Assessment
Oxygenation
Perfusion
Cognition
Thermoregulation
100
What 2 things can a nurse not delegate?
Assessment and teaching
100
What is a normal respiratory rate for an adult?
12-20 breaths per minute
100
Preload is ____ and afterload is _____.
Preload is volume and afterload is pressure.
100
What is alogia?
Lack of speech
100
What medication is safe to give an infant for fevers?
What medication is not safe to give an infant?
Tylenol
Aspirin
200
Name what order you would assess the abdomen.
IAPP
Inspect, auscultate, percuss, palpate
200
Hypoxemia if not resolved eventually leads to _____.
Hypoxia: decreased delivery of oxygen to tissues
200
What is tachycardia?
Heart rate above 100 beats per minute
200
A patient of yours on MSO is saying stuff that doesn't make sense. Part of their story seems true, but parts seem to be fabricated to fill in for the gaps they do not remember. What is the patient demonstrating?
Confabulation
200
What ages are most at risk for impaired thermoregulation?
Children and elderly
300
"When did the pain start?"
What type of question is this and is this ideal for a nursing assessment?
This is a closed question.
Open ended questions are preferred for assessment.
300
What is typically the first sign of hypoxia?
Restlessness
300
What is happening at the QRS complex?
ventricular depolarization (contraction)
300
Explain the difference between dementia and delirium.
Delirium: acute but reversible change in mental state
Dementia: progressive neuro degeneration. No cure
300
Explain what a febrile seizure is. Who does this happen to most often?
A febrile seizure is caused by a rapid spike in body temperature.
This typically occurs in children.
400
A hispanic speaking patient is being admitted to the floor following bowel obstruction surgery. The patient has a puzzled look on their face and has no idea what is going on. What is the best thing the nurse can do?
Get a translator.
400
A patient is having difficulty breathing when lying flat on their back. What is this called and what should you as the nurse to help?
Orthopnea
Place patient in high fowlers
400
Your mother is complaining of dizziness upon standing. You take her blood pressure while she is lying, sitting and standing. Each blood pressure reading has a drop of 20mm. This is an example of what?
Orthostatic hypotension
400
True or False:
Cognitive decline is a normal part of aging.
FALSE
400
What is specific to infants that keep them warm after birth?
Brown adipose tissue
500
A child is being admitted into your care following an accident. The parents are anxious and worried about their child. The grandma was called to meet them at the hospital and is now present. Who should the nurse question about what is going on and what happened to the child?
The parents
500
A patient presents with asymmetrical chest wall movement, shortness of breath, sudden sharp pleuritic pain and absent breath sounds on the right side. What do you suspect this patient has?
Pneumothorax- collapsed lung
500
One of your patients is admitted for hypovolemia because of a car accident. Their blood pressure reading comes back as 92/52. What do you expect their heart rate to be?
Their heart rate should be elevated to compensate for the lack of volume/low blood pressure
500
An older adult patient comes into the ED with altered cognition. What is the first lab you will test and why?
Urinalysis
UTI can manifest in older people with cognition issues
500
For a patient who is hypothermic, how fast should they be reheated and how?
Rewarm patient no faster than 2 degree C/hr.
They should be reheated core to extremities