Diabetes
Medications Common in SNF
Pressure Ulcers
Falls
Neuro/Psych

100

This hormone is either not produced or not used effectively in diabetes, leading to elevated blood glucose levels.

Insulin

100

Carbidopa/levodopa (Sinemet) is most commonly used to treat what disease? 

Parkinson's Disease

100

This is the most appropriate intervention to prevent pressure injuries in an immobile patient:

Q2 hour turns

100

A patient becomes dizzy when standing. This condition is known as ______ and increases the risk of falls.

Orthostatic hypotension

100

This chronic, progressive condition is characterized by memory loss, confusion, and impaired judgment, commonly seen in SNF residents.

Dementia

200

This type of diabetes is characterized by insulin resistance and is the most common form seen in adults.

Type 2 Diabetes Mellitus

200

You are administering omeprazole. What is the most likely reason?

GERD/PUD

200

This scale assesses the risk of a pressure injury:

Braden Scale

200

After a fall, the nursing priority is?

Assessing for injuries (especially head and spine).

200

This common mood disorder in SNF residents is characterized by persistent sadness, loss of interest, and changes in sleep or appetite.

Depression

300

A diabetic patient is shaky, sweaty, and confused with a blood glucose of 58 mg/dL. This is the priority intervention.

Administer a fast-acting carbohydrate (15g), D50, or glucagon.

300

A patient has metoprolol that is due now. What is the priority assessment before administering this medication?

Heart rate (can't administer below 60bpm)

300

This stage of pressure injury presents with intact skin and non-blanchable redness over a bony prominence.

Stage 1

300

Patients should take diuretics in the morning because:

It prevents needing to urinate excessively at night (increased risk of falls). 

300

A patient states, “I don’t see the point in living anymore.” This is the priority nursing action.

Assess for suicidal ideation.

400

This classic triad of symptoms often appears in uncontrolled diabetes:

Polyuria, polydipsia, polyphagia

400

What class of drug is usually given to prevent blood clots in patients with atrial fibrillation?

Anticoagulants (most often apixiban/Eliquis)

400

This stage is characterized by full-thickness skin loss where adipose tissue is visible, but bone, tendon, or muscle are not exposed.

Stage 3

400
A patient taking many medications is at greater risk for falls. The clinical term for taking many medications is:

Polypharmacy

400

A patient with dementia becomes increasingly agitated in the evening hours; this phenomenon is commonly known as this.

Sundowning

500

A patient with diabetes has fruity breath, deep rapid respirations, and a blood glucose of 450 mg/dL. This life-threatening complication is suspected.

Diabetic Ketoacidosis

500

A patient has a dry cough, reports "I have had it since I started taking _________" (a blood pressure medication). 

Any ACE inhibitor (-"pril)

500

A wound is completely covered in eschar or slough. What stage of pressure injury is this?

Unstageable

500

Name a class of medications that increases the risk of falls:

Opioids, antihypertensives, benzodiazepines, hypnotics, anticonvulsants/neuropathics
500

This acute, reversible condition presents with sudden confusion, fluctuating levels of consciousness, and is often caused by infection or medications.

Delirium