Skills Final

Which test is a random sample voided into clean cup appropriately?

Collecting a blood specimen; which action should nurse take

The provider asks for the suction pressure of closed-chest drainage set at 40 cm of water. Which system should nurse use

Preparing to administer an intradermal injection. Which action to ensure proper technique?

When preparing to administer a transfusion of packed red blood cells, its import to

Nurse preparing to obtain blood sample who has triple lumen central catheter. Which action should nurse take

Pt getting IV fluids through triple lumen cent venous access device, IV pump says occlusion, what should nurse do FIRST

Nurse is suctioning a client's airway using in-line suctioning. Which action should the nurse plan to take

Pt. gets 5% dextrose water & 1g ceftriaxone IV, when preparing this med for IV bolus, which action should nurse do FIRST

Caring for pt. with PICC line; nurse identifies which of the following information is true regarding this IV type

Intramuscular injection @ the Ventrogluteal site. Which needle length should the nurse select for the average size adult

Nurse is providing education ab blood infusion; which statements should nurse include in teaching

IM injection into the left ventrogluteal muscle. Which action should the nurse take to locate the site of injection?

Nurse is preparing to transport pt with chest tube to radiation- which action should nurse take when detaching suction

Nurse is inserting IV and sees blood return; which action should nurse perform NEXT

You should use folded pipe cleaners to dry the inner cannula of a tracheostomy after cleaning it

Which action should nurse take prior to administering a blood transfusion

Nurse caring for pt post chest tube placement nurse should identify that which is an indication of a problem in drainage

A nurse is preparing to administer subcutaneous injection. Which of the following should the nurse asses first?

Nurse is caring for pt with stage III pressure injury on sacral area. Which action should take when obtaining culture

Nurse assesses IV site and finds it's red, warm, slightly edematous. What action should nurse take?

Pt. getting RBCs having sudden chills, muscle stiffness, and temp of 101.5 is likely experiencing febrile nonhemolytic

Nurse is caring for pt who has central venous device, which routine intervention should nurse use to prevent lumen occ.

Nurse is taking client about home collection of stool for blood occult. Which instruction should nurse include

Nursing caring for client who has implanted port that needs to be accessed for infusion. Which action should nurse take

Nurse is preparing to suction a tracheostomy, which action should the nurse take

Pt. has renal failure + needs IV fluid. Which prescription does nurse anticipate and why

A nurse is preparing to administer insulin injection. Which of the following actions should the nurse take?

A nurse is preparing to give RBCs, blood has arrived what will help nurse protect client against blood-group incompat.

What action should nurse taken when converting IV infusion to saline lock

A nurse is preparing to suction client's oral airway. Which of the following devices should be used?

Preparing to administer blood transfusion to pt. with type A blood. Pt can get type O blood because...

Nurse is caring for pt who got in MVC immediate IV access is needed. Which of the following central venous devices used?

Nurse is taking out IV; upon removal nurse should assess catheter for which:

What should nurse do if chest tube becomes dislodged from the closed-chest drainage system

A client is considering autologous transfusion. When teaching ab autologous transfusion, it is important to emphasize:

Nurse inserted IV. Which action should nurse take to secure catheter

Nurse is teaching client about poss. complications of IV infusion. Nurse should include _____ as early sign of infiltr.

Chest tube that is attached to water-seal drainage system. Which finding should the nurse recognize as subcut emphysema

Nursing is caring for client with chest tube, which strategies should nurse use to help promote comfort?

Patient is about to receive blood and states I don't want to get a disease, proper response by the nurse:

Nurse is removing IV; which action should nurse take

Performing chest physiotherapy to help excrete thick pulm secretions. To increase turbulence of air- use what technique?

Nurse teaching about collecting stool specimen for fecal occult, which should nurse instruct client to avoid before test

Nurse is assessing pt. receiving 0.9% IV @125 ml/hr. Which should nurse recognize as possible complication of IV therapy

Nurse is caring for pt who needs to collect midstream urine specimen. Which action should nurse take?

Nurse admin 1st dose of antibiotic IV bolus; during first 10-15min which of the following assessment is nurse priority?

During tracheostomy care, which should the nurse place underneath the flange of the outer cannula?

Platelet transfusion would be indicated for a patient who

Nurse is assessing client 5hr after chest tube, which observation about drainage should nurse report to provider

Pt. has chest tube in place, Which instructions should nurse provide for ambulation of the client.

Initiating new IV infusion with 5% dextrose water for continuous infusion. How often should nurse plan to replace tubing

When flushing central venous catheter nurse uses 10ml syringe to prevent which complication associated with central line

AP is collecting urine specimen; which statement indicates collection with have to be RESTARTED

Nurse caring for pt with suspected UTI, Which of following urinalysis results should nurse identify as sign of UTI

Pt. w/ central ven. cath suddenly develops dysp, tachycard, dizzi, nurse suspects air embolism. What position pt be in

Nurse gets blood glucose level of 180 from a client with DM. Which action should nurse take?

Pt with DM difficulty getting capillary finger stick what action should nurse take to help increase blood flow to finger

Which action should nurse take when administering continuous IV therapy

Which of the following terms indicates that a medication is given via an injection

Pt with long-term central venous access and is avid swimmer. Which central venous device would be the best choice

Caring for pt. who will require long term airway support. Which pieces of equipment will be required for home health?

A nurse is caring for a client who has a cuffed endotracheal tube in place. Which action should then nurse plan to take?

Nurse should identify that which of the following is a disadvantage of administering IV medications

Nurse is caring for pt getting blood transf. and reports itching. Nurse observes urticaria which action should nurse do?