The Air I breathe
I am processing
I am sore(y)
This is an assessment
Urine-credible!
100

A pt with COPD receives 2 L NC, the patient reports difficulty breathing. What is the nurse's next action?

What is assess pt's respiratory status

100

Assessment, Diagnosis, Planning, Implementation, and Evaluation.

What are the steps of the nursing process?

100

This is the most important thing you need to be aware of to reduce in prevention of a pressure injury.

What is the relief of pressure?

100

A nurse is auscultating heart sounds placing the stethoscope at the 2nd right intercostal space. This is the sound s/he will hear.

What is the aortic valve?

100

True or False: Less than 30ml/hr for urine output for more than 2 hours is cause for concern.

True!

200

The patient self-extubates his endotracheal tube. This is next action the nurse should take first.

What is assess the pt's respiratory status

200

A nurse determines that the patient’s condition has improved and has met the expected outcomes.

What is evaluation?

200

The nursing assessment that would indicate a wound healed by secondary intention.

What is scarring.

200

A patient's peripheral leg circulation indicates poor venous return to the heart.  This is what is showing.

What is edema?

200

This is the biggest concern for a patient with an indwelling urinary catheter?

What is infection

300
This is the best position for improving oxygenation?

What is high Fowlers?

300

The nurse checked the client's MAR and noted the last dose of pain Q4 prn medication was 6 hr. ago. She gives the pt 4 mg of Morphine. This step was left out.

What is assessment?

300

A client is 4 days hours post-op following abdominal surgery. An incisional wound infection is suspected. These are the findings the nurse would anticipate.

 What are incisional pain, fever/chills, purulent drainage, and reddened wound edges?

300

This is the surface of the hand a nurse should you to palpate for skin temperature.

What is dorsal surface?

300

The nurse has three patients, which patient would be the priority?

-the patient with an acute asthma attack

-the patient with a foley catheter that needs assistance to ambulate to the restroom

-the patient that needs discharge teaching

What is acute asthma attack.

400

These are considered normal breath sounds.

What is bronchial, bronchovesicular, and vesicular

400

Data that you can measure or visualize with your eyes.  

What is objective data?
400

This is the most critical nutritional element needed for wound healing.

What is protein?

400

These are techniques that help the nurse obtain patient data and establish rapport.

What is empathy, friendly conversational tone, and asking for information about previous illnesses.

400

This is the correct placement of a foley urinary catheter when a patient is in bed.

What is below the bladder, and placed on a non-mobile location on the bed.

500
This is the most appropriate nursing intervention for a patient with new onset SOB, nasal flaring, and dyspnea on exertion.

What is reassess.

500

A staff nurse delegates care to the NAP, knowing that the NAP has never performed this task. As a result the patient is harmed, and the nurse states the NAP should have known this was not appropriate. What element in the decision making process is the nurse lacking?

What is Accountability.

500

The nurse is assessing the abdomen. The nurse notes an abdominal wound, with slight erythema and no drainage. What part of the abdominal assessment does the nurse perform next?

What is auscultate all 4 abdominal quadrants

500

Breath sounds heard over the trachea  

What are bronchial sounds?

500
A nurse is delegating a foley catheter insertion procedure to a LPN. These are the five rights of delegation that the nurse should use.

What is right task/person/direction/supervision/circumstances.

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