Safety
What is the first step when entering a patients room?
What is the safest device for early ambulation post-op?
Gait belt.
What organ is responsible for breathing?
Lungs
A normal adult heart rate is approximately:
50-95bpm
What stage of pressure injury has intact skin but non-blanchable redness?
Stage 1.
Fall-risk essentials include which intervention? (Assessment closing)
Call light, wheels locked, side rails up, bed in lowest position
A patient with unilateral weakness should hold a cane on which side?
The stronger side.
Normal SpO₂ range?
97–99%
Which heart sound is abnormal in adults?
S3.
Correct abdominal assessment order?
Inspect → Auscultate → Percuss → Palpate.
Before applying a restraint, the nurse must first…
Attempt least restrictive measures.
Which mobility finding is ABNORMAL?
Shuffling gait with reduced arm swing.
What does a pulse ox measure?
Percentage of oxygen saturation in the blood.
Cap refill >3 seconds indicates what?
Poor perfusion.
CN II tests what?
Visual acuity.
Which patient is highest priority?
A) Mild pain
B) Asking for water
C) New confusion
D) Insomnia
New Confusion
Best way to prevent contractures in immobile patients?
Perform ROM exercises.
A productive cough with thick yellow sputum suggests:
Infection
Which pulse is checked during CPR on an adult?
Carotid
What is the most common sign of infection in an older adult?
Confusion
If a patient is pulling at an IV and yelling, the FIRST action is:
Assess the patient & attempt verbal redirection.
A nurse is preparing to ambulate a weak client for the first time after surgery. During the transfer, the client suddenly starts to fall.
What is the first action the nurse should take?
Ease the client to the floor while protecting the head
Best position for dyspnea?
High Fowler’s.
What is hypoxia?
a condition where the body or a region is deprived of adequate oxygen supply
Where do you start and what direction do you go in for an abdominal assessment?
RLQ, clockwise