Advanced Nursing Skills: Exam 1
Questions With Correct Answers.
*What is the order for mixing rapid acting/long acting insulin from two vials? - ANSWER-
Cloudy-clear-clear-cloudy
*Where should the nurse administer a subcutaneous insulin injection? - ANSWER-
Abdomen
*What site best absorbs insulin? - ANSWER- Abdomen (followed by arm, thighs, and
buttocks.
*Chest tube insertion for hemothorax is between the ___ and ___ ICS - ANSWER- 4-6
*Chest tube insertion for pneumothorax goes into the ____or ___ICS - ANSWER- 2nd
or 3rd
*Empynema - ANSWER- pus from an infection (pneumonia)
*It is important for the nurse to obtain informed consent from the patient before
______________. - ANSWER- administering pain medication (Opioids)
*If needing to take longer to set up a new chest tube system the nurse
should______________. - ANSWER- Place the end of the chest tube in sterile water.
*In the instance that the chest tube becomes disconnected the nurse knows to: -
ANSWER- Quickly cover insertion site with occlusive vaseline gauze during the PEAK
of INSPIRATION.
*The nurse know to ______________ if she notices changes in drainage greater than
________mL/hr. - ANSWER- Notify MD of changes >100 mL/hr
*The nurse knows to encourage the patient to ______________, and ______________
as the chest tube is being pulled out. - ANSWER- Take a deep breath and hold, and
tape on three sides (when the chest tube___________________)
*True/False The nurse should always be sure to take the velcro ties off before she puts
the new one on. - ANSWER- FALSE she only does this if there is an assistant present
to hold tracheostomy tube in place until new ties are firmly tied down.
*True/False: If the nurse notices a change in the patient with a chest tube's condition
she should notify the MD. - ANSWER- True
