Jeopardy for Nurses Game 1

Ethics

100

You think one of your nurse friends is diverting narcotics.- What next

Ask to speak privately with manager. Report facts

200

You find an antibiotic hanging with a full bag that was supposed to be given at 0600 - What next?

tell nurse, call pharmacy to retime, med error report

300

Your Doctor comes into your room and begins a procedure on your patient without you. What do you do.

online report, tell charge nurse, send email to manager of incident.

400

Your patient confides in you that they want to hurt themselves. Who do you contact?

Charge nurse, MD, place on suicide watch 24/hr sitter, chaplain, social work.  Stay in room with patient.

500

Where would you look to be sure you are performing a line pull correctly?

policy and procedures

Assessment

100

Upon assessment your patient is lethargic, 

Saturations are 85% on RA

Pt has hx of COPD and Sleep Apnea, what is wrong with your patient?

Retaining CO2

Not breathing adequately to exchange O2 and CO2. 

200

Upon assessment your patient has new onset garbled speech and right sided weakness. What are your next 3 actions

Vitals signs

Call RRT

Check a blood sugar

Keep pt NPO

Note time of onset of symptoms

300

Upon assessment your patient complain of 10/10 chest pain. What are you next 3 actions

Oxygen

Vitals

EKG

Call MD

400

Your patient has distended abdomen, Shortness of breath and fluid overload. What test will the Provider likely order?

Paracentesis

500

Your patient's ABG is 

pH 7.28, CO2 60, P02- 60%, HCO3- 24.  

What two ways can you reduce the CO2 to balance the pH

 

Increase RR

Increase volume of breaths

Prioritization

100

What order should you give these meds to your septic patient?

Morphine 2mg IVP Q4hr prn mod pain (pain 8/10)

Zosyn 3.375 IVPB Q8hr 1st dose now

Protonix 40 mg IVP daily

zosyn

morphone

protonix

200

Prioritize nursing diagnosis:

1.Impaired Electrolyte Imbalance AEB diarrhea and low K+

2.Decreased Cardiac output AEB low blood pressure

3. Ineffective Health Management AEB pt not check blood sugars

2

1

3

300

Prioritize tasks upon receiving this new patient.

stat labs

head to toe assessment

check vital signs

vitals

stat labs

head to toe

400

Assess the scene safety

shake and shout

begin CPR

Apply defibrillator

What is BLS

500

Prioritize:

1. vented patient 100% fi02/prone/ periodically desats to 83%

2. B/P is 75/42 pt awake and alert but dizzy HR is SVT 175.

3. Confused pt with left sided weakness is trying to get OOB

See pt 2 first, needs nursing intervention

delegate 1 to respiratory 

delegate 2 to patient care tech or fellow RN

Medications

100

Need x-ray confirmation

HOB >30 degrees

check residual and patency

Actions before giving NG/OG meds

200

3 Activities to do before administering Furosemide IVP

Check labs, electrolytes and renal status

Check blood pressure

Check IVP rate

Check compatibility

I and O

300

Name 3 medications that use an inline filter

TPN

Amiodarone

Mannitol

400

This antibiotic is used for Methicillan Resistant Staphylococcus Aureus

Vancomycin

500

Name 3 vasopressors used in the ICU

Epinephrine

Norepinephrine

Vasopressin

Neosynephrine

Labs

100

What kind PMH would you expect for a patient with a Creatinine of 7.2? 

ESRD on dialysis

200

What medication might my patient be on if their INR is 3.2?

Warfarin/Coumadin

300

What labs are ordered if a MD wants a Pan culture of a paitent?

UA with culture

Blood culture x2 15 min apart (peripheral)

Sputum culture

400

What does an increased procalcitonin level indicate?

Bacterial infection, bacterial source of sepsis

500

How many points do you typically see hemoglobin rise with each pint of blood transfused?

1