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B260: Fundamentals of Nursing Categories: Round 1 Round 2 IVF Blood Electrolytes Acid/Base Nutrition Rules: 1. Two rounds/5 sections with 10 members competing each section 2. 5 questions each section Scoring: 1. 5 Points each correct answer 2. In the event of a tie, answers will be written and 5 points given for all correct answers 3. Incorrect answers will lose 5 points ROUND 1: IVF IVF: Round 1 Question 1 Which of the following assessments do you perform routinely when an older adult patient is receiving intravenous 0.9% NaCl? A. Auscultate dependent portions of lungs B. Check color of urine C. Assess muscle strength D. Check skin turgor over sternum or shin IVF: Round 1 Question 1 Which of the following assessments do you perform routinely when an older adult patient is receiving intravenous 0.9% NaCl? A. Auscultate dependent portions of lungs B. Check color of urine C. Assess muscle strength D. Check skin turgor over sternum or shin IVF: Round 1 Question 2 Which of the following activities can you delegate to nursing assistive personnel (NAP)? (Select all that apply.) A. Measuring oral intake and urine output B. Preparing intravenous (IV) tubing for routine change C. Reporting an IV container that is low in fluid D. Changing an IV fluid container IVF: Round 1 Question 2 Which of the following activities can you delegate to nursing assistive personnel (NAP)? (Select all that apply.) A. Measuring oral intake and urine output B. Preparing intravenous (IV) tubing for routine change C. Reporting an IV container that is low in fluid D. Changing an IV fluid container IVF: Round 1 Question 3 Assessment findings consistent with intravenous (IV) fluid infiltration include: (Select all that apply.) A. B. C. D. E. Edema and pain Streak formation Pain and erythema Pallor and coolness Numbness and pain IVF: Round 1 Question 3 Assessment findings consistent with intravenous (IV) fluid infiltration include: (Select all that apply.) A. B. C. D. E. Edema and pain Streak formation Pain and erythema Pallor and coolness Numbness and pain IVF: Round 1 Question 4 The health care provider’s order is 1000 mL 0.9% NaCl with 20 mEq K+ intravenously over 8 hours. Which assessment finding causes you to clarify the order with the health care provider before hanging this fluid? A. B. C. D. Flat neck veins Tachycardia Hypotension Oliguria IVF: Round 1 Question 4 The health care provider’s order is 1000 mL 0.9% NaCl with 20 mEq K+ intravenously over 8 hours. Which assessment finding causes you to clarify the order with the health care provider before hanging this fluid? A. B. C. D. Flat neck veins Tachycardia Hypotension Oliguria IVF: Round 1 Question 5 Your patient had 200 mL of ice chips and 900 mL intravenous (IV) fluid during your shift. Which total intake should you record? A. B. C. D. 700 mL 900 mL 1000 mL 1100 mL IVF: Round 1 Question 5 Your patient had 200 mL of ice chips and 900 mL intravenous (IV) fluid during your shift. Which total intake should you record? A. B. C. D. 700 mL 900 mL 1000 mL 1100 mL ROUND 1: BLOOD Blood: Round 1 Question 1 While receiving a blood transfusion, your patient develops chills, tachycardia, and flushing. What is your priority action? A. B. C. D. Notify a health care provider Insert an indwelling catheter Alert the blood bank Stop the transfusion Blood: Round 1 Question 1 While receiving a blood transfusion, your patient develops chills, tachycardia, and flushing. What is your priority action? A. B. C. D. Notify a health care provider Insert an indwelling catheter Alert the blood bank Stop the transfusion Blood: Round 1 Question 2 A nurse is preparing to administer a blood transfusion. Which assessment finding would the nurse report immediately? A. B. C. D. Blood pressure 120/60 Temperature 101.3° F Poor skin turgor and pallor Heart rate of 100 beats per minute Blood: Round 1 Question 2 A nurse is preparing to administer a blood transfusion. Which assessment finding would the nurse report immediately? A. B. C. D. Blood pressure 120/60 Temperature 101.3° F Poor skin turgor and pallor Heart rate of 100 beats per minute Blood: Round 1 Question 3 A nurse has just received a bag of packed red blood cells. The nurse knows that the blood must not remain at room temperature for longer than A. B. C. D. 30 minutes. 1 hour. 2 hours. 4 hours. Blood: Round 1 Question 3 A nurse has just received a bag of packed red blood cells. The nurse knows that the blood must not remain at room temperature for longer than A. B. C. D. 30 minutes. 1 hour. 2 hours. 4 hours. Blood: Round 1 Question 4 A patient had an acute intravascular hemolytic reaction to a blood transfusion. After discontinuing the blood transfusion, what is the nurse’s next action? A. Run normal saline through the existing tubing. B. Start normal saline at TKO rate using new tubing. C. Discontinue the IV catheter. D. Return the blood to the blood bank. Blood: Round 1 Question 4 A patient had an acute intravascular hemolytic reaction to a blood transfusion. After discontinuing the blood transfusion, what is the nurse’s next action? A. Run normal saline through the existing tubing. B. Start normal saline at TKO rate using new tubing. C. Discontinue the IV catheter. D. Return the blood to the blood bank. Blood: Round 1 Question 5 A nurse is assessing a patient who is receiving a blood transfusion and finds that the patient is anxiously fidgeting in bed. The patient is afebrile and dyspneic. The nurse auscultates crackles in both lung bases and sees jugular vein distention. The nurse recognizes that the patient is experiencing which transfusion complication? A. Anaphylactic shock B. Septicemia C. Fluid volume overload D. Hemolytic reaction Blood: Round 1 Question 5 A nurse is assessing a patient who is receiving a blood transfusion and finds that the patient is anxiously fidgeting in bed. The patient is afebrile and dyspneic. The nurse auscultates crackles in both lung bases and sees jugular vein distention. The nurse recognizes that the patient is experiencing which transfusion complication? A. Anaphylactic shock B. Septicemia C. Fluid volume overload D. Hemolytic reaction ROUND 1: ELECTROLYTES Electrolytes: Round 1 Question 1 Which of the following defining characteristics is consistent with fluid volume deficit? A. A 1-lb (0.5 kg) weight loss, pale yellow urine B. Engorged neck veins when upright, Bradycardia C. Dry mucous membranes, thready pulse, tachycardia D. Bounding radial pulse, fl at neck veins when supine Electrolytes: Round 1 Question 1 Which of the following defining characteristics is consistent with fluid volume deficit? A. A 1-lb (0.5 kg) weight loss, pale yellow urine B. Engorged neck veins when upright, Bradycardia C. Dry mucous membranes, thready pulse, tachycardia D. Bounding radial pulse, fl at neck veins when supine Electrolytes: Round 1 Question 2 A patient with a cardiac history is taking the diuretic furosemide (Lasix) and is seen in the emergency department for muscle weakness. Which laboratory value do you assess first? A. B. C. D. Serum albumin Serum sodium Hematocrit Serum potassium Electrolytes: Round 1 Question 2 A patient with a cardiac history is taking the diuretic furosemide (Lasix) and is seen in the emergency department for muscle weakness. Which laboratory value do you assess first? A. B. C. D. Serum albumin Serum sodium Hematocrit Serum potassium Electrolytes: Round 1 Question 3 Which of these patients do you expect will need teaching regarding dietary sodium restriction? A. An 88-year-old with a fractured femur scheduled for surgery B. A 65-year-old recently diagnosed with heart failure C. A 50-year-old recently diagnosed with asthma and diabetes D. A 20-year-old with vomiting and diarrhea from gastroenteritis Electrolytes: Round 1 Question 3 Which of these patients do you expect will need teaching regarding dietary sodium restriction? A. An 88-year-old with a fractured femur scheduled for surgery B. A 65-year-old recently diagnosed with heart failure C. A 50-year-old recently diagnosed with asthma and diabetes D. A 20-year-old with vomiting and diarrhea from gastroenteritis Electrolytes: Round 1 Question 4 You assess four patients. Which patient is at greatest risk for the development of hypocalcemia? A. 56-year-old with acute kidney renal failure B. 40-year-old with appendicitis C. 28-year-old who has acute pancreatitis D. 65-year-old with hypertension and asthma Electrolytes: Round 1 Question 4 You assess four patients. Which patient is at greatest risk for the development of hypocalcemia? A. 56-year-old with acute kidney renal failure B. 40-year-old with appendicitis C. 28-year-old who has acute pancreatitis D. 65-year-old with hypertension and asthma Electrolytes: Round 1 Question 5 You teach patients to replace sweat, vomiting, or diarrhea fluid losses with which type of fluid? A. B. C. D. Tap water or bottled water Fluid that has sodium (salt) in it Fluid that has K+ and HCO3 - in it Coffee or tea, whichever they prefer Electrolytes: Round 1 Question 5 You teach patients to replace sweat, vomiting, or diarrhea fluid losses with which type of fluid? A. B. C. D. Tap water or bottled water Fluid that has sodium (salt) in it Fluid that has K+ and HCO3 - in it Coffee or tea, whichever they prefer ROUND 1: ACID/BASE Acid/Base: Round 1 Question 1 A patient who is comatose is admitted to the hospital with an unknown history. Respirations are deep and rapid. Arterial blood gas levels on admission are pH, 7.20; PaCO2, 21 mm Hg; PaO2, 92 mm Hg; and HCO3-, 8. You interpret these laboratory values to indicate: A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis Acid/Base: Round 1 Question 1 A patient who is comatose is admitted to the hospital with an unknown history. Respirations are deep and rapid. Arterial blood gas levels on admission are pH, 7.20; PaCO2, 21 mm Hg; PaO2, 92 mm Hg; and HCO3-, 8. You interpret these laboratory values to indicate: A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis Acid/Base: Round 1 Question 2 The nurse knows that an imbalance of which ion causes acid-base impairment? A. B. C. D. Hydrogen Calcium Magnesium Sodium Acid/Base: Round 1 Question 2 The nurse knows that an imbalance of which ion causes acid-base impairment? A. B. C. D. Hydrogen Calcium Magnesium Sodium Acid/Base: Round 1 Question 3 The nurse would expect a patient with respiratory acidosis to have an excessive amount of A. B. C. D. Carbon dioxide. Bicarbonate. Oxygen. Phosphate. Acid/Base: Round 1 Question 3 The nurse would expect a patient with respiratory acidosis to have an excessive amount of A. B. C. D. Carbon dioxide. Bicarbonate. Oxygen. Phosphate. Acid/Base: Round 1 Question 4 Which laboratory value should the nurse examine when evaluating uncompensated respiratory alkalosis? A. B. C. D. PaO2 Anion gap PaCO2 HCO3 – Acid/Base: Round 1 Question 4 Which laboratory value should the nurse examine when evaluating respiratory alkalosis? A. B. C. D. PaO2 Anion gap PaCO2 HCO3 – Acid/Base: Round 1 Question 5 A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother’s purse. The nurse knows that the child is at greatest risk for which acid-base imbalance? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis Acid/Base: Round 1 Question 5 A 2-year-old child was brought into the emergency department after ingesting several morphine tablets from a bottle in his mother’s purse. The nurse knows that the child is at greatest risk for which acid-base imbalance? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis ROUND 1: NUTRITION Nutrition: Round 1 Question 1 The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair? A. B. C. D. Fat Protein Vitamin Carbohydrate Nutrition: Round 1 Question 1 The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair? A. B. C. D. Fat Protein Vitamin Carbohydrate Nutrition: Round 1 Question 2 The nurse is caring for a patient experiencing dysphagia. Which interventions help decrease the risk of aspiration during feeding? (Select all that apply.) A. Sit the patient upright in a chair. B. Give liquids at the end of the meal. C. Place food in the strong side of the mouth. D. Provide thin foods to make it easier to swallow. E. Feed the patient slowly, allowing time to chew and swallow. F. Encourage patient to lie down to rest for 30 minutes after eating. Nutrition: Round 1 Question 2 The nurse is caring for a patient experiencing dysphagia. Which interventions help decrease the risk of aspiration during feeding? (Select all that apply.) A. Sit the patient upright in a chair. B. Give liquids at the end of the meal. C. Place food in the strong side of the mouth. D. Provide thin foods to make it easier to swallow. E. Feed the patient slowly, allowing time to chew and swallow. F. Encourage patient to lie down to rest for 30 minutes after eating. Nutrition: Round 1 Question 3 Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding tube? A. Placing an order for x-ray film examination to check position B. Confirming the distal mark on the feeding tube after taping C. Testing the pH of the gastric contents and observing the color D. Auscultating over the gastric area as air is injected into the tube Nutrition: Round 1 Question 3 Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding tube? A. Placing an order for x-ray film examination to check position B. Confirming the distal mark on the feeding tube after taping C. Testing the pH of the gastric contents and observing the color D. Auscultating over the gastric area as air is injected into the tube Nutrition: Round 1 Question 4 The nurse is assessing a patient receiving enteral feedings via a small-bore nasogastric tube. Which assessment findings need further intervention? A. Gastric pH of 4.0 during placement check B. Weight gain of 1 pound over the course of a week C. Active bowel sounds in the four abdominal quadrants D. Gastric residual aspirate of 350 mL for the second consecutive time Nutrition: Round 1 Question 4 The nurse is assessing a patient receiving enteral feedings via a small-bore nasogastric tube. Which assessment findings need further intervention? A. Gastric pH of 4.0 during placement check B. Weight gain of 1 pound over the course of a week C. Active bowel sounds in the four abdominal quadrants D. Gastric residual aspirate of 350 mL for the second consecutive time Nutrition: Round 1 Question 5 The home care nurse is seeing the following patients. Which patient is at greatest risk for experiencing inadequate nutrition? A. A 55-year-old obese man recently diagnosed with diabetes mellitus B. A recently widowed 76-year-old woman recovering from a mild stroke C. A 22-year-old mother with a 3-year-old toddler who had tonsillectomy surgery D. A 46-year-old man recovering at home following coronary artery bypass surgery Nutrition: Round 1 Question 5 The home care nurse is seeing the following patients. Which patient is at greatest risk for experiencing inadequate nutrition? A. A 55-year-old obese man recently diagnosed with diabetes mellitus B. A recently widowed 76-year-old woman recovering from a mild stroke C. A 22-year-old mother with a 3-year-old toddler who had tonsillectomy surgery D. A 46-year-old man recovering at home following coronary artery bypass surgery ROUND 2: IVF IVF: Round 2 Question 1 The health care provider’s order is 1000 mL 0.9% NaCl IV over 6 hours. Which rate do you program into the infusion pump? A. B. C. D. 125 mL/hr 167 mL/hr 200 mL/hr 1000 mL/hr IVF: Round 2 Question 1 The health care provider’s order is 1000 mL 0.9% NaCl IV over 6 hours. Which rate do you program into the infusion pump? A. B. C. D. 125 mL/hr 167 mL/hr 200 mL/hr 1000 mL/hr IVF: Round 2 Question 2 The nurse would select the dorsal venous plexus of the foot as an IV site for which patient? A. B. C. D. A 2-year-old child A 22-year-old adult A 50-year-old patient An 80-year-old patient IVF: Round 2 Question 2 The nurse would select the dorsal venous plexus of the foot as an IV site for which patient? A. B. C. D. A 2-year-old child A 22-year-old adult A 50-year-old patient An 80-year-old patient IVF: Round 2 Question 3 Which assessment finding should cause a nurse to question administering a sodiumcontaining isotonic intravenous fluid? A. B. C. D. Blood pressure 102/58 Dry mucous membranes Poor skin turgor Pitting edema IVF: Round 2 Question 3 Which assessment finding should cause a nurse to question administering a sodiumcontaining isotonic intravenous fluid? A. B. C. D. Blood pressure 102/58 Dry mucous membranes Poor skin turgor Pitting edema IVF: Round 2 Question 4 A nurse begins infusing a 250-mL bag of IV fluid at 1845 on Monday and programs the pump to infuse at 20 mL/hr. At what time should the infusion be completed? A. B. C. D. 0645 Tuesday 0675 Tuesday 0715 Tuesday 0735 Tuesday IVF: Round 2 Question 4 A nurse begins infusing a 250-mL bag of IV fluid at 1845 on Monday and programs the pump to infuse at 20 mL/hr. At what time should the infusion be completed? A. B. C. D. 0645 Tuesday 0675 Tuesday 0715 Tuesday 0735 Tuesday IVF: Round 2 Question 5 A nurse is caring for a patient who is in hypertensive crisis. When the nurse is flushing the patient’s peripheral IV, the patient complains of pain. Upon assessment, the nurse notices a red streak that is warm to the touch. What is the nurse’s initial action? A. Notify the physician. B. Administer pain medication. C. Discontinue the IV. D. Start a new IV line. IVF: Round 2 Question 5 A nurse is caring for a patient who is in hypertensive crisis. When the nurse is flushing the patient’s peripheral IV, the patient complains of pain. Upon assessment, the nurse notices a red streak that is warm to the touch. What is the nurse’s initial action? A. Notify the physician. B. Administer pain medication. C. Discontinue the IV. D. Start a new IV line. ROUND 2: BLOOD Blood: Round 2 Question 1 The nurse selects appropriate tubing for a blood transfusion by ensuring that the tubing has A. Two-way valves to allow the patient’s blood to mix and warm the blood transfusing. B. An injection port to mix additional electrolytes into the blood. C. An air vent to let bubbles in the blood escape. D. A filter to ensure that clots do not enter the patient. Blood: Round 2 Question 1 The nurse selects appropriate tubing for a blood transfusion by ensuring that the tubing has A. Two-way valves to allow the patient’s blood to mix and warm the blood transfusing. B. An injection port to mix additional electrolytes into the blood. C. An air vent to let bubbles in the blood escape. D. A filter to ensure that clots do not enter the patient. Blood: Round 2 Question 2 When administering blood, when should the first set of vital signs be taken? A. After the blood is running for 15 minutes B. After the blood is running for 30 minutes C. Before the blood is started D. Whenever the scheduled vital signs order says (08, 12, 16, etc) Blood: Round 2 Question 2 When administering blood, when should the first set of vital signs be taken? A. After the blood is running for 15 minutes B. After the blood is running for 30 minutes C. Before the blood is started D. Whenever the scheduled vital signs order says (08, 12, 16, etc) Blood: Round 2 Question 3 Hanging blood required a two nurse verification? A. True B. False Blood: Round 2 Question 3 Hanging blood required a two nurse verification? A. True B. False Blood: Round 2 Question 4 Which type of IV fluids should be used with blood administration? A. B. C. D. 0.9 Normal Saline D5NS 0.45 Normal Saline Lactated Ringers Blood: Round 2 Question 4 Which type of IV fluids should be used with blood administration? A. B. C. D. 0.9 Normal Saline D5NS 0.45 Normal Saline Lactated Ringers Blood: Round 2 Question 5 Someone with a blood type of “O” is a universal recipient, while someone with a blood type “AB” is a universal donor. A. True B. False Blood: Round 2 Question 5 Someone with a blood type of “O” is a universal recipient, while someone with a blood type “AB” is a universal donor. A. True B. False ROUND 2: ELECTROLYTES Electrolytes: Round 2 Question 1 Approximately two thirds of the body’s total water volume exists in the _____ fluid. A. B. C. D. Intracellular Interstitial Intravascular Transcellular Electrolytes: Round 2 Question 1 Approximately two thirds of the body’s total water volume exists in the _____ fluid. A. B. C. D. Intracellular Interstitial Intravascular Transcellular Electrolytes: Round 2 Question 2 The nurse understands that administering a hypertonic solution to a patient will shift water from the _____ to the _____ space. A. B. C. D. Intracellular; extracellular Extracellular; intracellular Intravascular; intracellular Intravascular; interstitial Electrolytes: Round 2 Question 2 The nurse understands that administering a hypertonic solution to a patient will shift water from the _____ to the _____ space. A. B. C. D. Intracellular; extracellular Extracellular; intracellular Intravascular; intracellular Intravascular; interstitial Electrolytes: Round 2 Question 3 A chemotherapy patient has gained 5 pounds in 2 days. Which assessment question by the nurse is most appropriate? A. “Are you having difficulty sleeping at night?” B. “How many calories a day do you consume?” C. “Do you have dry mouth or feel thirsty?” D. “How many times a day do you urinate?” Electrolytes: Round 2 Question 3 A chemotherapy patient has gained 5 pounds in 2 days. Which assessment question by the nurse is most appropriate? A. “Are you having difficulty sleeping at night?” B. “How many calories a day do you consume?” C. “Do you have dry mouth or feel thirsty?” D. “How many times a day do you urinate?” Electrolytes: Round 2 Question 4 The physician asks the nurse to monitor the fluid volume status of a congestive heart failure patient and a patient at risk for clinical dehydration. What is the most effective nursing intervention for monitoring both of these patients? A. Weigh the patients every morning before breakfast. B. Ask the patients to record their intake and output. C. Measure the patients’ blood pressure every 4 hours. D. Assess the patients for edema in extremities. Electrolytes: Round 2 Question 4 The physician asks the nurse to monitor the fluid volume status of a congestive heart failure patient and a patient at risk for clinical dehydration. What is the most effective nursing intervention for monitoring both of these patients? A. Weigh the patients every morning before breakfast. B. Ask the patients to record their intake and output. C. Measure the patients’ blood pressure every 4 hours. D. Assess the patients for edema in extremities. Electrolytes: Round 2 Question 5 A patient presents to the emergency department with the complaint of vomiting and diarrhea for the past 48 hours. The nurse anticipates which fluid therapy initially? A. B. C. D. 0.9% sodium chloride Dextrose 10% in water Dextrose 5% in water 0.45% sodium chloride Electrolytes: Round 2 Question 5 A patient presents to the emergency department with the complaint of vomiting and diarrhea for the past 48 hours. The nurse anticipates which fluid therapy initially? A. B. C. D. 0.9% sodium chloride Dextrose 10% in water Dextrose 5% in water 0.45% sodium chloride ROUND 2: ACID/BASE Acid/Base: Round 2 Question 1 Interpret the following blood gases: pH 7.46 CO2 30 HCO3 22 A. B. C. D. Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Acid/Base: Round 2 Question 1 Interpret the following blood gases: pH 7.46 CO2 30 HCO3 22 A. B. C. D. Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Acid/Base: Round 2 Question 2 Interpret the following blood gases: pH 7.28 CO2 35 HCO3 18 A. B. C. D. Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Acid/Base: Round 2 Question 2 Interpret the following blood gases: pH 7.28 CO2 35 HCO3 18 A. B. C. D. Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Acid/Base: Round 2 Question 3 Interpret the following blood gases: pH 7.52 CO2 42 HCO3 27 A. B. C. D. Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Acid/Base: Round 2 Question 3 Interpret the following blood gases: pH 7.52 CO2 42 HCO3 27 A. B. C. D. Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Acid/Base: Round 2 Question 4 Interpret the following blood gases: pH 7.32 CO2 54 HCO3 25 A. B. C. D. Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Acid/Base: Round 2 Question 4 Interpret the following blood gases: pH 7.32 CO2 54 HCO3 25 A. B. C. D. Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Acid/Base: Round 2 Question 5 Who sings “All About That Base”? A. B. C. D. Taylor Swift Adele Meghan Trainor Maddie & Tae Acid/Base: Round 2 Question 5 Who sings “All About That Base”? A. B. C. D. Taylor Swift Adele Meghan Trainor Maddie & Tae ROUND 2: NUTRITION Nutrition: Round 2 Question 1 The patient receiving total parenteral nutrition (TPN) asks the nurse why his blood glucose is being checked since he does not have diabetes. What is the best response by the nurse? A. TPN can cause hyperglycemia, and it is important to keep your blood glucose level in an acceptable range. B. The high concentration of dextrose in the TPN can give you diabetes; thus you need to be monitored closely. C. Monitoring your blood glucose level helps to determine the dose of insulin that you need to absorb the TPN. D. Checking your blood glucose level regularly helps to determine if the TPN is effective as a nutrition intervention. Nutrition: Round 2 Question 1 The patient receiving total parenteral nutrition (TPN) asks the nurse why his blood glucose is being checked since he does not have diabetes. What is the best response by the nurse? A. TPN can cause hyperglycemia, and it is important to keep your blood glucose level in an acceptable range. B. The high concentration of dextrose in the TPN can give you diabetes; thus you need to be monitored closely. C. Monitoring your blood glucose level helps to determine the dose of insulin that you need to absorb the TPN. D. Checking your blood glucose level regularly helps to determine if the TPN is effective as a nutrition intervention. Nutrition: Round 2 Question 2 The use of the “Chin Tuck” is discouraged for patients with difficulty swallowing because it may cause aspiration. A. True B. False Nutrition: Round 2 Question 2 The use of the “Chin Tuck” is discouraged for patients with difficulty swallowing because it may cause aspiration. A. True B. False Nutrition: Round 2 Question 3 While there is no single test to adequately assess a person’s nutritional status, one test that can give a good idea of a person’s nutritional status is: A. B. C. D. Creatinine Clearance Potassium Level Albumin Level Sodium Level Nutrition: Round 2 Question 3 While there is no single test to adequately assess a person’s nutritional status, one test that can give a good idea of a person’s nutritional status is: A. B. C. D. Creatinine Clearance Potassium Level Albumin Level Sodium Level Nutrition: Round 2 Question 4 A diet consisting only of: broth, coffee, tea, clear soda & juice, jello, and popsicles is a: A. B. C. D. Regular Diet Clear Liquid Diet Full Liquid Diet Pureed Diet Nutrition: Round 2 Question 4 A diet consisting only of: broth, coffee, tea, clear soda & juice, jello, and popsicles is a: A. B. C. D. Regular Diet Clear Liquid Diet Full Liquid Diet Pureed Diet Nutrition: Round 2 Question 5 Complications of Parental Nutrition could include all of the following, except: A. B. C. D. Pneumothorax Hypoglycemia Sepsis Gastric residual > 200mL Nutrition: Round 2 Question 5 Complications of Parental Nutrition could include all of the following, except: A. B. C. D. Pneumothorax Hypoglycemia Sepsis Gastric residual > 200mL Bonus Round: Top two teams Bonus: Question 1 A patient was admitted for hypovolemia and has intravenous fluid running at 250 mL/hr. The patient complains of burning at the IV insertion site. Upon assessment, the nurse does not find redness, swelling, heat, or coolness. The nurse suspects that the A. IV has infiltrated. B. IV has caused phlebitis. C. Fluid is infusing too quickly. D. Patient is allergic to the fluid. Bonus: Question 1 A patient was admitted for hypovolemia and has intravenous fluid running at 250 mL/hr. The patient complains of burning at the IV insertion site. Upon assessment, the nurse does not find redness, swelling, heat, or coolness. The nurse suspects that the A. IV has infiltrated. B. IV has caused phlebitis. C. Fluid is infusing too quickly. D. Patient is allergic to the fluid. Bonus: Question 2 The nurse is caring for a patient with sepsis. The plan of care for the patient is to administer antibiotics 3 times a day for 4 weeks. What device will be used to administer these antibiotics? A. B. C. D. A continuous infusion A heparin locked peripheral catheter A PICC line An implanted port catheter Bonus: Question 2 The nurse is caring for a patient with sepsis. The plan of care for the patient is to administer antibiotics 3 times a day for 4 weeks. What device will be used to administer these antibiotics? A. B. C. D. A continuous infusion A heparin locked peripheral catheter A PICC line An implanted port catheter Bonus: Question 3 When selecting a site to insert an intravenous catheter on an adult, the nurse should (Select all that apply.) A. Start proximally and move distally on the arm. B. Choose a vein with minimal curvature. C. Choose the patient’s dominant arm. D. Check for contraindications to the extremity. E. Select a vein that is rigid. F. Avoid areas of flexion. Bonus: Question 3 When selecting a site to insert an intravenous catheter on an adult, the nurse should (Select all that apply.) A. Start proximally and move distally on the arm. B. Choose a vein with minimal curvature. C. Choose the patient’s dominant arm. D. Check for contraindications to the extremity. E. Select a vein that is rigid. F. Avoid areas of flexion. Bonus: Question 4 When discontinuing a peripheral IV access, the nurse should (Select all that apply.) A. Use scissors to remove the IV site dressing and tape. B. Keep the catheter parallel to the skin while removing it. C. Apply firm pressure with sterile gauze during removal. D. Stop the infusion before removing the IV catheter. E. Wear sterile gloves and a mask. F. Apply pressure to the site for 2 to 3 minutes after removal. Bonus: Question 4 When discontinuing a peripheral IV access, the nurse should (Select all that apply.) A. Use scissors to remove the IV site dressing and tape. B. Keep the catheter parallel to the skin while removing it. C. Apply firm pressure with sterile gauze during removal. D. Stop the infusion before removing the IV catheter. E. Wear sterile gloves and a mask. F. Apply pressure to the site for 2 to 3 minutes after removal. Bonus: Question 5 The nurse is caring for a patient with hyperkalemia. Which body system would be most important for the nurse plan to monitor closely? A. B. C. D. Gastrointestinal Neurological Cardiac Respiratory Bonus: Question 5 The nurse is caring for a patient with hyperkalemia. Which body system would be most important for the nurse plan to monitor closely? A. B. C. D. Gastrointestinal Neurological Cardiac Respiratory