A patient arrives into the Emergency department with complaints of mid-sternal chest pain radiating down the left arm. What would be a priority task to delegate to the unlicensed assistive personnel (UAP)?

A severely malnourished patient is not able to absorb nutrition enterally and is started on TPN. The nurse knows the patient is at risk for a metabolic disorder referred to as refeeding syndrome. Refeeding syndrome can cause hypophosphatemia, hypokalemia and hypomagnesium. Which serious manifestation of refeeding syndrome should the nurse be concerned about?

A patient's order reads iron dextran 40 mg in 200 mL of 0.9% NS to infuse over 5 hours. At what rate would the nurse program the infusion pump? (Round to the nearest whole number and include unit of measurement)

A patient with pneumonia is receiving cefazolin (Ancef) 1000mg in 250 mL D5W over 5 hours. At what flow rate will the nurse set the IV pump? (Round to the nearest whole number and include unit of measurement)

The ICU hospitalist has ordered your patient 180mg of Dilantin orally every 12 hours. The patient weighs 124 lbs. The label reads 250mg/5ml. How many milliliters (mL) will you administer to this patient per dose? (Round answer to the nearest tenth and include unit of measurement)

The Nurse Practitioner orders Solu-Medrol (methylprednisolone) 60 mg IV push every 8 hours. The pharmacy sent Solu-Medrol 125 mg/mL. How many milliliters (mls) will the nurse administer per dose? (Round to the nearest hundredth and include unit of measurement)

The physician orders Vancomycin 2 grams in 250mL D5W over 6 hours. The label on the tubing administration set provides a drop factor of 20 gtts/mL. What would be the flow rate in gtts/min? (Round to the nearest whole number and include unit of measurement)

A patient has been diagnosed with Diabetes Insipidus (DI) and has been ordered Desmopressin acetate (DDAVP). What is the purpose of this medication?

The student nurse is performing a central line dressing change under the supervision of the clinical instructor. Which intervention observed by the instructor would require immediate corrective action?

The nurse is starting their 3pm-11pm shift on the diabetic unit. After receiving report from the day shift, which patient will the nurse determine needs assessed first?

The nurse is providing education at the community health fair on prevention strategies for atherosclerosis. Which of the following information does not belong in the education?

The nurse is teaching a student nurse about the stages of coronary artery disease. Which of the following is the earliest stage in the development of atherosclerosis?

A patient with chronic stable angina is out shoveling their driveway and begins to have chest pain. The nurse understands care is based on which causative imbalance?

The nurse is caring for a patient with an exacerbation of their left sided heart failure (HF). Which of the provider's orders should the nurse call to clarify?

A patient arrives in the emergency department complaining of increasing shortness of breath over the last three days. The patient is currently agitated and coughing up frothy pink-tinged sputum. The nurse notes a past medical history of left-sided heart failure. What position would potentially help the patient improve perfusion and gas exchange?

The nurse is preparing to administer the 9:00 am medications to a patient admitted with a diagnosis of heart failure. The patient is scheduled to get the following four (4) oral medications. After reviewing the assessment data, which order requires the nurse to clarify with the healthcare provider before administering? BP: 120/86 Pulse: 70 Serum potassium: 3.0 mEq/L

The nurse is assessing a patient diagnosed with chronic heart failure (CHF). Which laboratory data would indicate that the patient is in severe CHF?

The patient with heart failure has been prescribed intravenous nitroglycerin and furosemide (Lasix) for pulmonary edema. Which is the priority nursing action related to these medications?

A patient is diagnosed with heart failure and asks the nurse what could have brought on the disease. Which of the following could be a precipitating cause of the heart failure?

A nurse is administering analgesia to a terminally ill patient experiencing severe pain with a respiratory rate of 4. The family is concerned the medication will harm the patient. Which practice will the nurse explain to the family in this situation?

A family member of a hospice patient asks the nurse about signs that end of life is near. Which physical manifestation will the nurse share with the family that may be seen at the end of life?

A patient has been brought up from the recovery room after a right radical mastectomy procedure. The nurse should plan to perform which intervention to decrease the chance of lymphedema?

A patient is receiving radiation therapy to the chest as treatment for a lung tumor. Which side effect would the nurse monitor for as a result of the radiation therapy?

A nurse is caring for a patient diagnosed with Diabetes Insipidus. Which of the following would be a potential cause for this disorder?

A nurse is caring for a patient diagnosed with an Acute Kidney Injury (AKI). The patient's symptoms include a urine output of 18 mL/hour, a potassium level of 7.0 mEq/dL and generalized edema. Which actions should the nurse include in the patient's plan of care? (Select all that apply by dragging your answer(s) from the Intervention section to the AKI Plan of Care section.)

The nurse is caring for a patient with Acute Kidney Injury (AKI). After reviewing the patient's lab results what would be the priority intervention for this patient?

The nurse educator of the urology floor is teaching a group of nursing students about the staging of Chronic Kidney Disease (CKD). What statement should be included in this education?

The nurse is administering total parenteral nutrition (TPN) to a patient with Ulcerative Colitis. Which priority action would the nurse take if the TPN bag emptied before the next bag arrives to the floor?

A patient with non-small cell lung cancer has developed stomatitis of the mouth. What would be an appropriate intervention for this patient related to this complication?

A nurse is caring for a 76 year old patient who was diagnosed with Parkinson's Disease 10 years ago. Which clinical manifestations would the nurse expect to find in this patient?

A patient with Parkinson's disease is started on Levodopa (L-Dopa). What should the nurse explain to the patient about this drug?

The spouse of a patient with myasthenia gravis is trying to improve the nutritional intake of their loved one. Which meal option would be most appropriate for a patient with myasthenia gravis?

A patient presents with an acute exacerbation of their Multiple Sclerosis (MS) symptoms. Which class of medication does the nurse anticipate administering to this patient?

The nurse is assessing a patient diagnosed in the early stage of Multiple Sclerosis (MS). The nurse understands the pathophysiology of MS includes which process?

The nurse enters a patient room and notes the patient appears anxious with tachycardia and tachypnea. The nurse learns that a patient's sibling passed away during a recent hospitalization. What would be the best action by the nurse at this time?

The nurse is caring for a patient with Ulcerative Colitis who is experiencing severe bloody diarrhea, and doesn't understand why he needs total parenteral nutrition (TPN) therapy. What education should the nurse provide to the patient to explain the proposed treatment needed?

During the nursing assessment of a patient scheduled for hemodialysis, which finding by the nurse indicates that the right arm arteriovenous fistula is patent?

For a patient who is experiencing side effects of radiation therapy, which task would be the most appropriate to delegate to unlicensed assistive personnel (UAP)?

The nurse is caring for a patient with Crohn's disease. Which complications of this disease should be considered for the patient's plan of care?

Which action should the nurse take before inserting an angiocath for continuous intravenous (IV) therapy?

The nurse is caring for a patient with orders for a hypotonic intravenous (IV) solution. During the 60 second assessment, which solution would the nurse expect to see infusing?

The nurse educator is teaching a group of nurses about the different types of insulin for Type 1 diabetes. Which statement demonstrates further education is needed?

A nurse is caring for a patient admitted with complications of Type 2 diabetes mellitus. The patient is being discharged on Acarbose (Precose). What information is most important to include in the discharge teaching plan?

The nurse is discussing different types of insulin with the patient. Which type of insulin is the nurse referring to when she states an onset of 30-60 minutes and a peak of 2-5 hours?

The nurse is assessing a newly admitted patient for Diabetic Ketoacidosis (DKA). The nurse would expect to find which of the following as clinical manifestations of DKA?

The nurse is reviewing the chart of a female patient. Which clinical findings would be reviewed to determine if the patient is positive for metabolic syndrome?

A patient returns from a Roux-en-Y surgical procedure. The nurse knows it is important to monitor for which possible serious complication immediately after surgery?

Which of the following are health risks associated with obesity? (Select all that apply)

The nurse is providing education for a patient with Hyperosmolar Hyperglycemic Syndrome (HHS). The nurse compares Diabetic Ketoacidosis (DKA) and HHS and understands which of the following statements is true?

A patient is admitted to the hospital with a diagnosis of Diabetic Ketoacidosis (DKA). The initial blood glucose was 450 mg/dL. Intravenous hydration with 0.9 Normal Saline and an insulin infusion with Regular Insulin was initiated. The serum glucose level is now 240 mg/dL. Which would be the next expected action of the nurse?

Which statement is true about the microvascular complications associated with diabetes?

When there is reinforcing instructions to a patient who has been diagnosed with type 1 diabetes, which statement by the patient would indicate that teaching has been effective?

A patient with Crohn's disease is possibly being discharged but is requesting a snack first. Which of the following is the most appropriate snack for this patient?

A patient with Crohn's disease is in the office for a follow up visit after the 10th surgery to resect damaged areas of the small intestine. The patient complains of the following symptoms: weight loss, diarrhea, dry mouth and abdominal pain. What nursing diagnosis is a priority for this patient at this time?

A patient with a new diagnosis of Graves disease is being educated about signs and symptoms of the disease. The nurse determines the patient understands the teaching when the patient restates which signs and symptoms?

While caring for a 33-year-old patient with hyperthyroidism, which assessment finding requires immediate intervention by the nurse?

Patients with Cushing's Syndrome show clinical manifestations of 1 and 2

The nurse is developing a plan of care for a patient diagnosed with Myasthenia Gravis. Which goal would be appropriate for a patient with this disease?

A patient with an intravenous (IV) catheter has an order for an IV solution of 1000 mL D5 in 0.9% sodium chloride to infuse at 100 mL/hour. Which statement about the solution is true?

The patient has been ordered erythromycin 600 mg orally every twelve hours for strep throat. The drug is supplied in 200 mg tablets. How many tablets total will the nurse administer per day?

A patient with Crohn's disease is diagnosed with Short Bowel Syndrome (SBS) and is started on total parental nutrition (TPN) at 125mL/hr. The patient has an order for blood sugars every 6 hours with Lispro (Humalog) insulin sliding scale coverage subcutaneously. The nurse administered insulin at 6pm for a blood sugar of 358 mg/dL. When is the patient at the highest risk for hypoglycemia?

The nurse is discussing protective features of health for a patient diagnosed with coronary artery disease. Which of the following statements is accurate?

A patient on the unit has the following insulin administration orders: Humulin N 26 units subcutaneous every morning at 8 am Lispro (Humalog) sliding scale insulin before meals (AC) and at bedtime (HS) Blood Glucose Insulin Order < 200 mg/dL No insulin 201 - 250 mg/dL 2 units 251 - 300 mg/dL 4 units 301 - 350 mg/dL 6 units >350 mg/dL Call Health Care Provider (HCP) The unlicensed assistive personnel (UAP) reports the blood sugar level is 348 at 5:15 pm. Using the insulin orders, how much total insulin will the nurse administer for the dinner dose when the meal tray arrives at 5:30pm?

____1____ and ____2____ support the patient is experiencing diabetes insipidus.

A nursing instructor is teaching the class about Addison disease. The instructor determines that the class understands the disease process when students indicate which corticosteroids may be reduced in this disease?