Med/Surg
This lab value indicates heart muscle damage and is elevated after a myocardial infarction.
What is troponin?
This is the first priority when a patient arrives in the ICU with respiratory distress.
What is assessing airway, breathing, and oxygenation?
Patients taking metformin should temporarily hold the medication if they are scheduled for this procedure.
What is contrast dye/CT scan with contrast?
A patient with tuberculosis (TB) is being assessed. Which clinical feature is most indicative of active TB?
A. Sudden severe chest pain
B. Night sweats, hemoptysis, and weight loss
C. Increased urinary output
D. Pruritus and jaundice
Answer: B – Night sweats, hemoptysis, and weight loss
Pumpkins, are they a fruit or a vegetable?
A patient with type 2 diabetes becomes diaphoretic, shaky, and confused. What should the nurse do first?
What is check their blood glucose level?
A patient develops a red, warm, and swollen IV site. This is called what?
What is phlebitis?
The nurse is preparing to administer furosemide (Lasix). Which finding would require the nurse to hold the medication and notify the healthcare provider?
A. Serum potassium of 5.0 mEq/L
B. Serum potassium of 2.9 mEq/L
C. Blood pressure of 130/80 mmHg
D. Pulse rate of 72 bpm
B – Serum potassium of 2.9 mEq/L
A nurse is assessing a patient with suspected diabetic ketoacidosis (DKA). Which triad of findings is most likely?
A. Polyuria, bradycardia, cold skin
B. Kussmaul respirations, fruity breath, polyuria
C. Hypoglycemia, confusion, sweating
D. Hypertension, edema, bradypnea
B – Kussmaul respirations, fruity breath, polyuria
In the film The Nightmare Before Christmas, what is the name of the ghost dog owned by Jack Skellington?
What is Zero?
What does the acronym BEFAST stand for when assessing for a stroke?
What is Balance, Eyes, Face, Arms, Speech, Time?
This type of shock results from a massive allergic reaction causing hypotension, bronchospasm, and airway swelling.
What is anaphylactic shock?
A patient with type 1 diabetes is prescribed insulin glargine (Lantus) once daily. Which statement by the patient requires correction?
A. “I will take this insulin at the same time every day.”
B. “I should not mix this insulin with others in the same syringe.”
C. “I will inject this insulin before meals to control post-meal glucose spikes.”
D. “This insulin works steadily over 24 hours."
C – “I will inject this insulin before meals to control post-meal glucose spikes.”
A patient with Graves’ disease is being assessed. Which finding should the nurse expect?
A. Weight gain and bradycardia
B. Heat intolerance and exophthalmos
C. Constipation and cold intolerance
D. Hypoglycemia and diaphoresis
B – Heat intolerance and exophthalmos
What vegetable did people carve before pumpkins became popular in America?
Turnips
A patient has black, tarry stools. This is called what, and what does it indicate?
What is melena, which may indicate upper GI bleeding?
This complication is common in ICU patients on mechanical ventilation for >48 hours.
What is ventilator-associated pneumonia (VAP)?
This class of drugs is used to lower blood pressure by relaxing blood vessels, and includes lisinopril and enalapril.
What are ACE inhibitors?
A patient with Cushing’s syndrome is most likely to exhibit which clinical manifestation?
A. Hypoglycemia and weight loss
B. Moon face and truncal obesity
C. Hypotension and hyperpigmentation
D. Tetany and muscle cramps
Moon face and truncal obesity
The headless horseman appears in which classic story?
What is "The legend of Sleepy Hollow?"
Explain the difference between respiratory acidosis and respiratory alkalosis in terms of CO₂ levels.
What is: respiratory acidosis = high CO₂; respiratory alkalosis = low CO₂?
A patient with severe burns has hypotension, tachycardia, and decreased urine output. What type of shock is this?
What is hypovolemic shock?
A nurse is administering magnesium sulfate to a patient with preeclampsia. Which finding is most concerning?
A. Patellar reflexes +2
B. Urine output 35 mL/hr
C. Respiratory rate 10 breaths/min
D. Blood pressure 140/90 mmHg
C – Respiratory rate 10 breaths/min
A patient with SIADH is being assessed. Which findings are expected?
A. Polyuria, hypernatremia, and dehydration
B. Oliguria, hyponatremia, and concentrated urine
C. Polydipsia, hyperglycemia, and ketonuria
D. Flushed skin, hypotension, and metabolic acidosis
B – Oliguria, hyponatremia, and concentrated urine
How many bones are in the average human skeleton?
what is 206?