Success is not Final
Failure is not Fatal
Its the Courage
To Continue
That Counts
100
What are the 6 vital signs to take?

1. Blood Pressure

2. Temperature

3. Heart Rate (Pulse)

4. Oxygen Saturation

5. Respiration rate

6. Pain

100

Your patients vitals read:

BP: 160/88; Temp: 99.5F Oral; HR: 45; R: 10

What will you report to the nurse right away?

BP; Pulse; Respirations

100

Your patient has an NG tube?

What position should their bed be in?

Semi-Fowlers

100

Medical Term for: A foreign object or fluid in the lung?

Aspiration

100

Which pulse site is used when checking the blood pressure using the sthethoscope?

Brachial Pulse 
200

How long are you counting the apical pulse?

60 seconds (1 full minute). 

200

Medical Term: Your patients radial pulse is 55 BPM? 

Bradycardia

200

Your putting your patients belongings up in their nightstand. Which drawer are you putting their dentures, toothbrush, and toothpaste?

The top drawer of the nightstand. 

200
How often are you repositioning your patient to prevent bed sores?

Every 2 hours. 

200

You work nights. You enter your patients room to check vitals and while counting respirations your patient breathing paused and resumed. This is called?

Sleep apnea

300
Name at least 5 signs of your patients who cannot speak being in pain. 

Increased BP; Increased Pulse; Restlessness; Increased Confusion; Grimacing; Groaning; Difficulty Sleeping; Page 428

300
You have to change the gown for your patient who has a NG tube. Where are you attaching/securing the tube?

To the patients gown.

300

Medical Term: Your patients respirations are 26 BPM. 

Tachypnea

300

What is the last thing you should clean when giving a complete bath?

The perineal (genital) area.

300

Your patient is in a coma. You need to clean their oral cavity. What will you use?

A sponged-tip applicator. 

400

How warm should the water be when giving your patient a tub bath?

105 degrees F.

400

What is the first body part you should clean when giving a partial bath?

The face. 

400

You are performing oral hygiene on an unconscious patient. What position in the bed should they be in?

Side lying with their head turned to the side.
400

Medical Term: Systolic Pressure greater than 140; Diastolic Pressure greater than 90

Hypertension

400

You "zeroed" the scale before taking your patients weight. What number should the scale read?

Zero (0)

500

You patient just finished their session with physical therapy. How long should you wait before checking their vitals?

10 to 20 minutes. 

500

Which should be reported to the nurse FIRST?

A. Res: 22; Pulse Ox: 92%

B. HR: 54; Pulse Ox: 84%

C. HR: 58; Glucose 100

D. Res: 18; WBC: 20

B. HR: 54; Pulse Ox: 84%

500

You work on a pediatric unit. To assess if you need to perform CPR, which artery will you check?

Brachial Pulse

500

What color thermometer is only used for rectal temps?

Red

500

You patient is 64". How tall are they?

5' 4" 

600

Medical Term: Difficulty swallowing

Dysphagia

600
Name 4 signs/symptoms of aspiration.

Chocking

Coughing

Difficulty breathing during/after meals

Abnormal breathing/ Respiratory sounds

600

The resident ate a fourth of their food. What percentage are you documenting?

25%

600

Extremely thick liquid that stays on the spoon is what dysphagia diet?

Pudding-thick

600

Your patient needs to spit after brushing their teeth at their bedside. What are you placing under their chin for them to spit in?

Kidney/Emesis basin