Hemo-Immuno Showdown
Neuro Noodles
Lungs & Beats Bonanza
Move & Groove Problems
Misc.
100

Signs and symptoms of a TACO reaction and how to treat it 

What is Rales, dyspnea, hypoxemia, pulmonary edema, circulatory overload, decreased EF, high BNP, hypertension, JVD, transudate edema fluid. 

Tx: Diuretics

100

When can tPA be given? Type of stroke and amount of time

What is 3.5-4.5 hours for an ischemic stroke

100

What meds are aPTT, PTT, and INR associated with?

What is 

aPTT- Heparin

PTT/INR- Warfarin

100

Where do people usually experience gout pain? What meds do you give?

What is the big toe

Meds: Cholchine and allopurinol

100

List A1C values of prediabetes and diabetes

What is

Prediabetes= 5.7-6.5%

Diabetes= >6.5%

200

Your patient is receiving a blood transfusion and begins to complain of SOB and chills within 10 mins of administration. QUICK!? What do you do?

what is 

Stop the transfusion, call the provider, disconnect the blood from the patient, run normal saline through a new line, send the blood AND the tubing back to the blood bank, treat any s/s that arise

200

What is the pathophysiology of Parkinson's? What meds will you use to treat it?

What is Dopamine depletion from degeneration of basal ganglia, causes difficulty with movements. 

Tx: Carbidopa/levadopa

200

What cardiac changes happen with hyper and hypokalemia?

Hyperkalemia= tall tented (peaked) T waves, wide QRS, flat P

Hypokalemia= ST depression, flat/inverted T waves, U wave

200

What are the precautions for patient post hip replacement

What is Crossing the legs, don't sit or stand for too long, orthostatic precautions, Use abduction pillow 

200

Hallmark sign of Lyme disease and how to remove a tick

What is a Bullseye rash. Twist and pull up to ensure you get the head out

300

Name all the RANDI precautions and what kinds of patients you would use them for.

what is 

R: electric razors

A: No Aspirin 

N: Smaller gauge needles (means that they are bigger)

D: Decrease needle sticks

I: Prevent injury

Used for: patients with low platelet counts and other bleeding disorders 

300

Name 6 seizure precautions

What is O2 and suction set up, padded side rails, good IV access, bed alarm on, no tongue blades, no restrictive clothing, no restraints, NPO till gag reflex is assessed

300

What ABG imbalance is this?

pH= 7.32 PaCO2= 51 HCO3= 22

What kind of patient would have this?

What is

Respiratory acidosis. Commonly seen in asthma and COPD

300

What are the signs of compartment syndrome and how to treat it

What is

Pain, paralysis, pulseless, pallor, paresthesia, poikilothermia. 

Tx: Fasciotomy

300


Your patient requests to take their synthroid with their breakfast, and says they like to take their meds with milk. What do you educate them on?




You must take synthroid on an empty stomach at 6 am for the rest of your life. You can not take it with milk because it decreases the absorption of the medicine.



400

Which diet would be appropriate for a patient with leukemia?

Cereal with unpasteurized milk from the family's farm, pancakes, and bacon.

Mashed potatoes, steak, steamed peas, and cake.

Turkey sandwich with lettuce and tomato, and chips.

What is Mashed potatoes, steak, steamed peas, and cake.

They should not be eating or drinking anything raw! No raw fruits or veggies, or raw milk

400

What is status epilepticus and list some nursing interventions for it.

What is seizure that lasts longer than 5 minutes. 

Tx: Establish airway, O2, EEG, IV push Valium/Ativan with a loading dose of IV phenytoin/keppra

400

Name the heart rhythm with unrecognizable P waves, and irregular QRS. How do you treat it?

What is A. fib

Tx: CCB, beta blockers, anticoags, amiodarone

400

What is this patient suffering from? Patient comes in with broken femur, 3 hours after admission patient spikes a fever, becomes tachypneic, and develops a petechial rash

What is a Fat Embolism

400

Your patient has returned from a thyroidectomy and you have assessed that their airway is not swollen, on the rest of your assessment you notice that the patient tingling in their hands and feet, and that their arm was twitching when you took their BP. What is their problem?

What is Hypocalcemia from accidental removal of the parathyroid glands.

500

What is a Sickle Cell Crisis and how do you treat it?

What is extreme pain caused by the obstructed flow of blood due to a sickled blood cell getting stuck in the vessel 

Tx: Hydration, oxygen, pain management 

500

What does BE FAST stand for

What is

B: balance

E: Eyes

F: Face

A: Arms

S: Speech

T: Time

500

Your patient in AKI is being put on a diuretic to treat their fluid overload. Which order would you question?
Hydrochlorothiazide, lasix, or spironolactone? And why...?

What is Spironolactone 

Why: they are fluid volume overloaded, they are in the oliguric phase and will be hyperkalemic, we do not want them to hang onto even more potassium

500

List differences between rheumatoid and osteo arthritis

What is 

Osteo: deterioration of joints. Pain after activity, decreases with rest. Unilateral. Tx: hip replacement

Rheumatoid: Autoimmune destruction of joints. Symmetrical. Pain after rest, decreases with movement. Bilateral. Tx: Paquenil and Prednisone

500

How does metformin work? What side effects do you have to look out for?

What is increases insulin sensitivity and decreases glucose production. Watch out for GI upset and renal damage