SKILLS FINAL EXAM REVIEW

What additional assessment is most concerning with 3+ pitting edema in left lower extremity

Patient with foul-smelling diarrhea. The nurse should anticipate what transmission based precautions

Which of the following is the best example of the objective charting?

What findings should be reported to HCP as abnormal

The nurse knows that for it to be a stage 3, which of the following characteristics are present?

How do you interpret, “I couldn’t sleep last night, I had to sleep in the recliner with my head on 2 pillows”

PERRLA is an acronym to describe what assessment finding?

Nurse was able to obtain cap blood sample for blood glucose. What would be the best first action by the nurse?

What action by the nurse is appropriate for administering the medication piggyback with continuous infusion?

Nurse determines the patient is comatose and documents which of the following scores?

The nurse is performing tracheostomy suctioning, she should discontinue suctioning is which of the following occurs?

The pt can positively identify the smell of coffee. The nurse would record what cranial nerve is functional?

To preform a lung assessment, what is the correct order?

Diet restrictions prior to guaiac. The nurse is successful when the patient states they can consume which food

Pt presents to ER with dyspnea, new onset productive cough, and fatigue. What is the priority assessment.

Which of the following rights should the RN verify first at bedside or best practice

What observations indicates need for further teaching regarding proper inhaler use.

Nurse is prepping to do an IM injection to the pt and will use Z-tack method. The nurse recognizes the method ensures?

Nurse directs nursing student to change the dressing and ties. What is the best response by instructor?

Which pulse should the nurse assess for adequate peripheral circulatory perfusion if unable to palpate brachial pulse?

Which option correctly describes how the nurse should set up the field?

When administering a medication through NG tube what position should the patient be placed in?