Transcript round 1

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