What is the sing most important means of controlling and preventing the spread of infections? A. Wearing goggles B. Hand washing C. Wearing gloves D. wearing gown - B. hand washing What observation should you report to the register nurse when caring for a patient with peritoneal dialysis catheter? A. purulent drainage B. Tubing visible under skin C. Absorbent gauze over site D. Clamped catheter - A. Purulent drainage Which of the following is the route of administration of a drug that is placed under the tongue? A. Buccal B. Transdermal C. Topical D. Sublingual - D. Sublingual What communication technique would you attempt when asking hard of hearing patient to write their pain score on paper and you still don't understand what it says? A. Confirm what was written with the family member at the bedside B. Request a medical interpreter C. Document the last recorded pain number D. Ask the patient to point to their pain level on a scale - D. Ask the patient to point to their pain level on a scale For a patient with acute pancreatitis who is experiencing abdominal pain , what diet orders do you expect to be in the plan of care? A. Nasogastric tube flushes B. Clear liquid diet C. Nothing by mouth D. Out of bed to chair with meals - C. Nothing by mouth The CNA tells you that a patient who is nonverbal has grimacing look on their face. What is the first thing that you should do? A. Tell the CNA to make sure the patient is repositioned and brief is dry B. Tell the CNA is just how the patient loo C. Immediately go check on the patient D. Wait for your next med pas to check the patient - C. Immediately go check on the patient What is the most common sign of hypoxia? A. Elevated blood pressure B. Low blood glucose C. Cyanotic lips and fingernails D. Increased shivering - C. Cyanotic lips and fingernails Your patient has suddenly developed slurred speech and ride side weakness, what should you do FIRST? A. Call for help B. Sit their head of bed upright C. Contact their family D. Request order soft diet - A. Call for help You are performing a routine follow up visit on an elderly patient and observe he is exhibiting symptoms of dehydration and complaints of persistent fatigue. The patient reports that his care-taker only feeds him once per day and limits his fluid intake. You suspect the patient is? A. Neglect B. Sexual abuse C. Abandonment D. Physical abuse - A. Neglect A65- year old smoker with a history of high blood pressure present to an ambulatory setting with eye complaints and facial paralysis. Which of the following vital signs would you find MOST alarming? A. Oxygen saturation of 94% B. temperature of 99. 6F C. Blood pressure of 200/100 D. Resting heart rate of 95 bpm - C. Blood pressure of 200/100 Older patients are at risk for which of the following condition? A. Increased gastric motility B. Increased pain treshold C. Increased skin elastisity D. Increased cardiact output - B. Increased pain treshold