Oxygenation and Perfusion
Acid-Base, Fluids, and Electrolytes
Stress and Grief and Loss
Medication Administration
Nursing Skills
100

What transports oxygen in the blood?

Hemoglobin

100

What is a severe clinical manifestation of hyponatremia?

Confusion

100

A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?

Prolonged grief

100

What are the 6 rights of medication administration?

Patient, Time, Dose, Route, Medication, Documentation
100

What technique should be used to insert a Foley catheter?

Maintaining strict aseptic technique

200

How should a nonrebreather mask fit on a patient’s face?

Snugly/Tightly

200
What are two manifestations of hyperkalemia?

Decreased deep tendon reflexes

200

What are two physical manifestations during the fight-or-flight response to stress?

Dilated pupils

Increased blood glucose

Elevated blood pressure

Elevated heart rate

Dilated bronchial airway

200

What are the 3 checks of medication administration?

During dispense, while preparing, and right before administration

200

When inserting a foley catheter and you see a flash of urine, what is the next step?

Advance catheter 2-4 inches

300

What are two clinical manifestations of circulatory overload?

Hypertension

Tachycardia

Crackles in lungs

300

Which acid-base imbalance would a client present with nausea and vomiting?

Metabolic alkalosis

300

A patient with dementia is upset she can’t find her husband, who passed away a few years ago. What should the nurse do?

A. Give meds

B. Remove client from area so she doesn’t upset the other clients

C. Take the client on a walk and talk about her family

C. Take the client on a walk and talk about her family

300

What route of medication administration has the fastest onset?

Intravenous 

300

A nurse is caring for an adult with an NG tube in place for continuous enteral feedings. Which of the following actions should the nurse perform to reduce the client’s risk for aspiration?

Elevated the head of bed to 30 or 45 degrees

400

What should the nurse do with a patient who is dehydrated and has hypotension?

Increase the client’s fluid intake

400

What are 2 clinical manifestations of hypercalcemia?

Nausea and vomiting

Confusion

Excess urination

400

What is the first stage of grief in the Kubler-Ross stages of grief?

Denial

400

A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?

A. Check the client’s vital signs

B. Notify the provider

C. Fill out an incident report

D. Document the client’s condition in the EMR

A. Check the client’s vital signs

400

The patient has an indwelling catheter and started having a distended bladder. What should the nurse do first?

Assess the tubing for kinks and ensure downward flow

500

What are the forms of high flow oxygen delivery systems?

Nonrebreather

High-flow nasal cannula

Venturi mask

500

A nurse is planning care for a client who has hypernatremia. Which of the following IV solutions should the nurse plan to initiate?

A. Dextrose 5% in water

B. 25% albumin

C. Dextrose 10% in water

D. Normal saline

A. Dextrose 5% in water

500

The nurse is providing discharge instructions for a patient with multiple sclerosis. Which discharge instruction is aimed at preventing a future exacerbation?

Avoid stressful situations

500

A nurse is preparing to administer cefotaxime 1,000 mg IM to a client. How many grams (g) should the nurse plan to administer?

1 gram

500

The nurse is inserting an nasogastric tube in a patient for a small bowel obstruction. While inserting the NGT, the patient starts coughing, gagging, and turning blue. What should the nurse do next?

Stop inserting and remove the NGT