Week 1
This Benner's level describes a beginning nursing student or nurse entering a situation with no previous experience
Novice
This is the most common means of pathogen transmission.
What is touch?
A patient's resting heart rate is 54 beats/minute. Which term should the nurse use when documenting this finding?
A. Tachycardia
B. Bradycardia
C. Dysrhythmia
D. Eupnea
Bradycardia
This part of the stethoscope should be used to auscultate breath sounds.
What is the diaphragm?
Most medications in this drug class end in “-pril.”
What are ACE inhibitors?
This is the cognitive process of analyzing, synthesizing, and interpreting patient data
clinical thinking/reasoning
This type of infection is acquired in a health care setting and was not present on admission
What is a health care–acquired infection (HAI)/nosocomial infection?
This technology measures exhaled carbon dioxide
What is capnography?
This term means what the body does to the drug.
What is pharmacokinetics?
The main purpose of policies and procedures is to tell nurses this
What is what the facility expects and how to perform care?
This defines the activities, responsibilities, and procedures a nurse is legally authorized and competent to perform.
scope of practice
A patient reports dizziness when standing. Which assessment would help the nurse evaluate the patient's fall risk?
What is measuring orthostatic blood pressures?
The nurse receives the following vital signs on four patients. Which finding requires the most immediate follow-up based on the ranges emphasized in the chapter?
A. HR 88 beats/min
B. RR 18 breaths/min
C. SpO₂ 88%
D. Temperature 98.8°F
C. SpO₂ 88%
This is the process by which a medication leaves the body.
What is excretion?
A patient arrives in the ED with signs of a stroke. The nurse immediately follows a predetermined sequence of assessments, diagnostic testing, and interventions. What is the nurse following?
What is a clinical protocol?
Put these nursing-process standards in order: Planning, Evaluation, Assessment, Implementation, Diagnosis, Outcomes Identification.
What is Assessment → Diagnosis → Outcomes Identification → Planning → Implementation → Evaluation?
This mnemonic helps nurses remember priorities during a fire
RACE
During assessment, the nurse observes jugular venous distention (JVD). JVD reflects increased pressure involving which side of the heart, and name one condition from the chapter that may cause it.
What is the right side of the heart? Causes listed include right-sided heart failure, pulmonary hypertension, or fluid volume overload.
An unintended, undesirable, often unpredictable severe response to a medication
What is an adverse effect?
A patient is prescribed doxazosin. Which statement indicates the patient needs further teaching?
A. “I will change positions slowly.”
B. “I will sit on the side of the bed before standing.”
C. “I should be careful because this medication can make me dizzy.”
D. “If I become dizzy, I should stop the medication immediately.”
D. Doxazosin can cause orthostatic hypotension and dizziness; the slides emphasize fall-risk assessment and changing positions slowly.
A patient's BP is 88/54, HR 118, skin is cool and clammy, and the patient is dizzy. The nurse recognizes possible poor perfusion, prioritizes the patient, and intervenes. This demonstrates what?
clinical judgment
A confused patient repeatedly pulls at an IV. Before applying restraints, name two alternatives the nurse could try
Examples include reorientation, supervision/sitter, diversional activities, placing the patient near the nurses' station, frequent observation, toileting, pain management, ambulation, or camouflaging the IV tubing.
A patient with a high temperature has hot, dry skin, confusion, tachycardia, and hypotension. What potentially lethal heat emergency should the nurse suspect?
Heatstroke.
A patient's phenytoin is scheduled for 0900. When should a trough level generally be obtained?
A. 0700
B. 0830
C. 0900
D. 0930
0830
A patient with significant hepatic dysfunction needs an ACE inhibitor. Which two medications in this class are already active and do not require hepatic activation?
What are lisinopril and captopril