Vital Signs
This oxygen saturation requires immediate intervention in an individual without COPD.
What is less than 90%?
This is the correct order for abdominal assessment.
What is Inspect, Auscultate, Percuss, Palpate?
This is the first step of the Clinical Judgment Measurement Model.
What is Recognize Cues?
List three acceptable patient identifiers.
What is name, date of birth, phone number, social security number, medical record number?
1 TBS. equals this many mL.
What is 15 mL?
The "S" in ISBAR stands for this.
What is situation?
A pulse rated +4 is described as this.
What is a bounding pulse?
Crackles heard in the right lower lobe are considered this type of finding.
What is unexpected?
After analyzing cues, this step comes next.
What is Prioritize Hypotheses?
For C. diff, hand hygiene must be performed using this method.
What is soap and water?
3 oz equals this many mL.
What is 90 ml?
Dry mucous membranes, tenting, hypotension most likely indicate this condition.
What is dehydration?
This capillary refill time is considered abnormal in adults.
What is greater than 3 seconds?
To assess level of consciousness, the nurse asks these four orientation questions.
What is person, place, time, and situation?
A pneumonia patient with O2 sat 89% — this is the FIRST action.
What is raise the head of the bed?
This federal law requires hospitals to screen and stabilize patients regardless of payment.
What is Emergency Medical Treatment and Labor Act (EMTALA)?
110 lb is approximately this many kg. (round to nearest whole number)
What is 50 kg?
This data type includes measurable findings like respiratory rate 22.
What is objective data?
A patient with fever and flushed skin should receive these nursing actions (list at least 3).
What is encourage cool fluids / reduce room temperature / give antipyretic?
List four common pressure points on the human body.
Occiput Scapula Elbow Spinal Column
Sacrum Ischial tuberosities Iliac Crest
Medial knee Malleolus Calcaneous
This framework helps nurses decide priorities listing physiologic needs first.
What is Maslow’s Hierarchy of Needs?
This scale is used to determine a patient's fall risk.
What is the Morse Fall Risk Scale?
5.4 kg equals this many grams.
What is 5400 g?
A patient expressing loneliness in long-term care is experiencing this Maslow need.
What is love and belonging?
This abnormal blood pressure reading in a dehydrated patient must be reported immediately.
What is hypotension (e.g., 88/56)?
Difficulty palpating dorsalis pedis pulse — this is the next action.
What is obtain a Doppler?
This principle reminds nurses to treat airway and breathing first.
What is ABCDE?
A patient is fasting for religious reasons but their meds are scheduled with meals — the best nursing action is this.
What is collaborate with patient and provider to adjust schedule?
10 ounces of water equals this many ml. (Round to nearest whole number).
What is 300 ml?
Teaching stroke recovery with adaptive tools is this level of prevention.
What is tertiary prevention?