Your patient is on contact precautions for active MRSA. What proper
PPE should you use before entering the room? - ANSWER--Gown and
gloves
Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate intolerance
to the feedings? - ANSWER--Vomiting and diarrhea
Upon entering your patient's room, you note that they are having a
seizure. What is your FIRST action? - ANSWER--Position the patient
on their side to maintain the airway.
Your 18-year-old female patient was admitted with dehydration
secondary to anorexia nervosa. During your assessment you note she has
a flat affect and says, "I just want to die. I'm tired of my life." What
should be your FIRST intervention? - ANSWER--Stay with the patient
and ask fi she has a plan to carry out this wish.
Your patient has a non-productive cough and presence of secretions in
his tracheostomy. Prior to suctioning the patient, what should you do
FIRST? - ANSWER--Hyperoxygenate patient.
,Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and
reports having black colored stool today. What do you most likely
suspect? - ANSWER--Gastrointestinal bleeding
Your new patient was admitted with blunt force trauma to the abdomen
following a motor vehicle accident (MVA). A NG tube is in place for
decompression; however, you note during the assessment that the
stomach is rigid and hard during palpation. What condition do you
suspect? - ANSWER--Hemorrhage
Which of the following nursing diagnoses is MOST important for a
patient with chronic obstructive pulmonary disease (COPD)? -
ANSWER--Impaired gas exchange
You have a patient going for dialysis. Their medications include
lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and
atorvastatin (Lipitor). Which medication would you possibly hold and
seek clarification? - ANSWER--famotidine (Pepcid)
What is an early symptom that the patient is developing a complication
of heart failure? - ANSWER--Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what
condition? - ANSWER--Bleeding gastric ulcer
, You have 4 patients who have high priority needs. One needs to go to
surgery, one needs STAT lab draws from a PICC line, another has chest
pain rated 8/10, and another needs toileting. Which patient should you
tend to FIRST? - ANSWER--The patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and a distended
abdomen. What procedure would you anticipate being performed by the
provider at the bedside for this patient? - ANSWER--Paracentesis
What is clubbing of the fingers MOST likely associated with? -
ANSWER--Chronic oxygen deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which
medication would you anticipate administering? - ANSWER--Vitamin K
To reduce the risk of infection and phlebitis in an adult patient with a
peripheral IV, what is the MINIMUM duration the catheter should
remain in place before ROUTINE replacement? - ANSWER--72 hours
You are caring for a patient post lobectomy with a chest tube in place for
drainage. What is a priority in care for this patient? - ANSWER--
Encourage the patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated
for? - ANSWER--Adults aged 65 years and older
PPE should you use before entering the room? - ANSWER--Gown and
gloves
Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate intolerance
to the feedings? - ANSWER--Vomiting and diarrhea
Upon entering your patient's room, you note that they are having a
seizure. What is your FIRST action? - ANSWER--Position the patient
on their side to maintain the airway.
Your 18-year-old female patient was admitted with dehydration
secondary to anorexia nervosa. During your assessment you note she has
a flat affect and says, "I just want to die. I'm tired of my life." What
should be your FIRST intervention? - ANSWER--Stay with the patient
and ask fi she has a plan to carry out this wish.
Your patient has a non-productive cough and presence of secretions in
his tracheostomy. Prior to suctioning the patient, what should you do
FIRST? - ANSWER--Hyperoxygenate patient.
,Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and
reports having black colored stool today. What do you most likely
suspect? - ANSWER--Gastrointestinal bleeding
Your new patient was admitted with blunt force trauma to the abdomen
following a motor vehicle accident (MVA). A NG tube is in place for
decompression; however, you note during the assessment that the
stomach is rigid and hard during palpation. What condition do you
suspect? - ANSWER--Hemorrhage
Which of the following nursing diagnoses is MOST important for a
patient with chronic obstructive pulmonary disease (COPD)? -
ANSWER--Impaired gas exchange
You have a patient going for dialysis. Their medications include
lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and
atorvastatin (Lipitor). Which medication would you possibly hold and
seek clarification? - ANSWER--famotidine (Pepcid)
What is an early symptom that the patient is developing a complication
of heart failure? - ANSWER--Edema in the legs and feet
Black and tarry colored stools are CLASSIC symptoms of what
condition? - ANSWER--Bleeding gastric ulcer
, You have 4 patients who have high priority needs. One needs to go to
surgery, one needs STAT lab draws from a PICC line, another has chest
pain rated 8/10, and another needs toileting. Which patient should you
tend to FIRST? - ANSWER--The patient with chest pain
Your patient with Hepatitis C exhibits signs of jaundice and a distended
abdomen. What procedure would you anticipate being performed by the
provider at the bedside for this patient? - ANSWER--Paracentesis
What is clubbing of the fingers MOST likely associated with? -
ANSWER--Chronic oxygen deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which
medication would you anticipate administering? - ANSWER--Vitamin K
To reduce the risk of infection and phlebitis in an adult patient with a
peripheral IV, what is the MINIMUM duration the catheter should
remain in place before ROUTINE replacement? - ANSWER--72 hours
You are caring for a patient post lobectomy with a chest tube in place for
drainage. What is a priority in care for this patient? - ANSWER--
Encourage the patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated
for? - ANSWER--Adults aged 65 years and older
