Week 1 Lecture & Lab
Week 2 Lecture & Lab
Week 3 Lecture & Lab
Week 4 & 8 Lab
Week 5 Lecture & Lab
Week 6 Lecture & Lab
Week 7 Lecture & Lab
Week 9 Lecture & Lab
Week 10 Lecture & Lab
100
This acronym describes way to begin a patient intervention. It includes, View the orders, Introduce yourself and ID the patient, Explain the procedure/intervention, Wash hands, Gather Supplies, Assess pain and allergies, Provide privacy.
What is VIEWGAP?
100
A nurse is caring for a patient with a urinary catheter. The patient is alert and oriented but has limited mobility. This action will demonstrate breaking the chain of infection at the portal of entry.
A. Increasing fluid intake
B. Regular Perineal care at the catheter site
C. Securing the tubing to the patient's thigh
What is "B", regular perineal care? The nurse should first clean the perineal area then the catheter holding close to the urinary meatus then wash from the site outward and away from the patient using water only or a mild soap, a clean cloth with each wipe.
100
An LPN is caring for a 72 year old patient with a new diagnosis of type 2 diabetes. The patient states she does not want to check her blood sugar every day stating "I don't want to live that way." The nurse states, "How about you tell me some of your concerns and we will explore alternative options." The nurse is practicing this type of care.
What is patient centered care? This care considers the patient's needs in all aspects of care.
100
List 3 symptoms a patient may have if they have an infected wound.
What is fever, increased pain, purulent drainage?
May also choose, redness around the wound, fatigue, and overall feeling bad (malaise).
100
A decrease in functional ability can increase the risk for this serious hospital-acquired complication.
What is a pressure injury or fall?
100
The LPN is educating a group of 6th graders about eating healthy, getting regular exercise and healthy coping skills. She is aware that she is teaching this part of health promotion.
What is primary prevention?
100
This type of stress includes positive things such as starting a new job or getting married.
What is eustress?
100
The patient states they have back pain that is 8 on a 1-10 scale. when using the SOAPIER charting the nurse knows this information goes under this letter.
What is the S for subjective?
100
This is any information or knowledge that helps patients and their families to make informed choices about their health and improve their wellness.
What is patient education?
200
The ethical ideal that all patients should be treated equitably despite gender, race, socio-economic status, , sexual preference or disease is called this.
What is justice?
200
The new nurse inadvertently makes a medication error by giving a medication 1 1/2 hours late. She self reports to the supervisor her mistake. The supervisor thanks the new nurse for reporting the mistake and helps her fill in a report to try to find the root cause of the error. The principle to promote open communication, learning from errors, and systems improvement being used is called this.
What is Just Culture?
200
The nurse is assessing the patient's preferences as far as primary language, food preferences and restrictions and the patient's beliefs regarding medical treatment. She is assessing this part of patient care.
What is culture?
200
This scale measures sensory perception, moisture, activity, nutrition and friction and shear. Also the higher the score, the lower the risk of pressure injuries.
What is the Braden Scale?
200
A patient who can feed themselves but cannot pay bills may need support with this type of activity
What are IADL's or instrumental activities of daily living?
200
This type of health promotion includes scales like the Katz Index and the spices scale. It also includes getting eye exams and mammograms for women over 40.
What is secondary prevention?
200
When a nurse no longer enjoys her career you may notice she makes poor judgement calls, struggles to perform normal job duties and is frequently irritable it may be this .
What is burnout or nursing burnout?
200
The STEEP principles are a part of this concept that may affect insurance payment.
What is health care quality? (Will also accept quality or quality care)
200
This is 3 of the 4 things the nurse should assess before formal education of patient or family.
What is developmental stage, barriers, Maslow's Hierarchy? (Generational Need is the 4th).
300
The patient is on Warfarin and the INR drawn this morning is 4. Which of the following is the priority response by the LPN?
A. Ensure the patient gets his dose tonight
B. Ask the phlebotomist to come and redraw the blood work
C. Send the patient to the ER for an emergency blood transfusion
D. Call the provider to report the lab
What is D, Call the provider?
D. Call the provider to report the lab.
He may have you withhold a dose or take a lower dose. This is double the therapeutic INR, so it is too high. It can often be handled with reduced dose and using caution to avoid bruising and skin tears.
300
This is the correct method for applying(donning) PPE.
What is apply Gown, mask, goggles, and gloves?
300
This pulse is counted for a full 60 seconds and is found at the fifth intercostal space, midclavicular line.
What is the apical pulse?
300
This is the type of needle you need to withdraw medication from an ampule.
What is a filter needle?
300
This ADL assessment tool uses a scale to evaluate independence in feeding, bathing, dressing, and more.
What is the Katz Index?
300
This is the 5th vital sign and is best assessed using the patient's report.
What is pain?
300
Three of these types of coping include denial, substance use and self- harm.
What is maladaptive coping strategies? (Will also accept negative coping or poor coping strategies.)
300
When the nurse charts a full assessment at the beginning of the shift and then throughout the shift, only charts changes such as vital signs or pain score, it is this type of charting.
What is charting by exception?
300
The nurse knows while planned education is an important part of care, most education is instead given in this situation.
What is informal education?
400
The position shown here is used for a patient with dizziness and hypotension. It is called this.
What is Trendelenburg position?
400
The patient is a 35 years old smoker, has HIV and lives in a group home and has no steady income. The LPN assessing this patient recognizes these risks that increase the patient's chance of getting an infection.
What are his smoking, chronic disease (HIV), living in a group setting and socioeconomic status?
400
Your patient has a respiratory rate of 26, you would describe this to the provider as this.
What is tachypnea or tachypneic?
400
For this type of injection you use a 10-15 degree angle. It is often used to do a TB test.
What is ID or intradermal injection?
400
Before administering a feeding, the nurse must check this to confirm tube placement.
What is X-ray or gastric pH or contents?
400
This means that the patient's pupils are equal round and reactive to light and accomodation.
What is PERRLA?
400
When the action of one drug alters the action of another drug it is called this.
What is a drug interaction?
400
The nurse is charting giving the patient pain medication. If charting using the SOAPIER method, the administration goes under this letter.
What is I for intervention?
400
This domain of education (type of learning) is done to change feelings and attitudes and often takes longer than one session to complete.
What is affective learning?
500
This is a part of thinking critically. It is also an important part of developing your professional identity in nursing. It involves thinking back on the care you have given and considering what went well and what you would like to do better next time.
What is reflection?
Reflection involves seriously considering the care you give patients and what worked and what did not. It also is important to reflect on the other parts of professional identity including compassion, integrity, accountability, and civility.
500
The LPN is caring for a patient who is pulling at her IV catheter. Before calling the provider for a restraint order, she can try these 3 things first.
What is sleeve to cover the IV site, encourage the patient to fold some wash cloths, do a puzzle or watch television, or get a sitter to stay with patient? (these are not the only acceptable answers, any distractions that take the patient's focus off of the IV are a good place to start.)
500
Doing this may cause you patient's blood pressure to be falsely elevated.
What is using too small of a blood pressure cuff?
500
This is the type of injection used to give insulin. And since it is in units, the syringe is usually this color.
What is subcutaneous injection? What is orange syringe or orange cap?
500
This part of the head to toe assessment should be completed BEFORE starting and NG tube feeding.
What is assess the bowel for bloating and bowel sounds?
500
When assessing this part of the body, the correct sequence is inspect, auscultate and palpate.
What is the abdomen?
500
These two types of oral medications cannot be crushed before giving them to the patient.
What is enteric coated and extended release?
500
This is using the most up to date research available, nursing expertise and the values and preferences of the patient to give care is called this.
What is Evidence Based Care?
500
When a patient with a chronic disease process learns to manage their disease in a way that improves their quality of life and their longterm prognosis, it is called this.
What is self-management?
600
An LPN, Jon, has a new nurse's aid (UAP), Bree, to help care for the patients today. Jon is unsure how much experience Bree has, but the patient needs are room 1 needs a bed bath, room 2 needs morning medications and room three needs to be ambulated to the bathroom. Jon knows the most appropriate way to handle the delegation is this.
What is ask Bree what she is comfortable doing and then assign her the bed bath or the ambulation?
600
When educating a patient who is being prescribed penicillin for strep throat, the LPN should cover these points about the prescription.
What is finish all medications, even if feeling better, call the provider for any concerning side effects, contact provider or pharmacist if starting any other new medications while taking this medication?
600
Your patient is a 19 year old male who states his parents just threw him out of the house. He states he has no where to live and is not sure he has any reason to go on. The nurse knows the priority at this point is this.
What is assess this patient for suicidal thoughts?
May also say Ask the patient, "Are you having thoughts of hurting yourself?"
600
This is the site where most vaccinations are given via the intramuscular route.
What is the deltoid?
600
Your patient starts to display signs of difficulty swallowing (dysphagia) such as choking after eating or drinking, drooling or pocketing food. The nurse will make this patient NPO to avoid this dangerous concern.
What is aspiration or aspiration pnuemonia?
600
When admitting a new patient to your facility, you must do these two assessments as soon as possible.
What are the fall risk assessment and skin assessment?
600
This type of medication may have side effects such as increased heart rate and feeling anxious and the nurse should have the patient rinse their mouth after this medication type.
What is an inhaler?
600
This communication tool is Joint Commission approved as a safety measure and one way to meet the National Patient Safety Goals.
What is SBAR or I-SBAR-R?
600
When a patient learns a skill it is this domain.
What is psychomotor?