RN101
Home of the Registered Nurses (RN) and
Licensed Practical Nurses (LPN)

SITUATION I

 

Question 1:

3-A

4-B

2-C

1-D

 

SITUATION II

 

Question 1:

Nurse: 234

LPN: 5

PAB: 1

 

SITUATION III

 

Question 1:

Age (89-year-old)

 

SITUATION IV

 

Question 1:

Sputum culture

 

SITUATION V

 

Question 1:

1. Placenta previa

2. Abruptio placenta

3. Premature birth

4. Intrauterine fetal death

5. Fetal growth restriction

 

SITUATION VI

 

Question 1:

1. Humidify the oxygen

2. Apply a water-soluble jelly

 

SITUATION VII

 

Question 1:

1. Audible adventitious breath sounds

2. Substernal or sub-clavicular retractions

3. Inability to complete a sentence

4. Peripheral cyanosis

5. LOC and alertness changes

6. Obstruction of the nasal passage caused by the presence of nasal secretions or discharge from the nasal passage

 

Question 2:

Take bronchodilator (Salbutamol) Ventolin first in order to dilate the airway by preventing bronchospasm which allows better absorption of fluticasone the corticosteroid that will diminish the inflammation in the airways.

Wait 3-5 minutes in between medications.

 

Question 3:

1. Administer oxygen 2L via nasal prong

2. Stay and reassure the patient

3. Administer Albuterol 2 puffs as prescribed

4. Put the patient in sitting position or Fowler's position

5. Take the patient’s vital signs

6. Perform lung assessment

 

Question 4:

1. Take meds before activity (15mins)

2. No strenuous exercises

3. Avoid extreme weather

4. Activity with rest periods

 

SITUATION VIII

 

Question 1:

48-72 hours

 

Question 2:

Liver function test (ALT or AST)

 

SITUATION IX

 

Question 1:

1. 69-year-old (low immune system)

2. She lives in a long-term facility care (higher risk)

 

Question 2:

1. Pain or swelling at the injection site – cold compress

2. Fever – Tylenol

3. Malaise – rest.

 

Question 3:

Occulorespiratory syndrome

 

Question 4:

1. Encourage bed rest

2. Increase fluid intake

3. Monitor vital signs

4. Give analgesics or Tylenol as per protocol or if any fever

5. Notify MD if symptoms get worse

 

Question 5:

Pneumonia

SITUATION X

 

Question 1:

Temporary side effects of the bronchodilator

 

Question 2:

1. Inhalers have little systemic absorption

2. With low dose prescribed; there is little risk of disturbing growth

 

SITUATION XI

 

Question 1:

1. Let it bleed

2. Wash it with soap and water

3. Have a blood test

4. Extra: Incident report, notify the head nurse or MD

 

SITUATION XII

 

Question 1:

Acute adrenocortical insufficiency

 

SITUATION XIII

 

Question 1:

Two hours after a meal

 

SITUATION XIV

 

Question 1:

Before weaning a client from mechanical ventilation, it's most important to have baseline ABG levels. During the weaning process, ABG levels will be checked to assess how the client is tolerating the procedure. 

 

SITUATION XV

 

Question 1:

Growth rate

 

SITUATION XVI

 

Question 1:

Crackles

 

SITUATION XVII

 

Question 1:

4-AAA (Pulsating mass may rupture, emergency).

5-Ectopic pregnancy (Left lower quadrant pain, life-threatening condition, emergency).

2-Appendicitis (Needs evaluation to rule out appendicitis, possible surgery).

3-Gallbladder problem (Vomiting, which appears to be worsening).

1-Food poisoning (Usually self-limiting).

6-Ulcer (Needs a follow-up and teaching about lifestyle changes).