Neuro
What is a patient oriented to when we say that they are "A&Ox4"?
Person, Place, Time, and Situation
What does the acronym MONA stand for?
Morphine, Oxygen, Nitroglycerin, ASA
What vaccine could result in a positive tuberculosis skin test?
The BCG, or Bacille Calmette-Guerin vaccine
What is a normal range of bowel sounds in a healthy adult?
5-35 times per minute, or every 5-10 seconds.
You have a patient who is on isolation precautions due to a diagnosis of COVID-19. Please don the proper PPE before visiting the patient.
Group all dons PPE.
What three components make up a Glasgow Coma Scale?
Eye Opening, Motor Response, Verbal Response
What is the correct pathway of blood flow through the heart? (do not include valves)
right atrium, right ventricle, pulmonary artery, left atrium, left ventricle, aorta
What is tidal volume?
The total volume of inhaled and exhaled air with each breath
What is the single best indicator of fluid status in a patient?
Daily weights
You are giving flu vaccines! Please assess your patient and take a short health history from them before giving the vaccine.
A patient has had a left-sided cerebrovascular accident (CVA). Which condition does the nurse expect the patient to have as a result of the CVA?
A. Ataxia
B. Aphasia
C. Dyslexia
D. Quadriplegia
You are preparing to administer furosemide to a patient who takes digoxin. You will plan to monitor the patient for:
A. Digoxin Toxicity
B. decreased digoxin effects
C. Furosemide toxicity
D. Decreased furosemide effects
A school is offering TB testing for all of it's employees. The health nurse administers the injections to each of the employees using a tuberculin syringe. At which angle does the nurse administer the injections into the skin?
A. 60 degree
B. 10 degree
C. 25 degree
D. 90 degree
A patient undergoes surgery due to having massive trauma to the kidneys resulting from a fall from a scaffold. Which assessment data obtained postoperatively is most important to communicate to the surgeon.
A. Blood pressure is 102/48
B. Urine output is 20 ml/hr for 2 hours
C. Crackles are heard at both lung bases
D. Incisional pain level is 8/10
You are changing a central line dressing. Please use the appropriate sterile precautions and change the dressing.
Make sure to stay sterile!
The nurse observes the unlicensed assistive personnel positioning the client with increased intracranial pressure. Which position would require intervention by the nurse?
A. Head midline
B. Head turned to the side
C. neck in neutral position
D. head of bed elevated to 30 to 45 degrees
What medication do you administer in someone with uncontrolled SVT?
A. Amiodarone
B. Epinephrine
C. Adenosine
D. You don't - Defib!
After assisting at the bedside with a thoracentesis, the nurse should continue to assess the patient for signs and symptoms of what?
A. Bronchospasm
B.Respiratory Acidosis
C. Pulmonary edema
D.Pneumothorax
Following rectal surgery, a client voids about 50 ml of urine every 30 -60 minutes for the first 4 hours. Which nursing action is most appropriate?
A. Monitor the clients intake and output over night
B. Have the client drink small amounts of fluid frequently
C. Use an ultrasound scanner to check the postpaid residual volume
D. Reassurance the client that is normal after rectal surgery because of anesthesia
A patient is going back for a lengthy procedure. Please insert a foley catheter.
Make sure to stay sterile!
Which patient is the nurse most concerned with developing a subdural hematoma following an injury that resulted with a blow to the head?
A. The 76-year-old patient who is taking an anticoagulant
B. The 16-year-old football player who suffered a concussion
C. The 36-year-old patient who has a history of migraine headaches
D. The 56-year-old patient who is taking an antihypertensive medication
What are the two shockable pulseless rhythyms? (Choose 2)
a. Asystole
B. Ventricular Fibrillation
C. A-Fib with RVR
D. Pulseless V-Tach
The patient is hospitalized with pneumonia. Which diagnostic test should be used to measure the efficiency of gas transfer in the lung and tissue oxygenation?
A. Thoracentesis
B. Bronchoscopy
C. Arterial blood gases
D. Pulmonary function tests
A male client in the client provides a urine sample that is red orange in color. What action should the nurse take first?
A:Ask the client about current medications
B. Teach correct midstream urine collection
C. Notify the clients healthcare provider
D. Question the client about urinary tract infection risk factors
A patient presents to the ED with severe dehydration. Per MD orders, you are to insert an IV, then administer an NS.9 solution 1L bolus to the patient using the pump.
insert IV and prime tubing, then program bolus on pump (can split this one up between team).