What pain scale is most appropriate for a 3-year-old child?
What is FACES Pain Scale
What is the first nursing action when entering an isolation room?
Perform hand hygiene and don appropriate PPE.
Which electrolyte should be monitored when administering furosemide?
Potassium
What is a normal finding 24 hours after vaginal delivery?
Fundus firm and at the level of the umbilicus.
What is the first nursing action when a patient begins pacing and raising their voice?
Use calm communication and maintain personal space.
A nurse is caring for a child with a fever. What medication should not be given to children due to the risk of Reye’s syndrome?
ASA
A nurse observes another nurse using a contaminated needle. What is the next action?
Stop the behavior immediately and report per policy.
A patient with cirrhosis has elevated ammonia levels. What medication lowers these levels?
Lactulose
Which fetal presentation poses the greatest risk for a complicated delivery?
Breech
What is the priority intervention for a patient experiencing a panic attack?
Stay with the patient and use short, simple sentences.
A nurse is caring for a child with a new diagnosis of Type 1 diabetes. What is the most important teaching for the parents regarding hypoglycemia?
Always keep a quick source of glucose, like juice or glucose gel, available.
A nurse finds a patient’s IV line has infiltrated. What is the first nursing action?
Stop the infusion immediately and remove the IV.
What is the antidote for heparin overdose?
Protamine Sulfate
What medication is given to promote fetal lung maturity in preterm labor?
Betamethasone
What lab value should be monitored for a patient taking lithium?
Sodium levels.
This vaccine is given by mouth and may cause mild diarrhea
Rotavirus
What is the proper sequence for removing PPE after leaving an isolation room?
Gloves → Goggles/Face shield → Gown → Mask.
A patient post-thyroidectomy develops muscle twitching and tingling in the lips. What condition should the nurse suspect?
Hypocalcemia
What medication is used to reverse magnesium sulfate toxicity in a preeclamptic patient?
Calcium Gluconate
A patient taking MAOIs eats aged cheese and develops severe headache and hypertension. What should the nurse suspect?
Hypertensive crisis.
A 2-year-old with croup has inspiratory stridor and moderate respiratory distress. What is the nurse’s priority action?
Provide cool mist or humidified oxygen and keep the child calm.
Which emergency medication reverses respiratory depression caused by benzodiazepines?
Flumazenil.
What is the antidote for a patient receiving excessive opioid analgesics?
Narcan
A postpartum patient receiving oxytocin has a firm uterus but continues to bleed heavily. What should the nurse suspect?
A vaginal or cervical laceration.
What is the antidote for benzodiazepine overdose causing severe respiratory depression?
Flumazenil.