Fruit Salad
Transport calls to tell you they will be arriving at 1645 to take your patient to the cath lab for their 1700 study. What time should the patient be ready to leave their room?
What is 4:45pm?
The nurse enters Mrs. Smith’s private room at 7:00 AM. Mrs. Smith states her “head feels so cloudy”. Based on this statement, the stage in the sleep cycle Mrs. Smith did not experience is:
A. Stage II
B. Stage III
C. REM
D. Stage IV
What is REM
The medication order reads Benadryl (diphenhydramine) elixir 25mg every 6 hours. The label reads 15mg/ml. You should give :
What is 1.7 ml
This is the first priority action a nurse should take when assuming care of a patient at the start of a shift to ensure immediate safety.
What is perform a 60 second QSEN safety assessment.
A patient’s medical record contains the following orders. Which order is complete:
A.Furosemide 40mg IV daily
B.Digoxin 0.25mg PO
C.KCL elixir STAT
D.Metoprolol 5mg q6 hours
What is Furosemide 40mg IV daily?
The following mental status changes may occur when a patient with pneumonia is first experiencing hypoxia.
A. Coma
B. Apathy
C. Restlessness
D. Depression
What is restlessness?
A patient reports her naps after lunch often last up to 3 hours and she has great difficulty waking up after her nap. This condition is best defined as:
A.hypersomnia
B. sleep apnea
C. insomnia
D. Parasomnia
What is hypersomnia
Your patient weighs 65 kg. He asks you how many pounds that would be. A correct response would be:
What is 143 lbs.
The nurse enters the room to perform her beginning shift assessment. She notes that her patient is resting in bed. His color is pale, lips are pink, and respirations are slow and relaxed. He has water at his bedside that looks untouched during the night. His urinary drainage bag contains a very small amount of dark amber urine. A priority assessment for this patient would be:
What is fluid and electrolyte balance?
A patient tells the nurse “This pill is a different shape and color then the one I take at home.” Which is the best response by the nurse?
A.Go ahead and take your medicine
B.I will recheck your medicine orders
C.Maybe your doctor ordered a different medication
D.I will leave the pill here while I check with the doctor.
What is I will recheck your medicine orders.
The nurse is worried a patient on enteral feedings may be dehydrated, because the patient has not been receiving free water. This lab value will confirm the need for free water.
A. Hyponatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
What is hypernatremia?
For the past 3 weeks the nursing home patient has been taking a sleeping pill for his insomnia. He is now laying awake at night and does not seem to be responding to the medication. Which is most likely the explanation?
A.The patient’s daytime activity is interfering with sleep
B.The nurse needs to administer another medication to increase the effectiveness of the sleeping pill
C.Most sleeping pills lose their effectiveness over time
D.The patient is eating carbohydrates before bedtime
What is most sleeping pills lose their effectiveness over time.
A medication is on hand in syrup form. The Prescribed dose is 3 teaspoons. This would be how many ml?
What is 15ml.
Which of these patients has had a change in their condition that requires an update to their priority problem?
A.The patient with pneumonia whose pulse oximetry reading has gone from 88% to 90%.
B.The ambulatory patient who has fallen after attempting to go to the bathroom by himself.
C.The older adult patient who refuses to eat more than half of the breakfast provided.
D.The adult male patient who asks for the door to be partially closed for more privacy.
What is the ambulatory patient who has fallen after attempting to go to the bathroom by himself?
A patient develops a slightly nauseous feeling after taking Tylenol (acetaminophen). This reactions is known as a (an):
A.Side effect
B.Therapeutic effect
C.Idiosyncratic effect
D.Never event
What is a side effect?
A patient has a fractured rib and is breathing less often and with less depth because of pain. The nurse’s priority action for this patient
A.Assess the last time the patient received pain medication.
B.Get an order for oxygen.
C.Notify the physician.
D.Prepare to intubate the patient
What is assess the last time the patient received pain medication?
A patient tells the nurse that she often has a difficult time falling asleep at night. The suggestions offered by the nurse may assist the patient in achieving sleep are:
A.It is best to avoid a light snack prior to bedtime
B.A snack containing carbohydrates and protein
C.A chocolate milkshake to fill the stomach prior to bed
D.Exercise within the hour before bedtime to exhaust the muscles and promote sleep.
What is a snack containing carbohydrates and protein.
The medication on hand in syrup form is concentrated as 2mg/ml. The order reads to deliver 3 teaspoons. What is the dose of this medication?
What is 30 mg.
Of the four patients assigned to the nurse (listed below) which one should the nurse assess first?
A.A patient who was reported as having a fever and difficulty sleeping during the night
B.A patient who is scheduled to go home today
C.A patient who is receiving antibiotics and has stable vital signs overnight.
D.A patient who is reported as having slept through the night and has a family member in the room.
What is a patient who was reported as having a fever and difficulty sleeping during the night?
The nurse is to administer 0.5ml of a medication via intramuscular injection to an older emaciated patient. Which is the most appropriate for the nurse to use?
A.A tuberculin syringe, #25-27 gauge, ¼ to 5/8 inch needle
B. Two 3-ml syringes, #20-#23 gauge, 1 ½ inch needle
C.2-ml syringe, #25 gauge, 1 ½ inch needle
D.Tuberculin syringe, #20-#23 gauge, 1-inch needle
What is Tuberculin syringe, #20-#23 gauge, 1-inch needle
A patient’s pulse oximeter is alarming at 88%? When the nurse enters the room the first action should be:
A.Draw and arterial blood gas and send to laboratory for a more accurate reading.
B.Check that the pulse oximeter is attached to the patient correctly.
C. Silence the alarm.
What is check that the pulse oximeter is attached to the patient correctly?
The following conditions indicates presence of a Parasomnia:
A.A woman with restless leg syndrome
B.A child who awakens with nightmares several times a week
C.A man who takes several hours to fall asleep
D.An 8 yr.old child who wets his bed each night
What is an 8 yr old child who wets his bed each night.
The physician ordered that a patient receive 1.5mg of a medication, IM, every 3-4 hours as needed for pain. The medication is available for injection as 2 mg/ml. The nurse is allowed to give ___ ml every 3 to 4 hours.
What is 0.75 ml?
During change of shift the off-going nurse reports on her new admission. She states the patient was in an auto accident and sustained only minor cuts and bruises. He was admitted for observation to monitor for any signs of concussion or brain injury. She shares that he has been awake and alert with a slight headache and suggests that you continue frequent neuro checks every 30 minutes until the trauma physicians make rounds. The suggestion for frequent neuro checks is which part of the SBAR communication?
What is recommendation.
The patient is ordered Heparin 5,000 Units subcutaneously. Which is the correct technique for this procedure?
A.Aspirate before giving and gently massage after the injection
B.Do not aspirate before or massage after injection
C.Massage the site of injection; aspiration is not needed but will do no harm
D.Do not aspirate; massage the site after injection for 1 minute
What is do not aspirate before or massage after injection?