Math Matters
Who’s the Boss?
Safety First, Survival Always
Germ Terminators
The Total Nurse Package
100
A provider orders 500 mg of a drug PO. If the pharmacy sends 250 mg tablets, this is the number of tablets you will administer.
What is 2 tablets?
100
These are the "5 Rights" of delegation that every RN must follow.
What is:
- Right Task: Determining if the task is appropriate to delegate based on institutional policies and whether it is within the delegatee's scope of practice.
- Right Circumstance: Ensuring the patient is stable and the setting has appropriate resources for the task to be performed safely.
- Right Person: Verifying that the person being delegated the task has the necessary knowledge, skills, and experience.
- Right Direction and Communication: Providing clear, concise, and specific instructions for the task, including potential limits and expectations.
- Right Supervision and Evaluation: Monitoring the progress of the task, intervening if necessary, and evaluating the final patient outcome.
?
100
This mnemonic (R.A.C.E.) describes the priority actions to take in the event of a fire.
What is:
- R—Rescue: Immediately move anyone (patients, visitors, staff) who is in immediate danger to a safer location.
- A—Alarm: Activate the fire alarm system and notify the appropriate authorities (such as calling 911 or the facility’s emergency number).
- C—Confine: Contain the fire by closing doors and windows, and turning off any oxygen or electrical equipment if possible.
- E—Extinguish: Attempt to extinguish the fire using the appropriate fire extinguisher if the fire is small and it is safe to do so; otherwise, Evacuate the area.
- ?
100
This is the most common cause of healthcare-associated infections (HAIs) in a hospital setting.
What is inadequate hand hygiene?
100
After finding a patient has a weakened range of motion and fatigue, the nurse identifies this stage of the nursing process.
What is the assessment stage?
200
To convert 3 fluid ounces to the metric system, the nurse calculates this many milliliters (mL).
What is 90 mL?
200
This task (e.g., checking an infusion rate or initial assessment) is one an RN cannot delegate to a Licensed Nursing Assistant (LNA).
What is:
- Initial Assessments: Only an RN can perform the initial assessment of a patient to establish a baseline and plan of care.
- Checking Infusion Rates: Monitoring or adjusting intravenous (IV) infusion rates requires nursing judgment and is typically restricted to licensed nursing staff.
- Patient Education: Formulating and providing the initial teaching or education for a patient and their family is an RN responsibility.
- Evaluating Patient Care: The RN is responsible for analyzing patient data and evaluating the effectiveness of interventions and the progress toward goals.
- Nursing Care Planning: Developing, updating, or making critical changes to a patient's plan of care cannot be delegated.
- ?
200
When using wrist restraints, the nurse must ensure they are secured to this part of the bed for safety.
What is the movable part of the bed frame?
200
This is the correct order for donning (putting on) PPE: Gown, Mask, Goggles, and then these.
What is Gown, Mask, Goggles (or face shield), and then Gloves?
200
When prioritizing care for four patients, the nurse should assess this patient first: the one with stable vitals or the one with new-onset dizziness.
What is new-onset dizziness first?
300
This is the standard rounding rule for a calculated dose of 1.028 mL when asked to record to one decimal place.
What is 1.0 mL?
300
This leadership style is characterized by the leader making decisions without input from the staff.
What is Autocratic Leadership?
300
These are the three essential components of radiation safety when caring for a patient with an internal implant: time, distance, and this.
What is shielding?
300
When caring for a patient with C. diff, the nurse must use this specific cleaning agent for equipment as standard wipes are insufficient.
What is bleach-based (sodium hypochlorite) cleaning agent or an EPA-registered sporicidal disinfectant for equipment and surfaces?
300
When a nurse is stuck with a used needle, this is the very first step they must take before reporting the incident.
What is wash the area immediately with warm water and soap?
400
An IV is set to run at 125 mL/hr. If the drop factor is 15 gtt/mL, this is the flow rate in drops per minute (gtt/min).
What is 31 gtts/min?
400
This is the best task to delegate to an Unlicensed Assistive Personnel (UAP) for a stable client: [a] assessing a wound or [b] bathing a combative client.
What is bathing a combative client?
400
During a bomb threat, this specific "Code" is often called over the hospital intercom system.
What is Code Black?
400
This type of isolation precaution requires a private room and an N95 respirator for the nurse.
What is Airborne Precautions?
400
This is the correct communication tool (acronym) used to provide a structured handoff report to a physician.
What is SBAR?
500
A patient weighing 198 lbs is ordered 15 mg/kg/day divided every 12 hours. This is the mg dose per administration.
What is 675 mg?
500
In an emergency, this team member is legally responsible for prioritizing and assigning tasks to other staff members.
What is the Registered Nurse (RN), and specifically the Charge Nurse or Incident Commander within a clinical unit?
500
In a mass casualty event, this color tag is assigned to a patient who requires immediate, life-saving intervention.
What is requires immediate, life-saving intervention is Red?
500
This is the minimum time (in seconds) recommended by the CDC for effective handwashing.
What is 20 seconds?
500
A nurse identifies a patient is at risk for falls. This combined action involves safety protocols, delegation to UAPs, and infection control if the patient has a wound.
What is a multifaceted fall prevention and safety protocol integrated with sterile or medical asepsis?