Nursing Competency Exam

First Name Last Name

a. 7 cc b. 7.5 cc c. 6 cc

a. Place heel of hand next to index finger of the notch on the sternum. b. Place two hands one-finger width below the notch of the sternum. c. Place 2 fingers just below the nipple line.

a. Decreased infection b. Thinning of secretions c. Relaxing of smooth muscles

a. Advance the tube until resistance ismet b. Advance tube until gastric contents are received c. Measure the distance from the nose to the earlobe to the epigastric area of the abdomen. d. Divide the height of the child by 1/3 and use this length.

a. 30:2 b. 15:2 c. 5:1 d. 20:4

a. Nausea and vomiting b. Respiratory Depression c. Rash d. Severe bronco-spasms

a. Leave the patient alone because added stimulus will increase the severity of the seizure. b. Protect the patient from injury, tum on side to keep airway clear. c. Start CPR d. Insert small item in mouth to keep from biting tongue.

a. 6 cc's b. 1 cc' c. 7.5 cc's d. 8.2 cc's

a. Flush the tubing before and after the medication is administered. b. Give the medication directly into the Mickey with a syringe. c. Dissolve the crushed pills as much as possible to avoid clogging the tube. d. Keep the child's head elevated 30 degrees or more.

1. a, b, c 2. b, a, c 3. b, c, a

a. When withdrawing the suction catheter you should apply intermittent suction. b. Inserting the suction catheter as far as possible each time will ensureproper removal of all secretions. c. Apply suction upon insertion and removal of suction catheter. d. A catheter that has been used to clear nasal or oral secretions shouldnot be used for tracheal suctioning.

a. Coloring book, Play-doh b. Stacking toys, simple puzzles, hidden object toys. c. Video Games d. Jacks

a. Monitor for increased thirst. b. Monitor temperature c. Monitor Heart Rate d. Monitor bowel movements

a. A cuff too small will lead to falsely elevated blood pressures. b. A cuff to large will lead to falsely low blood pressures c. There is no difference with either.

a. Carotid Pulse site b. Brachial Pulse site c. Radial Pulse site d. Pedal-Dorsalis Pulse site

a. High Blood sugar b. Low Blood sugar

a. Administer insulin b. Check blood glucose and have client drink a glass of orange juice. c. Encourage client to take a nap

a. If it is not written you did not do it. b. To assist the client in keeping the skilled nursing service through the state. c. To protect your home, license and belongings from negligence law suits. d. To demonstrate that you are performing skilled interventions, judgments and evaluations on a regular basis e. That you're obtaining a nursing license was not a fluke. f. All of the above

a. Pharynx b. Larynx c. Trachea d. Bronchus

a. The humidity of the air delivered b. Warms the air delivered c. Helps control the client's temperature.

a. Rib cage b. Sternum c. Diaphragm d. Bronchioles

a. Oxygen b. Nitrogen c. Surfactant d. Calcium

a. Air b. Bronchus c. Alveoli d. Liver

a. Tell the client you going to do so. b. Give them some extra breathsto increase their oxygen levels. c. Ensure all needed equipment is readilyavailable. d. All of the above.

a. Forced air b. Frequency of respirations c. Percentage of oxygen d. Rate of respirations

a. Place a towel under theneck to hyperextend the neck. b. Insure that the trach and all needed equipment is in immediate proximity. c. Have help present. d. All of the above

1. a, b, d 2. b, c, d 3. a, b, c 4. a, c, d

38. Match the following abbreviations to the correct terms:

a. Avoid activities that require alertness b. Limit sun exposure c. Increase dietary calcium d. Exercise daily

a. Flow rate is acceptable b. Flow rate is toohigh c. Flow rate is too low d. Client should not be receiving oxygen at all

a. Ensure client takes enough fluids in to prevent constipation b. Provide protection or sunscreen if going out on a sunny day. c. Monitor for disturbed sleep patterns. d. Assist with ambulation to insure stability.

For Office Use Only:

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