Prerequisites
This heart valve prevents backflow from the left ventricle into the left atrium
mitral (bicuspid) valve
Before touching a patient, the nurse must perform this action to prevent infection
What is hand hygiene?
A patient is using accessory muscles and has nasal flaring. These findings indicate:
What is respiratory distress
This route of medication absorbs the fastest.
What is IV (intravenous
A patient with pneumonia has crackles in both lungs. This finding indicates:
What is fluid in the alveoli
This medial indentation is where the femur articulates with the pelvis.
head of the femur
This is the most accurate site for measuring core body temperature
What is the rectal temperature?
A patient suddenly develops aphasia and unilateral weakness. These findings require:
What is an urgent neurological assessment
This electrolyte must be monitored closely when giving furosemide (Lasix).
What is potassium
A patient reports sudden chest pain and shortness of breath. The nurse’s first action is:
What is assess vital signs and oxygen saturation
Which organelle is responsible for producing ATP
Mitochondrion
The nurse teaches a patient with new hypertension how to check their blood pressure at home. This is an example of:
What is implementing a nursing intervention (patient education)?
(SATA) Which findings require urgent neurological assessment?
A. Aphasia
B. Severe headache
C. Equal pupils
D. Loss of balance
E. Increased alertness
A patient on vancomycin with flushing, hypotension, and rash on the face and upper body may be experiencing this infusion reaction.
What is Red Man Syndrome
A rigid, board-like abdomen with severe pain may indicate this life-threatening condition
What is peritonitis?
The surface of the scapula that faces the ribs
costal (anterior) surface
The nurse develops a goal for a patient with pain rated 8/10. Which is the BEST example of a SMART goal?
What is “Patient will report pain ≤3/10 within 30 minutes after analgesic administration”?
These high-pitched inspiratory sounds indicate life-threatening airway obstruction
What is stridor?
This type of insulin must NEVER be mixed with any other insulin
What is long-acting insulin (glargine/Lantus or detemir/Levemir
A patient with acute kidney injury has peaked T waves on the ECG. This lab value is most concerning:
What is elevated potassium (hyperkalemia)
The “hip bones” are formed by these three fused bones.
What are the ilium, ischium, and pubis?
A patient suddenly becomes very short of breath, is using accessory muscles, and their oxygen saturation drops to 86% on room air.
What is the nurse’s IMMEDIATE priority action?
What is apply oxygen and reassess the patient’s respiratory status?
A patient recovering from a head injury suddenly develops bradycardia, irregular respirations, vomiting, and a fixed, dilated pupil on the right side
What is notify the provider and activate the rapid response team
A patient on warfarin presents with bleeding gums and a nosebleed. The nurse’s PRIORITY lab value to check is this
What is the INR
A patient with neuromuscular weakness demonstrates hypoventilation and a rising PaCO₂. Identify the resulting acid-base imbalance and explain the underlying mechanism.
Respiratory acidosis caused by CO₂ retention secondary to inadequate ventilation?