Foundations
What are the 5 steps of the nursing process?
What is Assessment, Diagnosis, Planning, Implementation, Evaluation?
During a cranial nerve exam, the nurse asks the client to smile, frown, and puff out their cheeks. Which cranial nerve is being assessed?
A. Cranial Nerve III (Oculomotor)
B. Cranial Nerve V (Trigeminal)
C. Cranial Nerve VII (Facial)
D. Cranial Nerve X (Vagus)
What is
C. Cranial Nerve VII (Facial)
What degree of burn involves subcutaneous tissue, muscle, and bone?
What is a third-degree full thickness burn?
This is the most common side effect of ACE inhibitors.
What is a dry cough?
According to the Glasgow Coma Scale guidelines, this is the critical score at which the nurse should anticipate the need for intubation
What is less than 8?
What does HIPPA stand for?
What is Health Insurance Portability and Accountability Act?
During a respiratory assessment, the nurse notes that the client’s chest expands asymmetrically, and breath sounds are absent on the right side. Which finding is most consistent with these signs?
A. Pneumonia
B. Pleural effusion
C. Pneumothorax
D. Atelectasis
What is C. Pneumothorax
What obstructive respiratory disorder is characterized by a "barrel chest" and nicknamed "Pink puffer"?
What is emphysema?
Which of the following foods should you teach your client to avoid when starting
the medication Phenelzine (SATA)?
a. Salami
b. Strawberries
c. Red Wine
d. Avocado
These two physical assessment findings—one elicited by tapping the cheek and the other by inflating a blood pressure cuff—indicate this electrolyte imbalance.
What is hypocalcemia?
What are the five rights of medication administration?
What is right patient, right drug, right time, right dose, right route?
While palpating the carotid pulse, the nurse notes a bruit upon auscultation. What does this finding most likely indicate?
A. Normal blood flow
B. Venous insufficiency
C. Turbulent blood flow due to narrowing
D. Decreased cardiac output
What is
C. Turbulent blood flow due to narrowing
What acid base imbalance is:
pH: 7.28
PaCO₂: 50 mmHg
HCO₃⁻: 24 mEq/L
What is uncompensated respiratory acidosis?
What are signs and symptoms of digoxin toxicity?
Snowy halo of light, dehydration, bradycardia, confusion
This IV complication involves vesicant solution leaking into surrounding tissue, causing pain, swelling, and possible tissue damage—requiring immediate cessation of the infusion.
What is extravasation?
Where can you locate the apical pulse?
What is fifth intercostal space, midclavicular line?
A nurse is assessing a client who reports black, tarry stools. Which question is most appropriate for the nurse to ask next?
A. “Have you eaten any foods with red dye recently?”
B. “Are you taking any iron supplements or Pepto-Bismol?”
C. “Do you have constipation?”
D. “Have you recently traveled abroad?”
What is B. “Are you taking any iron supplements or Pepto-Bismol?”
In cardiac tamponade, what makes up "Beck's Triad"?
What is muffled heart sounds, jugular venous distention, and narrowed pulse pressure?
A nurse is caring for a client who is receiving filgrastim. Which of the following
findings should the nurse document to indicate the effectiveness of the therapy?
a. Increased RBC count
b. Increased neutrophil count
c. Decreased prothrombin time
d. Decreased triglycerides
What is increased neutrophil count
This combination of treatments lowers serum potassium by shifting it into cells, stabilizing cardiac tissue, and promoting renal excretion.
What are D50 with insulin, calcium gluconate, sodium bicarbonate, and furosemide?
What is the correct order for donning AND doffing PPE?
What is
Don: Gown, mask, goggles, gloves
Doff: Gloves, goggles, gown, mask
A nurse assesses a client with a cast on the right leg. The client reports numbness and tingling in the toes, which are pale and cool to touch. What is the nurse’s priority action?
A. Reposition the leg on a pillow
B. Apply warm compresses to the foot
C. Elevate the leg above the level of the heart
D. Notify the healthcare provider immediately
What is D. Notify the healthcare provider immediately
What medical emergency involves a sudden onset of "the worst headache of my life", nuchal rigidity, and hyponatremia?
What is an aneurysmal subarachnoid hemorrhage?
This antibiotic class can cause tendon rupture, especially in older adults or those taking corticosteroids.
What are fluoroquinolones (e.g., ciprofloxacin)?
This condition is characterized by excessive secretion, leading to dilutional hyponatremia, concentrated urine, and low serum osmolality.
What is SIADH?