Novice
Advanced Beginner
Competent
Proficient
Expert
100
A new nurse knows that the 6 vitals signs that should be obtained during an initial assessment of all patients include?
What are blood pressure, temperature, respirations, heart rate, pain, and oxygen
100

A client has difficulty breathing after his first day back from knee surgery, when you ascultate the lung sounds you hear some crackles. Next you ask the client to cough and deep breath three times and instruct the PCA to bring the client an incentive spirometer. What may the client be experiencing? 

What is atelectasis?
100
A client is on 250 units of Heparin for a DVT in his lower leg. The nurse knows that this test is used to determine the clotting time of the client's blood while he is on Lovenox
What is PTT or partial thromboplastin time
100
A patient is presenting to the Emergency Department with cough, dyspnea, an increased work of breathing, cyanosis, crackles on auscultation, and pulmonary edema. The proficient nurse knows that this client is most likely suffering from ____ heart failure
What is left sided heart failure
100

The nurse emptied 2000 mL from the drainage bag of a continuous irrigation of a client who had a transurethral resection of the prostate (TURP). The amount of irrigation in the bag hanging was 3000 mL at the beginning of the shift. There was 1800 mL left in the bag eight (8) hours later. What is the correct urine output at the end of the eight (8) hours

What is 800mL
200

A new nurse knows that she must use the process of ADPIE in order to create an adequate nursing care plan when caring for her patient. ADPIE stands for 

Assessment, Diagnosis, Plan, Intervention, and Evaluation
200

A client is experiencing polyuria, poydypsia, and polyphasia along with weight loss and fatigue

What is type one diabetes?
200
A client presents to the Emergency Department with complaints of vomiting and diarrhea. The competent nurse knows that this location on the body will give her the most accurate temperature reading.
What is oral 
200

A patient is admitted for a new diagnosis of aldosteronism (which is an excessive production of the hormone aldosterone), as a result the patient has low levels of renin in their kidneys. The patients blood pressure is 140/86 but they inform you that this is not their normal reading and that they have never been diagnosed with hypertension before. You know that they have most likely developed ______ hypertension.

What is secondary hypertenstion
200
A client has been prescribed 5mg of IV Morphine every 4 hours for pain, when you walk into the client's room you notice that the client's respirations are 6, the O2 stat is 83%, and that his breathing is shallow. What action should the nurse take next?
What is arouse client, give oxygen, or use reversal drug 
300
Your patient had surgery at 9am this morning and it is now 6pm in the evening and she has had an urine output of 200mL in total. You know this is a potential problem because she has to have an output of at least ___mL/hour
What is 30mL 
300
A patient presents to Urgent Care with complains of stomach pain that started 2 days ago and has a spread to the right side of her abdomen. The nurse assesses the abdomen in which order?
What is inspect, auscultate, palpate, and percussion
300
A patient with type 2 diabetes is taking an oral insulin agent to maintain stable blood glucose levels. The patient is scheduled for a CT scan tomorrow and the agent has to be discontinued temporarily because it can have a side effect with the contrast dye. What is the oral insulin agent?
What is metformin or glucophage 
300
A client is being discharged from the floor after having an acute gouty attack. The nurse is teaching the client about the different medications that prescribed by the PCP for gout. The nurse tells the client that this particular medication is used to prevent attacks by decreasing the productions of uric acid in the body (and cannot be used to treat gout attacks once they occur). This medication is also known as
What is allopurinol
300
A client with asthma asks the nurse why he is prescribed two inhalers. The nurse explains that albuterol is a bronchodilator (which opens up the airways and prevents bronchospasms), while dexamethasone is a steroid (which prevents the body from producing an inflammatory response). The client then asks the nurse which one should he take first
What is albuterol
400
A new graduate nurse is listening to a client's heart sounds. She knows that when the first sound heard (lub) is the closing of the __ valves while the second sound heard (dub) is the closing of the __ valves
What are AV valves and semilunar valves respectively 

(tricuspid and bicuspid/mitral) and the (aortic and pulmonic)

400

An advanced beginner nurse knows that the normal lab values for potassium are 

What is 3.5-5.0 mEq/L
400

This category of antibiotics have a distinctive warning for a risk of tendinitis and tender rupture when in use (ex: Ciproflaxin)

What are fluoroquinolones?
400
The nurse was assigned to a client who was rushed to the Emergency Department after he broke his tibia. The paramedics wrapped the patient's leg tightly with an ace bandage. The proficient nurse knows she must assess the client's neurovascular status by assessing the six P's.
What are pulselessness, parathesia, pain, paralysis, pallor, and pressure
400
A client is experiencing a hemorrhage and as a result is beginning to experience hypovolemic shock, the expert nurse has obtained a consent form from the client to begin a blood transfusion immediately. The nurse knows that this client will most likely require which type of blood components 
Whole blood
500
A patient is experiencing a threat to her respiratory status due to a build up of secretions in her lungs. The provider orders an increase in fluids and a dose of expectorants. The nurse instructs the client to cough and deep and then auscultate the lung sounds for crackles. The nurse will most likely give this patient a nursing diagnosis of
What is ineffective airway clearance?
500
A client begins to seize while the nurse is in the room, once the client is in postictal stage the nurse knows that the very first thing she has to do is position the client  ___ ____ and determine the respiratory status.
What is position the client on his or her side
500

The doctor ordered a bowel prep before a patient's colonoscopy exam in the morning. The nurse knows that when she inserts the enema into the client's rectal he has to be on his ___ side

What is left sided heart failure
500
A proficient nurse understands that a diabetic client must take this medication with the first bite of a meal
What is arcarbose-precose

What is miglitol-gylcoset

500
A client with a NG tube has been vomiting for two hours, the nurse assesses the client and finds that the client is confused, irritable, and hypoventilating on arrival. The clients pH is 7.43, CO2 is 42, and her bicarbonate is 30, the expert nurse knows that this client is most likely suffering from 
What is metabolic alkalosis?
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