Clinical Decision-Making and Patient Safety
Scenarios: Essential Nursing Practice Review
Guide
Which adaptive equipment would be most appropriate to use for a severely contracted patient who is
unable to bear weight when transferring from bed to chair - ✔✔Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on hemodialysis - ✔✔BUN
32, CREATNINE 8.32
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having
several episodes of acute confusion since being admitted to your unit. What is the most important order
you should anticipate from the provider? You're? - ✔✔Hold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot sweats, and bloody
sputum. What type of isolation precautions should you initiate, if any? - ✔✔Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your 1st action? -
✔✔Position the patient on their side to maintain the airway
You find your coworker looking through your patient's medical record.. She States how is Mr. Smith
doing? He is my best friend's dad. We are so worried about him. What is the best course of action? -
✔✔Tell her you cannot give her information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling
urinary catheter. What would be the most appropriate action? - ✔✔Deflate the balloon, advance the
catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What times should the
patient be taught to be alert for signs of hypoglycemia? - ✔✔Is late afternoon and early morning
, What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ✔✔Reduce gastric acid
secretion
Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to
sectioning the patient, what should you do 1st? - ✔✔Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: - ✔✔Low
potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic obstructive
pulmonary disease(COPD) - ✔✔Impaired gas exchange
Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he is
extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his
coccyx. You were told in report that he lives at home with family members. What should you do? -
✔✔Notify the charge nurse and social worker of your concerns.
You have a patient going for dialysis. There are medications include Lisinopril(prinivil), ondansetron
(zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication would you possibly hold and
seek clarification? - ✔✔LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ✔✔Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient? - ✔✔Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe dementia? - ✔✔?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? -
✔✔Compress the drain, then plug the bulb to establish suction.
Scenarios: Essential Nursing Practice Review
Guide
Which adaptive equipment would be most appropriate to use for a severely contracted patient who is
unable to bear weight when transferring from bed to chair - ✔✔Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on hemodialysis - ✔✔BUN
32, CREATNINE 8.32
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having
several episodes of acute confusion since being admitted to your unit. What is the most important order
you should anticipate from the provider? You're? - ✔✔Hold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot sweats, and bloody
sputum. What type of isolation precautions should you initiate, if any? - ✔✔Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your 1st action? -
✔✔Position the patient on their side to maintain the airway
You find your coworker looking through your patient's medical record.. She States how is Mr. Smith
doing? He is my best friend's dad. We are so worried about him. What is the best course of action? -
✔✔Tell her you cannot give her information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling
urinary catheter. What would be the most appropriate action? - ✔✔Deflate the balloon, advance the
catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What times should the
patient be taught to be alert for signs of hypoglycemia? - ✔✔Is late afternoon and early morning
, What is a proton pump inhibitor, such as pantoprazole (protonix) used for? - ✔✔Reduce gastric acid
secretion
Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to
sectioning the patient, what should you do 1st? - ✔✔Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are: - ✔✔Low
potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic obstructive
pulmonary disease(COPD) - ✔✔Impaired gas exchange
Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he is
extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his
coccyx. You were told in report that he lives at home with family members. What should you do? -
✔✔Notify the charge nurse and social worker of your concerns.
You have a patient going for dialysis. There are medications include Lisinopril(prinivil), ondansetron
(zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication would you possibly hold and
seek clarification? - ✔✔LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem? - ✔✔Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient? - ✔✔Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe dementia? - ✔✔?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function? -
✔✔Compress the drain, then plug the bulb to establish suction.
