Positioning/ Professionalism
Hygiene
Isolation/PPE
Safety/Restraints
Vital signs
Prioritizing
100
The safe position used to feed a patient or give them oral medications.
What is Fowler's position? (will accept semi-fowler's, or high fowler's also)
100
This type of bath is used to treat fever and involves placing cool washcloths in the axillary and groin areas.
What is a tepid bath?
100
Your patient is a 65-year-old male diagnosed with influenza. As he is in droplet precautions isolation, you will use this PPE.
What is gown, gloves, mask(surgical) and face shield or goggles?
100
This is the nurse's Priority action when the patient falls.
What is assess the patient?
(eg. Are they conscious, are they bleeding, are they hurt?)
100
This is how long you take which pulse if you find and unconscious patient.
What is check carotid pulse for 10 seconds?
100
Of the following the one the nurse would see first
a.) Patient w/Heart rate 100 and B.P. 112/64 B.) Patient w/ HR 82 and BP of 102/58 C.) Patient w/ HR 138 and BP of 90/48 D.) Patient w/ HR 64 and BP of 100/64
What is "C" Heart rate of 138 and BP of 90/48
200
Use this position to give oral hygiene on an unconscious patient.
What is lateral position with head turned to side?
200
Your patient just had surgery in the perineal area. They are uncomfortable and not due pain medication for two hours. You know that this type of bath may help.
What is a sitz bath?
200
A patient in contact precautions requires this PPE.
What is Gown, gloves ?
200
The nurse MUST have this before restraining any patient.
What is a doctor's order?
200
You have an unconscious patient and you need to do a rectal temperature check, this is the thermometer you will use.
What is the red-tipped thermometer?
200
This is the patient you would see first
a.) BP 120/76 HR 90 R 16
b.) BP 130/80 HR 96 R 20
c.) BP 100/64 HR 60 R 12
d.) BP 96/52 HR 58 R 8
What is D? BP 96/52 HR 58 R 8
300
The doctor advises you to "auscultate" the patient's heartbeat. as a nurse you know that means this.
What is listen with stethoscope to the heart?
300
Name two ways you can help a patient with a foley catheter prevent CAUTI. (Catheter Associated Urinary Tract Infection)
What is (any two of the following)
Insert using sterile technique? Perform peri care regularly for incontinent patients? Remove catheter as SOON as it is no longer needed? Keep drainage bag below level of bladder? Hang drainage bag but if you must put on floor, lay down barrier first?(such as chux or towel)
300
In report you are told room 4 tested positive for c-diff (clostridium difficile), you know this requires contact precautions with THIS extra step.
What is washing hands with soap and water?
300
As restraints can be dangerous the nurse knows frequent checks are necessary. She and her colleagues can take turns but the patient must be checked on this often and restraints removed and range of motion this often.
What is check every 15 minutes and remove and do range of motion every 2 hours?
300
The nurse will find the apical pulse (which must be auscultated for 60 seconds),at this landmark.
What is the fifth intercostal space, midclavicular line?
300
Your patient is starting a new medication and you know, of the following side effects, this is most concerning...
a.) Patient states they were nauseated an hour
b.) Patient states they had sore muscles for a day
c.) Patient forgot their own name and where they were
d.) Patient states they vomited twice
What is C, the patient forgot their own name and where they were?
400
Your patient is embarrassed you have to change them after an episode of incontinence. From a professional standpoint, it is best to do this.
What is professionally reassure patient and provide privacy?
400
When applying sterile gloves, it is the hand you glove first.
What is the dominant hand?
400
Your patient has a bedsore that becomes infected with MRSA. You know the bedsore (pressure injury) represents this link in the chain of infection.
What is portal of entry?
400
You received in report that your patient is having dyspnea. You know that means this.
What is difficulty breathing?
400
While auscultating a blood pressure you know the first Korotkoff sound is measured as this.
What is the systolic blood pressure?
400
Your patient is homeless, separated from their family and currently being evaluated for their new cough and shortness of breath. While planning to address all of this, you realize this need must be addressed first.
What is the shortness of breath?
(Maslow's Hierarchy)
500
Your patient has refused his hygiene care for a week. You go in his room today and he refuses again. You know the next steps you should take are these.
What are assess the patient's reasons(s) for refusal, educate patient on consequences then document his response?
500
When leaving a patient room where the patient is in droplet isolation precautions, the nurse will remove her PPE (doff) in this order.
What is gloves, goggles (or eye covering), gown then mask?
500
If a patient has Tuberculosis or Covid-19 you will expect this PPE.
What are Gown, gloves, N95 mask and goggles/eye covering?
500
This is the meaning of the acronym RACE.
What is Rescue, Alarm, Contain, Extinguish or evacuate?
500
You are told your patient is bradycardic. You know that means this.
What is the heart rate is less than 60?
500
Put the steps of the nursing process in the correct order...
Interventions, Planning, Evaluation, Assessment.
What is APIE (Assessment, Planning, Interventions and Evaluation)?