Infection Control & Safety
What type of precautions are required for varicella?
What is airborne precautions?
During the dying process, a client shows deep/shallow breaths with periods of apnea. What is this called?
What is Cheyne- Stokes respirations
Auscultating lungs represents which step of the nursing process?
What is assessment?
What is the best position to help with prevention of aspiration during oral intake?
What is high-fowlers
A pulse rate of 56 beats per minute in an adult is considered this
What is bradycardia
For a client with MRSA, what is the most appropriate nursing action?
Dedicate equipment & use contact precautions.
During the dying process, this skin manifestation causes cool extremities and purple marbling
What is mottling?
A nurse evaluates pain 30 minutes after medication. Which step in the nursing process is this?
What is evaluation?
Clients with dysphagia should avoid what type of foods on pureed diet?
Raw fruits/vegetables.
Blanching lasting more than 3 seconds indicates what?
What is delayed capillary refill?
Shingles (varicella) requires the nurse the wear what type of mask?
What is an N95 for airborne precautions
A client says, “You don’t know what you’re doing!” Which Kübler–Ross stage of grief is this?
What is anger?
Which of the 5 Rights of Delegation is violated when an UAP is asked to listen for bowel sounds?
What is wrong task?
Out of their scope of practice
A client snores loudly, gained weight, smokes again, and is exhausted. What sleep disorder is likely?
What is obstructive sleep apnea?
A hemorrhage would cause this vital sign change with blood pressure measurement
What is hypotension
What is the body’s main protection against pathogen invasion?
What is the skin
A parent expresses overwhelming emptiness and suicidal thoughts one year after their child’s death. What type of grief is this?
What is exaggerated grief?
A nurse threatens not to answer the call bell if the client keeps ringing. What legal issue is this?
What is assault?
Grape juice would be included in what type of patient diet?
What is clear liquids
This change is the most debilitating problem for older adults
What is impaired mobility?
A nurse finds a client on the floor. What should be documented in the incident report?
Only what was observed factually (e.g., “Client found lying on floor”).
What is the core philosophy of hospice?
Focus on symptom management & comfort care.
What is the correct order of the nursing process?
What is Assessment, Planning, Implementation, Evaluation
The nurse is educating a client who will begin a bowel training program. What interventions does this encourage?
What is toileting on a schedule, increasing fluids and increasing fiber intake.
What temperature is considered febrile?
38 degrees C or 100.4 degrees F and above