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You have a patient that just received short acting insulin 5 minutes ago for their morning dose. When should the patient eat their breakfast?
You have a patient that you need to chart I/O on for breakfast. The patient had 6 oz of coffee, 8 oz of a protein shake, and 9 oz or orange juice. How will you document this in the patient’s chart?
You have a patient that has a colostomy bag. You are changing the colostomy bag and realize the stoma is dark purple. What is your next step?
Which of the following is true about side rails?
You have a patient with dark amber colored urine. You know this is a sign of what?
You have a patient wanting to ambulate and walk around. You ask her to sit on the side of the bed for a few minutes before standing so that
Your patient with a Foley catheter bag is wanting to ambulate in the hall to get out of his room. Which of the following is appropriate?
You are changing the linens of a patient’s bed. Where should the linen be placed while you are performing the bed change?
You have a patient with a reddened area on her coccyx. What is best practice to keep the area from becoming a stage II pressure ulcer?
You are feeding a patient who has orders from speech therapy to perform a chin tuck while drinking liquids. What is the reason for this?
A patient has fallen and broken his foot. The foot is now in a cast. What is important to assess during your shift?
You are transferring a patient that is weak. The patient begins to fall. What is the best thing for you to do?
You have a patient who states that her left calf hurts. You assess it and it is red and warm to the touch. Which condition are you concerned that your patient may be suffering from?
You are coming on shift to meet your patient. What is the best way to ensure patient safety while meeting the patient?
You are working a 12 hour shift. How often should you reposition your patients?
There is a fire on your unit. What is the first thing you should do?
You walk into a patient’s room and the patient is unresponsive. What is your first step?
What is the best way to palpate a carotid pulse?
A patient is experiencing a seizure. What is the proper thing to do?
A patient tells you that she has had a left sided mastectomy 2 years ago. Where would you take her blood pressure?
All of the following should be ensured while assessing a patient’s blood pressure EXCEPT
You are counting respirations on a patient. What is the proper way to count respirations for a patient?
You are providing perineal care to a patient. What is the proper way to clean the patient to avoid contamination or UTI?
Your patient is on a fluid restriction and asks for water. You bring the patient an 8oz cup of water. How would you document the water in the chart?
You have a patient that has fallen on the floor. What is the first thing you should do?
A patient has edema in their lower extremities. When repositioning the patient, which position would you put the patient in to aid in decreasing edema?
You have a patient on oxygen that wants to use his new electric shaver to shave his face. You know that
You are going to help a patient transfer from the wheelchair to the bed. Where would you stand while transferring the patient?
You are taking care of a patient with MRSA. You need to dispose of your gown and gloves. Where is the proper place to dispose of your gown and gloves?
When should a patient’s weight be taken to obtain an accurate reading?
Which type of precautions would be used for a patient with C. Diff?
What is the medical abbreviation for before meals and at bedtime?
A fracture-type bedpan is used for patients with what condition?
Which of the following are NORMAL signs of aging?
Which of the following is NOT an example of an ADL?
The patient tells you his pain is 10/10. However, the patient is smiling and talking to his visitors. You report the pain to the charge nurse because you know that
Your patient has an indwelling Foley catheter. Where is the best place to position the drainage bag?
You have a new 65 year old diabetic patient on your unit. What is the MOST important thing to do before leaving the room?
Which one of the following medical abbreviations is inappropriate for use?
Your patient is on strict I/O status. What is important to measure for this patient?
You have a patient who is incontinent of bowel and bladder. You know this patient is at increased risk for what?
You see your diabetic patient is sweating, disoriented, and unable to speak. What is the first thing you would assess?
You are putting linens on a patient’s bed. You know that not having wrinkles in the sheets is important because
You have a patient who has pneumonia and is weak. Which of the following interventions would be anticipated to include in the plan of care for this patient?
You have a patient with generalized weakness to transfer from the bed to the chair. Which transfer device would you use?
How many fingers should you be able to slide under wrist restraints?
You have a patient in restraints. You know the proper place to always tie restraints to is where?
Which one of the following would require contact precautions?
You have a 70 year old patient that is usually pleasant and easy going. Today she has cognitive delays, is hitting and kicking, and does not know who the staff are. Which condition is the patient likely experiencing?
You have a patient that has incontinence who wears briefs. What is necessary for patients with stress incontinence?
You are using a pulse oximeter on a patient. You know a pulse oximeter is used to measure what?
Which of the following is an example of subjective information?
The patient is lying in the supine position. In what position is the patient’s bed?
Which of the following is the BEST way to prevent the spreading of germs?
Which of the following happens when a patient has a stroke?
The patient that is bed bound is at risk for which of the following?
Which of these are important for the care of a diabetic patient?
You have a patient who is sweating, has a low heart rate, fruity smelling breath, and can barely speak to you. What is the next step you would take?
You have a patient on strict dysphagia precautions. The cafeteria sent her up a lunch tray. What item would you question if it arrived on the patient’s tray?
You have been busy during your 12 hour shift and haven’t been able to empty your patient’s Foley bag. You go in right before your shift is over to document output. What output amount would bring caution?
What is the proper measurement for measuring bodily fluids?
You are turning a patient during your rounds. What is the best way to ensure you do not pull the Foley catheter out?
A patient is experiencing dark stools. Which of the following conditions is the patient likely experiencing?
Contact precautions include what?
You are performing CPR with a second rescuer available to you. You are performing chest compressions. The second rescuer is giving oxygen via bag and mask. At what rate should the second rescuer provide breaths to the patient is cardiac arrest?
You are performing CPR on an adult patient. What is the correct depth per compression you should use?
You are performing CPR on an adult patient. At what rate should you use to properly provide CPR?
Which is the BEST way to take an apical pulse?
You have an infant that you are caring for on your unit. What is the MOST accurate way to retrieve a temperature on this patient?
You assess your patient and he has a fever of 102.1, HR 101, RR 22. The patient appears sweaty. He most likely has what?