Download HUC Midterm Exam Questions and Answers (Latest 2024) and more Exams Nursing in PDF only on Docsity!
Answers (Latest 2024)
How do you write insulin/coumadin on MAR? - Correct Answer ✅S/S insulin as per COS. Coumadin as per COS. Why don't you write the prescribed amount of Insulin/coumadin on the MAR? - Correct Answer ✅The dosage will be based on BG for S/S, Also need 2 nurses signatures. The dosage will be based on INR for coumadin. What is pertinent information for requisitions? - Correct Answer ✅Label, Doctors first & last name, Date, Reason, Source, Test, infection control precautions. What kinds of nursing units are there? - Correct Answer ✅Surgical, medical, ICU, Psychiatry, Maternity, ER, Pediatrics, Surgical Day Care, Cancer What is a Daycare unit? - Correct Answer ✅Same day Surgery
Answers (Latest 2024)
What is the PARR? - Correct Answer ✅Post anesthetic recovery room. What is a consultant? - Correct Answer ✅A doctor that will give advice and looking over the patient's case.
- Always Dr refers to another Dr. What is the difference between Nurse Manager, RN, LPN, RCA? - Correct Answer ✅• Nurse manager is in charge of the unit,
- Registered Nurse - more acute patients on unit
- Licensed Practical nurse - more stable patients on unit
- RCA - resident care aid - nurse responsible for pt's personal care and hygiene What is Standard Charting vs. Supplemental Charting? - Correct Answer ✅• Standard is for every patient
- Supplemental is for specialties. ex Diabetic pt.
Answers (Latest 2024)
NG tube - Naso gastric tube can be close to wall unit to remove intermittently gastric contents Chest Tube - in thorax closed drainage system T tube, suction tracy - small suction devices Drug purpose and classification. - Correct Answer ✅• Antianginals - used for chest pain ex. Nitrostat (nitrogylcerine)
- Antihypertensives - Treats high blood pressure ex. Vasotec (enalapril)
- Antiarrhythmias - treat abnormal heart rhythm ex. Lanoxin (digoxin)
- Diuretics - treats hypertension ex. Lasix (furosemide)
- Potassium Replacements - treatment for low potassium ex. Potassium Chloride (Slow-K)
- Antiplatlets - reduce platlets sticking together ex. Plavix (clopidogrel)
Answers (Latest 2024)
- Anticoagulants - thins blood, prevents clots ex. Coumadin (warfarin)
- Antihyperlipidemics - treats high cholesterol ex. Lipitor (atrovastatin)
- Antibiotics - treats infections ex. Penicillin (amoxicillin)
- Respiratory Drugs - used for respiratory disorders ex.Bronchodilators and Corticosteroids
- Anticonvulsants - prevent or treat seizures ex. Tegretol (carbamazepine)
- Antidiabetics - Treatment of Diabetes ex. Humulin R (insulin reg), Glucophage (metformin)
- Analgesics - either nonnarcotic or narcotic to reduce pain ex. Tylenol (acetaminophen), Demerol (meperidine)
- Sedatives/Tranquilizers - cause relaxation and reduce restlessness ex. Valium (diazepam)
- Hypnotics - used to induce sleep ex. Restoril (temazepam)
- Antiemetics - relieve nausea ex. Xanax (alprazolam) Medical imaging what needs consent? - Correct Answer ✅Procedures that are invasive ex. Arthrogram, Biopsy
Answers (Latest 2024)
What are the components of a drug order? - Correct Answer ✅1) Name
- dose
- Frequency
- route of administration
- qualifying phrase What are advantages of the EMR? - Correct Answer ✅Less mistakes on transcription, can be accessed anywhere in Island Health with current information. What's the difference between a consultant and specialist? - Correct Answer ✅• Consultant is a doc giving advice to another doc.
- Specialist is a specialty field ex, Gyno, Internal Med. What are the Hospital Departments? - Correct Answer ✅Dietary Neurology Endoscopy
Answers (Latest 2024)
Gastro MDRD Stores Pathology Pharmacy Med Records What is done in an out patient department? - Correct Answer ✅Review care follow up tests lumps/bumps removed casts Consultants apt What is the purpose of a chart? - Correct Answer ✅To hold, store patient information like Doc orders, Notes, Nursing notes, other disciplinary notes.
Answers (Latest 2024)
- Order diagnostics, treatments and supplies
- Kardex
- MAR
- Recheck every step
- Sign off completed set of orders Kardex vs chart for writing in? - Correct Answer ✅Kardex in pencil it is NOT a legal document Chart in pen only it IS a legal document What is the difference between an indwelling and straight retention catheter? - Correct Answer ✅• Indwelling stays in pat with an inflated balloon
- Straight used for IN&OUT urine Difference between Central Venous catheter, Central Line IV therapy, Peripheral IV therapy, Intravenous Fluids? - Correct Answer ✅• Central venous cath (PIC line) - peripherally inserted - arm vein to the heart
Answers (Latest 2024)
- Central line - catheter inserted into the jugular or sub- clavian vein close to the Rt atrium of heart
- Peripheral IV (regular iv) - initiated by nurse at bedside
- IV fluids - Doctor order type, amount and flow rate Does an implant port need consent, and what is it for? - Correct Answer ✅Yes needs pt consent, and used for chemo or long term antibiotics. What is Hep-Lock? - Correct Answer ✅Heparin in capped IV to keep patent. What are the components of an IV order? - Correct Answer ✅1. Type of fluid
- amount 3, flow rate.
- ex. 1,000ml NS @ 125ml/hr What is Autologous blood? - Correct Answer ✅The patients own blood transfused.
Answers (Latest 2024)
Full fluids - clear liquids with added texture, custard Pureed - most foods blended no lumps/chunks Mechanical Soft - dental soft, finely diced foods. Soft - progression from full fluids Regular - No restrictions DAT - nurse can determine what pat can tolerate What is TPN and its purpose? - Correct Answer ✅Total parenteral nutrition all necessary nutrients via veins. For pt's unable to receive food through digestive tract. What is PDR? - Correct Answer ✅Physician's Desk Reference is a reference source containing the latest drug product information prepared by manufacturers. eg. CPS, or Pediatric Cardio Care, or Gastro Reference How to make a change on MAR? - Correct Answer ✅Red line through med and write D/C or Change symbol, initial and date.
Answers (Latest 2024)
What are the Divisions of the Lab? - Correct Answer ✅Urinalysis Microbiology Hematology Donor Bank Chemistry Bacteriology Tests and do they need prep? - Correct Answer ✅•Bone age x-ray - No prep or consent
- Chest x-ray - No pep or consent
- Arthrogram - Yes injection of contrast
- Angiogram - Yes injection of contrast
- KUB (kidneys, ureter, bladder) Maybe
- SNAT (suspected non-accidental trauma) No
- UGI w/ SBFT (upper GI, small bowel follow through) • Yes
- EKG - No
- ABG - No
