Leadership/Follower
Ethical & Legal
Dreaded NCLEX
Pharmacology/Labs
100
What leadership style focuses on getting the job done and see task completion as the priority?
What is Transactional Leadership
100
A 5-year-old child is admitted to the hospital with pneumonia. You observe bruises on the child’s back and arms. The mother is present in the patient’s room. WHat should you do next? a) Ask the mother if she is abusing her child b) Call the police c) Notify the physician of suspected child abuse d) When the mother leaves, ask the child if she feels scared or unsafe at home
What is When the mother leaves, ask the child if she feels scared or unsafe at home
100
Which two life threatening arrhythmias require the initiation of defibrillation ASAP? a) Pulseless electrical activity/ Ventricular Fibrillation b) Pulseless Ventricular Tachycardia / Ventricular Fibrillation c) Asystole/ Ventricular Fibrillation d) Ventricular Tachycardia with pulse/ Heart Block
What is Pulseless Ventricular Tachycardia / Ventricular Fibrillation
100
What is the normal potassium level?
What is 3.5 TO 5.0 mEq/L
200
Which one of the 5 practices of exemplary leadership is demonstrated when we develop trust, empower our peers, and increase their self-determination and competence.
What is Enable others to act
200
A patient with a skull fracture is unconscious but has an advance directive and power of attorney. Some friends visit and asked the nurse about the patient’s prognosis. Which of teh following describe how you should respond? a) Due to confidentiality i can not discuss the patient’s condition b) I can’t tell you so dont ask c) The prognosis is no good d) You will have to ask the patient’s DPOA (Durable Power of Attorney)
What is due to confidentiality i can not discuss the patient’s condition
200
A 49 year old male patient is in a coma and is supported by mechanical ventilation. Regular oral care is provided by the nurse to this unconscious patient because a) Oral care reduces the risk of aspiration b) Routine oral care may reduce the risk of ventilator associated pneumonia (VAP) c) The patient is fully dependent on the nurse’s action d) The unconscious patient has limited ability to perform self care
What is Routine oral care may reduce the risk of ventilator associated pneumonia (VAP)
200
A patient is taking spironolactone for the treatment of HTN. You noticed changes on the heart monitor. What side effect of spironolactone maybe causing this changes? a) Hyperkalemia b) Hypocalcemia c) Hypokalemia d) Leukocytosis
What is Hyperkalemia*
300
The process of looking outside yourself and outside your familiar world for inspiration is what we call exercising?
What is Outsight (the capacity to perceive external things)
300
An elderly patient with resp failure informs the nurse that she does not want to be placed on a ventilator. Which should the nurse do next? a) Consult with the patient’s family b) Have the patient sign the DNR form c) Notify the hospice team d) Notify the physician
What is Notify the physician
300
You are caring for a patient with chronic renal failure. You would recognize which of the following as common complications of the disease? SELECT ALL THAT APPLY Anemia Angina Fluid and electrolyte abnormalities HTN Hypotension Tachycardia
What is Anemia Fluid and electrolyte abnormalities HTN
300
Your patient is admitted with severe dehydration. Which of the following lab abnormalities is likely to occur? a) Decreased chloride b) Decreased sodium c) Increased hematocrit d) Increased hemoglobin
What is Increased hematocrit
400
According to Lewin, leaders must help others see the need for change, work with others to implement change, evaluate the effect of change, and participate in each stage of the change theory. What are these 3 stages of change?
What is: Unfreezing: in which people are preparing for change Moving: in which people have accepted the need for a change and actually engage in implementing the change Refreezing: in which the new change is integrated into the system and becomes part of the new norm or culture.
400
A brain-dead patient is being considered for organ donation. The patient’s driver licnese states that he is an organ donor. But his family states that tehy cannot make the decision to let him die. Which statement by you is most appropriate? a) His organ should not be wasted b) Letting your loved one die is difficult c) The decision is not whether to let him die, but whether to honor his wishes regarding organ donation d) You cannot let him suffer like this
What is The decision is not whether to let him die, but whether to honor his wishes regarding organ donation
400
You are assessing a patient suspected of having a pleural effusion. Which of the following are the most common clinical manifestations of this condition? a) Dry, nonproductive cough, and crackles over the affected area b) Dry, nonproductive cough, and diminished breath sounds over the affected area c) Productive cough and crackles over the affected area d) Productive cough and diminished breath sounds over the affected area
What is dry, nonproductive cough, and diminished breath sounds over the affected area
400
4. You note the patient’s leg is swollen, red, warm, and tender. Suspecting a DVT, you anticipate the doctor will order which lab test? a) D-dimer b) INR c) PTT d) Platelets
What is D-dimer
500
Emotional Intelligence can be defined as: The ability to perceive accurately, appraise and express ________; the ability to access and/or generate _________when they facilitate thought. a) intelligence/competence b) bopinions/ideas c) emotions/feelings d) content/efficiency
What is intelligence/competence
500
After the physciian explain the risk and benefits of the surgey, the patient signs the consent form. A few hours later the patient asks you about the risk and asks if there is an alternative to the surgery. Which action should you take? a) Encourage the patient to refuse the surgery b) Notify the physician c) Provide the information requested d) Tell the patient there is no risk
What is Notify the physician
500
You are assessing a patient suspected of having hypoparathyroidism. Which of the following signs and symptoms should you be alert for? a) Diarrhea b) Excessive thirst c) Gastritis d) Paresthesia
What is Paresthesia Rationale: Paresthesia occurs from an alteration in nerve conduction due to hypocalcemia. Other common signs and symptoms include muscle cramp and spasms, fatigue, bone pain, abdominal pain, and insomnia. A symptom of hypoparathyroidism is hypocalcemia. Calcium is important for healthy bones and teeth, as well as for normal muscle and nerve function
500
You are reviewing a patient's lab results and note an elevated BNP. You understand that an elevated BNP is caused by a) Aortic stretch b) Corotid stretch c) Renal artery stretch d) Ventricular stretch
What is Ventricular stretch Rationale: BNP (brain natriuretic peptide) is a substance that opposes the action of aldosterone. When the ventricular wall is stretched during congestive heart failure, bnp is released.
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