FUNDAMENTALS
This is the normal adult Temperatre range
What is 96.8*F to 100.4*F
This is the most effective way to prevent falls.
What is performing a fall-risk assessment and implementing precautions?
This is the single most effective method to prevent infection.
What is hand hygiene?
Before administering any medication, the nurse should verify this using two identifiers.
What is patient identity?
Which patient should be assessed first?
What is the patient with blood glucose 52?
This position helps prevent aspiration during oral feeding.
What is High Fowler's or upright position?
Before moving a patient, the nurse should first determine this.
What is the patient's ability to assist?
How does the patient move?
This is the type of isolation required for Clostridioides difficile.
What are Contact Precautions?
This insulin has the fastest onset.
What is rapid-acting insulin?
Which patient should the nurse see first?
What is the patient with oxygen saturation 88%?
A patient reports pain 8/10. What is the nurse's first action?
What is assess the pain?
A confused patient repeatedly attempts to get out of bed. What intervention should the nurse try before restraints?
What is frequent observation, or bed alarm, or reorientation?
A nurse enters a room with airborne precautions. What PPE is required?
What is an N95 respirator?
A patient receiving opioids should be monitored closely for this complication.
What is respiratory depression?
Which patient should the nurse assess first?
What is the patient with potassium 6.3?
This documentation error should never occur in the medical record.
What is charting care that was not performed?
A patient receives the wrong medication. What is the nurse's priority action?
What is assess the patient?
A patient with an indwelling urinary catheter complains of bladder discomfort and has decreased urine output. What should the nurse assess first?
What is checking for kinks or obstruction in the catheter tubing?
Before administering digoxin, the nurse obtains an apical pulse of 52 beats per minute. What should the nurse do?
What is hold the medication and notify the provider?
Which patient should be seen first?
What is the patient with sudden facial droop?
The nurse administered a medication at 0800 but forgot to document it. At 1200, the nurse realizes the omission. What is the most appropriate action?
What is document the medication administration as a late entry according to facility policy?
A fire occurs in a patient room. What does the "R" in RACE stand for?
What is Rescue?
During a sterile dressing change, the nurse accidentally splashes sterile saline onto the sterile field. What should the nurse do?
What is consider the sterile field contaminated and establish a new sterile field?
A patient receiving furosemide reports muscle weakness and palpitations. Which laboratory value should the nurse review first?
What is the potassium level?
The nurse has four patients:
What is the patient with chest pain and diaphoresis?