Vital Signs
Which of the following pulse rates is considered high for the average adult patient?
A. 50
B. 75
C. 100
D. 125
D. 125
What is the single most effective way to prevent the spread of infection?
Handwashing
Name at least 5 falls interventions for a patient who flags as high risk.
Yellow gown, socks, wrist band
Yellow falls sign on door
Gait belt
Bed/chair alarm
Bed in locked, lowest position
Call light in reach
Personal belongings and assistive devices in reach
Clutter free room
Well lit room
What is the most appropriate way to call in sick for your shift?
1. Call the unit's charge nurse phone and report absence at least 2 hrs prior to your scheduled start time.
You check your patient's blood sugar and obtain a reading of 50. What are your next steps?
Notify nurse and recheck in 15min
You were told in report that the patient is here for irregular heart rate (A-Fib). How long should you count their pulse?
A. 30 seconds x 2
B. 60 seconds
C. 15 seconds x 4
B. 60 seconds
What does PPE stand for?
Personal Protective Equipment
Name at least 2 types of patients that must receive a daily CHG bath?
1. Patients with central lines
2. Patients going to surgery
3. Patients in critical care areas that are highly susceptible to infection
2
What fingers are most appropriate to use for a blood sugar check?
Middle three fingers - not the thumb or pinky
What is the lowest acceptable systolic blood pressure that we consider within normal range for the average adult?
A. 90
B. 100
C. 120
D. 60
A. 90
Your patient is in airborne precautions for suspected TB. What is the most important PPE for you to use with that patient?
1. Gown and Gloves
2. Gown, Gloves, and Mask
3. Gown, Gloves, and Respirator
4. Gown and Gloves, wash hands with soap and water only
3. Gown, Gloves, and Respirator
When changing a patient's linens, the nursing assistant notes copious stains and rips in the sheets. What should they do with those linens?
1. Place them in the reject linen hamper so they are taken out of circulation, but we still get monetary credit for returning them to our linen company.
If your shift start time is 0700. What is the appropriate clock-in window for that shift?
0653-0700
0701 is considered tardy and is 0.5 occurence
Where does the Lead V4 get placed for an EKG?
5th intercostal space, midclavicular line
Which one of these temperature methods would be preferred in the average adult patient?
A. Rectal
B. Axillary
C. Temporal
D. Oral
D. Oral
Your patient is in contact spore precautions for a C-Diff diagnosis. What are at least 2 special considerations when caring for this patient?
1. Bleach cleaning wipes only
2. Disposable equipment, avoid reusable if possible
3. Wash hands with soap and water only
What is the preferred position to place a patient in when boosting them up in bed?
1. Supine
2. Trendelenburg's
3. Prone
4. High Fowler's
2. Trendelenburg's
If i call in sick today (10/16/25), when will that occurrence fall off my record?
10/16/2026
Occurrences are on a rolling 12mo calendar
You ask your patient how much fluids they drank during lunch. They tell you they had a 8oz soft drink and a 4oz apple juice for a total of 12oz. How many mL's would you document under oral intake?
360mL
What questions should you ask a patient before obtaining an oral temperature that could interfere with you reading?
Your patient is being discharged and they had an external catheter to suction. What is the proper process for disposal of the urine left in the suction cannister?
Never dump in the toilet.
What is the maximum amount of suction we can use on the female external catheter (Primafit)?
120mmHg
If you received your CPR card on 10/1/25 of this year. When does it expire?
10/31/26
You have until the last day of the month in which it was obtained. If you expire, you are suspended from working and it must be resolved within 5 days or you would face termination.
Dr. Wags