Communication, Grief, and Perinatal Loss
Development
Hormone Regulation
Gas Exchange
Heart Failure
Congenital heart defects
Dosage Calulation
100
a leader that takes ownership of their actions, decisions, and outcomes; tackle them head-on and actively seek effective solutions
What is transformational leadership?
100
You are a pediatric nurse working with a 5-year-old child diagnosed with cystic fibrosis. The child is in this stage of Piaget's theory.
What is the pre-operational stage?
The child begins to represent the world symbolically.
100
Your client has a rare condition called acromegaly. These clinical manifestations would be found.
What is...
abnormally large hands and feet, abnormally large tongue, bulging chest, deepened voice, enlarged organs, large ears, protruding jaw?
100
You are receiving a report from the night shift nurse and you are told the client has an AATD (Alpha-1 Antitrypsin Deficiency). You conducted your head-to-toe assessment and found these common clinical manifestations (NAME 4).
What is SOB, labored breathing, tripod position, accessory muscle use, retractions, clavicle raising, barrel chest, cough, clubbing, pale, lung sounds of crackles, wheezing, stridor?
100
drugs that affect preload
What is diuretics?
100
The infant is experiencing diaphoresis and grunting during feeding causing poor weight gain, and you notice a heart murmur.
What is acyanotic L --> R cardiac shunt CHD?
100
The order is 500 gram of ampicillin IV q 12 hr
What is the total concentration, amount of diluent added, and the amount of medication to be administered?
[ROUND TO THE NEAREST TENTH PLACE]
What is
TOTAL CONCENTRATION: 1 g
Diluent: 3.5 mL
Amount of medication: 2 mL
200
ensures all nurses at all levels have a voice; discuss important issues that impact their clinical practice and work environment
What is shared governance?
200
Your geriatric client in the rehab unit is reflecting on life. He states that the new generations are not living life and too occupied with their phones. He is in this stage of Erikson's theory.
What is ego integrity vs. despair?
200
Increases protein synthesis, increases tissue growth, increases lipid breakdown, increase glucose synthesis (BONUS - what hormone causes this one to be released?)
What is growth hormone; growth hormone releasing hormone?
200
The time Pancreatin should be administered
What is right before all meals and snacks?
200
You walk into your client's room conduct a head-to-toe assessment and find rales/crackles during the respiratory assessment. You notice their heart rate is increased. The client may be experiencing...
What is left-sided heart failure?
200
You are conducting a focused cardiac assessment on a neonate and note a loud machine-like murmur. The client could possibly have...
(BONUS): What medication would be given to help treat the condition?
What is PDA Persistent Ductus Arteriosus?
(Indomethacin NSAID)
200
The doctor orders Cefazolin 500 mg IM every 8 hours
What is the total concentration, amount of diluent added, and the amount of medication to be administered?
What is
add 2 mL of sterile water
the total concentration of 500 mg
2.2 mL of medication?
300
Mrs. Sullinger holds this type of power when she is conducting a Sully Session
What is information power?
300
You are doing a head-to-toe assessment on your pediatric client. You notice the client has hypotonia, a round face, a protruding tongue, and a failed hearing test. This client is screened for this disorder.
What is trisomy 21 (Down Syndrome)?
300
Your client has unilateral edema in the LLE with increased warmth in a focused area. This client is possibly experiencing a DVT. This is an example of this process of homeostasis.
What is a positive feedback loop?
300
Treatments for a client who has been diagnosed with COPD (NAME 3)
What is smoking cessation, glucocorticoid steroids, correct use of inhalers, oxygen therapy 2L via nasal cannula, management of excess mucus, and breathing exercises and positioning?
300
Serum levels of digoxin
What is 0.8-2 nanograms/mL?
300
You have a pediatric client who reports chest pain, dizziness when standing for long periods, and exhaustion when playing outside. You conduct your assessment and note a murmur. The client could have...
What is aortic stenosis?
300
Doctor orders Amoxil for a child that weighs 63 lbs. The safe dosage range for this medication is 50 mg/kg/day every 8 hours. What is the safe dose for this child per dose?
A) 211.8 mg/dose
B) 47.9 mg/dose
C) 1,187.3 mg/dose
D) 477.3 mg/dose
What is D) 477.3 mg/dose?
400
A 22-year-old client G-1 P-0. The client was informed via ultrasound that her baby would be delivered as a stillborn. The client is experiencing this type of grief
What is anticipatory grief?
400
You are at the HCDC, you notice a school-aged child not playing with others and placing building blocks in a unique pattern. Other children try to play with the child, but the child begins screaming and throwing objects. This child needs to be screened with M-CHAT-R. This child could have this disorder.
What is Autism spectrum disorder (ASD)?
400
A client is complaining of muscle pains and aches. Their daily weight has increased by 1/2 a kg since yesterday. Their labs come back with a TSH high. This client's T-4 level would be.
What is a low T-4 level?
400
You are receiving the report from the day shift nurse. The sweat chloride test was 61 meq/L and 64 meq/L the day before. What is your client experiencing?
Cystic Fibrosis
400
The appropriate apical rate for the administration of digoxin for adult, child, and infant
What is..?
- adults >60 bpm
- child >70 bpm
- infant >90 bpm
400
You have an infant who is experiencing a TET spell. You conduct these interventions..
What is placing the infant knees to chest or squatting position for older children?
TET spell precautions:
- do not interrupt sleep & provide a calm quiet environment upon waking up, offer a pacifier during crying, small and frequent feedings, cluster care, and swaddle or hold infant during procedures
400
Doctor orders 300 mg of Zmax once a day for a child that weighs 72 lbs. The safe dose range for this medication is 10-12 mg/kg/day. Is this a safe dose for this patient?*
- A. Yes, this is a safe dose.
- B. No, this is not a safe dose. A safe dose is 310.8-558.2 mg/day.
- C. No, this is not a safe dose. A safe dose is 327.3-392.7 mg/day.
What is C) No, this is not a safe dose. A safe dose is 327.3-392.7 mg/day?
500
Your client is an 80-year-old client who expired at 8:00 AM. Her son is 35 years old and focusing on physical challenges and the death of his mother. The son has a 10-year-old daughter who had a close relationship with her grandmother. This is how the granddaughter understands the event.
What is death is permanent, attend funerals, do not understand their morality, sad, irreversible, anger, guilt, fear?
500
The age it is best to use the M-CHAT-R
What is 18-24 months?
500
You conduct a head-to-toe assessment and note your client is experiencing intense fatigue, low RR, ALOC, constipation, and a slow skin turgor. The client is at risk for this medical emergency. (BONUS: what nursing interventions would you conduct?)
What is myxedema coma?
administration of levothyroxine IV
possible need for intubation due to respiratory failure
500
Your client's sweat chloride test came back elevated. What medications would you expect the provider to order?
Inhaled bronchodilators: albuterol and ipratropium bromide
Inhaled dornase alfa
Glucocorticoids
Pancreatic enzymes - CREON
ADEK (fat-soluble vitamins)
Antibiotics
500
Nursing interventions for a client with heart failure
What is auscultate for crackles/wheezes, O2 or Fowler's position, fluid restriction, low sodium diet, daily weigh, and educate on meds and lifestyle factors?
500
You are rounding on your clients in the neonatal unit and notice one of your clients with periorbital edema, pale and coolness of the extremities, and has not had a wet diaper since the shift prior. The mother reports the infant has not been feeding. Your next intervention is...
What is contacting the provider?
500
Doctor orders Digoxin 0.92 mg daily for a child that weighs 16 lbs. The safe dosage for this medication is 8-12 mcg/kg/day. Is this a safe dosage for this child?
What is No, this is not a safe dose. A safe dose is 0.06-0.09 mg/day?