This is the priority assessment before administering digoxin
What is apical heart rate
This is the range of normal fetal heart tones
What is 110–160 bpm
A bulging fontanelle is normal in an infant - True or False
What is false - should be flat and soft until fully closed at age 2
True or False: A client with suicidal ideation should be placed in a private room with no other people at all.
What is false - they need constant 1:1 supervision.
This is the most effective way to prevent infection transmission
What is hand hygiene
True or False: Rapid-acting insulin should be administered only before/after food
What is True
At 20 weeks gestation, the expected fundal height is
What is the umbilicus
This is the priority action for suspected epiglottitis
What is keeping the child calm
Tripod position is key assessment finding - leaning forward, sitting upright
Persistent sadness, loss of interest, and low energy are characteristic of this disorder
What is major depressive disorder
True or False: Alcohol-based hand sanitizer is effective against C. difficile
What is false - wash your hands with soap and water!
The time between administering rapid acting insulin
What is 3-4 hours.
This position improves uteroplacental blood flow during pregnancy emergencies
What is left lateral
This condition is characterized by a barking cough and stridor.
What is croup (laryngotracheobronchitis)
This disorder includes hallucinations, delusions, and disorganized thinking
What is schizophrenia
This isolation type is required for tuberculosis
What is airborne precautions
This class of medications increases potassium levels and may cause hyperkalemia
What are potassium sparing diuretics (i.e. spirlonolactone [Aldactone])
These two findings (hint: vital/lab) are indicative of preeclampsia
What is elevated blood pressure with proteinuria
The age at which a child is expected to double their birth weight
What is 6 months
A depressed client suddenly appears brighter and more energetic. This change is most concerning for
What is increased suicide risk
This is the priority intervention for a client at high risk for falls
What is initiate fall precautions
This medication may be administered within a specific time window for ischemic stroke
What is tPA (alteplase)
Painless vaginal bleeding in the third trimester indicates this condition
Placenta Previa
A child with fever, strawberry tongue, and peeling skin is exhibiting signs of
What is Kawasaki disease
Calluses on the knuckles in a client with an eating disorder indicate
What is self-induced vomiting? (Russell’s sign)
The nurse enters a room and finds a fire. The first action is
What is rescue the patient (RACE)
RESCUE/REMOVE - ALARM/ALERT - CONFINE/CONTAIN - EXTINGUISH/EVACUATE