PRACTICE QUESTIONS EXAM PART B All parts must be completed within a twenty-four-hour period as per the instructions on LMS. PART B PRACTICE QUESTIONS Part B will be comprised of ten (10) short answer questions which will be taken from all materials covered but with focus on the introductory, paediatric, gastrointestinal, and vascular modules. You will have one hour and ten minutes to complete these questions You will have the ability to write up to ten lines per question. Question 1 You are caring for Rosie, a five-year-old child admitted to the paediatric ward with asthma. How would you assess Rosie and the start of your shift? What would be indications in a child of that age that her condition is becoming very serious and why? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 2 Your patient is receiving nasogastric feeding via a fine bore nasogastric tube for nutritional support following surgery. Discuss the relevant nursing interventions to minimize the two (2) complications listed below: -________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Tube obstruction ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 3 When preparing beside equipment for a patient who has a tracheostomy tube insitue list six items that you would need to ensure were present and why? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 4 Your patient has an intercostal catheter insitue connected to an underwater sealed drain (UWSD) Describe the process for assessment of the working of the UWSD and the process for assessing the respiratory function of the patient ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 5 Identify the components of the Glasgow Coma Scale (GCS), and the method of assessing each component ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 5 Define and discuss the criteria for the following Urgent clinical review (UCR) __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ MET __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Code Blue __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 7 Where does the tip of a Central Venous Catheter (CVC) lie? What investigation is ordered once the CVC is inserted to confirm its position is correct? List four possible complications that a patient may experience as a result of having a central line insitue. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 8 You are caring for a patient with a fractured neck of femur who is showing signs of compartment syndrome. Define compartment syndrome and list five (5) assessment findings in the limb consistent with this diagnosis. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 9 You are caring for a 91-year-old patient who has been admitted to the medical ward with a deep vein thrombosis (DVT) and left lower leg cellulitis. She has an intravenous catheter insitue and a urinary catheter. You are concerned that she may develop sepsis. List six nursing interventions that may prevent sepsis in this patient ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Question 10 You are caring for a patient who is currently on chemotherapy and has presented to the emergency department with fevers for 24 hours. This patient has a peripherally inserted central (PICC) line insitue which is red swollen and painful at the site of insertion Several interventions are currently needed for this patient including a full septic screen, and removal of the PICC line. Provide an explanation for each of these interventions. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
