Recognize Cues
What condition causes sharp facial pain and is associated with Cranial Nerve V?
Trigeminal neuralgia
Which GI condition is triggered by dairy products and not autoimmune in origin?
Lactose intolerance
Which client should be seen first: cataract surgery patient with vision loss or red reflex absent?
Cataract surgery patient with vision loss
Which healthcare professional helps clients use adaptive devices for feeding?
Occupational therapist
What is the correct dose in mL for famotidine 20 mg when available as 40 mg/5 mL?
2.5 mL
What indicates the effective use of cranberry juice for UTI prevention?
Reduced recurrence of UTIs
Which cranial nerve controls pupil constriction and eyelid movement?
Cranial Nerve III (oculomotor)
What electrolyte imbalance is expected in metabolic acidosis?
Hyperkalemia
What is the priority action for a post-op patient with BP drop from 142/76 to 88/50?
Call Rapid Response Team
What device prevents plantar flexion contractures in immobile clients?
Footboard
What type of knot should be used for securing restraints?
Quick-release knot
What action should follow a medication error?
Assess the client
What skin color change may indicate cyanosis in a dark-skinned patient?
Bluish tinge to palms, soles, and mucous membranes
What is a key sign of malnutrition related to mental status?
Decreased mental status or lethargy
What condition requires immediate attention: an unconscious client with opioid use or a COPD patient bitten by a dog?
Unconscious client with opioid use
What is the best action when a confused, depressed client won't talk?
Sit silently and spend time with the client
What should be done first before giving antibiotics to a patient with suspected sepsis?
Obtain cultures
What does a nurse violate by continuing treatment against a competent client's will?
Autonomy
What sign in older adults may indicate infection, even without fever?
Confusion or altered mental status
Which disease may present with fever, localized bone pain, and risk for sepsis?
Osteomyelitis
What is the likely cause of oral white patches in a patient with AIDS?
Oral candidiasis
What strategy promotes skin integrity in an incontinent, immobile client?
Reposition at least every 2 hours
How often should wrist restraints be removed for assessment?
At least every 2 hours
What is an appropriate safety intervention for a client afraid of falling at night?
Leave a nightlight on
What does a Pasero Sedation Scale score of 4 indicate?
Unacceptable level of sedation; emergency
What supplement requires caution in surgical patients due to bleeding risk?
Ginkgo biloba
Which client is at greatest fall risk: older adult with confusion and urinary frequency or post-op teen with crutches?
Older adult with confusion and urinary frequency
What's an appropriate intervention for a client expressing fear before surgery?
Ask them to share more about their concerns
What is the correct infusion rate (in mL/hr) for administering 250 mL of potassium phosphate IV over 6 hours?
42 mL/hr
After initiating fall prevention protocols, how should effectiveness be evaluated?
Client has no further falls