Show:
oxygenation
perfusion
Nursing process
clinical judgement
safety
100


  • Normal SpO₂ range in a healthy adult?


95-100%

100


  • Normal adult systolic blood pressure range?


90-120mmHg

100

What is the first step in the nursing process?

Assessment

100


  • Interpreting data is part of which phase of Tanner’s model?


Interpereting

100


  • The most important method for infection control?


Hand hygiene 

200


  • High-pitched crackling breath sounds are known as?


Crackles

200

Pulse grade of 2+ is considered

Normal

200

Measurable patient outcome is created during which step of the nursing process?

Planning

200


  • A nurse identifies a patient with COPD at risk for hypoxemia. This demonstrates which aspect of judgment?


Recognizing cues

200


  • Side rails should not all be raised because…


It is considered a restraint

300


  • Breathing pattern characterized by deep, rapid respirations often seen in metabolic acidosis?


Kussmaul breathing (like in DKA)

300


  • Which position promotes venous return in hypotension?


Trendelenburg

300


  • Implementation involves what?


Carrying out interventions

300


  • Choosing the best nursing intervention represents what?



  • What is prioritizing hypotheses/generating solutions?


300


  • Medication error prevention starts with verifying?



  • the six rights of medication administration?

(Right patient, drug, dose, route, time, documentation)

400


  • Device delivering the highest concentration of O₂?


Non-rebreather mask

400


  • Edema in ankles due to heart failure indicates impaired…



  • venous return/right-sided heart function?


400


  • The nurse rechecks a patient’s blood pressure after giving medication. Which step is this?


Evaluation

400


  • Reassessing after intervention demonstrates which step?


Evaluation/ reflection

400


  • A nurse should identify fall risk using which scale?


The Morse fall scale

500


  • The nurse notes accessory muscle use during breathing. This indicates?


Respiratory distress/ increased work of breathing

500


  • Drug class often used to improve perfusion by decreasing afterload?


Vasodilators (ACE inhibitor)

500


  • Correct order of the nursing process (mnemonic ADPIE)?


Assessment, diagnosis, planning, implementation, evaluation. 

500


  • Using past experiences to guide care is part of which stage in Tanner’s model?


Reflecting

500


  • Oxygen tanks must be kept away from what?


Heat, open flames