FiO2. Which information would the nurse most likely need to report about the
client to the respiratory therapist assigned to this case?



Correct!
Question 20 1
/ 1 pts

to bed.”


Correct!
the morning.”
Quiz Score:
19 out of 20
Due Oct 8 at 11:59pm Points 20 Questions 20
Available until Oct 8 at 11:59pm Time Limit 20 Minutes
Attempt History
Attempt Time Score
Score for this quiz: 20 out of 20

Question 1 1 / 1 pts
While the nurse is suctioning a tracheostomy tube, Ms. Ong begins to

cough. What is the appropriate action for the nurse to take?
Correct!
Gently withdraw suction tubing to allow suction or coughing out of
mucus
The nurse just received reports on the following four clients. Which
client should the nurse see first?
infusing
Correct!

heparin infusing
Which laboratory tests need to Miguel get first before prophylactic

drug remedy for tuberculosis is started?
Correct!
(ALT; SGPT)
ventilator. Blood gas shows a pH of 7.50 and a PCO2 of 30 mm Hg.
The nurse has decided that the patient is experiencing respiration
alkalosis. Which laboratory value would be stated on this condition?
Correct!

assessing because the nurse is aware of those symptoms are sign
of onset of which of the following?
Cardiogenic shock
Pneumothorax
Correct!
Cor pulmonale
response?
Mouth breathing dilutes the air and reduces the amount of air entering
the lungs.
Correct!
An older adult is admitted with severe pneumonia. Which of the

following measures should the nurse include in the plan of care
immediately after admission? Select all that apply.
Eat three large meals a day.
Correct!
Administer mucolytics as ordered
Correct!
Administer antipyretics as ordered.
Ambulate three times a day.
Correct!
Administer antibiotics as ordered.
Correct!
Encourage the client to drink 2 L of fl uid daily.

Due
Oct 8 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1
14 minutes 16.67 out of 20

16.67 out of 20
Question 1 1
/ 1 pts
The nurse is making plans take care of a patient who has COPD.
Which declaration is the patient most possible to say about activity
tolerance?

“I don’t know why, but I get my ‘second wind’ at night and don’t want to
go to bed.”
Correct!
“The most difficult time of the day for meis the first hour after waking up
in the morning.”


Question 2 0.67
/ 1 pts
https://feuph.instructure.com/courses/3115/quizzes/19939 1/10

orrect Answer
Correct!


Correct!
Question 3 1
/ 1 pts



Correct!

Question 4 1
/ 1 pts
Correct!
Monitor for heart arrhythmias and the presence of crackles on
auscultation



Question 5 1
/ 1 pts



Correct!
Gently withdraw suction tubing to allow suction or coughing out of
mucus

Question 6 1
/ 1 pts
Which laboratory tests need to Miguel get first before prophylactic

drug remedy for tuberculosis is started?

Correct!
Aspartate aminotransferase (AST; SGOT) and alanine
aminotransferase (ALT; SGPT)


Question 7 1
/ 1 pts
A female patient who is 29 years old asks the nurse why inspiration
thru the nostril is most preferred to inhale than the mouth. What is the
fine response?

Correct!


Mouth breathing dilutes the air and reduces the amount of air entering
the lungs.
Question 8 1
/ 1 pts
The nurse just received reports on the following four clients. Which
client should the nurse see first?

heparin infusing

infusing

Correct!
Question 9 0
/ 1 pts
Respiratory distress is managed with a Venturi mask who is receiving
40% oxygen. What nursing actions are indicated? (Select all that
apply).

orrect Answer
ou Answered

Correct!
Question 10 0
/ 1 pts

ou Answered
orrect Answer


Question 11 1
/ 1 pts
An older adult is admitted with severe pneumonia. Which of the

following measures should the nurse include in the plan of care
immediately after admission? Select all that apply.


Correct!
Correct!
Correct!
Correct!
Question 12 1
/ 1 pts

ventilator. Blood gas shows a pH of 7.50 and a PCO2 of 30 mm Hg.
The nurse has decided that the patient is experiencing respiration

alkalosis. Which laboratory value would be stated on this condition?

Correct!


Question 13 1
/ 1 pts
A middle aged Nery has a chest drainage system. Several hours after
the chest tube become inserted, the nurse observes that there's no
bubbles inside the water seal chamber. What is the most reason for
the absence of bubbling?

Correct!


Question 14 1
/ 1 pts
A thoracentesis become executed on a male cient. After the procedure,

the client has hemoptysis and a pulse of 80, respirations of 30, and


Respirations of 28

Pulse of 80
Correct!
Hemoptysis
Question 15 1
/ 1 pts
Correct!

Correct!

Question 16 1
/ 1 pts
ventilated for two weeks because of Acute Respiratory Distress
Syndrome (ARDS). The client’s FiO2 has been at 60% for the final forty
eight hours. What is the nurse’s instant precedence issue at this time?


Fluid retention
Correct!
Oxygen toxicity

Risk for sepsis
Question 17 1
/ 1 pts


6 A.M.; 10 A.M.; 2 P.M.; 6 P.M


10 A.M.; 2 P.M.; 6 P.M.; 10 P.M.
Correct!
7 A.M.; 11 A.M.; 4 P.M.; 10 P.M.
Question 18 1
/ 1 pts
A junior nurse is caring for a patient who’s in respiratory distress due

to ARDS. Which of the subsequent situations could most possible be
found in this patient?
Correct!



Anuria
Question 19 1
/ 1 pts

Immediately after insertion of a chest tube, the patient says to the
nurse, “Why do I even have a tube in my chest and that thing placing at
the side t of the bed? I don’t like it.” What must the nurse encompass
when replying to the patient?

Correct!


Tell the client that the nurse will contact the physician to have it
removed
Question 20 0
/ 1 pts
A nurse is assessing a patient for fluid overload. The nurse is aware of

that which of the subsequent orders must be applied to decide if the
patient is in fluid overload?

ou Answered
Draw blood cultures
orrect Answer

Quiz Score:
16.67 out of 20

Due
Oct 8 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1

19 out of 20
Question 1 1
/ 1 pts
A nurse is worrying for a patient who was rushed into the ED

complaining of chest pain and difficulty of breathing. Which of the
subsequent essential vital sign measurements suggest that the customer
is suffering with dyspnea?

Dry, hot skin


Concave abdomen
Correct!
Question 2 1
/ 1 pts
A 34-year-old client in the ICU is being treated for acute respiratory

distress syndrome (ARDS). The client is on a ventilator and requires 80
percent FiO2. Which information would the nurse most likely need to
report about the client to the respiratory therapist assigned to this case?


Correct!

Question 3 1
/ 1 pts

ventilator. Blood gas shows a pH of 7.50 and a PCO2 of 30 mm Hg. The
nurse has decided that the patient is experiencing respiration alkalosis.
Which laboratory value would be stated on this condition?


Correct!

Question 4 1
/ 1 pts



Correct!
Gently withdraw suction tubing to allow suction or coughing out of mucus

Question 5 1
/ 1 pts
Correct!
Monitor for heart arrhythmias and the presence of crackles on auscultation



Question 6 1
/ 1 pts

to bed.”
Correct!
the morning.”


Question 7 1
/ 1 pts


Correct!

Correct!
Correct!
Question 8 1
/ 1 pts
response?
Correct!



Mouth breathing dilutes the air and reduces the amount of air entering the
lungs.
Question 9 1
/ 1 pts

Immediately after insertion of a chest tube, the patient says to the nurse,
“Why do I even have a tube in my chest and that thing placing at the side t
of the bed? I don’t like it.” What must the nurse encompass when replying
to the patient?


Correct!

Tell the client that the nurse will contact the physician to have it removed
Question 10 1
/ 1 pts


10 A.M.; 2 P.M.; 6 P.M.; 10 P.M.

Correct!
7 A.M.; 11 A.M.; 4 P.M.; 10 P.M.

6 A.M.; 10 A.M.; 2 P.M.; 6 P.M
Question 11 1
/ 1 pts
The nurse just received reports on the following four clients. Which client
should the nurse see first?
Correct!


heparin infusing

infusing
Question 12 1
/ 1 pts


Correct!
Correct!
Question 13 1
/ 1 pts
Maria has a tracheostomy tube in place. Which of the subsequent moves

is most appropriate for the nurse to take while suctioning the
tracheostomy?



Correct!
Use sterile technique and turn the suction off as the catheter is introduced
Question 14 1
/ 1 pts
An older adult is admitted with severe pneumonia. Which of the following

measures should the nurse include in the plan of care immediately after
admission? Select all that apply.
Correct!
Correct!
Correct!
Correct!


Question 15 1
/ 1 pts

ARDS. Which of the subsequent situations could most possible be found
in this patient?

Correct!

Anuria

Question 16 1
/ 1 pts



Correct!

Question 17 1
/ 1 pts



Correct!
(ALT; SGPT)
Question 18 1
/ 1 pts
A middle aged Nery has a chest drainage system. Several hours after the
chest tube become inserted, the nurse observes that there's no bubbles
inside the water seal chamber. What is the most reason for the absence
of bubbling?



Correct!
Question 19 0
/ 1 pts
A nurse is assessing a patient for fluid overload. The nurse is aware of

that which of the subsequent orders must be applied to decide if the
patient is in fluid overload?
orrect Answer
ou Answered
Draw blood cultures


Question 20 1
/ 1 pts



Correct!

Quiz Score:
19 out of 20
POST TEST #1( Intro till Quality& Safety)
Due
Sep 3 at 11:59pm
Points
20
Questions
20
Available
until Sep 3 at 11:59pm
Time Limit
20 Minutes
Instructions
This is your first post test quiz.
This is an MCQ . Choose the best answer among the choices.
Good luck.
This quiz was locked Sep 3 at 11:59pm.
Attempt History
Attempt Time Score
LATEST Attempt 1

17 out of 20
Submitted Sep 3 at 11:14pm
Question 1 1
/ 1 pts
What is clinical decision making?

a five step nursing process that requires a nurse to use the general and
specific critical thinking competencies
Correct!
choosing the options for the best patient outcomes on the basis of a
patient's condition and the priority of the problem

a methodical way to solve problems using reasoning used when testing
research questions

purposeful think back or recalling a situation to discover its purpose or
meaning
Question 2 1
/ 1 pts
After providing care, a nurse charts in the patient's record. Which entry
should the nurse document?

Drank adequate amounts of water

Apparently is asleep with eyes closed

Appears restless when sitting in the chair
Correct!
Skin pale and cool
A factual record contains descriptive, objective information about

what a nurse sees, hears, feels, and smells. An objective description
is the result of direct observation and measurement. For example,
"B/P 80/50, patient diaphoretic, heart rate 102 and regular." Avoid
vague terms such as appears, seems, or apparently because these
words suggest that you are stating an opinion, do not accurately
communicate facts, and do not inform another caregiver of details
regarding behaviors exhibited by the patient. Use of exact
measurements establishes accuracy. For example, a description
such as "Intake, 360 mL of water" is more accurate than "Patient
drank an adequate amount of fluid."
Question 3 1
/ 1 pts
You are the Nurse Manager for the trauma unit. Which of these staff
comments or statements indicate the need for you to provide an
educational activity relating to confidentiality and information security?

“I just saw a nursing student looking at the medical record for a client that
they are NOT caring for during this clinical experience.”
Correct!
“As I was walking past the nursing station, I saw a dietician reading the
progress notes written by members of the laboratory department in
addition to other dieticians’ progress notes.”
A staff members comment, “As I was walking past the nursing
station, I saw a dietician reading the progress notes written by
members of the laboratory department in addition to other dieticians’
progress notes” “indicates the need for the Nurse Manager to provide
an educational activity relating to confidentiality and information
security because dieticians often have the “need to know” about
laboratory data so that they can, for example, assess the client’s
nutritional status in terms of their creatinine levels.
The report that the nursing student was “looking at the medical
record for a client that they are NOT caring for during this clinical
experience” indicates that the reporting staff member is correctly
applying the principles for maintaining confidentiality and privacy of
information; the report that a “computer in the hallway was left
unattended and a client’s medical record was visible to me” indicates
that the reporting staff member is correctly applying the principles for
maintaining confidentiality and privacy of information; and lastly, “I
refused the nursing supervisor’s request to share my electronic
password for the new nurse on the unit” also indicates that the staff
member is knowledgeable about privacy and confidentiality in the
unit.”

“A computer in the hallway was left unattended and a client’s medical
record was visible to me.”

“I refused the nursing supervisor’s request to share my electronic
password for the new nurse
Question 4 1
/ 1 pts
Which of the following is an essential component for insuring that medical

equipment is being used safely and properly by those who you supervise?

Pilot testing new equipment

Researching the equipment before recommending its purchase
Correct!
Education and training on all pieces of equipment
Education and training on all pieces of equipment is an essential

component for insuring that medical equipment is being used safely
and properly by those who you supervise. Other essential
components include validated and documented competency to use
any and all pieces of equipment by a person qualified to do so,
preventive maintenance and the prompt removal of all unsafe
equipment from service.
Pilot testing new equipment, researching the equipment before

recommending its purchase, and reading the entire manufacturer’s
instructions are things done prior to the purchase of the equipment
and these things do not impact on the safety of the piece of medical
equipment.

Reading all the manufacturer’s instructions
Question 5 1
/ 1 pts
The current focus of performance improvement activities is to facilitate

and address:

Optimal staff performance

Processes and how they are being done
Correct!
Optimal client outcomes
The current focus of performance improvement activities is to

facilitate and address optimal client outcomes. Throughout the last
several decades performance improvement activities have evolved
from a focus on structures to a focus on process and now, to a focus
on outcomes.
Staff performance is not the focus of performance improvement

activities but instead the focus of competency assessment and
validation

Sound structures like policies and procedures
Question 6 1
/ 1 pts
The nurse notes that the client often sighs and says in a monotone voice,
"I'm never going to get over this." When encouraged to participate in care,
the client says, "I don't have the energy." The nurse believes these cues
are suggestive of which nursing diagnoses? Select all that apply.

Disturbed self esteem
Correct!
Hopelessness

Interrupted sleep pattern
Correct!
Powerlessness
Question 7 0
/ 1 pts
The essence of critical care is:
ou Answered
The balance between oxygen supply and demand
orrect Answer
None of the above

The balance between beer and kielbasa

Showing up for work everyday
Question 8 0.33
/ 1 pts
The use of standard formal nursing diagnostic statements serves several

purposes in nursing practice, including which of the following? (Select all
that apply.)
orrect Answer
Creates practice guidelines for collaborative health care activities
ou Answered
Allows physicians and allied health staff to communicate with nurses how
they provide care among themselves
Correct!
Defines a patient's problem, giving members of the health care team a
common language for understanding the patient's needs
Correct!
Builds and expands nursing knowledge
Question 9 0
/ 1 pts
It is important for critically ill patients to feel safe. Which nursing strategies
help the patient to feel safe in the critical care setting? (Select all that
apply.)
Correct!
Allow family members to remain at the bedside

Inform the patient that you have cared for many similar patients
ou Answered
Respond promptly to call bells or other communication for assistance

Provide informal conversation by discussing your plans for after work.
orrect Answer
Consult with the charge nurse before making any patient care decisions.
Question 10 1
/ 1 pts
A 75-year-old patient, who suffered a massive stroke 3 weeks ago, has

been unresponsive and has required ventilatory support since the time of
the stroke. The physician has approached the spouse regarding
placement of a permanent feeding tube. The spouse states that the
patient never wanted to be kept alive by tubes and personally didn’t want
what was being done. After holding a family conference with the spouse,
the medical team concurs, and the feeding tube is not placed. This
situation is an example of
Select one of the following:
Correct!
withholding life support

palliative care.

euthanasia

withdrawal of life support.
Question 11 1
/ 1 pts
A new nurse asks the preceptor why a change-of-shift report is important

since care is documented in the chart. What is the preceptor's best
response?

"A change-of-shift report provides important information to caregivers and
develops relationships within the health care team

"A change-of-shift report provides the oncoming nurse with data to help set
priorities and establish reimbursement costs."
Correct!
"A hand-off report provides an opportunity to share essential information to
ensure patient safety and continuity of care."
Properly performed, a hand-off report provides an opportunity to

share essential information to ensure patient safety and continuity of
care. Reimbursement costs and research priorities/opportunities are
functions of the medical record. The purpose of the change-of-shift
report is not to establish relationships but to ensure patient safety
and continuity of care

"A hand-off report provides an opportunity for the oncoming nurse to ask
questions and determine research priorities."
Question 12 1
/ 1 pts
Number the priority of the following conditions using the numbers # 1

through # 6 with # 1 as the greatest priority and # 6 as the least priority.
1. Atrial fibrillation
2. First degree heart block
3. Shortness of breath upon exertion
4. An obstructed airway
5. Fluid needs
6. Respect and esteem by others

3,2,1,5,4,6

2,4,3,1,5,6

3,2,4,.5.1.6.
Correct!
4,2,1,3,5,6
Question 13 1
/ 1 pts
The worker cause an electrical fire when installing a new piece of

equipment in the intensive care unit. A client is on a ventilator in the next
room. The first action the nurse should take is to:

Attempt to extinguish the fire

Pull the fire alarm

Call the physician to obtain orders to take the client off the ventilator
Correct!
Use an Ambu bag and remove the client from the area
Question 14 1
/ 1 pts
Which of these skills is most closely related to successfully meeting the
established priority needs of a group of clients?

Supervision skills

Communication skills
Correct!
Time management skills
Time management skills are most closely related to successfully

meeting the established priority needs of a group of clients.
In addition to prioritizing and reprioritizing, the nurse should also have

a plan of action to effectively manage their time; they should avoid
unnecessary interruptions, time wasters and helping others when this
helping others could potentially jeopardize their own priorities of care.
Although good communication skills, collaboration skills and

supervision are necessary for the delivery of nursing care, it is time
management skills that are most closely related to successfully

Collaboration skills
Question 15 1
/ 1 pts
You are caring for a hospice client who is at the end of life. Based on this
client’s signs and symptoms, the client is comatose, dehydrated, free of
pain, constipated, without distress and expected to die in a day or two.
Which of the following is an appropriate client outcome or an appropriate
intervention for this client?
Correct!
The client will remain free of pain and distress
Based on this client’s signs and symptoms and the fact that the client
is expected to die in a day or two, the appropriate client outcome for
this client is that the client will remain free of pain and distress.
“The client will be free of constipation” requires interventions such as

an enema which are not indicated when death is imminent unless, of
course, the client is adversely affected with pain and discomfort as
the result of it which is not the case with this client. Additionally, the
administration of an antiemetic to prevent vomiting is not indicated
because there is no evidence in this question that the client is
actually vomiting.

The administration of an enema to correct the constipation

The client will be free of constipation

The administration of an antiemetic to prevent vomiting and further
dehydration
Question 16 1
/ 1 pts
A nurse best shows an understanding of the role of evidence-based

research in achieving therapeutic patient care outcomes when:
Correct!
Working on a committee to revise current facility policies regarding the use
of chemical restraints
Evidence-based practice is based on evidence and scientific

principles that have been developed through research. The more
closely clinical practice reflects relevant research, the more likely it is
that patients will receive the best available care. The option that
infers action directed at implementing the research is the one that
shows best understanding. Reliance only on experience is not
reflective of quality nursing care

Asking an experienced staff member to review the interventions being
proposed for a newly admitted patient

Subscribing to and reading a monthly psychiatric research nursing journal

Registering to attend a psychiatric workshop on newly developed
psychotropic medication therapies
Question 17 1
/ 1 pts
Planning is a category of nursing behaviors in which:

The nurse determines the health care needed for the client.

The client determines the care needed

The Physician determines the plan of care for the client.
Correct!
Client-centered goals and expected outcomes are established.
Question 18 1
/ 1 pts
A nurse is preparing a change-of-shift report for a patient who had chest

pain. Which information is critical for the nurse to include?

The family is a "pain"

Had poor results from the pain medication
Correct!
Sharp pain of 8 on a scale of 1 to 10
Elements in a change-of-shift report include identification of

significant changes in measurable terms (e.g., pain scale) and by
observation. Report elements do not include normal findings or
routine information retrievable from other sources or derogatory or
inappropriate comments about the patient or family, which could
possibly lead to legal charges if overheard by the patient or family.
This kind of language contributes to prejudicial opinions about the
patient. Don't simply describe results as "good" or "poor." Be specific.

Pupils equal and reactive to light
Question 19 0.67
/ 1 pts
The nurse is assigned to care for a patient in a continuous mitten

restraint. Which of the following should be included in the client’s plan of
care? Select all that apply.

Release the restraint and reposition the client every four hours
orrect Answer
Provide 10 minutes of release and repositioning
Correct!
Document restraint checks and patient status every two hours
Correct!
Educate the client’s family about restraint use

Obtain the physician’s order renewal every 72 hours
Question 20 1
/ 1 pts
A patient is transferred from the medical-surgical floor to the intensive

care unit for a blood pressure of 70/40, increased confusion over the past
6 hours, nausea, vomiting and urine output of 50 mL over the last 6 hours.
The patient also has a diagnosis of diabetes mellitus and the blood sugars
have remained less than 60 despite a bolus of 50 mL of dextrose. What
would the nurse do upon receiving the patient?
Correct!
Assess vital signs, put the patient on the telemetry monitor and draw labs.
The first thing the nurse should do on receiving the patient from the
medical surgical floor is to take the vital signs, place the patient on
the telemetry monitor and request a lab draw. After the initial
assessment, begin fluid replacement. While the patient may be
showing signs and symptoms of acute adrenal crisis, there is not an
indication to administer glucocorticoid replacement.

Administer an injection of glucocorticoid replacement

Begin an intravenous bolus of fluid

Send the patient for an abdominal x-ray.
Quiz Score:
17 out of 20
10/14/21, 9:06 AM POST TEST #1 (Intro till Quality& Safety): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND
POST TEST #1 (Intro till Quality& Safety)

Due
Sep 3 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Good luck.
Attempt History
Attempt Time Score
LATEST Attempt 1 20 minutes 17.33 out of 20

17.33 out of 20
Question 1 1
/ 1 pts


Correct!
Working on a committee to revise current facility policies regarding the
use of chemical restraints

closely clinical practice reflects relevant research, the more likely it is
that patients will receive the best available care. The option that infers
action directed at implementing the research is the one that shows
best understanding. Reliance only on experience is not reflective of
quality nursing care

Subscribing to and reading a monthly psychiatric research nursing journal

Question 2 0
/ 1 pts
ou Answered

orrect Answer
None of the above

Question 3 1
/ 1 pts

research questions

Correct!

meaning
Question 4 1
/ 1 pts
Which of the following nursing interventions are written correctly?

Change dressing once a shift

Apply continuous passive motion machine during day.
Correct!
Elevate head of bed 30 degrees before meals.

Perform neurovascular checks.
Question 5 1
/ 1 pts

been unresponsive and has required ventilatory support since the time of the
stroke. The physician has approached the spouse regarding placement of a
permanent feeding tube. The spouse states that the patient never wanted to
be kept alive by tubes and personally didn’t want what was being done. After
holding a family conference with the spouse, the medical team concurs, and
the feeding tube is not placed. This situation is an example of
Correct!

euthanasia

palliative care.

Question 6 1
/ 1 pts
Which of the following are the five Rights of Supervision?

The right task, the right circumstances, the right person, the right
competency, and the right supervision or feedback
Correct!
direction or communication, and the right supervision or feedback
The Five Rights of Delegation include the right task, the right
circumstances, the right person, the right direction or communication,
and the right supervision or feedback.
The right competency is not one of these basic Five Rights, but
instead, competency is considered and validated as part of the
combination of matching the right task and the right person; the right
education and training are functions of the right task and the right
person who is able to competently perform the task; the right scope of
practice, the right environment and the right client condition are
functions of the legal match of the person and the task; and the
setting of care which is not a Right of Delegation and the matching of
the right person, task and circumstances the right client condition.

The right competency, the right person, the right scope of practice, the
right environment

The right competency, the right education and training, the right scope of
practice, the right environment and the right client condition
Question 7 1
/ 1 pts
Which of the following is an effective security plan that you may most likely
want to consider for implementation within your facility?

Training all nurses to serve as a part of a security response team

Training all clerical staff to be a part of a security response team
Correct!
The restriction of visitors in a special care area
The restriction of visitors in a special care area is an effective security

plan that you may want to consider for implementation within your
facility.
Some of the other security measures that you may want to consider
include security alert systems to alert staff to a security breach such
as security breach of the newborn nursery, the use of visitor
identification badges or stickers that identify people who are
authorized to be in a facility, closed circuit monitoring and alarm
systems in high risk areas such as the emergency care area,
automatically locking security doors, and electronic wristbands for the
newborn and the mother to prevent infant abductions.
Special assignments and training for a group of people so that this

specially trained group can act when a security breach occurs is also
a good idea but it is not necessary to train all nurses or clerical staff; it
is sufficient to train a limited group of people, provided an ample
number of these team members are assigned and available on all
tours of duty around the clock, including on holidays.

D. Bar coded client identification bands to insure proper identification
Question 8 1
/ 1 pts
A patient is transferred from the medical-surgical floor to the intensive care

unit for a blood pressure of 70/40, increased confusion over the past 6
hours, nausea, vomiting and urine output of 50 mL over the last 6 hours. The
patient also has a diagnosis of diabetes mellitus and the blood sugars have
remained less than 60 despite a bolus of 50 mL of dextrose. What would the
nurse do upon receiving the patient?

Correct!
medical surgical floor is to take the vital signs, place the patient on the
telemetry monitor and request a lab draw. After the initial assessment,
begin fluid replacement. While the patient may be showing signs and
symptoms of acute adrenal crisis, there is not an indication to
administer glucocorticoid replacement.


Question 9 0
/ 1 pts
help the patient to feel safe in the critical care setting? (Select all that apply.)
ou Answered
Correct!
orrect Answer


Question 10 0.67
/ 1 pts
The nurse is assigned to care for a patient in a continuous mitten restraint.

Which of the following should be included in the client’s plan of care? Select
all that apply.
orrect Answer
Correct!

Correct!

Question 11 1
/ 1 pts



Correct!


equipment.

Question 12 1
/ 1 pts
Select the standardized “hand off” change of shift reporting system that is
accurately paired with its elements.

ISBAR: Interventions, symptoms, background, assessment and
recommendations

SBAR: Symptoms, background, assessment and recommendations
Correct!
The Five Ps: The patient, plan, purpose, problems and precautions

BATON: Background, assessment, timing, ownership and next plans
Question 13 1
/ 1 pts
The worker cause an electrical fire when installing a new piece of equipment
in the intensive care unit. A client is on a ventilator in the next room. The first
action the nurse should take is to:


Pull the fire alarm

Correct!
Question 14 1
/ 1 pts
comments or statements indicate the need for you to provide an educational
activity relating to confidentiality and information security?
Correct!
A staff members comment, “As I was walking past the nursing station, I
saw a dietician reading the progress notes written by members of the
laboratory department in addition to other dieticians’ progress notes”
“indicates the need for the Nurse Manager to provide an educational
activity relating to confidentiality and information security because
dieticians often have the “need to know” about laboratory data so that
they can, for example, assess the client’s nutritional status in terms of
their creatinine levels.
The report that the nursing student was “looking at the medical record
for a client that they are NOT caring for during this clinical experience”
indicates that the reporting staff member is correctly applying the
principles for maintaining confidentiality and privacy of information; the
report that a “computer in the hallway was left unattended and a
client’s medical record was visible to me” indicates that the reporting
staff member is correctly applying the principles for maintaining
confidentiality and privacy of information; and lastly, “I refused the
nursing supervisor’s request to share my electronic password for the
new nurse on the unit” also indicates that the staff member is
knowledgeable about privacy and confidentiality in the unit.”



Question 15 1
/ 1 pts
The current focus of performance improvement activities is to facilitate and

address:



Correct!

and address optimal client outcomes. Throughout the last several
decades performance improvement activities have evolved from a
focus on structures to a focus on process and now, to a focus on
outcomes.

validation
Question 16 0.67
/ 1 pts

purposes in nursing practice, including which of the following? (Select all that
apply.)
Correct!

Correct!
orrect Answer
Question 17 1
/ 1 pts


Correct!

Question 18 1
/ 1 pts

response?

"A change-of-shift report provides the oncoming nurse with data to help
set priorities and establish reimbursement costs."
Correct!
"A hand-off report provides an opportunity to share essential information
to ensure patient safety and continuity of care."

report is not to establish relationships but to ensure patient safety and
continuity of care


Question 19 1
/ 1 pts


Correct!
Skin pale and cool
A factual record contains descriptive, objective information about what

a nurse sees, hears, feels, and smells. An objective description is the
result of direct observation and measurement. For example, "B/P
80/50, patient diaphoretic, heart rate 102 and regular." Avoid vague
terms such as appears, seems, or apparently because these words
suggest that you are stating an opinion, do not accurately
measurements establishes accuracy. For example, a description such
as "Intake, 360 mL of water" is more accurate than "Patient drank an
adequate amount of fluid."

Question 20 1
/ 1 pts
the client says, "I don't have the energy." The nurse believes these cues are
suggestive of which nursing diagnoses? Select all that apply.
Correct!
Hopelessness
Correct!
Powerlessness


Quiz Score:
17.33 out of 20
POST TEST #1( Intro till Quality& Safety): NCM 118 - NURSING CA... https://feuph.instructure.com/courses/3115/assignments/33431/submissio...

Due Sep 3 at 11:59pm Points 20 Questions 20
Available until Sep 3 at 11:59pm Time Limit 20 Minutes
Instructions
Good luck.
Attempt History
Attempt Time Score

Correct!
1 of 14 14/10/2021, 9:12 am
It is important for critically ill patients to feel safe. Which nursing

strategies help the patient to feel safe in the critical care setting?
(Select all that apply.)
Correct Answer
Correct!
You Answered
The nurse notes that the client often sighs and says in a monotone
voice, "I'm never going to get over this." When encouraged to
participate in care, the client says, "I don't have the energy." The nurse
believes these cues are suggestive of which nursing diagnoses? Select
all that apply.
Correct!
Powerlessness
2 of 14 14/10/2021, 9:12 am
Correct!
Hopelessness
A nurse is preparing a change-of-shift report for a patient who had

chest pain. Which information is critical for the nurse to include?
Correct!

patient. Don't simply describe results as "good" or "poor." Be
specific.
3 of 14 14/10/2021, 9:12 am
Subscribing to and reading a monthly psychiatric research nursing

journal

Correct!

closely clinical practice reflects relevant research, the more likely it
is that patients will receive the best available care. The option that

A new nurse asks the preceptor why a change-of-shift report is

important since care is documented in the chart. What is the preceptor's
best response?
Correct!
4 of 14 14/10/2021, 9:12 am

share essential information to ensure patient safety and continuity
of care. Reimbursement costs and research priorities/opportunities
are functions of the medical record. The purpose of the change-of-
shift report is not to establish relationships but to ensure patient
safety and continuity of care
"A change-of-shift report provides important information to caregivers

and develops relationships within the health care team
Question 7 0.67 / 1 pts

restraint. Which of the following should be included in the client’s plan
of care? Select all that apply.
Correct Answer
Correct!
Correct!
5 of 14 14/10/2021, 9:12 am
Correct!
Correct Answer None of the above
You Answered The balance between oxygen supply and demand

been unresponsive and has required ventilatory support since the time
of the stroke. The physician has approached the spouse regarding
6 of 14 14/10/2021, 9:12 am

patient never wanted to be kept alive by tubes and personally didn’t
want what was being done. After holding a family conference with the
spouse, the medical team concurs, and the feeding tube is not placed.
This situation is an example of
euthanasia
palliative care.
Correct!
Select the standardized “hand off” change of shift reporting system that
is accurately paired with its elements.

recommendations
You Answered SBAR: Symptoms, background, assessment and recommendations
Correct Answer The Five Ps: The patient, plan, purpose, problems and precautions
7 of 14 14/10/2021, 9:12 am

equipment in the intensive care unit. A client is on a ventilator in the
next room. The first action the nurse should take is to:
Pull the fire alarm
Correct!
The use of standard formal nursing diagnostic statements serves

several purposes in nursing practice, including which of the following?
You Answered
Allows physicians and allied health staff to communicate with nurses
how they provide care among themselves
Correct!
Correct!
Correct Answer Creates practice guidelines for collaborative health care activities
8 of 14 14/10/2021, 9:12 am

care unit for a blood pressure of 70/40, increased confusion over the
past 6 hours, nausea, vomiting and urine output of 50 mL over the last
6 hours. The patient also has a diagnosis of diabetes mellitus and the
blood sugars have remained less than 60 despite a bolus of 50 mL of
dextrose. What would the nurse do upon receiving the patient?
Correct!
Assess vital signs, put the patient on the telemetry monitor and draw
labs.
showing signs and symptoms of acute adrenal crisis, there is not
an indication to administer glucocorticoid replacement.

Correct!
9 of 14 14/10/2021, 9:12 am

In addition to prioritizing and reprioritizing, the nurse should also

have a plan of action to effectively manage their time; they should
avoid unnecessary interruptions, time wasters and helping others
when this helping others could potentially jeopardize their own
priorities of care.

Supervision skills
Correct!
Skin pale and cool
10 of 14 14/10/2021, 9:12 am

what a nurse sees, hears, feels, and smells. An objective
description is the result of direct observation and measurement.
For example, "B/P 80/50, patient diaphoretic, heart rate 102 and
regular." Avoid vague terms such as appears, seems, or
apparently because these words suggest that you are stating an
opinion, do not accurately communicate facts, and do not inform
another caregiver of details regarding behaviors exhibited by the
patient. Use of exact measurements establishes accuracy. For
example, a description such as "Intake, 360 mL of water" is more
accurate than "Patient drank an adequate amount of fluid."

research questions
Correct!

meaning
11 of 14 14/10/2021, 9:12 am
right environment
Correct!
circumstances, the right person, the right direction or
communication, and the right supervision or feedback.
combination of matching the right task and the right person; the
right education and training are functions of the right task and the
right person who is able to competently perform the task; the right
scope of practice, the right environment and the right client
condition are functions of the legal match of the person and the
task; and the setting of care which is not a Right of Delegation and
the matching of the right person, task and circumstances the right
client condition.
The right competency, the right education and training, the right scope of
practice, the right environment and the right client condition
12 of 14 14/10/2021, 9:12 am
Which of the following is an effective security plan that you may most
likely want to consider for implementation within your facility?
Correct!
The restriction of visitors in a special care area is an effective

security plan that you may want to consider for implementation
within your facility.
Some of the other security measures that you may want to

consider include security alert systems to alert staff to a security
breach such as security breach of the newborn nursery, the use of
visitor identification badges or stickers that identify people who are
automatically locking security doors, and electronic wristbands for
the newborn and the mother to prevent infant abductions.

specially trained group can act when a security breach occurs is
also a good idea but it is not necessary to train all nurses or
clerical staff; it is sufficient to train a limited group of people,
provided an ample number of these team members are assigned
and available on all tours of duty around the clock, including on
holidays.
Which of the following is an essential component for insuring that

medical equipment is being used safely and properly by those who you
13 of 14 14/10/2021, 9:12 am
supervise?
Correct!

component for insuring that medical equipment is being used
safely and properly by those who you supervise. Other essential

and these things do not impact on the safety of the piece of
medical equipment.
Quiz Score: 16 out of 20
14 of 14 14/10/2021, 9:12 am
10/14/21, 9:16 AM POST TEST #1( Intro till Quality& Safety): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND

Due
Sep 3 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Good luck.
Attempt History
Attempt Time Score
LATEST Attempt 1

16 out of 20
Question 1 0.33
/ 1 pts
The use of standard formal nursing diagnostic statements serves

several purposes in nursing practice, including which of the following?

Allows physicians and allied health staff to communicate with nurses
how they provide care among themselves
orrect Answer
Correct!
orrect Answer
Question 2 1
/ 1 pts
You are caring for a hospice client who is at the end of life. Based on
this client’s signs and symptoms, the client is comatose, dehydrated,
free of pain, constipated, without distress and expected to die in a day
or two. Which of the following is an appropriate client outcome or an
appropriate intervention for this client?

The administration of an enema to correct the constipation

The client will be free of constipation

The administration of an antiemetic to prevent vomiting and further
dehydration
Correct!
The client will remain free of pain and distress
Based on this client’s signs and symptoms and the fact that the
client is expected to die in a day or two, the appropriate client
outcome for this client is that the client will remain free of pain and
distress.
“The client will be free of constipation” requires interventions such

as an enema which are not indicated when death is imminent
unless, of course, the client is adversely affected with pain and
discomfort as the result of it which is not the case with this client.
Additionally, the administration of an antiemetic to prevent
vomiting is not indicated because there is no evidence in this
question that the client is actually vomiting.
Question 3 1
/ 1 pts

Correct!
The restriction of visitors in a special care area is an effective

security plan that you may want to consider for implementation
within your facility.
Some of the other security measures that you may want to

consider include security alert systems to alert staff to a security
breach such as security breach of the newborn nursery, the use of
visitor identification badges or stickers that identify people who are
automatically locking security doors, and electronic wristbands for
the newborn and the mother to prevent infant abductions.

specially trained group can act when a security breach occurs is
also a good idea but it is not necessary to train all nurses or
clerical staff; it is sufficient to train a limited group of people,
provided an ample number of these team members are assigned
and available on all tours of duty around the clock, including on
holidays.


Question 4 1
/ 1 pts



Correct!
Question 5 0
/ 1 pts
It is important for critically ill patients to feel safe. Which nursing

strategies help the patient to feel safe in the critical care setting?
ou Answered
orrect Answer
Consult with the charge nurse before making any patient care
decisions.
Correct!


Question 6 1
/ 1 pts
Correct!

members of the laboratory department in addition to other
dieticians’ progress notes” “indicates the need for the Nurse
Manager to provide an educational activity relating to
confidentiality and information security because dieticians often
have the “need to know” about laboratory data so that they can,
for example, assess the client’s nutritional status in terms of their
creatinine levels.
applying the principles for maintaining confidentiality and privacy
of information; the report that a “computer in the hallway was left
unattended and a client’s medical record was visible to me”
indicates that the reporting staff member is correctly applying the
principles for maintaining confidentiality and privacy of information;
and lastly, “I refused the nursing supervisor’s request to share my
electronic password for the new nurse on the unit” also indicates
that the staff member is knowledgeable about privacy and
confidentiality in the unit.”

“I just saw a nursing student looking at the medical record for a client
that they are NOT caring for during this clinical experience.”


Question 7 1
/ 1 pts
The nurse notes that the client often sighs and says in a monotone
voice, "I'm never going to get over this." When encouraged to
participate in care, the client says, "I don't have the energy." The nurse
believes these cues are suggestive of which nursing diagnoses? Select
all that apply.
Correct!
Hopelessness
Correct!
Powerlessness


Question 8 1
/ 1 pts

Correct!

closely clinical practice reflects relevant research, the more likely it
is that patients will receive the best available care. The option that



Subscribing to and reading a monthly psychiatric research nursing
journal
Question 9 1
/ 1 pts


research questions

meaning
Correct!
Question 10 1
/ 1 pts

right environment


The right competency, the right education and training, the right scope
of practice, the right environment and the right client condition
Correct!
circumstances, the right person, the right direction or
communication, and the right supervision or feedback.
combination of matching the right task and the right person; the
right education and training are functions of the right task and the
right person who is able to competently perform the task; the right
scope of practice, the right environment and the right client
condition are functions of the legal match of the person and the
task; and the setting of care which is not a Right of Delegation and
the matching of the right person, task and circumstances the right
client condition.
Question 11 1
/ 1 pts
The nurse best fulfills the obligation to be accountable for providing

care that meets the expected standards of care when:
Correct!
Evaluating the effectiveness of interventions through achievement of
outcomes
Evaluation of the patient’s progress and the nursing activities

involved are critical because nurses are accountable for the
standards of care in each discipline. Although the other options
reflect appropriate and expected nursing interventions, they are
not the primary means of assuring that standard of care has been
met

Providing appropriate discharge planning to meet the patient’s needs

Applying evidence-based nursing practice to the plan of care

Developing a therapeutic relations with the patient
Question 12 1
/ 1 pts
A nurse is preparing a change-of-shift report for a patient who had

chest pain. Which information is critical for the nurse to include?



Correct!

patient. Don't simply describe results as "good" or "poor." Be
specific.
Question 13 1
/ 1 pts
A new nurse asks the preceptor why a change-of-shift report is

important since care is documented in the chart. What is the
preceptor's best response?

"A hand-off report provides an opportunity for the oncoming nurse to
ask questions and determine research priorities."


"A change-of-shift report provides important information to caregivers
and develops relationships within the health care team
Correct!

share essential information to ensure patient safety and continuity
of care. Reimbursement costs and research priorities/opportunities
are functions of the medical record. The purpose of the change-of-
shift report is not to establish relationships but to ensure patient
safety and continuity of care
Question 14 1
/ 1 pts

5. Fluid needs
Correct!
4,2,1,3,5,6

2,4,3,1,5,6

3,2,4,.5.1.6.

3,2,1,5,4,6
Question 15 0
/ 1 pts
Select the standardized “hand off” change of shift reporting system that
is accurately paired with its elements.

ou Answered

recommendations
orrect Answer
Question 16 0
/ 1 pts
ou Answered

orrect Answer
None of the above

Question 17 0.67
/ 1 pts

restraint. Which of the following should be included in the client’s plan
of care? Select all that apply.
Correct!

Correct!

orrect Answer
Question 18 1
/ 1 pts

care unit for a blood pressure of 70/40, increased confusion over the
past 6 hours, nausea, vomiting and urine output of 50 mL over the last
6 hours. The patient also has a diagnosis of diabetes mellitus and the
blood sugars have remained less than 60 despite a bolus of 50 mL of
dextrose. What would the nurse do upon receiving the patient?


Correct!
Assess vital signs, put the patient on the telemetry monitor and draw
labs.
The first thing the nurse should do on receiving the patient from
the medical surgical floor is to take the vital signs, place the
patient on the telemetry monitor and request a lab draw. After the
initial assessment, begin fluid replacement. While the patient may
be showing signs and symptoms of acute adrenal crisis, there is
not an indication to administer glucocorticoid replacement.

Question 19 1
/ 1 pts

been unresponsive and has required ventilatory support since the time
of the stroke. The physician has approached the spouse regarding

patient never wanted to be kept alive by tubes and personally didn’t
want what was being done. After holding a family conference with the
spouse, the medical team concurs, and the feeding tube is not placed.
This situation is an example of

euthanasia

Correct!

palliative care.
Question 20 1
/ 1 pts


Correct!

Quiz Score:
16 out of 20
POST TEST #1 (Intro till Quality& Safety)

Due
Sep 3 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Good luck.
Attempt History
Attempt Time Score
LATEST Attempt 1

16.5 out of 20
Question 1 1
/ 1 pts

5. Fluid needs

3,2,4,.5.1.6.

2,4,3,1,5,6
Correct!
4,2,1,3,5,6

3,2,1,5,4,6
Question 2 1
/ 1 pts


Correct!

Question 3 1
/ 1 pts

research questions
Correct!

meaning

Question 4 1
/ 1 pts

response?

Correct!
"A hand-off report provides an opportunity to share essential information to
ensure patient safety and continuity of care."

report is not to establish relationships but to ensure patient safety
and continuity of care

"A change-of-shift report provides the oncoming nurse with data to help set
priorities and establish reimbursement costs."

Question 5 0.5
/ 1 pts
the client says, "I don't have the energy." The nurse believes these cues
are suggestive of which nursing diagnoses? Select all that apply.
Correct!
Hopelessness

Correct!
Powerlessness
ou Answered
Question 6 0.33
/ 1 pts

purposes in nursing practice, including which of the following? (Select all
that apply.)
Correct!
orrect Answer
Correct!
ou Answered
Question 7 1
/ 1 pts
A nurse is preparing a change-of-shift report for a patient who had chest

pain. Which information is critical for the nurse to include?

Correct!

patient. Don't simply describe results as "good" or "poor." Be specific.


Question 8 0.67
/ 1 pts

restraint. Which of the following should be included in the client’s plan of
care? Select all that apply.
orrect Answer
Correct!

Correct!

Question 9 1
/ 1 pts

equipment in the intensive care unit. A client is on a ventilator in the next
room. The first action the nurse should take is to:

Pull the fire alarm
Correct!


Question 10 1
/ 1 pts

and address:
Correct!
The current focus of performance improvement activities is to

facilitate and address optimal client outcomes. Throughout the last
several decades performance improvement activities have evolved
from a focus on structures to a focus on process and now, to a focus
on outcomes.

validation



Question 11 1
/ 1 pts

care unit for a blood pressure of 70/40, increased confusion over the past
6 hours, nausea, vomiting and urine output of 50 mL over the last 6 hours.
The patient also has a diagnosis of diabetes mellitus and the blood sugars
have remained less than 60 despite a bolus of 50 mL of dextrose. What
would the nurse do upon receiving the patient?


Correct!
showing signs and symptoms of acute adrenal crisis, there is not an
indication to administer glucocorticoid replacement.

Question 12 1
/ 1 pts

Correct!

In addition to prioritizing and reprioritizing, the nurse should also have

a plan of action to effectively manage their time; they should avoid
unnecessary interruptions, time wasters and helping others when this
helping others could potentially jeopardize their own priorities of care.



Supervision skills

Question 13 1
/ 1 pts

Correct!
Skin pale and cool

what a nurse sees, hears, feels, and smells. An objective description
is the result of direct observation and measurement. For example,
"B/P 80/50, patient diaphoretic, heart rate 102 and regular." Avoid
vague terms such as appears, seems, or apparently because these
words suggest that you are stating an opinion, do not accurately
measurements establishes accuracy. For example, a description
such as "Intake, 360 mL of water" is more accurate than "Patient
drank an adequate amount of fluid."


Question 14 1
/ 1 pts
The nurse best fulfills the obligation to be accountable for providing care
that meets the expected standards of care when:
Correct!
Evaluating the effectiveness of interventions through achievement of
outcomes
Evaluation of the patient’s progress and the nursing activities

involved are critical because nurses are accountable for the
standards of care in each discipline. Although the other options
reflect appropriate and expected nursing interventions, they are not
the primary means of assuring that standard of care has been met

Applying evidence-based nursing practice to the plan of care

Providing appropriate discharge planning to meet the patient’s needs

Developing a therapeutic relations with the patient
Question 15 1
/ 1 pts



Correct!


equipment.

Question 16 0
/ 1 pts
orrect Answer
None of the above

ou Answered

Question 17 0
/ 1 pts
help the patient to feel safe in the critical care setting? (Select all that
apply.)
Correct!
ou Answered

orrect Answer

Question 18 1
/ 1 pts



Correct!
The restriction of visitors in a special care area is an effective security

plan that you may want to consider for implementation within your
facility.
Some of the other security measures that you may want to consider
include security alert systems to alert staff to a security breach such
as security breach of the newborn nursery, the use of visitor
identification badges or stickers that identify people who are
automatically locking security doors, and electronic wristbands for the
newborn and the mother to prevent infant abductions.

specially trained group can act when a security breach occurs is also
a good idea but it is not necessary to train all nurses or clerical staff;
it is sufficient to train a limited group of people, provided an ample
number of these team members are assigned and available on all
tours of duty around the clock, including on holidays.
Question 19 1
/ 1 pts
Select the standardized “hand off” change of shift reporting system that is
accurately paired with its elements.

recommendations


Correct!
Question 20 1
/ 1 pts
Correct!

members of the laboratory department in addition to other dieticians’
progress notes” “indicates the need for the Nurse Manager to provide
an educational activity relating to confidentiality and information
security because dieticians often have the “need to know” about
laboratory data so that they can, for example, assess the client’s
nutritional status in terms of their creatinine levels.
applying the principles for maintaining confidentiality and privacy of
information; the report that a “computer in the hallway was left
unattended and a client’s medical record was visible to me” indicates
that the reporting staff member is correctly applying the principles for
maintaining confidentiality and privacy of information; and lastly, “I
refused the nursing supervisor’s request to share my electronic
password for the new nurse on the unit” also indicates that the staff
member is knowledgeable about privacy and confidentiality in the
unit.”



Quiz Score:
16.5 out of 20
POST TEST #2 (Docu to Ethics)
Due
Sep 17 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Choose the best answer.
Attempt History
Attempt Time Score
LATEST Attempt 1

15.33 out of 20
Question 1 1
/ 1 pts
A client with internal bleeding is in the intensive care unit
(ICU) for observation. At the change of shift an alarm
sounds, indicating a decrease in blood pressure. What is the
initial nursing action?

Turn off the alarm temporarily and alert the oncoming nurse to the
decrease in blood pressure.

Continue the change-of-shift report and include the decrease in blood
pressure

Lower the diastolic pressure limits on the monitor during the change-of-
shift report.
Correct!
Perform an assessment of the client before resuming the change-of-shift
report.
Question 2 0
/ 1 pts
Who of them below is considered an accessory to a crime?
orrect Answer
Nurse Manager Jeremy who arranged a discreet agreement with the
client’s folks to resolve the conflict

Nurse Fred, who administered the wrong medication

Nurse Milo, who was there on the act of the incident
ou Answered
All of them
Question 3 0
/ 1 pts
As a nurse manager, one of your staff asked you about incident report.
What are you going to include in your explanation?

It is utilized to document any common nursing duties.
ou Answered
It is written in the nurse’s notes.

It is not a means of punishment.
orrect Answer
It does not protect the person involved.
Question 4 1
/ 1 pts
A weak, dyspneic, terminally ill client is visited frequently
by the spouse and teenage children. What should the client’s
plan of care include?

Plan care to be completed at one time followed by a long rest.
Correct!
Teach family members how to assist with the client’s basic care.

Foster self-activity whenever possible

Limit visiting to evening hours before the client goes to sleep.
Question 5 1
/ 1 pts
An emaciated older adult with dementia develops a large
pressure ulcer after refusing to change position for extended
periods of time. The family blames the nurses and threatens
to sue. What should be considered when deciding who is to

blame?

Nurses should respect a client’s right not to be moved
Correct!
The client should have been turned regularly

Older clients frequently develop pressure ulcers

The nurse is not responsible to the client’s family.
Question 6 1
/ 1 pts
What is a nurse’s responsibility when administering
prescribed opioid analgesics? Select all that apply.
Correct!
Count the client’s respirations.
Correct!
Verify the number of doses in the locked cabinet before administering the
prescribed dose.
Correct!
Document the intensity of the client’s pain.

Withhold the medication if the client reports pruritus.
Question 7 0
/ 1 pts
A nurse on a busy medical-surgical unit reports for a scheduled shift after

working a double shift yesterday. At the end of this day, two nurses call in,
and the nurse manager tells the nurse that he needs to stay and cover the
next shift. The nurse may refuse to accept an assignment if:

He believes there are not enough nurses to work with him
ou Answered
He is being asked to work overtime
orrect Answer
He believes his assignment is unsafe

He is being asked to care for too many difficult clients
Question 8 0
/ 1 pts
After administering an incorrect dosage of a medication the nurse realizes

that too little medication was given to the client. The nurse then
administers a second dose in order to give the correct dosage. What
should the nurse do? Select all that apply
orrect Answer
Explain what happened to the patient
ou Answered
Document that the correct medication was administered
orrect Answer
Chart both times the medication was administered
orrect Answer
Report the error
Question 9 0.67
/ 1 pts
What nursing actions best promote communication when
obtaining a nursing history? Select all that apply

Asking questions that can be answered with a “yes” or “no”
Correct!
Establishing eye contact
orrect Answer
Paraphrasing the client’s message
Correct!
Using broad, open-ended statements

Asking “why” and “how” questions

Reassuring the client that there is no cause for alarm
Question 10 1
/ 1 pts
The nurse notes that an advance directive is in the client's medical

record. Which of the following statements represents the best
description of guidelines a nurse would follow in this case?

A durable power of attorney for health care is invoked only when the client
has a terminal condition or is in a persistent vegetative state.

A living will allows an appointed person to make health care decisions
when the client is in an incapacitated state.

The client cannot make changes in the advance directive once the client is
admitted into the hospital.
Correct!
A living will is invoked only when the client has a terminal condition or is in
a persistent vegetative state.
Question 11 1
/ 1 pts
Uses a score that rates each patient by severity of illness
Correct!
Acuity charting

Critical pathway

Charting by exception

Traditional Charting
Question 12 0.67
/ 1 pts
Which nursing actions could result in malpractice? Select all that apply

Charts client's drug allergies
Correct!
Forgets to complete the assessment of a client
orrect Answer
Learns about a new piece of equipment
Correct!
Does not follow up on client's complaints
Question 13 1
/ 1 pts
Which nursing action is protected from legal action?

Providing health teaching regarding family planning

Offering first aid at the scene of an automobile collision

Administering resuscitative measures to an unconscious child pulled from
a swimming pool
Correct!
. Reporting incidents of suspected child abuse to the appropriate
authorities
Question 14 1
/ 1 pts
A client who had a "Do Not Resuscitate" order passed away. After
verifying there is no pulse or respirations, the nurse should next:

Have family members say goodbye to the deceased

Call the funeral director to come and get the body.
Correct!
Remove all tubes and equipment (unless organ donation is to take place),
clean the body, and position appropriately.

Call the transplant team to retrieve vital organs.
Question 15 1
/ 1 pts
The nurse manager is planning to assign a nursing assistant
(NA) to care for clients. What care can be delegated on a
medical-surgical unit to an NA? Select all that apply.

Correct!
Assisting a client who has patient-controlled analgesia (PCA) to the
bathroom

Obtaining an apical pulse rate before oral digoxin (Lanoxin) is administered

Evaluating the effectiveness of acetaminophen and codeine

Assessing the wound integrity of a client recovering from an abdominal
laparotomy
Correct!
Performing a bed bath for a client on bed rest
Question 16 1
/ 1 pts
A registered nurse arrives at work and is told to "float" to the ICU for the
day because the ICU is understaffed and needs an additional nurse to
care for the clients. The nurse has never worked in the ICU. Which of the
following is the most appropriate nursing action?

call the hospital lawyer

call the nursing supervisor

refuse to float in the ICU
Correct!
report to the ICU and identify tasks that can be safely performed
Question 17 1
/ 1 pts
Miss Fiona, an 88-year old woman, believes that life should not be
prolonged when hope is gone. She has decided that she does not want
extraordinary measures taken when her life is at its end. Because she
feels this way, she has talked with her daughter about her desires,
completing a living will and left directions with her physician. This is an
example of:

Reflecting a value
Correct!
Prizing a value

Choosing a value

Affirming a value
Question 18 1
/ 1 pts
Nurses agree to be advocates for their patients. Practice of advocacy

calls for the nurse to:

Document all clinical changes in the medical record in a timely manner

Work to understand the law as it applies to the client's clinical condition.
Correct!
Assess the client's point of view and prepare to articulate this point of view.

Seek out the nursing supervisor in conflicting situations
Question 19 1
/ 1 pts
Who among the individuals below cannot make a will?

RR, who is married and has prostate cancer.
Correct!
GG who is 28 years old married, and is suffering postpartum psychosis.
GG is of legal age, but she has postpartum psychosis, implying that

she is not of sound mind. A person should have a sound mind at the
time of execution of the will.

JJ who is 18 years old and has acute renal failure.

NN who is 19 years old and has Leukemia.
Question 20 1
/ 1 pts
The nurse notes that an advance directive is in the client's medical record.
Which of the following statements represents the best description of
guidelines a nurse would follow in this case?

when the client is in an incapacitated state

has a terminal condition or is in a persistent vegetative state
Correct!

Quiz Score:
15.33 out of 20
10/14/21, 9:06 AM POST TEST #2 (Docu to Ethics): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND

Due
Sep 17 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score

16.33 out of 20
Question 1 1
/ 1 pts
The nurse is obligated to follow a physicians order unless:

The order is illegible

The order has not been transcribed

The order is a verbal order
Correct!
The order is an error, violates hospital policy, or would be detrimental to
the client
Question 2 1
/ 1 pts
A registered nurse arrives at work and is told to "float" to the ICU for the day
because the ICU is understaffed and needs an additional nurse to care for
the clients. The nurse has never worked in the ICU. Which of the following is
the most appropriate nursing action?



Correct!
Question 3 1
/ 1 pts
What should the nurse do initially when obtaining consent
for surgery?

Witness the client’s signature, which the nurse’s signature will document

Explain that obtaining the signature is routine for any surgery.
Correct!
Determine whether the client’s knowledge level is sufficient to give cons

Describe the risks involved in the surgery.
Question 4 1
/ 1 pts



Correct!
Question 5 1
/ 1 pts
Correct!
Remove all tubes and equipment (unless organ donation is to take
place), clean the body, and position appropriately.



Question 6 1
/ 1 pts



Critical pathway
Correct!
Acuity charting
Question 7 1
/ 1 pts
A nurse is caring for an elderly patient. The patient falls and injures herself.
Which of the following actions should the nurse take to decrease his/her
liability? Select all that apply.
Correct!
Chart the facts surrounding the client's fall, condition, and follow-up care.
Correct!
Report the incident to the next shift during report.
Correct!
Document the incident carefully on the designated form provided by the
institution

It is not necessary to document anything about the fall.
Question 8 1
/ 1 pts

shift report.
Correct!
report.


pressure
Question 9 0
/ 1 pts
As a nurse manager, one of your staff asked you about incident report. What
are you going to include in your explanation?

ou Answered
orrect Answer

Question 10 0.67
/ 1 pts
Correct!
Correct!
orrect Answer

Question 11 1
/ 1 pts
Nurses agree to be advocates for their patients. Practice of advocacy calls

for the nurse to:


Correct!
Assess the client's point of view and prepare to articulate this point of
view.

Question 12 0
/ 1 pts
orrect Answer
authorities

a swimming pool

ou Answered
Question 13 1
/ 1 pts


Correct!

The client cannot make changes in the advance directive once the client
is admitted into the hospital.

A durable power of attorney for health care is invoked only when the
client has a terminal condition or is in a persistent vegetative state.
Question 14 1
/ 1 pts
blame?



Correct!
Question 15 0
/ 1 pts

ou Answered
orrect Answer


Question 16 0.67
/ 1 pts
After administering an incorrect dosage of a medication the nurse realizes

that too little medication was given to the client. The nurse then administers
a second dose in order to give the correct dosage. What should the nurse
do? Select all that apply
Correct!
Report the error
Correct!
Chart both times the medication was administered
ou Answered
Document that the correct medication was administered
Correct!
Explain what happened to the patient
Question 17 1
/ 1 pts
Correct!
Correct!
Correct!
prescribed dose.

Question 18 1
/ 1 pts
extraordinary measures taken when her life is at its end. Because she feels
this way, she has talked with her daughter about her desires, completing a
living will and left directions with her physician. This is an example of:
Correct!
Prizing a value

Affirming a value

Reflecting a value

Choosing a value
Question 19 1
/ 1 pts

Correct!

Correct!

Correct!
Question 20 1
/ 1 pts
Correct!




Quiz Score:
16.33 out of 20
Instructions
Attempt History
Attempt Time Score
Score for this quiz: 18.67 out of 20

Correct!

Correct!
Correct!
the client

laparotomy
Obtaining an apical pulse rate before oral digoxin (Lanoxin) is

administered
Correct!
bathroom
Correct!
Correct!
Correct!
Correct!
for surgery?
Correct!
Correct!
Nurse Fred was the Principal who committed the direct harm to the
client, while nurse Milo was an Accomplice. Nurse Manager
Jeremy tried to conceal the escape of his staff members by
discreetly arranging the resolution with the client’s family members
All of them
Correct!
Correct Answer Learns about a new piece of equipment
Correct!

Correct!
A living will is invoked only when the client has a terminal condition or is
in a persistent vegetative state.

client has a terminal condition or is in a persistent vegetative state
A nurse is caring for an elderly patient. The patient falls and injures
herself. Which of the following actions should the nurse take to
decrease his/her liability? Select all that apply.
Correct!
institution
Correct!
Chart the facts surrounding the client's fall, condition, and follow-up
care.
Correct!
The spouse of a comatose client who has severe internal bleed[1]ing
refuses to allow transfusions of whole blood because they
are Jehovah’s Witnesses. What action should the nurse take?
Correct!
Give the spouse a treatment refusal form to sign and notify the health
care provider that a court order can now be sought
Phone the health care provider for an administrative order to give the
transfusion under these circumstances
Institute the ordered blood transfusion because the client’s survival

depends on volume replacement.
Clarify the reason why the transfusion is necessary and explain the
implications if there is no transfusion
care for the clients. The nurse has never worked in the ICU. Which of
the following is the most appropriate nursing action?
Correct!
Correct!
GG is of legal age, but she has postpartum psychosis, implying

that she is not of sound mind. A person should have a sound mind
at the time of execution of the will.
blame?
Correct!


Correct!
A nurse on a busy medical-surgical unit reports for a scheduled shift

after working a double shift yesterday. At the end of this day, two nurses
call in, and the nurse manager tells the nurse that he needs to stay and
cover the next shift. The nurse may refuse to accept an assignment if:

You Answered He is being asked to work overtime
Correct Answer He believes his assignment is unsafe
Correct!
Verify the number of doses in the locked cabinet before administering
the prescribed dose.
Correct!
Correct!


Correct!
Assess the client's point of view and prepare to articulate this point of
view.
Correct!
Acuity charting
Critical pathway
A client has a right above-the-knee amputation after trauma
sustained in a work-related accident. Upon awakening from
surgery, the client states, “What happened to me? I don’t
remember a thing.” What is the nurse’s initial response?
“Tell me what you think happened.”

“It was necessary to amputate your leg after the accident.”
“You will remember more as you get better.”
Correct!
“You were in a work-related accident this morning.”
Quiz Score: 18.67 out of 20


Due
Sep 17 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1

15.33 out of 20
Question 1 1
/ 1 pts
blame?

Correct!


Question 2 1
/ 1 pts



Correct!
Question 3 1
/ 1 pts
for surgery?

Witness the client’s signature, which the nurse’s signature will
document

Correct!

Question 4 1
/ 1 pts
Correct!



Question 5 1
/ 1 pts
A client has a right above-the-knee amputation after trauma
sustained in a work-related accident. Upon awakening from
surgery, the client states, “What happened to me? I don’t
remember a thing.” What is the nurse’s initial response?

“It was necessary to amputate your leg after the accident.”
Correct!
“You were in a work-related accident this morning.”

“Tell me what you think happened.”

“You will remember more as you get better.”
Question 6 0
/ 1 pts

ou Answered
orrect Answer
Acuity charting

Critical pathway
Question 7 0
/ 1 pts


The client cannot make changes in the advance directive once the
client is admitted into the hospital.
orrect Answer
ou Answered
client has a terminal condition or is in a persistent vegetative state

Question 8 1
/ 1 pts
example of:

Choosing a value

Reflecting a value
Correct!
Prizing a value

Affirming a value
Question 9 0.33
/ 1 pts

orrect Answer
Correct!
orrect Answer
Question 10 1
/ 1 pts
The nurse notes that an advance directive is in the client's

medical record. Which of the following statements represents the
best description of guidelines a nurse would follow in this case?

The client cannot make changes in the advance directive once the
client is admitted into the hospital.
Correct!


Question 11 1
/ 1 pts

Correct!
the client


Question 12 1
/ 1 pts

Correct!
GG is of legal age, but she has postpartum psychosis, implying

that she is not of sound mind. A person should have a sound mind
at the time of execution of the will.


Question 13 1
/ 1 pts
A nurse is caring for an elderly patient. The patient falls and injures
herself. Which of the following actions should the nurse take to
decrease his/her liability? Select all that apply.
Correct!
Correct!
institution
Correct!
Chart the facts surrounding the client's fall, condition, and follow-up
care.

Question 14 0
/ 1 pts

ou Answered
orrect Answer

Question 15 0
/ 1 pts
A nurse on a busy medical-surgical unit reports for a scheduled shift

after working a double shift yesterday. At the end of this day, two
nurses call in, and the nurse manager tells the nurse that he needs to
stay and cover the next shift. The nurse may refuse to accept an
assignment if:
orrect Answer


ou Answered
Question 16 1
/ 1 pts

laparotomy
Correct!
bathroom
Correct!


Obtaining an apical pulse rate before oral digoxin (Lanoxin) is
administered
Question 17 1
/ 1 pts
Correct!
Perform an assessment of the client before resuming the change-of-
shift report.

pressure


shift report.
Question 18 1
/ 1 pts



Administering resuscitative measures to an unconscious child pulled
from a swimming pool
Correct!
authorities
Question 19 1
/ 1 pts



Correct!
Give the spouse a treatment refusal form to sign and notify the health
care provider that a court order can now be sought

Question 20 1
/ 1 pts
Correct!

Correct!
Correct!
Verify the number of doses in the locked cabinet before administering
the prescribed dose.
Quiz Score:
15.33 out of 20

Due
Sep 17 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1

16.33 out of 20
Question 1 1
/ 1 pts



Correct!
Assess the client's point of view and prepare to articulate this point of view.

Question 2 1
/ 1 pts


Correct!

has a terminal condition or is in a persistent vegetative state.

Question 3 1
/ 1 pts
for surgery?


Correct!

Question 4 1
/ 1 pts
care for the clients. The nurse has never worked in the ICU. Which of the
following is the most appropriate nursing action?


Correct!

Question 5 1
/ 1 pts
Correct!
Correct!

Correct!
prescribed dose.
Question 6 1
/ 1 pts


a swimming pool
Correct!
authorities

Question 7 1
/ 1 pts



All of them
Correct!
Nurse Fred was the Principal who committed the direct harm to the
client, while nurse Milo was an Accomplice. Nurse Manager Jeremy
tried to conceal the escape of his staff members by discreetly
arranging the resolution with the client’s family members
Question 8 1
/ 1 pts


Correct!


Question 9 0.67
/ 1 pts
Correct!
ou Answered
Correct!

Correct!

Question 10 1
/ 1 pts


Correct!


Question 11 0
/ 1 pts
ou Answered
orrect Answer


Question 12 0
/ 1 pts
The nurse notes that an advance directive is in the client's medical record.
Which of the following statements represents the best description of
guidelines a nurse would follow in this case?

has a terminal condition or is in a persistent vegetative state

ou Answered
orrect Answer
Question 13 1
/ 1 pts
Correct!



Question 14 1
/ 1 pts

laparotomy

Correct!
Correct!
bathroom

Obtaining an apical pulse rate before oral digoxin (Lanoxin) is administered
Question 15 0.67
/ 1 pts

orrect Answer
Correct!
Correct!
Question 16 1
/ 1 pts

Correct!
Give the spouse a treatment refusal form to sign and notify the health care
provider that a court order can now be sought



Question 17 1
/ 1 pts
example of:
Correct!
Prizing a value

Choosing a value

Affirming a value

Reflecting a value
Question 18 1
/ 1 pts
Correct!
report.

pressure

shift report.

Question 19 0
/ 1 pts
orrect Answer
the client
ou Answered


Question 20 1
/ 1 pts



Correct!
Remove all tubes and equipment (unless organ donation is to take place),
clean the body, and position appropriately.
Quiz Score:
16.33 out of 20
POST TEST #3 ((Cardiovascular))
Due
Sep 30 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
CHOOSE THE BEST ANSWER!
Attempt History
Attempt Time Score
LATEST Attempt 1

18.67 out of 20
Question 1 1
/ 1 pts
Digoxin (Lanoxin) 0.25 mg daily was administered Mr. Ariel diagnosed

with left ventricular heart failure. What changes does the nurse expect to
find if this medication is therapeutically effective? Select all that apply.
Correct!
Decreased edema
Correct!
Decreased pulse rate

Tachycardia

Jugular vein distention

Reduced heart murmur
Question 2 1
/ 1 pts
A nursing diagnosis of “decreased cardiac output related to inability of the

heart to pump effectively” was written in the nursing care plan. The nurse
is developing a discharge teaching plan for the client. Which intervention
should be incorporated in the plan? (Select all that apply)

Notify a health care provider of a weight gain of more than one (1) pound
in a week.

Encourage client to monitor urine output for change in color to become
dark.

Discuss the importance of taking the loop diuretic furosemide at bedtime.
Correct!
Teach client how to count the radial pulse when taking digoxin, a cardiac
glycoside.
Correct!
Instruct client to remove the saltshaker from the dinner table.
Question 3 1
/ 1 pts
Mr. Martinez is diagnosed with coronary artery disease and is prescribed

sublingual nitroglycerin. Which of the following interventions should the
nurse discuss with the client? (Select all that apply)
Correct!
Teach about coronary vasodilators
Correct!
Instruct the client to stop smoking

Prepare client for a carotid endarterectomy

Eat foods high in monosaturated fats
Correct!
Encourage the client to exercise three days a week
Question 4 1
/ 1 pts
The intensive care department nurse on duty is caring for a client who is
12 hours post myocardial infarction. The nurse assess a S3 heart sound.
Which of the following interventions should be implemented if the client
experiences chest pain? (Select all that apply)

Administer nitroglycerin subcutaneously.
Correct!
Administer an aspirin orally
Correct!
Apply oxygen via a nasal cannula

Place the client in a supine position

Administer morphine intramuscularly
Question 5 1
/ 1 pts

sublingual nitroglycerin. The following health teachings would be
implemented for the client. (Select all that apply)

Decrease the salt intake to 2 g a day
Correct!
Increase fiber in the diet
Correct!
Encourage a low fat, low cholesterol diet
Correct!
Refer to counselor for stress reduction techniques
Correct!
Instruct client to walk 30 minutes a day
Question 6 1
/ 1 pts
Mr. Martinez, 66 year old has a blood pressure of 168/98. He consulted a

physician and was told of atherosclerosis. Which of the following
interventions should the nurse teach the client? (Select all that apply)
Correct!
Stop smoking or using any type of tobacco products
Correct!
Include significant other in the discussion

Daily isometric exercises are important

Avoid stressful situations

Maintain a sedentary lifestyle as much as possible
Question 7 1
/ 1 pts
Mr. Martinez consulted the emergency room for assessment of possible

right ventricular failure. What clinical indicators is the nurse most likely to
identify when taking the admission history. Select all that apply.

Vertigo
Correct!
Edema

Palpitations

Polyuria
Correct!
Dyspnea
Question 8 1
/ 1 pts
Nurse Maria is conducting health teaching to a client with ischemic heat

disease regarding foods that should be avoided. The nurse determines
that the client understands the dietary instructions when the client
identifies the following foods. (Select all that apply)

Olive oil
Correct!
Enriched whole milk

Vegetables and whole grains
Correct!
Chicken broth
Correct!
Liver and other glandular organ meats
Question 9 0.67
/ 1 pts
Mr. Q was admitted to the critical care unit with a diagnosis of chest pain,
rule out myocardial Infarction. After returning from the bathroom, he
complains of severe indigestion in the retrosternal area of his chest. An
ECG were done with the tracing. The nurse interpreted the ECG with the
following findings. SELECT ALL THAT APPLY:
Correct!
ST segment elevation in V3 and V4
orrect Answer
Right coronary artery is probably blocked

Lead I and aVL have ST segment depression

Left coronary artery is probably blocked
Correct!
Lead II, III and aVF have ST elevation
Question 10 1
/ 1 pts
A client with heart failure and pulmonary edema is in distress. What

should the nurse do to help ease the condition of the client?
Correct!
Place the client in the orthopneic position.

Encourage frequent coughing.

Elevate the client’s lower extremities.

Prepare for modified postural drainage.
Question 11 1
/ 1 pts
A patient taking antihypertensive medications consults the internal

medicine clinic complains of persistent hacking cough. The nurse is
reviewing the medications taken by the patient. Which of the following
antihypertensive drugs is identified as the probable cause of this reaction?

Thiazide diuretics

Angiotensin receptor blockers

Calcium channel blockers
Correct!
ACE inhibitors
Question 12 1
/ 1 pts
A patient being managed as right ventricular heart failure was assessed to

have increasing abdominal girth. What physiologic change should the
nurse consider when explaining the client’s condition?

Rapid osmosis from tissue spaces to cells
Correct!
Increased pressure within the circulatory system

Loss of cellular constituents in blood

Rapid diffusion of solutes and solvents into plasma
Question 13 1
/ 1 pts
A patient admitted due to myocardial infarction is on a cardiac monitor.
Ventricular irritability is observed by the on duty cardiac nurse on the
screen. What medication should the nurse prepare to administer?
Correct!
Amiodarone (Cordarone)

Norepinephrine (Levophed)

Digoxin (Lanoxin)

Furosemide (Lasix)
Question 14 1
/ 1 pts
An 82-year-old client, whose baseline blood pressure was 140/90 mm Hg

has the blood Pressure taken by the home health nurse. The nurse
obtains a sitting blood pressure of 160/100 mm Hg in the left arm. The
nurse should initially:

Call the practitioner and report the blood pressure reading immediately
Correct!
Take the client's blood pressure in the right arm and then in both arms
while standing

Advise the client to restrict fluid and sodium intake

Conclude that this is an expected reading for an older person and record
the information
Question 15 0
/ 1 pts
A professor presenting with chest pain is admitted in the medical surgical

intensive care unit. Cardiac angiography revealed complete block in the
circumflex branch of the left coronary artery. Different diagnostic tests is
ordered. Which of the following blood test is reported to increase eight
hours at the onset of such condition?
ou Answered
Troponin T
orrect Answer
AST

ALT

Total LDH
Question 16 1
/ 1 pts
Which of the following should the nurse should teach a client post
coronary artery bypass graft during discharge?

Cessation of drainage from the incisions after hospitalization

Mild fever and extreme fatigue for several weeks after surgery
Correct!
Some edema in the leg used for the donor graft is expected with activity

Mild incisional pain and tenderness up to three weeks after surgery
Question 17 1
/ 1 pts
Mr. Martinez, a 48-year-old American executive is checked in the clinic for
a routine physical examination. He reports no complaints. Examination
shows a blood pressure of 134/82 mmHg with a normal heart rate. BMI is
31 kg/m2. The remainder of his physical examination is normal. Which of
the following is true regarding lifestyle modification?

Brisk walking for as little as 10 minutes, 4 days per week will lower his
blood pressure to within the normal range.

Reduction of alcohol consumption to three or fewer drinks per day will
decrease his blood pressure.

Dietary NaCl restriction of less than 6 g per day will reduce his blood
pressure.
Correct!
Weight loss of approximately 9 kg can be expected to bring his blood
pressure to within the normal limit.

Lifestyle modification will have no effect on his blood pressure.
Question 18 1
/ 1 pts
A client with angina pectoris has a 12-lead electrocardiogram taken during

an episode of chest pain. The nurse examines the ECG tracing and noted
the P-R segment to be prolonged. The nurse interprets that this is a
problem in which of the following?

None of these

SA Node

Purkinje fiber

All of these
Correct!
AV Node
Question 19 1
/ 1 pts
Mr. Martinez presents in the cardiovascular unit with chief complaint of

chest pain. Associated assessment findings revealed an elevated
temperature, decreased blood pressure, and diaphoresis. ECG and
cardiac enzymes confirmed a diagnosis of myocardial infarction. Which of
the following statements should the nurse consider as a valid reason for
one of this client’s physiologic responses?
Correct!
Inflammation in the myocardium causes a rise in the systemic body
temperature.

Constriction of central and peripheral blood vessels causes a decrease in
blood pressure.

Catecholamines released at the site of the infarction cause intermittent
localized pain.

Parasympathetic reflexes from the infarcted myocardium cause
diaphoresis.
Question 20 1
/ 1 pts
A patient sought medical advice due to a substernal discomfort while
shaving. A diagnosis of Angina pectoris was made. Nitroglycerin was
ordered and advised low saturated fat diet and that the client should stop
smoking. One night he is awakened by excruciating chest pain that is not
relieved by nitroglycerin. He was rushed to the hospital and was admitted
at the coronary care unit. With a diagnosis of acute myocardial infarction.
Of the following changes in the electrocardiogram or the cardiac monitor
which will indicate myocardial ischemia?

Narrowing of the QRS complex

Absence of the P wave
Correct!
Inverted T wave

Prolonged PR interval
Quiz Score:
18.67 out of 20
10/14/21, 9:07 AM POST TEST #3 ((Cardiovascular)): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND

Due
Sep 30 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score

18.67 out of 20
Question 1 1
/ 1 pts
The intensive care department nurse on duty is caring for a client who is 12
hours post myocardial infarction. The nurse assess a S3 heart sound. Which
of the following interventions should be implemented if the client experiences
chest pain? (Select all that apply)



Correct!
Correct!
Question 2 1
/ 1 pts

sublingual nitroglycerin. The following health teachings would be
implemented for the client. (Select all that apply)
Correct!

Correct!
Correct!
Correct!
Question 3 1
/ 1 pts
Mr. Martinez consulted the emergency room for assessment of possible right
ventricular failure. What clinical indicators is the nurse most likely to identify
when taking the admission history. Select all that apply.

Vertigo

Palpitations
Correct!
Edema

Polyuria
Correct!
Dyspnea
Question 4 1
/ 1 pts
Mr. Martinez, 66 year old has a blood pressure of 168/98. He consulted a

physician and was told of atherosclerosis. Which of the following



Correct!
Correct!
Question 5 1
/ 1 pts

sublingual nitroglycerin. Which of the following interventions should the nurse
discuss with the client? (Select all that apply)

Correct!
Correct!
Correct!

Question 6 1
/ 1 pts

disease regarding foods that should be avoided. The nurse determines that
the client understands the dietary instructions when the client identifies the
following foods. (Select all that apply)
Correct!
Chicken broth

Correct!
Enriched whole milk

Olive oil
Correct!
Question 7 1
/ 1 pts
A nursing diagnosis of “decreased cardiac output related to inability of the

heart to pump effectively” was written in the nursing care plan. The nurse is
developing a discharge teaching plan for the client. Which intervention
should be incorporated in the plan? (Select all that apply)
Correct!

Discuss the importance of taking the loop diuretic furosemide at bedtime.
Correct!
glycoside.

Notify a health care provider of a weight gain of more than one (1) pound
in a week.

dark.
Question 8 1
/ 1 pts
Digoxin (Lanoxin) 0.25 mg daily was administered Mr. Ariel diagnosed with
left ventricular heart failure. What changes does the nurse expect to find if
this medication is therapeutically effective? Select all that apply.
Correct!
Decreased edema

Correct!


Tachycardia
Question 9 0.67
/ 1 pts
A 65 year old executive presents with chest pain radiating to her jaw and
down her left arm. Normal angina was considered but nitroglycerin spray
offered no relief. Electrocardiogram was requested with the following
tracing. The following are the correct findings. SELECT ALL THAT APPLY.
Correct!
Sinus tachycardia
Correct!
Heart rate 160

T wave inversion in Lead II, III, aVF
Correct!
Regular rhythm
ou Answered
ST depression in aVR
Question 10 1
/ 1 pts
Which of the following should the nurse should teach a client post coronary
artery bypass graft during discharge?

Correct!


Question 11 0
/ 1 pts
A professor presenting with chest pain is admitted in the medical surgical

intensive care unit. Cardiac angiography revealed complete block in the
circumflex branch of the left coronary artery. Different diagnostic tests is
ordered. Which of the following blood test is reported to increase eight hours
at the onset of such condition?

ALT
orrect Answer
AST
ou Answered
Troponin T

Total LDH
Question 12 1
/ 1 pts

an episode of chest pain. The nurse examines the ECG tracing and noted
the P-R segment to be prolonged. The nurse interprets that this is a problem
in which of the following?
Correct!
AV Node

SA Node

All of these

None of these

Purkinje fiber
Question 13 1
/ 1 pts
A client who has been admitted to the cardiac care unit with a myocardial
infarction complains of chest pain. The nursing intervention that would be
most effective in relieving the client's pain would be to administer the
ordered:
Correct!
Morphine sulfate 2 mg IV

Nitroglycerin sublingually

Oxygen per nasal cannula

Lidocaine hydrochloride 50-mg IV bolus
Question 14 1
/ 1 pts
A patient being managed as right ventricular heart failure was assessed to

have increasing abdominal girth. What physiologic change should the nurse
consider when explaining the client’s condition?

Correct!


Question 15 1
/ 1 pts
A steam fitter is brought to the emergency department by co-workers and is

admitted With a possible myocardial infarction. The client is experiencing
severe chest pain. He is diaphoretic, and his pulse rate is 110 beats per
minute. The nurse should immediately:

Administer the ordered nitroglycerine until the pain subside

Increase the oxygen flow

Take the blood pressure and an electro-cardiogram
Correct!
Notify the physician and administer the ordered morphine
Question 16 1
/ 1 pts
Mr. Martinez presents in the cardiovascular unit with chief complaint of chest
pain. Associated assessment findings revealed an elevated temperature,
decreased blood pressure, and diaphoresis. ECG and cardiac enzymes
confirmed a diagnosis of myocardial infarction. Which of the following
statements should the nurse consider as a valid reason for one of this
client’s physiologic responses?
Correct!
temperature.

diaphoresis.

Constriction of central and peripheral blood vessels causes a decrease in
blood pressure.

localized pain.
Question 17 1
/ 1 pts

an episode of chest pain. A nurse examines the tracing for which
electrocardiogram change caused by myocardial ischemia?
Correct!
ST segment elevation or depression

Widened QRS complex

Tall, peaked T waves

Question 18 1
/ 1 pts
A coronary artery stent was accomplished by means of the femoral artery to

a client with coronary artery disease. Which of the following is the priority
when the nurse evaluates the client in the surgical intensive care unit?

Impaired swallowing
Correct!
Hematoma formation

Impaired mobility

Acute pain
Question 19 1
/ 1 pts
A client has a Swan-Ganz catheter inserted for monitoring cardiovascular

status. With the Swan-Ganz catheter the most accurate measurement of the
client's left ventricular pressure would be the:

Pulmonary artery diastolic pressure

Cardiac output by thermo dilution
Correct!
Pulmonary capillary wedge pressure

Right atrial pressure
Question 20 1
/ 1 pts
To help reduce a client's risk factors for heart disease, the nurse, when
discussing dietary guidelines, should teach the client to:
Correct!
Increase the quantity of complex carbohydrates

Limit the amount of unsaturated fat

Avoid eating between meals

Decrease the amount of fat-binding fiber
Quiz Score:
18.67 out of 20
Instructions
Attempt History
Attempt Time Score

A nursing diagnosis of “decreased cardiac output related to inability of

the heart to pump effectively” was written in the nursing care plan. The
nurse is developing a discharge teaching plan for the client. Which
intervention should be incorporated in the plan? (Select all that apply)
Discuss the importance of taking the loop diuretic furosemide at

bedtime.
Notify a health care provider of a weight gain of more than one (1)
pound in a week.
dark.
Correct!
glycoside.
Correct!
Mr. Martinez, 66 year old has a blood pressure of 168/98. He consulted

a physician and was told of atherosclerosis. Which of the following
Correct!
Correct!
The intensive care department nurse on duty is caring for a client who
is 12 hours post myocardial infarction. The nurse assess a S3 heart
sound. Which of the following interventions should be implemented if
the client experiences chest pain? (Select all that apply)
Correct!
Correct!
Mr. Martinez is diagnosed with coronary artery disease and is

prescribed sublingual nitroglycerin. Which of the following interventions
should the nurse discuss with the client? (Select all that apply)
Correct!
Correct!
Correct!

with left ventricular heart failure. What changes does the nurse expect
to find if this medication is therapeutically effective? Select all that
apply.
Correct!
Decreased edema
Tachycardia
Correct!

right ventricular failure. What clinical indicators is the nurse most likely
to identify when taking the admission history. Select all that apply.
Correct!
Dyspnea
Vertigo
Polyuria
Correct!
Edema
Palpitations

prescribed sublingual nitroglycerin. The following health teachings
would be implemented for the client. (Select all that apply)
Correct!
Correct!
Correct!
Correct!

Correct!
Correct!
Chicken broth
Olive oil
Correct!
Enriched whole milk
A 65 year old executive presents with chest pain radiating to her jaw
and down her left arm. Normal angina was considered but nitroglycerin
spray offered no relief. Electrocardiogram was requested with the
following tracing. The following are the correct findings. SELECT ALL
THAT APPLY.
Correct!
Sinus tachycardia
Correct!
Heart rate 160
Correct!
Regular rhythm
Which of the following should the nurse should teach a client post
coronary artery bypass graft during discharge?
Correct!
A client has a Swan-Ganz catheter inserted for monitoring

cardiovascular status. With the Swan-Ganz catheter the most accurate
measurement of the client's left ventricular pressure would be the:
Cardiac output by thermo dilution
Pulmonary artery diastolic pressure
Correct!
Pulmonary capillary wedge pressure
Right atrial pressure

cardiac enzymes confirmed a diagnosis of myocardial infarction. Which
of the following statements should the nurse consider as a valid reason
for one of this client’s physiologic responses?
diaphoresis.
Correct!
temperature.

localized pain.
Constriction of central and peripheral blood vessels causes a decrease

in blood pressure.
The physician orders “bathroom privileges only" for a client with

pulmonary edema. The client becomes irritable and asks the nurse
whether it is really necessary to stay in bed so much. The nurse's best
reply would be:
"Why do you want to be out of bed?”
"Bed rest plays a role in most therapy."
"Would you like me to ask your physician to change the order?”
Correct!
"Rest helps your body direct energy to healing.”
A patient being managed as right ventricular heart failure was assessed

to have increasing abdominal girth. What physiologic change should the
nurse consider when explaining the client’s condition?
Correct!
Mr. Pancho Wilson, a business man is presented to the emergency

room with a chief complaint of dyspnea. A diagnostic test revealed an
impression of right sided congestive heart failure. The nurse
understands that the client would likely manifest which of the following
symptoms?
Correct Answer Splenomegaly and edema of the extremity
You Answered All of the choices
Orthopnea, moist rales and cough
None of the choices
Central venous pressure
A client with heart failure and pulmonary edema is in distress. What

should the nurse do to help ease the condition of the client?
Encourage frequent coughing.
Correct!
Place the client in the orthopneic position.
Elevate the client’s lower extremities.
Prepare for modified postural drainage.
Mr. Martinez, a 48-year-old American executive is checked in the clinic

for a routine physical examination. He reports no complaints.
Examination shows a blood pressure of 134/82 mmHg with a normal
heart rate. BMI is 31 kg/m2. The remainder of his physical examination
is normal. Which of the following is true regarding lifestyle modification?
Correct!
Weight loss of approximately 9 kg can be expected to bring his blood
pressure to within the normal limit.
Brisk walking for as little as 10 minutes, 4 days per week will lower his
blood pressure to within the normal range.
Dietary NaCl restriction of less than 6 g per day will reduce his blood
pressure.
Lifestyle modification will have no effect on his blood pressure.
Reduction of alcohol consumption to three or fewer drinks per day will

decrease his blood pressure.
Super Ganda, a 56-year-old housewife is suspected to have angina.

She is scheduled for a cardiac catheterization through the femoral
artery. The nurse should inform the client that she will:
Correct!
Experience a feeling of warmth during the procedure
Be able to ambulate shortly after the procedure
Be fully alert during the procedure
Have to remain in the semi-Fowler's position for 12 hours after the

procedure
A patient admitted due to myocardial infarction is on a cardiac monitor.

Ventricular irritability is observed by the on duty cardiac nurse on the
screen. What medication should the nurse prepare to administer?
Digoxin (Lanoxin)
Correct!
Amiodarone (Cordarone)
Norepinephrine (Levophed)
Furosemide (Lasix)
A client who has been admitted to the cardiac care unit with a
myocardial infarction complains of chest pain. The nursing intervention
that would be most effective in relieving the client's pain would be to
administer the ordered:
Lidocaine hydrochloride 50-mg IV bolus
Oxygen per nasal cannula
Nitroglycerin sublingually
Correct!
Morphine sulfate 2 mg IV


Due
Sep 30 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1

18.17 out of 20
Question 1 1
/ 1 pts
Mr. Martinez, 66 year old has a blood pressure of 168/98. He consulted

a physician and was told of atherosclerosis. Which of the following

Correct!


Correct!
Question 2 1
/ 1 pts

right ventricular failure. What clinical indicators is the nurse most likely
to identify when taking the admission history. Select all that apply.

Polyuria
Correct!
Dyspnea
Correct!
Edema

Vertigo

Palpitations
Question 3 1
/ 1 pts

prescribed sublingual nitroglycerin. The following health teachings
would be implemented for the client. (Select all that apply)

Correct!
Correct!
Correct!
Correct!
Question 4 1
/ 1 pts

prescribed sublingual nitroglycerin. Which of the following interventions
should the nurse discuss with the client? (Select all that apply)

Correct!
Correct!
Correct!

Question 5 0.5
/ 1 pts

with left ventricular heart failure. What changes does the nurse expect
to find if this medication is therapeutically effective? Select all that
apply.

Correct!
Decreased edema
Correct!
ou Answered

Tachycardia
Question 6 1
/ 1 pts
A nursing diagnosis of “decreased cardiac output related to inability of

the heart to pump effectively” was written in the nursing care plan. The
nurse is developing a discharge teaching plan for the client. Which
intervention should be incorporated in the plan? (Select all that apply)

dark.
Correct!
Teach client how to count the radial pulse when taking digoxin, a
cardiac glycoside.

Notify a health care provider of a weight gain of more than one (1)
pound in a week.

Discuss the importance of taking the loop diuretic furosemide at
bedtime.
Correct!
Question 7 1
/ 1 pts
The intensive care department nurse on duty is caring for a client who
is 12 hours post myocardial infarction. The nurse assess a S3 heart
sound. Which of the following interventions should be implemented if
the client experiences chest pain? (Select all that apply)
Correct!



Correct!
Question 8 1
/ 1 pts


Olive oil

Correct!
Enriched whole milk
Correct!
Chicken broth
Correct!
Question 9 0.67
/ 1 pts
Mr. Q was admitted to the critical care unit with a diagnosis of chest
pain, rule out myocardial Infarction. After returning from the bathroom,
he complains of severe indigestion in the retrosternal area of his chest.
An ECG were done with the tracing. The nurse interpreted the ECG
with the following findings. SELECT ALL THAT APPLY:

orrect Answer
Correct!
Correct!

Lead I and aVL have ST segment depression
Question 10 1
/ 1 pts
Super Ganda, a 56-year-old housewife is suspected to have angina.

She is scheduled for a cardiac catheterization through the femoral
artery. The nurse should inform the client that she will:
Correct!
Experience a feeling of warmth during the procedure

Be fully alert during the procedure

Be able to ambulate shortly after the procedure

Have to remain in the semi-Fowler's position for 12 hours after the
procedure
Question 11 1
/ 1 pts
A patient taking antihypertensive medications consults the internal

medicine clinic complains of persistent hacking cough. The nurse is
reviewing the medications taken by the patient. Which of the following
antihypertensive drugs is identified as the probable cause of this
reaction?

Thiazide diuretics

Angiotensin receptor blockers

Calcium channel blockers
Correct!
ACE inhibitors
Question 12 1
/ 1 pts
A client with angina pectoris has a 12-lead electrocardiogram taken

during an episode of chest pain. The nurse examines the ECG tracing
and noted the P-R segment to be prolonged. The nurse interprets that
this is a problem in which of the following?

SA Node

All of these
Correct!
AV Node

Purkinje fiber

None of these
Question 13 0
/ 1 pts
Mr. Pancho Wilson, a business man is presented to the emergency

room with a chief complaint of dyspnea. A diagnostic test revealed an
impression of right sided congestive heart failure. The nurse
understands that the client would likely manifest which of the following
symptoms?
orrect Answer
Splenomegaly and edema of the extremity

None of the choices
ou Answered
All of the choices

Orthopnea, moist rales and cough

Central venous pressure
Question 14 1
/ 1 pts
A steam fitter is brought to the emergency department by co-workers

and is admitted With a possible myocardial infarction. The client is
experiencing severe chest pain. He is diaphoretic, and his pulse rate is
110 beats per minute. The nurse should immediately:
Correct!
Notify the physician and administer the ordered morphine

Take the blood pressure and an electro-cardiogram

Administer the ordered nitroglycerine until the pain subside

Increase the oxygen flow
Question 15 1
/ 1 pts
A patient being managed as right ventricular heart failure was

assessed to have increasing abdominal girth. What physiologic change
should the nurse consider when explaining the client’s condition?


Correct!

Question 16 1
/ 1 pts
A coronary artery stent was accomplished by means of the femoral

artery to a client with coronary artery disease. Which of the following is
the priority when the nurse evaluates the client in the surgical intensive
care unit?

Impaired swallowing

Impaired mobility

Acute pain
Correct!
Hematoma formation
Question 17 1
/ 1 pts
To help reduce a client's risk factors for heart disease, the nurse, when
discussing dietary guidelines, should teach the client to:

Limit the amount of unsaturated fat
Correct!
Increase the quantity of complex carbohydrates

Decrease the amount of fat-binding fiber

Avoid eating between meals
Question 18 1
/ 1 pts

cardiac enzymes confirmed a diagnosis of myocardial infarction. Which
of the following statements should the nurse consider as a valid reason
for one of this client’s physiologic responses?

diaphoresis.

localized pain.

Constriction of central and peripheral blood vessels causes a decrease
in blood pressure.
Correct!
temperature.
Question 19 1
/ 1 pts
An 82-year-old client, whose baseline blood pressure was 140/90 mm

Hg has the blood Pressure taken by the home health nurse. The nurse
obtains a sitting blood pressure of 160/100 mm Hg in the left arm. The
nurse should initially:

Advise the client to restrict fluid and sodium intake

Call the practitioner and report the blood pressure reading immediately
Correct!
Take the client's blood pressure in the right arm and then in both arms
while standing

Conclude that this is an expected reading for an older person and
record the information
Question 20 1
/ 1 pts
A patient sought medical advice due to a substernal discomfort while

shaving. A diagnosis of Angina pectoris was made. Nitroglycerin was
ordered and advised low saturated fat diet and that the client should
stop smoking. One night he is awakened by excruciating chest pain
that is not relieved by nitroglycerin. He was rushed to the hospital and
was admitted at the coronary care unit. With a diagnosis of acute
myocardial infarction. Of the following changes in the
electrocardiogram or the cardiac monitor which will indicate myocardial
ischemia?

Absence of the P wave
Correct!
Inverted T wave


Narrowing of the QRS complex
Quiz Score:
18.17 out of 20
10/14/21, 9:09 AM Skills Lab Quiz #1 (ECG): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND
Skills Lab Quiz #1 (ECG)

Due
Sep 8 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score

12.08 out of 20
Question 1 1
/ 1 pts
The student nurse was tasked to perform electrocardiogram to a client

complaining of chest pain. Which of the following are the correct placement
of the ECG leads when recording the procedure? SELECT ALL THAT
APPLY:

V4 - 7th intercostal space at the mid clavicular line
Correct!
V2 - 4th intercostal space - left margin of sternum

V5 - horizontally adjacent to V3 at anterior axillary line
Correct!
V1 - 4th intercostal space - right margin of sternum
Correct!
V3 - linear midpoint between V2 and V4
Correct!
V6 - horizontally adjacent to V5 at mid-axillary line
Question 2 0.33
/ 1 pts
A healthy and fit 35 years old Nursing professor presents for a routine
medical consultation. Electrocardiogram was requested. Which of the
following are the correct interpretation of the ECG tracing. SELECT ALL
THAT APPLY.

ST / T wave inversion
orrect Answer
Heart rate is 85 beats per minute
orrect Answer
Regularly regular rhythm
Correct!
QRS narrow

Peaked PR / P wave pattern
Question 3 0.25
/ 1 pts
Atty. X was admitted to the critical care unit with a diagnosis of chest pain,
ECG were done. The nurse interpreted the ECG with the following findings.
SELECT ALL THAT APPLY:
orrect Answer

orrect Answer
orrect Answer
Lead I and aVL have ST segment depressio
Correct!
Question 4 0
/ 1 pts
tracing. The following are the correct findings. SELECT ALL THAT APPLY.
Correct!
Regular rhythm
orrect Answer
Sinus tachycardia
Correct!
Heart rate 160
ou Answered
ou Answered
Question 5 1
/ 1 pts
A 35 year old man presents with palpitations. He has been drinking heavily
with friends over the weekend. Electrocardiogram done on the patient
revealed ventricular fibrillation. Which of the following interventions should be
implemented in the critical care unit? SELECT ALL THAT APPLY.

Prepare to administer the antidysrhythmic adenosine IVP.
Correct!
Bring the crash cart to the bedside
Correct!
Prepare to administer the antidysrhythmic amiodarone IVP.
Correct!
Start cardiopulmonary resuscitation.
Correct!
Prepare to defibrillate the client.
Question 6 0
/ 1 pts
A nursing professor has a 12-lead electrocardiogram taken during an

episode of chest pain. From this ECG tracing, which of the following is the
correct interpretation?

Tachycardia
ou Answered
Bradycardia
orrect Answer
Normal ECG

First degree heart block
Question 7 0.75
/ 1 pts
MATCH THE ELECTROCARDIOGRAM TRACINGS WITH THE

INTERPRETATION.
1. MRS. SANTOS, 35 YEARS OLD
2. MR. MARTINEZ, 40 YEARS OLD
3. MS. MARTIN, 60 YEARS OLD
INTERPRETATION:
A. Premature Ventricular Contraction
B. Sinus Rhythm
C. Sinus Bradycardia
D. Ventricular Fibrillation
E. Ventricular Tachycardia
Correct! MRS. SANTOS, 35 YEARS A. Premature Ventricula

OLD
Correct! MR. MARTINEZ, 40 YEARS C. Sinus Bradycardia

OLD
Correct! MS. MARTIN, 60 YEARS D. Ventricular Fibrillatio

OLD
ou Answered

Correct Answer
Other Incorrect Match Options:

B. Sinus Rhythm
Question 8 0.5
/ 1 pts

INTERPRETATION.
INTERPRETATION:
B. Sinus Rhythm
D. Sinus Tachycardia
ou Answered MRS. SANTOS, 35 YEARS A. Premature Ventricula

OLD

Correct Answer E. Ventricular
Tachycardia
Correct! MR. MARTINEZ, 40 YEARS E. Ventricular Tachycar

OLD
Correct! MS. MARTIN, 60 YEARS D. Sinus Tachycardia

OLD
ou Answered

Correct Answer

B. Sinus Rhythm
Question 9 1
/ 1 pts
MATCH THE ELECTROCARDIOGRAM TRACING WITH THE

INTERPRETATION.
4. MR. CHUA, 55 YEARS OLD
5. MRS. ENRIQUEZ, 75 YEARS OLD
INTERPRETATION
A. Heart rate 100 beats per minute
B. Heart rate 150 beats per minute
C. Heart rate 75 beats per minute
D. Heart rate 60 beats per minute
E. Heart rate 300 beats per minute
Correct! MRS. SANTOS, 35 YEARS A. Heart rate 100 beats

OLD
Correct! MR. MARTINEZ, 40 YEARS B. Heart rate 150 beats

OLD
Correct! MS. MARTIN, 60 YEARS E. Heart rate 300 beats

OLD
Correct! MR. CHUA, 55 YEARS OLD D. Heart rate 60 beats
Correct! MRS. ENRIQUEZ, 75 C. Heart rate 75 beats

YEARS OLD
Question 10 0.25
/ 1 pts

INTERPRETATION.
INTERPRETATION:
B. Sinus Rhythm
ou Answered MRS. SANTOS, 35 YEARS C. Sinus Bradycardia

OLD

Correct Answer D. Sinus Tachycardia
Correct! MR. MARTINEZ, 40 YEARS A. Premature Ventricula

OLD
ou Answered MS. MARTIN, 60 YEARS A. Premature Ventricula

OLD

Correct Answer C. Sinus Bradycardia
ou Answered

Correct Answer

B. Sinus Rhythm
Question 11 1
/ 1 pts
A nurse student was tasked to interpret the electrocardiogram tracing. What

does the depolarization of ventricles initiate?

Atrial systole

Atrial diastole

Joint diastole
Correct!
Ventricular systole
Question 12 1
/ 1 pts
A nurse student was tasked to interpret the electrocardiogram tracing. The

heart rate can be determined in a normal individual in which of the following
ECG conditions?
Correct!
Interval between two QRS complexes

Number of T waves

Interval between P and T waves

Number of P waves
Question 13 1
/ 1 pts
A nurse student was tasked to interpret the electrocardiogram tracing.

Normal QRS width is which of the following?
Correct!
0.04 to 0.10 seconds

0. 12 to 0.20 seconds


Question 14 1
/ 1 pts
A nurse student was tasked to interpret the electrocardiogram tracing. A

widened QRS and Tall tented T waves can be observed in which of the
following conditions?

Hyperphosphatemia
Correct!
Hyperkalemia

Hyperglycemia

Hyponatremia
Question 15 1
/ 1 pts
The certified critical care nurse is conducting a preceptorship / mentoring to

a new nurse recruit in the critical care unit about electrocardiogram tracings.
Which of the following phases of the cardiac cycle follows immediately after
the beginning of the QRS wave?

Diastasis
Correct!
Isovolumic contraction

Ventricular ejection

Atrial systole

Isovolumic relaxation
Question 16 0
/ 1 pts
The nurse student was tasked to perform an ECG to a client presenting with
a throbbing chest pain radiating to the left arm. The nurse student
understands that the time between the beginning of electric excitation of the
atria and the beginning of excitation of the ventricles is which of the
following?

Q-T interval

S-T segment
ou Answered
QRS complex
orrect Answer
P-R interval
Question 17 1
/ 1 pts
A student nurse is reviewing the ECG tracing of a client suspected of

myocardial infarction. From an ECG reading, a QRS complex represents
which of the following?
Correct!
Ventricular depolarization

Atrial depolarization

Atrial repolarization

Ventricular repolarization
Question 18 0
/ 1 pts
Electrocardiography (ECG) is a diagnostic tool used to evaluate the

electrical activity of the heart. Which of the following ECG results would
reveal that there is myocardial ischemia?

ST segment depression and peaked T wave
ou Answered
ST segment depression and abnormal Q wave

ST segment elevation and peaked T wave
orrect Answer
ST segment elevation and inverted T wave
Question 19 0
/ 1 pts
A patient with ECG changes in leads V1, V2, and V3 maybe suffering from
which of the following injuries?
ou Answered
Posterior wall injury
orrect Answer
Anterior wall injury

Inferior wall injury

Lateral wall injury
Question 20 1
/ 1 pts

an episode of chest pain. A nurse examines the tracing for which
Correct!


Widened QRS complex

Quiz Score:
12.08 out of 20
10/14/21, 9:09 AM Skills Lab Quiz #2 ( TPN/CVP): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND
Skills Lab Quiz #2 ( TPN/CVP)

Due
Sep 22 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
CHOOSE THE BEST ANSWER
Attempt History
Attempt Time Score

18 out of 20
Question 1 1
/ 1 pts
When the dressing becomes loose or saturated, it is replaced via a central

line. The policy is to change the dressing if it is clean, dry, and intact every

5 days
Correct!
7 days

3 days

9 days
Question 2 1
/ 1 pts
TPN has been ordered for a patient with poor wound healing and a weak
appetite. The nurse should obtain while waiting for the TPN solution to arrive
from the pharmacy.
Correct!
An infusion pump

Povidone-iodine (Beta dine) swabs

IV tubing with a micro drip chamber

A pair of sterile gloves
Question 3 1
/ 1 pts
Nurse Dan was performing his morning duties when he noticed redness,
warmth, and purulent drainage at the insertion site of a central venous
catheter (CVC) in a client who was receiving parenteral nutrition (PN).
Because of this, the nurse works with the physician on the findings for te
reason that

The CVC is infiltrated and should be stopped

The client is not tolerating the PN solution
Correct!
Infections of a CVC site can lead to septicemia

The client is allergic to the solution
Question 4 0
/ 1 pts
You're caring for a 45-year-old patient who has a left-side chest tube. What
is the preferred position for a central line dialysis catheter?
ou Answered
Internal jugular
orrect Answer
Left subclavian

Femoral line

Right subclavian
Question 5 1
/ 1 pts
Actual infusion depends on the site of infusion and patient fluid and nutrient
requirements. The following are indication for Total Parenteral Nutrition.
Select that all apply:
Correct!
Sepsis
Correct!
Radiation Therapy
Correct!
Crohn’s Disease
Correct!
Pancreatitis
Question 6 1
/ 1 pts
Patient Nancy who was admitted in ICU after chemotherapy with severe loss
of weight. The Medical doctor prescribed of TPN. It is one of the component
and the body’s main source of energy?
Correct!
Glucose

Fat

Micronutrients

Protein
Question 7 1
/ 1 pts
The following site is the most common site for arterial puncture during
central line insertion:

Subclavian

External jugular

Internal jugular
Correct!
Femoral
Question 8 1
/ 1 pts
If a port on the central line is not in use, how often should the port be flushed?

Every 48 hours

Every 72 hours
Correct!
Every 24 hours

Every 12 hours
Question 9 1
/ 1 pts
The nurse is getting ready to change the bag and tubing for the whole
parenteral nutrition solution. The right subclavian vein houses the client's
central venous line. During the tubing replacement, the nurse instructs the
client to do which of the following?
Correct!
Take a deep breath, hold it and bear down

Exhale slowly and evenly

Breathe normally

Turn the head to the right
Question 10 1
/ 1 pts
A female nurse is caring for a client receiving parenteral nutrition (PN).

Which does the nurse implement to decrease the risk of infection? Select
that all apply:
Correct!
Uses aseptic technique in handling the PN solution

Check the solution’s label against the prescription

Administers prophylactic antimicrobial agents

Assess the vital sign at 4hour interval
Question 11 1
/ 1 pts
Which of the claims about central venous pressure (CVP) is incorrect?
Correct!
It increases in cases of hypovolemia.

It increases in patients with right ventricular failure

It increases in cases of hypervolemia.

It can be measured using the proximal port of the pulmonary artery
catheter.
Question 12 1
/ 1 pts
On a central line, the nurse is evaluating the insertion site. Which of the
following findings would require more research?

Biopatch and transparent dressing
Correct!
Erythema and tenderness

The catheter taped at the 80 cm mark

A small amount of dried blood
Question 13 1
/ 1 pts
Nurse Ema is caring for a client who is on total parenteral nutrition and has
an intravenous lipid infusion prescription. Which of the following does the
nurse do before hanging the intralipid infusion?
Correct!
Check the solution for separation or an oily residue

Refrigerate the bottle of solution

Place an in-line filter on the administration tubing

Add 100 ml normal saline to the infusion bottle
Question 14 1
/ 1 pts
Which of the following patients would need a central line placed for their
treatment?

A patient receiving hemodialysis every Monday, Wednesday, and Friday

A patient receiving a heparin drip for blood clot in his lungs
Correct!
A patient receiving six weeks of antibiotic therapy for osteomyelitis

A patient receiving a bolus of NS to increase the blood pressure
Question 15 0
/ 1 pts
A nurse looks after a patient who is on TPN. The patient describes a sudden
onset of shortness of breath and anxiety. Crackles can be heard in both
lower lobes of the lungs, and the patient's oxygen saturation is 91 percent on
room air, according to the nurse. The nurse must act quickly to

Notify the physician
orrect Answer
turn off the TPN
ou Answered
Assess the patient ‘s CBG level

Attempt to suction the patient’s airway
Question 16 1
/ 1 pts
When it comes to prepping the skin for CVC insertion, there are a few things
to keep in mind.

Not wear gloves

Ask the nurse to prep the area while you are putting on sterile gloves,
gown, and mask

Wear non sterile gloves
Correct!
Were a sterile gloves
Question 17 1
/ 1 pts
A patient is being weaned off of parenteral nutrition (PN) and will start eating
solid foods today. The solution rate has remained constant at 100ml/hr.
Which prescription for PN solution will be accompanied by the diet

prescription, according to the nurse?
Correct!
Decrease PN rate to 50 ml/hr

Start 0.9% normal saline at 25 ml/hr

Discontinue the PN

Continue current infusion rate prescription for PN
Question 18 1
/ 1 pts
Which of the following is not a complication of CV insertion?
Correct!
Aspiration pneumonia

Bloodstream infection

Pneumothorax

Hemothorax
Question 19 1
/ 1 pts
Mr. Tomas was diagnosed of gastro intestinal obstruction. The Physicians

order to insert the intravenous access for PN. IV lines for TPN may inserted
into different veins although the tip inner end of the line will usually located in
the: Select that all apply
Correct!
Axillary veins
Correct!
Subclavian Vein

Metacarpal vein
Correct!
. Vena cava
Question 20 1
/ 1 pts
The charge nurse is reviewing the data from the staff nurse who gave the
TPN to the patient in SICU bed 5. When the charge nurse examines the
charting, she notices that the required document is present when the staff
nurse:

Uses correction fluid to correct written errors
Correct!
Dates and signs all of the entries made in the record

Identifies an error made by the attending physician

Uses a pencil to make the entries
Quiz Score:
18 out of 20
10/14/21, 9:09 AM Skills lab Quiz #3 (Mechanical Ventilator): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND
Skills lab Quiz #3 (Mechanical Ventilator)

Due
Sep 29 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Attempt History
Attempt Time Score

19 out of 20
Question 1 1
/ 1 pts
Which assessment information obtained by the nurse when caring for a

patient receiving mechanical ventilation indicates the need for suctioning?

The lungs have occasional audible expiratory wheezes.

The patient has not been suctioned for the last 6 hours.

The pulse oximeter shows a SpO2 of 93%.
Correct!
The respiratory rate is 32 breaths/min.
Question 2 1
/ 1 pts
Nurse Abby a critical care charge nurse is responsible for the care of four
patients receiving mechanical ventilation. Which patient is most at risk for
failure to wean and ventilator dependence

A 57-year-old patient who experienced a cardiac arrest
Correct!
A 68-year-old patient with a history of smoking and emphysema

A 49-year-old postoperative patient who had a colectomy

A 29-year-old patient who is recovering from flail chest
Question 3 1
/ 1 pts
Patient Paolo is receiving mechanical ventilation and is very anxious and
agitated, and neuromuscular blocking agents are used to promote
vasodilation. What should the nurse recognize about the care of this patient?

caregivers should be encouraged to provide stimulation and diversion
Correct!
the patient should always be addressed and explanations of care given

the patient will be too sedated to be aware of the details of care

communication will not be possible with the use of neuromuscular
blocking agents
Question 4 1
/ 1 pts
When caring a plan for a patient on a mechanical ventilator, the nurse

understands that the application of positive end-expiratory pressure (PEEP)
to the ventilator settings has which therapeutic effect?

Prevention of barotrauma to the lung tissue

Increased inflation of the lungs
Correct!
Prevention of alveolar collapse during expiration

Increased fraction of inspired oxygen concentration (FIO2) administration
Question 5 1
/ 1 pts
Nurse Nilda is caring for a patient intubated and on a mechanical ventilator

for several days. Which weaning parameter would tell the nurse if the patient
has enough muscle strength to breathe without assistance?
Correct!
Negative inspiratory force

Tidal volume

Minute ventilation

Forced vital capacity
Question 6 1
/ 1 pts
A nurse is caring for a client who is receiving mechanical ventilation via an

endotracheal tube. Which of the following actions should the nurse take?
Correct!
assess breath sounds every 4 hours

apply a vest restraint if self-extubation is attempted

monitor ventilator settings every 8 hours

document tube placement in centimeters at the angle of jaw
Question 7 1
/ 1 pts
While receiving prolonged mechanical ventilation, the patient develops

anemia. The patient is also having difficulty being weaned from the ventilator
related to a recurrent pneumonia and early fatigue with weaning. What is
contributing to the patient's prolonged recovery?

decreased activity level
Correct!
inadequate nutrition

hypoxemia

enteral feeding
Question 8 1
/ 1 pts
The nurse is suctioning a client via an endotracheal tube. During the

suctioning procedure, the nurse notes on the monitor that the heart rate is
decreasing. Which nursing intervention is appropriate?
Correct!
stop the procedure and reoxygenate the client

continue to suction

notify the health care provider immediately

ensure that the suction is limited to 15 seconds
Question 9 1
/ 1 pts
To inflate the cuff of an endotracheal tube (ET) when the patient is on

mechanical ventilation, the nurse

inflates the cuff with a minimum of 10 mL of air.

inflates the cuff until the pilot balloon is firm

injects air into the cuff until a manometer shows 15 mm Hg pressure
Correct!
. injects air into the cuff until a slight leak is heard only at peak inflation.
Question 10 1
/ 1 pts
If your patient accidentally extubated himself and is now having respiratory

distress, what is the first thing you should do?

Document the pulse oximetry

Obtain an ABG

Try to reinsert the endotracheal tube
Correct!
Manually ventilate the patient with a manual resuscitation bag
Question 11 1
/ 1 pts
A 72-yr-old male patient diagnosed with sepsis is orally intubated on

mechanical ventilation. Which nursing action is most important?

Limit noise and cluster care activities.
Correct!
Elevate the head of the bed 30 degrees.

Administer morphine for discomfort

Use the open-suctioning technique
Question 12 1
/ 1 pts
The low-pressure alarm sounds on a ventilator. The nurse assesses the

client and then attempts to determine the cause of the alarm. If unsuccessful
in determining the cause of the alarm, the nurse should take what initial
action?

administer oxygen
Correct!
ventilate the client manually

start CPR

check the client's vital signs
Question 13 1
/ 1 pts
Mechanical Ventilation is:
Correct!
Use of a machine to breathe for a patient who can’t breathe on his or her
own.

Use of an intra-aortic balloon pump for cardiogenic shock

Use of a heart-lung machine during coronary artery bypass surgery.

Chest compressions performed during cardiopulmonary arrest
Question 14 1
/ 1 pts
The nurse is assigned to provide nursing care for a patient receiving

mechanical ventilation. Which action should the nurse delegate to an
experienced unlicensed assistive personnel (UAP)?
Correct!
Taking vital signs and pulse oximetry readings every 4 hours

Assessing the patient's respiratory status every 4 hours

Checking the ventilator settings to make sure they are as prescribed

Observing whether the patient's tube needs suctioning every 2 hours
Question 15 1
/ 1 pts
Tidal Volume is the volume of air inhaled in each breath. The reading is
expressed in:

Cubic square
Correct!
Milliliters

Millimeter

m2
Question 16 0
/ 1 pts
All, but one, are complications associated with long-term mechanical

ventilation use
ou Answered
Dependence on Nasogastric tube feeding
orrect Answer
Air accumulation in pleural space

Infections

Lung Injury
Question 17 1
/ 1 pts
What is included in the description of positive pressure ventilation? Select

all that apply

consistent volume delivered with each breath
Correct!
volume delivered varies based on selected pressure and patient lung
compliance
Correct!
increased risk for hyperventilation and hypoventilation
Correct!
peak inspiratory pressure predetermine

preset volume of gas delivered with variable pressure based on
compliance
Question 18 1
/ 1 pts
The high-pressure alarm on a patient's ventilator goes off. When the nurse
enters the room to assess the patient, who has acute respiratory distress
syndrome (ARDS), the oxygen saturation monitor reads 87% and the patient
is struggling to sit up. Which action should the nurse take first?

Insert an oral airway to prevent the patient from biting on the
endotracheal tube
Correct!
Manually ventilate the patient while assessing possible reasons for the
high-pressure alarm.

Reassure the patient that the ventilator will do the work of breathing for
him.

Increase the fraction of inspired oxygen (Fio2) on the ventilator to 100%
in preparation for endotracheal suctioning
Question 19 1
/ 1 pts
The risk factors of ventilator associated pneumonia are:

Level of consciousness

Patients’ body positioning

Medications, including sedative agents and antibiotics
Correct!
Preexisting conditions, such as immunosuppression, chronic obstructive
lung disease, and acute respiratory distress syndrome
Question 20 1
/ 1 pts
Identify three symptoms of VAP:

Decreased oxygen, increased minute ventilation, increased
tracheobronchial secretions, and decreased respiratory rate.

Fever, increased tracheobronchial secretions, increased respiratory rate,
and increased tidal volume
Correct!
Fever, purulent tracheobronchial secretions, leukocytosis, increased
respiratory rate, decreased tidal volume, increased minute ventilation,
and decreased oxygenation

Fever, leukocytosis, decreased tidal volume, decreased oxygenation, and
increased blood pressure.
Quiz Score:
19 out of 20
10/14/21, 9:09 AM Skills lab Quiz #4 ( Dialysis): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND
Skills lab Quiz #4 ( Dialysis)

Due
Oct 6 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Choose the best answer from the given options.
Attempt History
Attempt Time Score

20 out of 20
Question 1 1
/ 1 pts
K.B. is a 32 year old woman being admitted to the medical

ward for fatigue and dehydration. She has undergone
hemodialysis(HD) for the past 2 years because of end stage
renal disease(ESRD). Upon assessment you noted her vital
signs are: 140/88, CR:116, RR:18, T:37.7C. She tells you she
has been nauseated for 2 days so she has not been eating or
drinking. You also noted that she has an arteriovenous (AV)
fistula in her left arm. What is the priority nursing diagnosis for
this patient?

Risk for infection

Activity intolerance
Correct!
Fluid Volume Deficit

Hyperthermia
Question 2 1
/ 1 pts
Nurse Paul is explaining to the hemodialysis patient that

getting longer and/ or more frequent HD treatment can:

Fewer medication

Protect a patient’s heart
Correct!
All of the given options

Give patient more control over his/her schedule

Allow fewer diet and fluid limits
Question 3 1
/ 1 pts
Nurse Vivian is a newly hired nurse in a Dialysis Unit. She was
assigned to care for a hemodialysis patient. Being its her first
time to care for this patient, she is aware that hemodialysis will
need a vascular access. A vascular access is a
___________.

Medical problem needing treatment

A piece of the dialysis machine
Correct!
Special blood vessel used for HD

Medicine taken by people with kidney failure
Question 4 1
/ 1 pts
Jose is looking after a patient with PD. The patient's doctor

made an assessment and informed Jose that Peritoneal
dialysis (PD) will need a _______ as the access for treatment.

Fistula
Correct!
Catheter

Graft

Dialysis machine
Question 5 1
/ 1 pts
Theo was a 64-year-old patient diagnosed with End-Stage

Renal Failure. His nephrologist advised kidney transplant. Is
kidney transplant going to cure Theo's kidney disease? (T/F)

True
Correct!
False
Question 6 1
/ 1 pts
A patient was hesitant to do the PD. He asked about what is a

common problem with peritoneal dialysis? Your best response
is:

Insomnia
Correct!
Abdominal infection

Respiratory problems

Nausea
Question 7 1
/ 1 pts
Mr. Lucky Chan is a 66-year-old male who has been on dialysis

for six months. He's been struggling with his weight and
diabetes for a long time. Which of the following risk factors
may impede nursing interventions in promoting physical
activity/exercise? Select all that apply.
Correct!
hypertension
Correct!
advancing age

chronic urinary tract infections
Correct!
diabetes mellitus
Question 8 1
/ 1 pts
With regard to IP heparin as an adjunctive therapy, which of

the following is true?
Correct!
It may reduce or prevent outflow obstruction.

It has direct action on peritoneal mesothelial cells

It reduces the duration of treatment for exit-site infections.

It is intended to provide adequate systemic anticoagulation
Question 9 1
/ 1 pts
You are asked by your patient as to how often must

hemodialysis usually be done? What should be your answer?

Twice a week
Correct!
3 times a week

Once a month

Once a week

Every day
Question 10 1
/ 1 pts
When advising a patient about dialysis treatment options, you

mentioned that PD is another way to clean the blood. Which
part of the body acts as a filter for this method?
Correct!
The lining of the belly (abdomen)

The lining of the lungs

The lining of the intestines

The lining of the stomach
Question 11 1
/ 1 pts
Dr. X admitted Sara, a 36 year old woman whom he diagnosed

with Chronic Renal Failure. Sara's vital signs upon admission
was BP: 150/90, CR: 98, RR:36, T:36.8C. Lab results: serum
Na+: 147 mEq/L; serum K+: 6.mEq/L, serum osmolality: 310
mOsm/L, BUN: 15 mg/dL, Creatinine: 3mg/dL. pH: 6.5, CO2:
26 mmHg, HCO3: 9 mEq/L. What important laboratory findings
will be more significant in treating this patient with dialysis?
Select all that apply.
Correct!
Hypernatremia

Azotemia

Metabolic alkalosis
Correct!
Hyperkalemia
Question 12 1
/ 1 pts
Andrew is explaining to his HD patient the benefits of the

procedure. He said, "Hemodialysis rids your body of harmful
wastes". What else does hemodialysis remove? Select all that
apply.

Extra protein

Extra insulin
Correct!
Extra salt
Correct!
Extra water
Question 13 1
/ 1 pts
Jack's serum Na+ level is 160 mEq/L. He's on hemodialysis

and asked the nurse about how HD process will keep his
serum sodium in normal levels: Select all that apply.
Correct!
Diffusion

Active transport

Osmosis
Correct!
Convection
Question 14 1
/ 1 pts
The patient asked the nurse performing hemodialysis about

the filter that acts as an artificial kidney in hemodialysis. What
is it called?

None of the given options

Nephrolyzer
Correct!
Dialyzer

Hemolyzer
Question 15 1
/ 1 pts
The doctor advised Bob, a 42-year-old male with Stage 5 CKD

that HD may be a permanent treatment. As a nurse you
anticipate that a for chronic hemodialysis, the ideal permanent
vascular access is:

femoral vein catheter

Subclavian catheter
Correct!
arteriovenous fistula (AVF)

External AV Shunt
Question 16 1
/ 1 pts
A patient on dialysis treatment was referred to a dietician for

nutritional plan. Which dietary mineral must be instructed for
the patient to avoid when he is on hemodialysis?

Oxalates

Fe

Zinc
Correct!
K
Question 17 1
/ 1 pts
As a nurse assigned in dialysis unit, you know that the first

thing you need to obtain prior to performing peritoneal dialysis
to your patient is:

a warm dialysate

administration set and tubings
Correct!
Signed consent

baseline vital signs
Question 18 1
/ 1 pts
The patient whom you referred to the dietitian asked how diet
for someone on peritoneal dialysis differ from the one for
hemodialysis? Your best reply should be:
Correct!
None of the given options are correct

It requires more calcium

PD requires more calories

It requires less protein
Question 19 1
/ 1 pts
A nurse is caring for a patient undergoing a Peritoneal dialysis.

The nurse understands that Peritoneal dialysis replaces which
of these functions of normal kidneys?
Correct!
Passive solute excretion

Hormone regulation


Metabolism

Active solute secretion
Question 20 1
/ 1 pts
Alice, the nurse caring for a patient with peritoneal dialysis

(PD) is explaining to the patient the process of draining out the
dirty fluid and putting in the clean fluid is called:

A hemo cleaning
Correct!
An exchange

A dialysate

A replacement
Quiz Score:
20 out of 20
Skills lab Quiz #1 (ECG)
Instructions
Attempt History
Attempt Time Score


complaining of chest pain. Which of the following are the correct
placement of the ECG leads when recording the procedure? SELECT
ALL THAT APPLY:
Correct!
Correct!
Correct!
Correct!
THAT APPLY.
Correct Answer Regularly regular rhythm
Correct Answer Heart rate is 85 beats per minute
Correct!
QRS narrow
Atty. X was admitted to the critical care unit with a diagnosis of chest
An ECG were done. The nurse interpreted the ECG with the following
findings. SELECT ALL THAT APPLY:
Correct Answer Right coronary artery is probably blocked
Correct!
Correct Answer ST segment elevation in V3 and V4
Correct Answer Lead I and aVL have ST segment depressio

THAT APPLY.
Correct!
Regular rhythm
Correct!
Sinus tachycardia
You Answered ST depression in aVR
Correct!
Heart rate 160
You Answered T wave inversion in Lead II, III, aVF
A 35 year old man presents with palpitations. He has been drinking

heavily with friends over the weekend. Electrocardiogram done on the
patient revealed ventricular fibrillation. Which of the following
interventions should be implemented in the critical care unit? SELECT
ALL THAT APPLY.
Correct!
Correct!
Correct!
Correct!

episode of chest pain. From this ECG tracing, which of the following is
the correct interpretation?
Tachycardia
Correct Answer Normal ECG
You Answered Bradycardia

INTERPRETATION.

INTERPRETATION:
B. Sinus Rhythm
Correct! MRS. SANTOS, 35 YEARS A. Premature Ventricular Contraction

OLD
Correct! MR. MARTINEZ, 40 C. Sinus Bradycardia

YEARS OLD
Correct! MS. MARTIN, 60 YEARS D. Ventricular Fibrillation

OLD
You Answered
Correct Answer

• B. Sinus Rhythm
• E. Ventricular Tachycardia

INTERPRETATION.
INTERPRETATION:
B. Sinus Rhythm
You Answered MRS. SANTOS, 35 YEARS A. Premature Ventricular Contraction

OLD
Correct Answer E. Ventricular

Tachycardia
Correct! MR. MARTINEZ, 40 E. Ventricular Tachycardia

YEARS OLD

OLD
You Answered
Correct Answer

• C. Sinus Bradycardia
• A. Premature Ventricular Contraction
• B. Sinus Rhythm

INTERPRETATION.

INTERPRETATION

Correct! MRS. SANTOS, 35 YEARS A. Heart rate 100 beats per minute
OLD
Correct! MR. MARTINEZ, 40 B. Heart rate 150 beats per minute

YEARS OLD
Correct! MS. MARTIN, 60 YEARS E. Heart rate 300 beats per minute
OLD
Correct! MR. CHUA, 55 YEARS D. Heart rate 60 beats per minute

OLD
Correct! MRS. ENRIQUEZ, 75 C. Heart rate 75 beats per minute

YEARS OLD

INTERPRETATION.


INTERPRETATION:
B. Sinus Rhythm
Correct! MRS. SANTOS, 35 YEARS D. Sinus Tachycardia

OLD
Correct! MR. MARTINEZ, 40 A. Premature Ventricular Contraction

YEARS OLD
Correct! MS. MARTIN, 60 YEARS C. Sinus Bradycardia

OLD
You Answered
Correct Answer

• B. Sinus Rhythm
• E. Ventricular Tachycardia

Correct!

Hyperglycemia
Hyperphosphatemia
Correct!
Hyperkalemia
Hyponatremia

Which of the following is the classic ECG change in myocardial
infarction?
T wave inversion
Correct Answer All of these

You Answered ST segment elevation
Development of an abnormal Q wave

What does the depolarization of ventricles initiate?
Atrial diastole
Correct!
Ventricular systole
Atrial systole
Joint diastole
The certified critical care nurse is conducting a preceptorship /

mentoring to a new nurse recruit in the critical care unit about
electrocardiogram tracings. Which of the following phases of the
cardiac cycle follows immediately after the beginning of the QRS wave?
Correct!
Diastasis
Atrial systole
The student nurse is reviewing the ECG tracing of a 25 year old female
which was subjected for an Annual Physical Examination. Which of the
following cannot be detected by the Electrocardiogram?
Correct Answer Presence of asymptomatic blockages in the atria of the heart
You Answered Size and position of the heart chambers
Function of an implanted pacemaker
Rate and rhythm of heartbeats
A student nurse is reviewing the ECG tracing of a client suspected of

myocardial infarction. From an ECG reading, a QRS complex
represents which of the following?
Ventricular repolarization
Atrial depolarization
Atrial repolarization
Correct!
Ventricular depolarization

Correct Answer ST segment elevation and inverted T wave
You Answered ST segment depression and abnormal Q wave
While caring for a client who has sustained an MI, the nurse notes eight
PVCs in 1 minute on the cardiac monitor. The client is receiving an
intravenous infusion of 5% dextrose in water and oxygen at 2L/minute.
The nurse’s first course of action should be to:
Increase the oxygen concentration
You Answered Notify the physician promptly
Correct Answer Administer a prescribed analgesic
Increase the intravenous rate

during an episode of chest pain. A nurse examines the tracing for which
Widened QRS complex
Correct!

Instructions
Attempt History
Attempt Time Score

parenteral nutrition solution. The right subclavian vein houses the
client's central venous line. During the tubing replacement, the nurse
instructs the client to do which of the following?
Breathe normally
Correct!
Actual infusion depends on the site of infusion and patient fluid and
nutrient requirements. The following are indication for Total Parenteral
Nutrition. Select that all apply:
Correct!
Sepsis
Correct!
Pancreatitis
Correct!
Radiation Therapy
Correct!
Crohn’s Disease
You're caring for a 45-year-old patient who has a left-side chest tube.
What is the preferred position for a central line dialysis catheter?
Right subclavian
You Answered Internal jugular
Correct Answer Left subclavian
Femoral line
Nurse Ema is caring for a client who is on total parenteral nutrition and
has an intravenous lipid infusion prescription. Which of the following
does the nurse do before hanging the intralipid infusion?
Correct!
Nurse Dan was performing his morning duties when he noticed

redness, warmth, and purulent drainage at the insertion site of a central
venous catheter (CVC) in a client who was receiving parenteral nutrition
(PN). Because of this, the nurse works with the physician on the
findings for te reason that
Correct!
A nurse looks after a patient who is on TPN. The patient describes a

sudden onset of shortness of breath and anxiety. Crackles can be
heard in both lower lobes of the lungs, and the patient's oxygen
saturation is 91 percent on room air, according to the nurse. The nurse
must act quickly to
Correct!
turn off the TPN

Which does the nurse implement to decrease the risk of infection?
Select that all apply:

Correct!
When it comes to prepping the skin for CVC insertion, there are a few
things to keep in mind.
gown, and mask
Not wear gloves
Correct!
Nurse Rey has just finished assisting the physician in placing a central
line. Which of the following is a priority nursing intervention after central
line insertion?
Label the dressing with the date and time of catheter insertion
Assess the client’s temperature to monitor for infection

Correct!
Prepare the client for a chest radiograph
Monitor the blood pressure(BP) to assess for fluid volume overload
A patient is being weaned off of parenteral nutrition (PN) and will start
eating solid foods today. The solution rate has remained constant at
100ml/hr. Which prescription for PN solution will be accompanied by the
diet prescription, according to the nurse?
Discontinue the PN
Correct!
You Answered
catheter.
Correct Answer It increases in cases of hypovolemia.

Hemothorax
Pneumothorax
Correct!
Patient Nancy who was admitted in ICU after chemotherapy with severe
loss of weight. The Medical doctor prescribed of TPN. It is one of the
component and the body’s main source of energy?
Protein
Fat
Correct!
Glucose
Micronutrients
TPN has been ordered for a patient with poor wound healing and a
weak appetite. The nurse should obtain while waiting for the TPN
solution to arrive from the pharmacy.
Correct!
An infusion pump
Patient San Jose is receiving Parenteral Nutrition. The nurse monitors

the client for complication of the therapy and should assess the client
for which manifestations of hyperglycemia?
Correct!
Weakness, thirst, and increased urine output
Sweating, chills, and abdominal pain
Fever, weak pulse and thirst
Nausea, vomiting, and oliguria
Nurse Monica is assessing a client who is getting TPN and is
experiencing nausea, excessive thirst, and increased voiding frequency.
Which of the following client data does the nurse assess first?
Last serum potassium
Correct!
Capillary blood glucose
Rectal temperature
Serum blood urea nitrogen and creatinine
Correct!
An intravenous (IV) antibiotic is planned for a client who is receiving

parenteral nutrition (PN) via a central venous catheter (CVC). Which of
the following should the nurse do before giving the antibiotic?
Turn off the PN for 30 minutes
Correct!
Ensure as separate IV access route
Flush the CVC with normal saline
Check the compatibility with the PN
treatment?
Correct!
The charge nurse is reviewing the data from the staff nurse who gave
the TPN to the patient in SICU bed 5. When the charge nurse examines
the charting, she notices that the required document is present when
the staff nurse:
Identifies an error made by the attending physician
Uses correction fluid to correct written errors
Uses a pencil to make the entries
Correct!
Dates and signs all of the entries made in the record

Attempt History
Attempt Time Score

Correct!
Use of a machine to breathe for a patient who can’t breathe on his or
her own.
expressed in:
m2
Correct!
Milliliters
Cubic square
Millimeter

suctioning procedure, the nurse notes on the monitor that the heart rate
is decreasing. Which nursing intervention is appropriate?
continue to suction
Correct!
Nurse Nilda is caring for a patient intubated and on a mechanical

ventilator for several days. Which weaning parameter would tell the
nurse if the patient has enough muscle strength to breathe without
assistance?
Minute ventilation
Correct!
Tidal volume

client and then attempts to determine the cause of the alarm. If
unsuccessful in determining the cause of the alarm, the nurse should
take what initial action?
start CPR
Correct!
administer oxygen
A nurse is reviewing the plan of care for a client who is receiving

mechanical ventilation. Which of the following ventilator modes will
increase the client's work of breathing? Select all that apply
Correct!
continuous positive airway pressure
Correct!
pressure support ventilation
assist-control
independent lung ventilation
Correct!
synchronized intermittent mandatory ventilation

Correct!
Correct!

Correct!
A patient is to be discharged home with mechanical ventilation. Before

discharge, what is most important for the nurse to do for the patient and
caregiver?
Correct!
teach the caregiver to care for the patient with a home ventilator
stress the advantages for the patient in being cared for in their home
environment
help the caregiver to plan for placement of the patient in a long-term
care facility
. have the caregiver arrange for around-the-clock home health nurses

for the first several weeks

ventilation use
You Answered Dependence on Nasogastric tube feeding
Lung Injury
Infections
Correct Answer Air accumulation in pleural space
What is included in the description of positive pressure ventilation?

Correct!

compliance
Correct!
Correct!
compliance
A male nurse is caring for a patient with emphysema and respiratory

failure who is receiving mechanical ventilation through an endotracheal
tube. To prevent ventilator-associated pneumonia (VAP), which action is
most important to include in the plan of care?
Suction the airway when coarse crackles are audible
Hyperoxygenate the patient before suctioning
Administer ordered antibiotics as scheduled
Correct!
Maintain the head of bed at a 30- to 45-degree angle
Patient Paolo is receiving mechanical ventilation and is very anxious

and agitated, and neuromuscular blocking agents are used to promote
vasodilation. What should the nurse recognize about the care of this
patient?
blocking agents
Correct!
Which patient's medical diagnoses should the nurse know are most
likely to need mechanical ventilation? Select all that apply
Correct!
acute respiratory distress syndrome (ARDS)
type 2 DM
sleep apnea
You Answered acute kidney injury
Correct!
cystic fibrosis
Nurse Abby a critical care charge nurse is responsible for the care of
four patients receiving mechanical ventilation. Which patient is most at
risk for failure to wean and ventilator dependence
Correct!
If your patient accidentally extubated himself and is now having

respiratory distress, what is the first thing you should do?
Correct!
Obtain an ABG
A nurse is caring for a client who is receiving mechanical ventilation via

an endotracheal tube. Which of the following actions should the nurse
take?
Correct!
The high-pressure alarm on a patient's ventilator goes off. When the

nurse enters the room to assess the patient, who has acute respiratory
distress syndrome (ARDS), the oxygen saturation monitor reads 87%
and the patient is struggling to sit up. Which action should the nurse
take first?

endotracheal tube

Correct!
him.
When caring for a patient with mechanical ventilator, the nurse will do
the following except
Checking the latest ABG result
Noting the breath sounds
Taking vital signs and checking 02 saturation
Correct!
Teaching the client to speak gradually

10/14/21, 9:25 AM RLE QUIZ (OR): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND
RLE QUIZ (OR)

Due
Oct 5 at 11:59pm
Points
15
Questions
15
Available
Time Limit
None
Attempt History
Attempt Time Score
LATEST Attempt 1
*
* Some questions not yet graded

15 out of 15
*
Question 1 1
/ 1 pts
Which sort of surgical treatment is most likely to predispose a affected

person to postoperative atelectasis, pneumonia or breathing failure?

Surgery on the extremities of a nonsmoking football player

Lower abdominal surgery on a young patient with diabetes mellitus
Correct!
Upper abdominal surgery on an obese patient with a long history of
smoking

Upper abdominal surgery on a patient with normal pulmonary function
Question 2 1
/ 1 pts
Donna is a healthy, 46-year old lady scheduled for surgical procedure

within 2 weeks. You would include in her preoperative preparation

glucose tolerance test, ankle-brachial index, and electrocardiogram

a pulmonary function test and chest x-ray.
Correct!
a cbc, chemistry panel, and pregnancy test

urine culture, thyroid panel, and cortisol level
Question 3 1
/ 1 pts
Lucinda is a 37-year-old with a record of bronchial asthma who's

scheduled for an appendectomy later today. Because of her bronchial
asthma, you'll include in her preoperative coaching her need to do
postoperatively
Correct!
coughing and deep breathing exercises

all options are correct

leg exercises

wound dressing changes
Question 4 1
/ 1 pts
65-year-old Dominic is being transferred into the PACU from the OR.
Once there, preliminary assessment will consider on:

abdominal sounds, oxygen setting, and level of consciousness. (d)
pulse oximeter, pupil responses, and deep tendon reflexes.

intake, output, and intravenous access
Correct!
airway, breathing, circulation, and wound site.
Question 5 1
/ 1 pts
Which member of the surgical group does no longer scrub in to the

working room?
Correct!
The holding area nurse.

The circulating nurse.

The scrub nurse or surgical tech

The surgeon
Question 6 1
/ 1 pts
Three days after surgery, Mark notices that the wound site is extra
painful now than it used before. When you look into the surgical site
you're searching out redness or inflammation. Other signs of
contamination might include

elevated erythrocyte sedimentation rate and decreased pulse.

decreased platelets and decreased blood pressure
Correct!
elevated WBC and elevated temperature.

elevated RBC and elevated respiratory rate
Question 7 1
/ 1 pts
Suzette is having a minor surgery procedure. Which kind of anesthesia

is the best to be used?

Epidural.
Correct!
Conscious sedation

Regional.

General
Question 8 1
/ 1 pts
Which of the following characterizes excitement stage of

anesthesia

From the loss of most reflexes to respiratory and circulatory failure

Occurs from the administration of anesthesia to the loss of
consciousness
Correct!
Extends from the loss of consciousness to the loss of lid reflex,
characterized by struggling and talking

From the loss of lid reflex to the loss of most reflexes
Question 9 1
/ 1 pts
Which of the following nursing moves need to accept highest

precedence when admitting the client into the working room?


Positioning and skin preparation
Correct!
Patient identification and correct operative consent

Vital signs
Question 10 1
/ 1 pts
Josie is the mom of a healthful 19-year-old having surgical operation

tomorrow. After the health care professional discusses the surgical
operation, risks, and advantages with the patient and her mom, the
mom desires to sign the consent form. The most suitable reaction to
this will be

Why don’t both the patient and her mother sign the form?

No, she can’t sign the form.

Of course she can sign the consent form; after all the patient is her
daughter.
Correct!
While you appreciate her concern for her daughter, the patient is a
consenting adult and legally has to sign her own consent form.
Question 11 1
/ 1 pts
Which of the following is the earliest sign of bad respiration function?

Faintness
Correct!
Restlessness

Fast thready pulse

Cyanosis
Question 12 1
/ 1 pts
Which of the following is most risky in some point during induction of

spinal anesthesia?

Hyperthermia

Bradypnea

Tachycardia
Correct!
Hypotension
Question 13 1
/ 1 pts
To prevent headache after spinal anesthesia the affected person have

to be positioned

Semi-fowler’s

Modified trendelenburg

Prone position
Correct!
Flat on bed for 6 to 8 hours
Question 14 1
/ 1 pts
Denise is recuperating from an open cholecystectomy. You realize that

due to the place of the surgery, she has an increased risk of
postoperative

myocardial infarction.

deep vein thrombosis.
Correct!
respiratory complications.

wound infection.
Question 15 1
/ 1 pts
Which of the following postop findings ought to the nurse document to

the M.D.?

VS are as follows: BP=110/70;PR=95;RR=19,Temp=36.8C
Correct!
Urine output is 20ml/hr for the past two hours

The patient pushes out the oral airway wit h his tounge

Wound drainage is serosanguinous
Quiz Score:
15 out of 15
10/14/21, 9:22 AM Skills lab Quiz #1 (ECG): NCM 118 - NURSING CARE OF CLIENTS WITH LIFE THREATENING COND
Skills lab Quiz #1 (ECG)

Due
Sep 8 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1

10.58 out of 20
Question 1 1
/ 1 pts

ALL THAT APPLY:

Correct!
Correct!
Correct!
Correct!

Question 2 0.33
/ 1 pts
following are the correct interpretation of the ECG tracing. SELECT
ALL THAT APPLY.
orrect Answer


orrect Answer
Correct!
QRS narrow
Question 3 0.25
/ 1 pts
Atty. X was admitted to the critical care unit with a diagnosis of chest
An ECG were done. The nurse interpreted the ECG with the following
orrect Answer
orrect Answer
orrect Answer
Correct!

Question 4 0
/ 1 pts
THAT APPLY.
Correct!
Regular rhythm
ou Answered
orrect Answer
Sinus tachycardia
Correct!
Heart rate 160
ou Answered
Question 5 1
/ 1 pts

patient revealed ventricular fibrillation. Which of the following
interventions should be implemented in the critical care unit? SELECT
ALL THAT APPLY.
Correct!

Correct!
Correct!
Correct!
Question 6 0
/ 1 pts

episode of chest pain. From this ECG tracing, which of the following is
the correct interpretation?

Tachycardia
orrect Answer
Normal ECG
ou Answered
Bradycardia

Question 7 0.75
/ 1 pts

INTERPRETATION.
INTERPRETATION:
B. Sinus Rhythm
Correct! MRS. SANTOS, 35 YEARS A. Premature Ventricula

OLD
Correct! MR. MARTINEZ, 40 C. Sinus Bradycardia

YEARS OLD
Correct! MS. MARTIN, 60 YEARS D. Ventricular Fibrillatio

OLD
ou Answered D. Ventricular Fibrillatio

Correct Answer

B. Sinus Rhythm
Question 8 0.75
/ 1 pts

INTERPRETATION.
INTERPRETATION:
B. Sinus Rhythm
Correct! MRS. SANTOS, 35 YEARS E. Ventricular Tachycar

OLD
Correct! MR. MARTINEZ, 40 E. Ventricular Tachycar

YEARS OLD

OLD
ou Answered

Correct Answer

B. Sinus Rhythm
Question 9 1
/ 1 pts

INTERPRETATION.
INTERPRETATION

OLD
Correct! MR. MARTINEZ, 40 B. Heart rate 150 beats

YEARS OLD

OLD
Correct! MR. CHUA, 55 YEARS D. Heart rate 60 beats

OLD
Correct! MRS. ENRIQUEZ, 75 C. Heart rate 75 beats

YEARS OLD
Question 10 0.5
/ 1 pts

INTERPRETATION.
INTERPRETATION:
B. Sinus Rhythm

OLD
Correct!
MR. MARTINEZ, 40 A. Premature Ventricula

YEARS OLD
ou Answered MS. MARTIN, 60 YEARS A. Premature Ventricul

OLD

Correct Answer C. Sinus
Bradycardia
ou Answered A. Premature Ventricul

Correct Answer

B. Sinus Rhythm
Question 11 1
/ 1 pts

Which of the following is the classic ECG change in myocardial
infarction?

T wave inversion

ST segment elevation

Correct!
All of these
Question 12 1
/ 1 pts

A widened QRS and Tall tented T waves can be observed in which of
the following conditions?

Hyperglycemia

Hyponatremia
Correct!
Hyperkalemia

Hyperphosphatemia
Question 13 0
/ 1 pts

What does the depolarization of ventricles initiate?

Joint diastole
orrect Answer
Ventricular systole
ou Answered
Atrial systole

Atrial diastole
Question 14 0
/ 1 pts

The depolarization stimulus for the normal heartbeat originates in which
of the following?

Epicardium

Bundle of His areas
ou Answered
AV node
orrect Answer
SA node
Question 15 1
/ 1 pts
A client received Digoxin (Lanoxin) therapy to treat the irregular beating

of his heart. The nurse knows that the therapy has been effective when
the client with atrial fibrillation has an ECG tracing showing:

A heart rate of 50 beats per minute

Mobitz II heart block
Correct!

Question 16 1
/ 1 pts

during an episode of chest pain. A nurse examines the tracing for
which electrocardiogram change caused by myocardial ischemia?
Correct!



Widened QRS complex
Question 17 0
/ 1 pts
The certified critical care nurse is conducting a preceptorship /

mentoring to a new nurse recruit in the critical care unit about
electrocardiogram tracings. Which of the following phases of the
cardiac cycle follows immediately after the beginning of the QRS
wave?

Diastasis
ou Answered

orrect Answer

Atrial systole
Question 18 0
/ 1 pts

during an episode of chest pain. The nurse examines the ECG tracing
and noted the P-R segment to be prolonged. The nurse interprets that
this is a problem in which of the following?

None of these

All of these
ou Answered
SA node
orrect Answer
AV node

Purkinje fiber
Question 19 1
/ 1 pts
Cardiac dysrhythmias occur when the heart loses its regular pacing
capability. You are a nurse in the ICU taking care of a patient with
continuous ECG monitoring. Which of the following medications is most
important to have at hand when the ECG reads that your patient is
having ventricular tachycardia?

Morphine sulfate
Correct!
Lidocaine

Nitroglycerine

Dopamine
Question 20 0
/ 1 pts

ou Answered
orrect Answer


Quiz Score:
10.58 out of 20

Due
Sep 22 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1

16 out of 20
Question 1 1
/ 1 pts
TPN has been ordered for a patient with poor wound healing and a
weak appetite. The nurse should obtain while waiting for the TPN
solution to arrive from the pharmacy.



Correct!
An infusion pump
Question 2 1
/ 1 pts
parenteral nutrition solution. The right subclavian vein houses the
client's central venous line. During the tubing replacement, the nurse
instructs the client to do which of the following?


Correct!

Breathe normally
Question 3 0
/ 1 pts

sudden onset of shortness of breath and anxiety. Crackles can be
heard in both lower lobes of the lungs, and the patient's oxygen
saturation is 91 percent on room air, according to the nurse. The nurse
must act quickly to
ou Answered

orrect Answer
turn off the TPN

Question 4 1
/ 1 pts
100ml/hr. Which prescription for PN solution will be accompanied by
the diet prescription, according to the nurse?

Discontinue the PN


Correct!
Question 5 1
/ 1 pts

Correct!


Question 6 0
/ 1 pts
ou Answered
Femoral line
orrect Answer
Left subclavian

Internal jugular

Right subclavian
Question 7 0
/ 1 pts
A doctor is inserting a central line in a 55 year old male admitted with
cardiogenic shock. The patient has a normal PT, PTT, and INR. Which
site is the preferred choice for central line insertion?
orrect Answer
Subclavian

External jugular

Internal jugular
ou Answered
Femoral line
Question 8 1
/ 1 pts
has an intravenous lipid infusion prescription. Which of the following
does the nurse do before hanging the intralipid infusion?



Correct!
Question 9 1
/ 1 pts
Which of the following patients would need a central line placed for
their treatment?
Correct!



Question 10 1
/ 1 pts


Correct!

catheter.
Question 11 1
/ 1 pts

experiencing nausea, excessive thirst, and increased voiding
frequency. Which of the following client data does the nurse assess
first?


Rectal temperature
Correct!

Question 12 1
/ 1 pts
line insertion?



Correct!
Question 13 1
/ 1 pts
Correct!
Femoral

External jugular

Internal jugular

Subclavian
Question 14 1
/ 1 pts


Pneumothorax

Hemothorax
Correct!
Question 15 1
/ 1 pts
When the dressing becomes loose or saturated, it is replaced via a

central line. The policy is to change the dressing if it is clean, dry, and
intact every
Correct!
7 days

9 days

5 days

3 days
Question 16 1
/ 1 pts
Patient Nancy who was admitted in ICU after chemotherapy with

severe loss of weight. The Medical doctor prescribed of TPN. It is one
of the component and the body’s main source of energy?

Fat
Correct!
Glucose

Micronutrients

Protein
Question 17 1
/ 1 pts
Actual infusion depends on the site of infusion and patient fluid and
nutrient requirements. The following are indication for Total Parenteral
Nutrition. Select that all apply:
Correct!
Crohn’s Disease
Correct!
Sepsis
Correct!
Radiation Therapy
Correct!
Pancreatitis
Question 18 0
/ 1 pts
Nurse Dan was performing his morning duties when he noticed

redness, warmth, and purulent drainage at the insertion site of a central
venous catheter (CVC) in a client who was receiving parenteral
nutrition (PN). Because of this, the nurse works with the physician on
the findings for te reason that
orrect Answer
ou Answered


Question 19 1
/ 1 pts
If a port on the central line is not in use, how often should the port be
flushed?

Every 72 hours

Every 48 hours

Every 12 hours
Correct!
Every 24 hours
Question 20 1
/ 1 pts
Mr. Tomas was diagnosed of gastro intestinal obstruction. The

Physicians order to insert the intravenous access for PN. IV lines for
TPN may inserted into different veins although the tip inner end of the
line will usually located in the: Select that all apply
Correct!
Subclavian Vein
Correct!
. Vena cava
Correct!
Axillary veins

Metacarpal vein
Quiz Score:
16 out of 20

Due
Sep 29 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1

17 out of 20
Question 1 1
/ 1 pts

Correct!

Obtain an ABG


Question 2 1
/ 1 pts
Which patient's medical diagnoses should the nurse know are most
likely to need mechanical ventilation? Select all that apply

type 2 DM
Correct!
cystic fibrosis

sleep apnea
Correct!
acute respiratory distress syndrome (ARDS)

acute kidney injury
Question 3 1
/ 1 pts




Correct!
Question 4 1
/ 1 pts
A nurse is caring for a client who is receiving mechanical ventilation via

an endotracheal tube. Which of the following actions should the nurse
take?


Correct!

Question 5 1
/ 1 pts
expressed in:
Correct!
Milliliters

Cubic square

m2

Millimeter
Question 6 0
/ 1 pts

anemia. The patient is also having difficulty being weaned from the
ventilator related to a recurrent pneumonia and early fatigue with
weaning. What is contributing to the patient's prolonged recovery?
ou Answered
hypoxemia


enteral feeding
orrect Answer
Question 7 1
/ 1 pts
The high-pressure alarm on a patient's ventilator goes off. When the

nurse enters the room to assess the patient, who has acute respiratory
distress syndrome (ARDS), the oxygen saturation monitor reads 87%
and the patient is struggling to sit up. Which action should the nurse
take first?

endotracheal tube

him.

Correct!
Question 8 0
/ 1 pts


Fever, leukocytosis, decreased tidal volume, decreased oxygenation,
and increased blood pressure.
ou Answered
Fever, increased tracheobronchial secretions, increased respiratory
rate, and increased tidal volume
orrect Answer
respiratory rate, decreased tidal volume, increased minute ventilation,
and decreased oxygenation
Question 9 1
/ 1 pts



Correct!
Use of a machine to breathe for a patient who can’t breathe on his or
her own.
Question 10 0
/ 1 pts

ventilation use

Lung Injury
orrect Answer
ou Answered

Infections
Question 11 1
/ 1 pts
What is included in the description of positive pressure ventilation?

Correct!
Correct!

compliance

Correct!
compliance
Question 12 1
/ 1 pts

tube. To prevent ventilator-associated pneumonia (VAP), which action
is most important to include in the plan of care?
Correct!



Question 13 1
/ 1 pts
Nurse Abby a critical care charge nurse is responsible for the care of
four patients receiving mechanical ventilation. Which patient is most at
risk for failure to wean and ventilator dependence



Correct!
Question 14 1
/ 1 pts

suctioning procedure, the nurse notes on the monitor that the heart rate
is decreasing. Which nursing intervention is appropriate?
Correct!



continue to suction
Question 15 1
/ 1 pts

Correct!



Question 16 1
/ 1 pts
The low-pressure alarm sounds on a ventilator. The nurse assesses

the client and then attempts to determine the cause of the alarm. If
unsuccessful in determining the cause of the alarm, the nurse should
take what initial action?

administer oxygen

start CPR

Correct!
Question 17 1
/ 1 pts
Patient Paolo is receiving mechanical ventilation and is very anxious

and agitated, and neuromuscular blocking agents are used to promote
patient?



blocking agents
Correct!
Question 18 1
/ 1 pts
When caring for a patient with mechanical ventilator, the nurse will do
the following except

Taking vital signs and checking 02 saturation
Correct!
Teaching the client to speak gradually

Noting the breath sounds

Checking the latest ABG result
Question 19 1
/ 1 pts

caregiver?
Correct!

. have the caregiver arrange for around-the-clock home health nurses
for the first several weeks

help the caregiver to plan for placement of the patient in a long-term
care facility

environment
Question 20 1
/ 1 pts

understands that the application of positive end-expiratory pressure
(PEEP) to the ventilator settings has which therapeutic effect?


Correct!

Increased fraction of inspired oxygen concentration (FIO2)
administration
Quiz Score:
17 out of 20

Due
Oct 6 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1
*
* Some questions not yet graded

19.5 out of 20
*
Question 1 0.5
/ 1 pts
Dr. X admitted Sara, a 36 year old woman whom he

diagnosed with Chronic Renal Failure. Sara's vital signs
upon admission was BP: 150/90, CR: 98, RR:36, T:36.8C.
Lab results: serum Na+: 147 mEq/L; serum K+: 6.mEq/L,
serum osmolality: 310 mOsm/L, BUN: 15 mg/dL, Creatinine:
3mg/dL. pH: 6.5, CO2: 26 mmHg, HCO3: 9 mEq/L. What
important laboratory findings will be more significant in
treating this patient with dialysis? Select all that apply.
Correct!
Hypernatremia

Azotemia
orrect Answer
Hyperkalemia

Metabolic alkalosis
Question 2 1
/ 1 pts
When advising a patient about dialysis treatment options,

you mentioned that PD is another way to clean the blood.
Which part of the body acts as a filter for this method?



Correct!
Question 3 1
/ 1 pts

dialysis (PD) will need a _______ as the access for
treatment.

Graft
Correct!
Catheter

Fistula

Dialysis machine
Question 4 1
/ 1 pts
Alice, the nurse caring for a patient with peritoneal dialysis

(PD) is explaining to the patient the process of draining out
the dirty fluid and putting in the clean fluid is called:

A dialysate
Correct!
An exchange

A hemo cleaning

A replacement
Question 5 1
/ 1 pts
Nurse Vivian is a newly hired nurse in a Dialysis Unit. She

was assigned to care for a hemodialysis patient. Being its her
first time to care for this patient, she is aware that
hemodialysis will need a vascular access. A vascular access
is a ___________.


Correct!

Question 6 1
/ 1 pts


Active transport

Osmosis
Correct!
Convection
Correct!
Diffusion
Question 7 1
/ 1 pts

has been nauseated for 2 days so she has not been eating
or drinking. You also noted that she has an arteriovenous
(AV) fistula in her left arm. What is the priority nursing
diagnosis for this patient?

Risk for infection
Correct!

Hyperthermia

Question 8 1
/ 1 pts
Correct!



Question 9 1
/ 1 pts

wastes". What else does hemodialysis remove? Select all
that apply.
Correct!
Extra water

Extra insulin
Correct!
Extra salt

Extra protein
Question 10 1
/ 1 pts
The patient asked the nurse performing hemodialysis about

the filter that acts as an artificial kidney in hemodialysis.
What is it called?

Nephrolyzer

Hemolyzer

Correct!
Dialyzer
Question 11 1
/ 1 pts
Mr. Lucky Chan is a 66-year-old male who has been on

dialysis for six months. He's been struggling with his weight
and diabetes for a long time. Which of the following risk
factors may impede nursing interventions in promoting
physical activity/exercise? Select all that apply.
Correct!
advancing age
Correct!
diabetes mellitus

Correct!
hypertension
Question 12 1
/ 1 pts


Once a month

Twice a week

Once a week
Correct!
3 times a week

Every day
Question 13 1
/ 1 pts
With regard to IP heparin as an adjunctive therapy, which of

the following is true?
Correct!



Question 14 1
/ 1 pts
A nurse is caring for a patient undergoing a Peritoneal

dialysis. The nurse understands that Peritoneal dialysis
replaces which of these functions of normal kidneys?


Hormone regulation

Correct!

Metabolism
Question 15 1
/ 1 pts
thing you need to obtain prior to performing peritoneal
dialysis to your patient is:

a warm dialysate


Correct!
Signed consent
Question 16 1
/ 1 pts


True
Correct!
False
Question 17 1
/ 1 pts
Nurse Paul is explaining to the hemodialysis patient that

getting longer and/ or more frequent HD treatment can:


Fewer medication
Correct!


Question 18 1
/ 1 pts


Oxalates

Fe
Correct!
K

Zinc
Question 19 1
/ 1 pts
The doctor advised Bob, a 42-year-old male with Stage 5

CKD that HD may be a permanent treatment. As a nurse you
anticipate that a for chronic hemodialysis, the ideal
permanent vascular access is:
Correct!

Subclavian catheter


External AV Shunt
Question 20 1
/ 1 pts
A patient was hesitant to do the PD. He asked about what is

a common problem with peritoneal dialysis? Your best
response is:
Correct!
Abdominal infection

Nausea


Insomnia
Quiz Score:
19.5 out of 20
Skills Lab Quiz #1 (ECG)

Due
Sep 8 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1

14.08 out of 20
Question 1 1
/ 1 pts

ALL THAT APPLY:
Correct!

Correct!
Correct!
Correct!

Question 2 0.33
/ 1 pts
THAT APPLY.
Correct!
QRS narrow
orrect Answer
orrect Answer


Question 3 0.5
/ 1 pts
Atty. X was admitted to the critical care unit with a diagnosis of chest pain,
ECG were done. The nurse interpreted the ECG with the following
orrect Answer
orrect Answer
Correct!
Correct!

Question 4 0
/ 1 pts
tracing. The following are the correct findings. SELECT ALL THAT
APPLY.
Correct!
Regular rhythm
ou Answered
orrect Answer
Sinus tachycardia
Correct!
Heart rate 160
ou Answered
Question 5 1
/ 1 pts

patient revealed ventricular fibrillation. Which of the following interventions
should be implemented in the critical care unit? SELECT ALL THAT
APPLY.
Correct!
Correct!
Correct!

Correct!
Question 6 1
/ 1 pts

episode of chest pain. From this ECG tracing, which of the following is the
correct interpretation?


Bradycardia
Correct!
Normal ECG

Tachycardia
Question 7 0.75
/ 1 pts

INTERPRETATION.
INTERPRETATION:
B. Sinus Rhythm
Correct!
MRS. SANTOS, 35 YEARS A. Premature Ventricula

OLD
Correct! MR. MARTINEZ, 40 YEARS C. Sinus Bradycardia

OLD
Correct! MS. MARTIN, 60 YEARS D. Ventricular Fibrillation

OLD
ou Answered D. Ventricular Fibrillation

Correct Answer

B. Sinus Rhythm
Question 8 0.75
/ 1 pts

INTERPRETATION.
INTERPRETATION:
B. Sinus Rhythm
Correct! MRS. SANTOS, 35 YEARS E. Ventricular Tachycard

OLD
Correct! MR. MARTINEZ, 40 YEARS E. Ventricular Tachycard

OLD

OLD
ou Answered

Correct Answer

B. Sinus Rhythm
Question 9 1
/ 1 pts

INTERPRETATION.
INTERPRETATION

OLD
Correct! MR. MARTINEZ, 40 YEARS B. Heart rate 150 beats

OLD

OLD
Correct! MR. CHUA, 55 YEARS OLD D. Heart rate 60 beats p
Correct! MRS. ENRIQUEZ, 75 C. Heart rate 75 beats p

YEARS OLD
Question 10 0.75
/ 1 pts

INTERPRETATION.

INTERPRETATION:
B. Sinus Rhythm

OLD
Correct! MR. MARTINEZ, 40 YEARS A. Premature Ventricula

OLD
Correct! MS. MARTIN, 60 YEARS C. Sinus Bradycardia

OLD
ou Answered

Correct Answer

B. Sinus Rhythm
Question 11 1
/ 1 pts


Hyponatremia
Correct!
Hyperkalemia

Hyperglycemia

Hyperphosphatemia
Question 12 1
/ 1 pts


Correct!


Question 13 1
/ 1 pts

Which of the following is the classic ECG change in myocardial infarction?

ST segment elevation

T wave inversion
Correct!
All of these

Question 14 1
/ 1 pts

The heart rate can be determined in a normal individual in which of the
following ECG conditions?

Number of P waves
Correct!
Interval between two QRS complexes

Number of T waves

Interval between P and T waves
Question 15 1
/ 1 pts
The certified critical care nurse is conducting a preceptorship / mentoring

to a new nurse recruit in the critical care unit about electrocardiogram
tracings. Which of the following phases of the cardiac cycle follows
immediately after the beginning of the QRS wave?
Correct!

Atrial systole


Diastasis

Question 16 0
/ 1 pts
The student nurse is reviewing the ECG tracing of a 25 year old female
which was subjected for an Annual Physical Examination. Which of the
following cannot be detected by the Electrocardiogram?

Function of an implanted pacemaker
orrect Answer
Presence of asymptomatic blockages in the atria of the heart
ou Answered
Size and position of the heart chambers

Rate and rhythm of heartbeats
Question 17 0
/ 1 pts


ou Answered
orrect Answer

Question 18 0
/ 1 pts
The nurse student was tasked to perform an ECG to a client presenting

with a throbbing chest pain radiating to the left arm. The nurse student
understands that the time between the beginning of electric excitation of

the atria and the beginning of excitation of the ventricles is which of the
following?
ou Answered
QRS complex

S-T segment

Q-T interval
orrect Answer
P-R interval
Question 19 1
/ 1 pts
A patient with ECG changes in leads V1, V2, and V3 maybe suffering
from which of the following injuries?

Inferior wall injury

Lateral wall injury
Correct!
Anterior wall injury

Posterior wall injury
Question 20 1
/ 1 pts
Cardiac dysrhythmias occur when the heart loses its regular pacing
capability. You are a nurse in the ICU taking care of a patient with
continuous ECG monitoring. Which of the following medications is most
important to have at hand when the ECG reads that your patient is having
ventricular tachycardia?

Nitroglycerine

Dopamine
Correct!
Lidocaine

Morphine sulfate
Quiz Score:
14.08 out of 20

Due
Sep 22 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1

18 out of 20
Question 1 1
/ 1 pts
parenteral nutrition solution. The right subclavian vein houses the client's
central venous line. During the tubing replacement, the nurse instructs the
client to do which of the following?

Correct!


Breathe normally
Question 2 1
/ 1 pts

Which does the nurse implement to decrease the risk of infection? Select
that all apply:


Correct!

Question 3 1
/ 1 pts
has an intravenous lipid infusion prescription. Which of the following does
the nurse do before hanging the intralipid infusion?
Correct!



Question 4 1
/ 1 pts

External jugular
Correct!
Femoral

Subclavian

Internal jugular
Question 5 1
/ 1 pts
Nurse Dan was performing his morning duties when he noticed redness,
warmth, and purulent drainage at the insertion site of a central venous
catheter (CVC) in a client who was receiving parenteral nutrition (PN).
Because of this, the nurse works with the physician on the findings for te
reason that



Correct!
Question 6 1
/ 1 pts
treatment?

Correct!


Question 7 1
/ 1 pts
line insertion?
Correct!



Question 8 0
/ 1 pts

sudden onset of shortness of breath and anxiety. Crackles can be heard
in both lower lobes of the lungs, and the patient's oxygen saturation is 91
percent on room air, according to the nurse. The nurse must act quickly to

orrect Answer
turn off the TPN

ou Answered
Question 9 0
/ 1 pts
ou Answered
Internal jugular

Femoral line

Right subclavian
orrect Answer
Left subclavian
Question 10 1
/ 1 pts
When it comes to prepping the skin for CVC insertion, there are a few
things to keep in mind.


Not wear gloves
Correct!

gown, and mask
Question 11 1
/ 1 pts
TPN has been ordered for a patient with poor wound healing and a weak
appetite. The nurse should obtain while waiting for the TPN solution to
arrive from the pharmacy.


Correct!
An infusion pump

Question 12 1
/ 1 pts

experiencing nausea, excessive thirst, and increased voiding frequency.
Which of the following client data does the nurse assess first?

Correct!

Rectal temperature

Question 13 1
/ 1 pts
Mr. Tomas was diagnosed of gastro intestinal obstruction. The Physicians

order to insert the intravenous access for PN. IV lines for TPN may
inserted into different veins although the tip inner end of the line will
usually located in the: Select that all apply

Metacarpal vein
Correct!
. Vena cava
Correct!
Axillary veins
Correct!
Subclavian Vein
Question 14 1
/ 1 pts

Pneumothorax

Hemothorax

Correct!
Question 15 1
/ 1 pts
100ml/hr. Which prescription for PN solution will be accompanied by the
diet prescription, according to the nurse?

Discontinue the PN


Correct!
Question 16 1
/ 1 pts
Correct!



Question 17 1
/ 1 pts
An intravenous (IV) antibiotic is planned for a client who is receiving

parenteral nutrition (PN) via a central venous catheter (CVC). Which of
the following should the nurse do before giving the antibiotic?

Flush the CVC with normal saline

Turn off the PN for 30 minutes
Correct!
Ensure as separate IV access route

Check the compatibility with the PN
Question 18 1
/ 1 pts
If a port on the central line is not in use, how often should the port be
flushed?

Every 12 hours

Every 48 hours
Correct!
Every 24 hours

Every 72 hours
Question 19 1
/ 1 pts



catheter.
Correct!
Question 20 1
/ 1 pts
Patient Nancy who was admitted in ICU after chemotherapy with severe
loss of weight. The Medical doctor prescribed of TPN. It is one of the
component and the body’s main source of energy?

Protein

Fat
Correct!
Glucose

Micronutrients
Quiz Score:
18 out of 20

Due
Sep 29 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1

19 out of 20
Question 1 1
/ 1 pts

anemia. The patient is also having difficulty being weaned from the
ventilator related to a recurrent pneumonia and early fatigue with
weaning. What is contributing to the patient's prolonged recovery?


enteral feeding
Correct!

hypoxemia
Question 2 1
/ 1 pts



Obtain an ABG

Correct!
Question 3 1
/ 1 pts
Nurse Abby a critical care charge nurse is responsible for the care of four
patients receiving mechanical ventilation. Which patient is most at risk for
failure to wean and ventilator dependence



Correct!
Question 4 1
/ 1 pts
Patient Paolo is receiving mechanical ventilation and is very anxious and
agitated, and neuromuscular blocking agents are used to promote
patient?


communication will not be possible with the use of neuromuscular blocking
agents
Correct!

Question 5 1
/ 1 pts
A nurse is reviewing the plan of care for a client who is receiving

mechanical ventilation. Which of the following ventilator modes will
increase the client's work of breathing? Select all that apply
Correct!
synchronized intermittent mandatory ventilation
Correct!
pressure support ventilation

independent lung ventilation

assist-control
Correct!
continuous positive airway pressure
Question 6 1
/ 1 pts

client and then attempts to determine the cause of the alarm. If
unsuccessful in determining the cause of the alarm, the nurse should take
what initial action?

administer oxygen

start CPR
Correct!

Question 7 1
/ 1 pts
Nurse Nilda is caring for a patient intubated and on a mechanical

ventilator for several days. Which weaning parameter would tell the nurse
if the patient has enough muscle strength to breathe without assistance?


Tidal volume

Minute ventilation
Correct!
Question 8 1
/ 1 pts




Correct!
Question 9 0
/ 1 pts

ventilation use

Lung Injury

Infections
ou Answered
orrect Answer
Question 10 1
/ 1 pts
A nurse is caring for a client who is receiving mechanical ventilation via an

endotracheal tube. Which of the following actions should the nurse take?

Correct!


Question 11 1
/ 1 pts

tube. To prevent ventilator-associated pneumonia (VAP), which action is
most important to include in the plan of care?
Correct!



Question 12 1
/ 1 pts

Correct!



Question 13 1
/ 1 pts

Fever, increased tracheobronchial secretions, increased respiratory rate,
and increased tidal volume
Correct!
respiratory rate, decreased tidal volume, increased minute ventilation, and
decreased oxygenation


Fever, leukocytosis, decreased tidal volume, decreased oxygenation, and
increased blood pressure.
Question 14 1
/ 1 pts

Correct!



Question 15 1
/ 1 pts

understands that the application of positive end-expiratory pressure
(PEEP) to the ventilator settings has which therapeutic effect?
Correct!



Increased fraction of inspired oxygen concentration (FIO2) administration
Question 16 1
/ 1 pts

caregiver?

help the caregiver to plan for placement of the patient in a long-term care
facility
Correct!

. have the caregiver arrange for around-the-clock home health nurses for
the first several weeks

environment
Question 17 1
/ 1 pts

suctioning procedure, the nurse notes on the monitor that the heart rate is
decreasing. Which nursing intervention is appropriate?

Correct!


continue to suction
Question 18 1
/ 1 pts
expressed in:

Millimeter

Cubic square

m2
Correct!
Milliliters
Question 19 1
/ 1 pts
Correct!



Question 20 1
/ 1 pts
Which assessment information obtained by the nurse when caring for a

patient receiving mechanical ventilation indicates the need for suctioning?

The pulse oximeter shows a SpO2 of 93%.

The lungs have occasional audible expiratory wheezes.
Correct!
The respiratory rate is 32 breaths/min.

The patient has not been suctioned for the last 6 hours.
Quiz Score:
19 out of 20

Due
Oct 6 at 11:59pm
Points
20
Questions
20
Available
Time Limit
20 Minutes
Instructions
Attempt History
Attempt Time Score
LATEST Attempt 1

20 out of 20
Question 1 1
/ 1 pts
With regard to IP heparin as an adjunctive therapy, which of the

following is true?

Correct!


Question 2 1
/ 1 pts
A nurse is caring for a patient undergoing a Peritoneal dialysis.

The nurse understands that Peritoneal dialysis replaces which
of these functions of normal kidneys?

Hormone regulation


Metabolism

Correct!
Question 3 1
/ 1 pts

thing you need to obtain prior to performing peritoneal dialysis
to your patient is:


a warm dialysate
Correct!
Signed consent

Question 4 1
/ 1 pts
Alice, the nurse caring for a patient with peritoneal dialysis (PD)
is explaining to the patient the process of draining out the dirty
fluid and putting in the clean fluid is called:

A hemo cleaning
Correct!
An exchange

A replacement

A dialysate
Question 5 1
/ 1 pts

dialysis (PD) will need a _______ as the access for treatment.

Dialysis machine

Fistula

Graft
Correct!
Catheter
Question 6 1
/ 1 pts

Correct!
3 times a week

Once a week

Once a month

Twice a week

Every day
Question 7 1
/ 1 pts
The doctor advised Bob, a 42-year-old male with Stage 5 CKD

that HD may be a permanent treatment. As a nurse you
anticipate that a for chronic hemodialysis, the ideal permanent
vascular access is:

Subclavian catheter
Correct!


External AV Shunt
Question 8 1
/ 1 pts
Mr. Lucky Chan is a 66-year-old male who has been on dialysis

for six months. He's been struggling with his weight and
diabetes for a long time. Which of the following risk factors may
impede nursing interventions in promoting physical

activity/exercise? Select all that apply.
Correct!
diabetes mellitus
Correct!
advancing age
Correct!
hypertension

Question 9 1
/ 1 pts
Nurse Paul is explaining to the hemodialysis patient that getting

longer and/ or more frequent HD treatment can:



Correct!

Fewer medication
Question 10 1
/ 1 pts
When advising a patient about dialysis treatment options, you

mentioned that PD is another way to clean the blood. Which
part of the body acts as a filter for this method?



Correct!
Question 11 1
/ 1 pts
Dr. X admitted Sara, a 36 year old woman whom he diagnosed

with Chronic Renal Failure. Sara's vital signs upon admission
was BP: 150/90, CR: 98, RR:36, T:36.8C. Lab results: serum
Na+: 147 mEq/L; serum K+: 6.mEq/L, serum osmolality: 310
mOsm/L, BUN: 15 mg/dL, Creatinine: 3mg/dL. pH: 6.5, CO2:
26 mmHg, HCO3: 9 mEq/L. What important laboratory findings
will be more significant in treating this patient with dialysis?
Select all that apply.
Correct!
Hypernatremia
Correct!
Hyperkalemia

Azotemia

Metabolic alkalosis
Question 12 1
/ 1 pts
The patient asked the nurse performing hemodialysis about the

filter that acts as an artificial kidney in hemodialysis. What is it
called?


Nephrolyzer
Correct!
Dialyzer

Hemolyzer
Question 13 1
/ 1 pts
A patient was hesitant to do the PD. He asked about what is a

common problem with peritoneal dialysis? Your best response
is:

Correct!
Abdominal infection

Insomnia

Nausea
Question 14 1
/ 1 pts
Nurse Vivian is a newly hired nurse in a Dialysis Unit. She was
assigned to care for a hemodialysis patient. Being its her first
time to care for this patient, she is aware that hemodialysis will
need a vascular access. A vascular access is a ___________.



Correct!
Question 15 1
/ 1 pts


Oxalates

Zinc

Fe
Correct!
K
Question 16 1
/ 1 pts



Correct!
Question 17 1
/ 1 pts

wastes". What else does hemodialysis remove? Select all that
apply.

Extra protein

Extra insulin
Correct!
Extra salt
Correct!
Extra water
Question 18 1
/ 1 pts

Correct!
Convection
Correct!
Diffusion

Osmosis

Active transport
Question 19 1
/ 1 pts

has been nauseated for 2 days so she has not been eating or
drinking. You also noted that she has an arteriovenous (AV)
fistula in her left arm. What is the priority nursing diagnosis for
this patient?

Risk for infection

Hyperthermia

Correct!
Question 20 1
/ 1 pts


True
Correct!
False
Quiz Score:
20 out of 20

CCN Combined

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POST TEST # 4 (Respi)

This quiz was locked Oct 8 at 11:59pm.

Score for this quiz:

A 85 year old patient is admitted with a initial impression of

A 34-year-old client in the ICU is being treated for acute respiratory

Maria has a tracheostomy tube in place. Which of the subsequent moves

Patient Marco is admitted with chronic obstructive pulmonary disease

A nurse is using a non-rebreather masks to manage oxygen to a person

A 70-year-old Melissa is admitted with emphysema and acute upper

A thoracentesis become executed on a male cient. After the procedure,

A nurse is worrying for a patient who was rushed into the ED

A nurse is being concerned for an old client who’s on a mechanical

POST TEST # 4 (Respi)

This quiz was locked Oct 8 at 11:59pm.

Score for this quiz:

A 85 year old patient is admitted with a initial impression of pneumococcal

Patient Marco is admitted with chronic obstructive pulmonary disease

A grownup man is admitted with a pneumothorax following an accident.

Maria has a tracheostomy tube in place. Which of the subsequent moves is

A junior nurse is caring for a patient who’s in respiratory distress due to

A nurse ought to position the client prone after a prognosis of acute

A nurse is using a non-rebreather masks to manage oxygen to a person

A thoracentesis become executed on a male cient. After the procedure, the

all that apply

A 70-year-old Melissa is admitted with emphysema and acute upper

vital sign measurements suggest that the customer is suffering with

The nurse is worrying for a lady who's admitted with pneumonia. On

This quiz was locked Oct 8 at 11:59pm.

Score for this quiz: 20 out of 20

While the nurse is suctioning a tracheostomy tube, Ms. Ong begins to

Remove the suction as quickly as possible

Suction deeper to pick up secretions

A client who was admitted for a non-ST elevated MI (NSTEMI) with

Which laboratory tests need to Miguel get first before prophylactic

White blood cell (WBC) count and urinalysis

Complete blood count (CBC) and hematocrit

Serum creatinine and blood urea nitrogen (BUN)

Magnesium level of 2.0 mg/L

Phosphorus level of 4.0 mg/dl

Sodium level of 145 mEq/L

Patient Marco is admitted with chronic obstructive pulmonary disease

Left-sided heart failure

It produces greater blood oxygen levels

It is easier to breathe through the nose

An older adult is admitted with severe pneumonia. Which of the

Eat three large meals a day.

Ambulate three times a day.

POST TEST # 4 (Respi)

This quiz was locked Oct 8 at 11:59pm.

Score for this quiz:

A nurse ought to position the client prone after a prognosis of acute

A 85 year old patient is admitted with a initial impression of

While the nurse is suctioning a tracheostomy tube, Ms. Ong begins to

Which laboratory tests need to Miguel get first before prophylactic

A 70-year-old Melissa is admitted with emphysema and acute upper

flow with the drift oxygen is to:

An older adult is admitted with severe pneumonia. Which of the

A nurse is being concerned for an old client who’s on a mechanical

The nurse has decided that the patient is experiencing respiration