The Basics
What does the acronym SBAR stand for and why is it used?
Situation, Background, Assessment, Recommendation. Used for intradisciplinary communication between shifts for critical patient information.
During advanced cardiac life support (ACLS) training, a nurse learns about defibrillation by using a mannequin. Which teaching tool is being employed?
1. Journaling
2. Computer-assisted instruction
3. Role modeling
4. Simulation model
4. Simulation model
The nurse is aware a patient incorporates alternative healthcare into regular health practices. For which alternative therapy is the nurse aware that the patient visits a formally trained practitioner?
1. Use of herbs and roots
2. Application of oils and poultices
3. Burning of dried plants
4. Acupuncture
4. Acupuncture
A client's pH level is 7.33. The nurse interprets this pH as:
1. Alkalotic
2. Acidotic
3. Neutral
4. Compensated
2. Acidotic
Number of reindeer pulling Santa's sleigh.
What are the components of a SMART goal?
Specific, measurable, achievable, realistic, and within a time frame.
A patient with a diabetic foot ulcer will need to perform dressing changes after discharge. When should the nurse schedule the teaching sessions?
1. Within 10 minutes after the next dose of oral pain medication
2. After the patient wakes up from a restful nap
3. Right before the surgeon’s debridement of the wound
4. Before the patient undergoes flow studies of the affected leg
2. After the patient wakes up from a restful nap
The nurse understands the terms related to culture. Which behavior is defined as a practice?
1. Always drinking water after exercise
2. Thinking often about cleanliness
3. Placing an emphasis on success
4. Maintaining youth
1. Always drinking water after exercise
When a client has metabolic acidosis, which body system influences the acid-base imbalance to produce the compensatory changes in the arterial blood gases?
1. Respiratory system
2. Renal system
3. Vascular system
4. Neurological system
1. Respiratory system
What’s the best-selling Christmas movie of all time?
The Grinch
The 5 steps of the nursing process are:
Assessment, diagnosis, planning, implemention, and evaluation.
The nurse is preparing to teach a client about walking with crutches. Which action would the nurse take first?
1. Mutually develop learning goals for walking with crutches.
2. Demonstrate how to use the crutches.
3. Determine what the client already knows about crutches.
4. Create a teaching plan for walking with crutches.
3. Determine what the client already knows about crutches.
An adult patient is admitted for observation after sustaining injuries in a motor vehicle accident. The nurse understands that cultural beliefs may affect beliefs and behaviors related to health. Which observation by the nurse is an indication for the nurse to assess the patient’s injuries?
1. The patient discusses the taboos against narcotic use to relieve pain.
2. The patient reports immediate relief of pain.
3. The patient endures pain longer and reports it less frequently.
4. The patient requests herbal teas to manage the pain.
3. The patient endures pain longer and reports it less frequently.
Which of the following values are used to interpret arterial blood gases? Select all that apply.
1. PO2
2. PCO2
3. pH
4. HCO3
5. HGB
2, 3, 4
Per a recent holiday fad, what “spy” hides around the house, reporting back to Santa on who has been naughty and nice?
A patient complains of feeling depressed, nauseous, having visual disturbances, fatigued, and showing facial grimacing. Differentiate the SUBJECTIVE vs OBJECTIVE data.
SUBJECTIVE: depressed, nauseated, visual disturbances, and fatigue. OBJECTIVE: facial grimacing.
The nurse manager is devising a teaching schedule for the staff who are about to begin using a new type of patient bed in the ICU. Implementation is planned in 6 weeks. When is the best time for the manager to schedule the teaching sessions?
1. One hour before implementation
2. One day before implementation
3. One week before implementation
4. One month before implementation
3. One week before implementation
Which statement by the nurse indicates an understanding of cultural competency?
1. “Can you tell me about your cultural practices?”
2. “Do you understand how we do things here in the United States?”
3. “What matters most to you about your illness and treatment?”
4. “Can you please provide me a list of your cultural preferences?”
3. “What matters most to you about your illness and treatment?”
A client had gastric surgery 10 days ago and continues to require gastric suction because of a paralytic ileus. The client reports tingling in the fingers, has hypertonic reflexes, and has a respiratory rate of 8 breaths per minute that are deep in nature. The nurse recognizes that these symptoms are consistent with which diagnosis?
1. Respiratory alkalosis
2. Metabolic acidosis
3. Respiratory acidosis
4. Metabolic alkalosis
4. Metabolic alkalosis
What phrase made popular in the book “A Christmas Carol” expresses annoyance with cheery holiday celebrations?
Bah humbug!
What is the mental process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and evaluating information to reach an answer or conclusion?
Critical thinking
Which intervention by the nurse would be best to motivate a patient newly diagnosed with hypertension to learn about the prescribed treatment plan?
1. Explain that when left untreated, hypertension may lead to stroke.
2. Ask the patient to let the nurse know when they are ready to learn.
3. Encourage the patient to learn about various treatment options.
4. Reassure the patient that adhering to the treatment produces a good outcome.
1. Explain that when left untreated, hypertension may lead to stroke.
Vulnerable populations are those most likely to develop health problems and experience poorer outcomes because of limited access to care and a wide variety of other stressors. Which is most important for the nurse to focus on when caring for a patient from a vulnerable group?
1. Identify the need for a referral to a social worker.
2. Identify the interactions between family members in planning care.
3. Identify the patient’s difficulties and risks.
4. Identify the patient’s strengths and resources.
4. Identify the patient’s strengths and resources.
Which acid-base imbalance is present when a client's ABG shows a pH of 7.27, a PCO2 of 55, and a HCO3 of 24?
1. Uncompensated Respiratory Acidosis
2. Uncompensated Respiratory Alkalosis
3. Compensated Metabolic Acidosis
4. Uncompensated Metabolic Alkalosis
1. Uncompensated Respiratory Acidosis
When was Mariah Carey's "All I want for Christmas" released?
1994