Patient Assessment
A nurse is performing a skin assessment on an elderly patient. What is a common finding that the nurse should expect?
What is thinning skin and decreased elasticity?
A nurse called a patient a "frequent flyer". What type of behavior is this?
What is stereotyping?
A school-aged child is undergoing surgery. What is the best method to educate the child?
What is doll thaerapy?
What is the nurses primary action to help reduce infections?
What is hand hygiene before and after each patient encounter?
A patient with advanced lung cancer has stopped breathing and there is no DNR on file. What is your priority action?
What is to initiate a code/CPR?
A patient is admitted with a history of heart failure and shows labored breathing. How should the nurse classify this phase of illness?
What is an acute exacerbation of a chronic illness?
Your patient refuses a flu vaccine, claiming that she read that vaccines are ineffective. What is your best response?
What is educating the patient on scientific support for vaccines?
What is the priority action for the nurse caring for a pediatric patient?
What is safety?
A nurse is caring for a patient post fall. What is their priority action in relation to infection control?
What is to perform hand hygiene?
A nurse helps a patient sit up, but the nurse manager notices the bed is in the highest position, what should happen next?
Immediate action by the manager, nurse should lower bed.
A patient reports feeling very stressed and not feeling well. What vital sign may show that?
What is blood pressure?
Your patient speaks English as a second language. You and another nurse are whispering information to each other while assessing him. What type of behavior is this?
What is unconscious bias?
A nurse wants to make their patients more comfortable in the long-term care facility. What can they do?
What is knock on the door before entering?
A patient with a surgical site infection is receiving care. What is the nurse's role in infection control?
What is to monitor for signs of infection and maintain sterile techniques?
A nurse is using standardized precautions on a patient admitted for observation after an episode of syncope. The nurse is obtaining the patient's vital signs. What should the nurse do before coming into contact with the patient?
What is hand hygiene?
You are caring for a patient with left-sided weakness, confusion, and impulsive behaviors following a stroke last night. What is your highest nursing priority?
What is safety? (bed alarm, sitter, etc!)
A family member of your patient on hospice is at bedside. The patient is actively dying. The family member asks what they should do, what is the best response?
What is to say goodbye?
A nurse is teaching a patient about their condition. What is a key component to include?
What is the importance of patient understanding?
When should a nurse implement standard precautions?
What is at all times while providing care?
A nurse is caring for a hospice patient experiencing periods of apnea. What is the priority action?
What is to continue to monitor?
You are caring for a patient with diabetes. What is a priority body part to assess?
What are the feet?
A nurse is performing postmortem care. What is the priority action?
What is bathing the body and removing all tubes (unless autopsy is prescribed)?
What is the best approach for a nurse to take when discussing a treatment option with a patient?
What is ensuring that the patient has the information to make an informed decision?
What can a nurse do to ensure a clean environment to prevent infection?
What is to regularly disinfect surfaces and equipment?
A patient has developed redness and increased drainage at their surgical site. What does the nurse anticipate the provider will order?
What are antibiotics?