Assessment & I&O
Safety
Nursing Skills
Electrolytes & ABGs
Vital Signs & Neuro
100

A patient consumes 100 mL of ice. How should it be counted as fluid intake?

  • 50 mL of fluid intake.
  • Ice is generally counted as half of its original volume once melted.
100

When can physical restraints be considered?

  • When the patient presents an immediate safety risk.
  • When the patient may harm themselves.
  • When the patient may harm another person.
  • When less restrictive interventions have failed.
  • When restraints are clinically justified and properly ordered according to policy.
100

What technique should be used during Foley catheter insertion?

  • Sterile technique.
  • Aseptic technique.
  • Proper hand hygiene.
  • Avoid contamination of the catheter.
100

Which ABG values are important when determining acid-base balance?

  • pH
  • PaCO₂
  • HCO₃
100

What does PERRLA stand for?

  • Pupils
  • Equal
  • Round
  • Reactive to
  • Light
  • Accommodation
200

A patient consumes 240 mL of water, 30 mL of juice, and 100 mL of ice. What is the recorded intake?

  • 240 mL water
  • 30 mL juice
  • 50 mL ice
  • Total: 320 mL
200

What should the nurse monitor after applying physical restraints?

  • Skin integrity.
  • Circulation.
  • Sensation.
  • Movement.
  • Comfort.
  • Vital signs as appropriate.
  • Continued need for the restraint.
200

How often should routine Foley catheter care be performed?

  • Daily.
  • Whenever needed because of contamination or soiling.
  • According to facility policy and the patient's condition.
200

A patient taking beta blockers has symptomatic bradycardia with a heart rate of 45. What intervention may be appropriate?

  • Administer atropine if prescribed/indicated.
  • Assess the patient's symptoms and vital signs.
  • Place the patient on appropriate cardiac monitoring.
  • Notify the provider or follow the bradycardia protocol as indicated.
200

Where is the brachial pulse located?

  • On the inner aspect of the upper arm.
  • Between the biceps and triceps muscles.
300

What foods can provide potassium for a patient with hypokalemia?

  • Bananas
  • Avocados
  • Cantaloupe
  • Potatoes
  • Beans
300

Why should restraints not be used for staff convenience?

  • They restrict the patient's freedom.
  • They can cause physical injury.
  • They can cause psychological distress.
  • They are not appropriate as punishment.
  • They should only be used when necessary for safety.
300

What are appropriate practices during Foley catheter care?

  • Clean the perineal area.
  • Maintain the closed drainage system.
  • Keep the drainage bag off the floor.
  • Avoid unnecessary disconnections.
  • Perform hand hygiene.
300

Interpret these ABGs: pH 7.30, PaCO₂ 50, HCO₃ 26.

  • Respiratory acidosis.
  • The pH is acidic.
  • PaCO₂ is elevated.
  • Bicarbonate is within the normal range.
  • This represents an uncompensated respiratory acidosis.
300

What position can help the nurse locate the brachial pulse?

  • Extend the patient's arm.
  • Position the palm facing upward.
  • Palpate the inner aspect of the arm near the antecubital area.
400

A patient taking a loop diuretic develops fatigue and muscle cramps. What should the nurse consider?

  • Possible potassium loss.
  • Hypokalemia.
  • Potassium-rich foods such as potatoes may be appropriate.
  • Monitor potassium levels as ordered.
400

What should the nurse do when a patient refuses medication?

  • Ask about the reason for refusal.
  • Address concerns.
  • Provide education.
  • Respect the patient's right to refuse.
  • Notify the provider when appropriate.
  • Document the refusal and interventions.
400

How can the nurse prevent accidental displacement when changing tracheostomy ties?

  • Secure the new ties before removing the old ones.
  • Maintain control of the tracheostomy tube.
  • Make sure the new ties are secure but not excessively tight.
400

A patient has a low pH, elevated PaCO₂, and normal HCO₃. How would you describe the imbalance?

  • Respiratory acidosis.
  • Uncompensated respiratory acidosis.
  • The respiratory component is responsible because the PaCO₂ is elevated.
400

What pulse is located behind the knee?

  • The popliteal pulse.
  • It is located in the popliteal fossa.
500

A patient has constipation, bloating, and difficulty passing stool. What interventions may help?

  • Increase dietary fiber if appropriate.
  • Encourage adequate hydration if not contraindicated.
  • Encourage physical activity as tolerated.
  • Assess medications and other contributing factors.
  • Monitor bowel patterns.
500

What are examples of situations where patient safety should be prioritized?

  • A patient attempting to harm themselves.
  • A patient threatening to harm another person.
  • A patient experiencing an airway obstruction.
  • A patient showing signs of severe respiratory distress.
  • Any situation involving an immediate threat to life or safety.
500

What information can assistive personnel report about a stable patient with a tracheostomy?

  • Amount of secretions.
  • Color of secretions.
  • General appearance of secretions.
  • Observable changes in the patient.
  • Changes that can then be reported to the nurse for further assessment.
500

You are brace for picking electrolytes and ABGs 500. Here is your prize:

A free 500 points and you get to steal another group's question, regardless if you are next to steal or not.

500

Who are your two best professors so far?

Professor Sarah and Professor Gabe

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