Medications
The physician orders Apixiban 5mg PO BID. What does BID mean?
Twice a day
True of False:
You are assessing your patient's vitals, their SpO2 is 89% on room air. This is normal for a patient with COPD.
True
At what angle do you insert an IV?
10-30 degrees
Your patient voided 300mL in the bedpan, where do you document this?
24 hr Intake & Output (specifically output)
What class of drug is Hydromorphone (Dilaudid)?
Opioid
Your patient has been diagnosed with heart failure and you are assessing for edema. You note pitting edema in their lower legs and ankles bilaterally, about 4mm in depth and rebounds in 10-15 seconds. How would you grade this pitting edema?
+2
Describe how to measure the length needed for NG insertion.
Tip of the nose -> ear lobe -> xiphoid process
You are covering another nurse's patient so they can take a break. The nurse on break failed to mention their patient's code status when giving report. Where can you find this information?
Kardex and Goals of Care sheet (physician orders)
What are the 9 rights of medication administration?
Right Patient
Right Medication
Right Route
Right Time
Right Dose
Right Reason
Right Response
Right Education
Right Documentation
During your hourly rounds, you find your patient lying in bed with their eyes closed. Chest rise and fall is present, but appears slow and patient is snoring. You call out your patient's name with no response. After a sternal rub, they open their eyes briefly, groan, and withdraw to painful stimuli (non-localized). What is your patient's GCS?
Eye: +2
Verbal: +2
Motor: +4
= GCS 8
The physician orders blood cultures on your patient. During venipuncture, which bottle do you draw first? Aerobic or anaerobic?
Aerobic then anaerobic
You have successfully inserted a 20g IV into your patients left forearm. What do you need to document in your progress note?
What is the onset, peak, and duration of rapid-acting insulin? (aspart, lispro)
Onset: 10-15 minutes
Peak: 60-90 minutes
Duration: 3-5 hours
Describe where to auscultate heart sounds and name respective areas.
Aortic: 2nd IC space Rt of sternum
Pulmonic: 2nd IC space Lt of sternum
Erb's Point: 3rd IC space Lt of sternum
Tricuspid: 4th IC space Lt of sternum
Mitral: 5th IC space Lt midclavicular line
Describe how to measure and insert an oropharyngeal airway (OPA).
Measure from corner of mouth to angle of jaw (mandibular angle)
Insert "upside down" so curved end hits hard palate, about halfway in turn 180 degrees and follow natural curve of tongue
Transcribe the following order onto the correct MAR:
2026/03/02 @ 06:00
Meropenem 500mg IV q8hr x 7 days
Whichever team finishes first and correctly gets the points!
According to your Scheduled MAR, your patient is due for metoprolol 25mg PO at 10:00. On assessment, their HR is 39. Is it safe to continue with administration of metoprolol? Why or why not?
No. Hold the metoprolol and call MD. Metoprolol is a beta-blocker and severe bradycardia is a contraindication.
What clinical manifestations might you expect for a patient in septic shock? (list at least 5)
-altered LOC or decreased GCS
-anxiety/discomfort
-tachycardia
-weak pulses
-hypotension
-fever or low temp
-increased RR and/or laboured breathing
-decreased/low urine output
-diaphoresis or clammy skin
-pallor
Program the following secondary infusion in the volumetric pump:
Pip-tazo 3.375g in 100ml over 30 minutes
Whichever team finishes first and correctly gets the points!
80 y/o patient, A+Ox3 GCS 15, has a indwelling foley catheter and incontinent of stool once per shift, uses a walker, only able to mobilize from bed to chair and can make slight, frequent position changes in bed. Will often call to be boosted up in bed. Will eat lunch and supper, but only about 50% of each meal. Document the Braden Score.
Score ~15-17 At Risk, but advanced to Moderate Risk due to age and poor intake of protein.