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Medication administration
Assessment Tools
Collaborative Practice
Chronic Disease management
Decision Making
100
When mixing long and short acting insulin together in a syringe, which do you draw up first, and why?
what is clear/short acting drawn up first.
100
List 3 components of CIWA
What are auditory, visual and tactile disturbances, anxiety, agitation, headache, tremor, paroxysmal sweats, nausea and vomiting and orientation
100
What procedure do you follow to obtain a physicians orders?
What is use SBAR and do not take verbal orders over the phone
100
Your patient with congestive heart failure has an order for a fluid bolus what would you do?
What is assess lung sounds and fluid status prior to administration, closely monitor for signs of fluid overload.
100
How do you prepare your patient who is on contact isolation to go down to X-ray.
What is put a clean gown on them, ensure dressings are dry and intact, and maintain hand hygiene.
200
What medications make up Tylenol #3 and Percocet?
What is Tylenol and codeine and tylenol and oxycodone
200
3 things to assess after giving a narcotic
What is resp rate, sedation, and pain score. Refer to procedure regarding times of assessment based on drug route.
200
Describe the HELP program
HELP (hospital elder life program) which has the following goals: Maintain physical and cognitive functioning throughout hospitalization Maximize independence at discharge Assist with transition from hospital to home Prevent unplanned readmission
200
List 3 ways in which you would reduce the risk of infection in a patient undergoing cancer treatment?
What is hand hygiene, discourage visitors that are sick, use aspeptic technique for all procedures
200
Your patient is complaining of 7/10 pain and they are not yet due for any analgesics, what do you do?
What is use alternate forms of pain management, other suggestions??
300
The difference between HIT (heparin induced thrombocytopenia) and HAT (heparin associated thrombocytopenia).
What is HAT is a non‐immunologic response to heparin treatment while HIT is immune mediated and has an increased risk of thrombosis.
300
What do you need in order for your CAM to be positive?
What is inattention, acute change in baseline, and either disorganized thinking or altered level of consciousness
300
Name 3 benefits of collaborative practice
What are: be better able to deal with increasing complexity of care, increaes focus on health promotion and disease prevention, co-ordinate and meet the needs of the population being served, cost-effective, better integrate care with community and institutional services.
300
Your patient has a blood glucose of 3.5 and is confused and lethargic but stil responding appropriately how would you manage this patient?
Administer a minimum of 15 gram glucose tablet, reassess after 15 mins and retake BGL if <4mmol/L, give another tablet if needed. If still hypoglycemic after 30 mins and 2 tabs notify physician.
300
Your patient is prescribed Warfarin, prior to administering the drug you check the INR and find it is 3.2, how do you procede?
What is withhold warfarin as this is outside the therapuetic range of 2-3, and notifiy physician or charge nurse. vitamin K may be given as antidote if above 3.5 or as per physician preference.
400
Size of IV gauge preferable when administering blood.
What is 20 gauge.
400
What are the components that make up the SCHMID tool and what score indicates risk?
What are mobility, mentation, elimination, fall history, current medications. Score > 3 = fall risk.
400
Difference between PT and OT
What is PT focuses on mobility, OT is about managing ADLs.
400
What is the difference between hospice and palliative care?
What is hospice is specific care of a patient expected to die within 3 months or less, and palliative care is treatment of a patient throughout the dying stage or their life.
400
Your patient has a threatened airway a GCS drop of more than 2 points so what do you do and how?
What is call a code 66. Dial 600, state you have a code 66, give location and ask operator to repeat back.
500
Maximum amount of acetaminophen an adult should be getting per day.
What is 4 grams
500
You would do this if your patient was having chest pain and chills during blood administration.
What is stop the tranfusion.
500
Name 4 of the essential elements of collaborative practice
What are: Co-operation, assertiveness, accountability, autonomy, communication, co-ordination, mutual trust & respect.
500
Describe how you would engage your patient in understanding diabetes management and insulin administration
What is s/s of hypoglycemia, how to check BGL, importance of accurate insulin adminstration, injection sites, involve family and patient in goal attainment around management. Food, exercise precautions, sickness, etc.
500
You have a patient who has become pulseless and apneic, you review thier chart and note that they are an M1, how do you procede in your care?
Do not resusitate.