SAFETY FIRST!
A patient is at risk for falls. What is the MOST important safety intervention?
Keep bed in lowest position
Your patient suddenly becomes short of breath. What is your FIRST action?
Assess airway, breathing, and oxygen level
Order: 250 mg
Available: 125 mg tablets
How many tablets?
2 tablets
Who do you see FIRST?
A. Pain 7/10
B. BP 84/40
C. Needs discharge
D. Hungry
B. BP 84/40
Which increase fall risk? (Select all that apply)
A. Weakness
B. Confusion
C. Sedatives
D. Good balance
E. Dizziness
A, B, C, E
You enter a room and see water spilled on the floor. What should you do FIRST?
Clean it up immediately to prevent falls
You find a patient on the floor. What do you do FIRST?
Assess the patient for injury
Order: 1,000 mL over 10 hours
What is the rate?
100 mL/hr
Which patient is priority?
A. New onset confusion
B. Stable patient
C. Waiting for meds
D. Watching TV
A. New onset confusion
Which prevent infection? (Select all that apply)
A. Hand hygiene
B. PPE
C. Reuse gloves
D. Clean equipment
E. Sterile technique
A, B, D, E
Which patient requires seizure precautions
Patient with a history of seizures
A patient’s IV pump is alarming. What should you do FIRST?
Assess the IV site and patient
Order: 0.5 mg
Available: 1 mg tablets
How many tablets?
0.5 tablet
Who is MOST urgent?
A. Temp 100.2°F
B. O2 sat 85%
C. Mild headache
D. Constipation
B. O2 sat 85%
Signs of hypoxia? (Select all that apply)
A. Restlessness
B. Cyanosis
C. Confusion
D. Bradycardia
E. Tachycardia
A, B, C, E
A nurse prepares to give medication but skips hand hygiene. What is the safest action?
Perform hand hygiene before administering medication
Your patient reports chest pain. What is your FIRST action?
Assess the patient (vital signs, pain, oxygen)
Order: 600 mg
Available: 300 mg/5 mL
How many mL?
10 mL
Who should you assess FIRST?
A. Post-op restless patient
B. Sleeping patient
C. Stable diabetic
D. Waiting for food
A. Post-op restless patient
Which are safe medication practices? (Select all that apply)
A. Check patient ID
B. Verify allergies
C. Skip documentation
D. Follow 6 rights
E. Double-check dose
A, B, D, E
A patient has wrist restraints. What must the nurse do?
Assess circulation and remove per protocol (every 2 hours)
A patient refuses care. What should you do?
Educate and respect patient autonomy
Order: 2 L over 24 hours
What is the hourly rate?
83 mL/hr
Who is priority?
A. Chest pain patient
B. Routine meds
C. Discharge patient
D. Stable vitals
A. Chest pain patient
Q5:
Which promote patient safety? (Select all that apply)
A. Call light within reach
B. Bed low
C. Cluttered floor
D. Non-slip socks
E. Side rails up x2
A, B, D, E