SCF Nursing Level 1 Final review game
You (charge nurse) are auditing units nursing care plans. The goal/outcome states, "patient may be able
to finally get out of bed and do some walking." What is wrong? - Must be SMART
pt with dementia hasnt touched bedside water, and he only has 100ml of dark, amber colored urine in
foley bag since beginning of your shift. what do you need to do? - dementia pt may forget to drink
if they forget or dont recognize thirst. may need encouragement to drink or iv fluids
You overhear a nurse asking an LPN to perform an admission assessment and complete the paperwork
on a new floor arrival. Why is this wrong? - Scope of practice: LPN may not perform an initial
admission assessment
Your pt has left sided weakness, where do you place bedside commode? - strong side (right) or
left side at foot of bed
Pt has gastroenteritis, and the new nurse tells them that their medication dose may need to be reduced
because of impaired GI metabolism. Why is this wrong? - liver is primary site of drug metabolism
You (charge nurse) are auditing units nursing care plans. The documentation says, "patient said he felt
tired and had some pain. BP was low so I told PT to leave patient alone." What is wrong? - Must
be SMART
Patient on unit has been taking vancomycin PO for C. Diff infection and reports vaginal itching and
burning. A new nurse tells the patient she should be tested for and STI asap. Why doesnt she need the
testing? - antibiotics disturb normal microbiome and puts pt at risk for superinfection. Strong
antibiotics can lead to vaginal yeast infection (vaginal candidiasis)
30 y.o. pt with terminal cancer doesnt want to have chemo or radiation. Her mother says, "ignore her,
she doesnt know what shes saying, tell the dr we want to start treatment now." Whys this wrong? -
autonomy is associated with allowing/enabling pt to make their own decisions about healthcare
, pt who has bilateral mastectomy is very upset and anxious. She fears her husband will no longer find her
attractive and that he will leave her for another woman. What do you do? - therapeutic
communication- encourage to express her feelings more
pt takes dilaudid 0.5mg IV q4 hour for pain, but pain is not under good control. Provider will put in order
to double pt dosage. Phramacy finalizes the order and the dose is dilaudid 10mg IV q4 for pain. What do
you do? - discuss dose with provider
when confirming pt identity, the new nurse asks the patient if she is Jane smith? what should she have
asked instead? - confirm name and date of birth
patient asks you to explain why his oral dose of dilaudid is so much larger than his iv dose. why is this? -
first pass effect
you assess a toddler and drop your clipboard. the mom is startled, but the kid doesnt flinch. what may
be the issue? - developmental delay in kids
Your pregnant patient (1st tri) asks you if she can take her DHE migraine medicine. You find this medicine
is considered pregnancy class X. What would you advise this patient? - Avoid pregnancy class X. 1)
nonmedicinal= hydration, caffeine, magnesium, 2) medicinal= Tylenol
you need to assess pt pain level, but they are aphasic and cannot verbally communicate. what can you
use? - pain scale (faces)
post op pt is on normal saline at 125ml/hr. you hear crackles in his lungs, his o2sat is 90% on 2 liters
nasal cannula and breathing is labored (short of breath) Pulses are bounding. What do you do? -
stop iv and notify physician
pt with HF has shortness of breath, fatigue, stomach bloating, and swollen feet. BMP shows sodium of
126 meq/l. whats the issue and how do we resolve it? - volume overload with dilutional
hypervolemic hyponatremia from congestion. treat with fluid restriction and loop diuretics
You (charge nurse) are auditing units nursing care plans. The goal/outcome states, "patient may be able
to finally get out of bed and do some walking." What is wrong? - Must be SMART
pt with dementia hasnt touched bedside water, and he only has 100ml of dark, amber colored urine in
foley bag since beginning of your shift. what do you need to do? - dementia pt may forget to drink
if they forget or dont recognize thirst. may need encouragement to drink or iv fluids
You overhear a nurse asking an LPN to perform an admission assessment and complete the paperwork
on a new floor arrival. Why is this wrong? - Scope of practice: LPN may not perform an initial
admission assessment
Your pt has left sided weakness, where do you place bedside commode? - strong side (right) or
left side at foot of bed
Pt has gastroenteritis, and the new nurse tells them that their medication dose may need to be reduced
because of impaired GI metabolism. Why is this wrong? - liver is primary site of drug metabolism
You (charge nurse) are auditing units nursing care plans. The documentation says, "patient said he felt
tired and had some pain. BP was low so I told PT to leave patient alone." What is wrong? - Must
be SMART
Patient on unit has been taking vancomycin PO for C. Diff infection and reports vaginal itching and
burning. A new nurse tells the patient she should be tested for and STI asap. Why doesnt she need the
testing? - antibiotics disturb normal microbiome and puts pt at risk for superinfection. Strong
antibiotics can lead to vaginal yeast infection (vaginal candidiasis)
30 y.o. pt with terminal cancer doesnt want to have chemo or radiation. Her mother says, "ignore her,
she doesnt know what shes saying, tell the dr we want to start treatment now." Whys this wrong? -
autonomy is associated with allowing/enabling pt to make their own decisions about healthcare
, pt who has bilateral mastectomy is very upset and anxious. She fears her husband will no longer find her
attractive and that he will leave her for another woman. What do you do? - therapeutic
communication- encourage to express her feelings more
pt takes dilaudid 0.5mg IV q4 hour for pain, but pain is not under good control. Provider will put in order
to double pt dosage. Phramacy finalizes the order and the dose is dilaudid 10mg IV q4 for pain. What do
you do? - discuss dose with provider
when confirming pt identity, the new nurse asks the patient if she is Jane smith? what should she have
asked instead? - confirm name and date of birth
patient asks you to explain why his oral dose of dilaudid is so much larger than his iv dose. why is this? -
first pass effect
you assess a toddler and drop your clipboard. the mom is startled, but the kid doesnt flinch. what may
be the issue? - developmental delay in kids
Your pregnant patient (1st tri) asks you if she can take her DHE migraine medicine. You find this medicine
is considered pregnancy class X. What would you advise this patient? - Avoid pregnancy class X. 1)
nonmedicinal= hydration, caffeine, magnesium, 2) medicinal= Tylenol
you need to assess pt pain level, but they are aphasic and cannot verbally communicate. what can you
use? - pain scale (faces)
post op pt is on normal saline at 125ml/hr. you hear crackles in his lungs, his o2sat is 90% on 2 liters
nasal cannula and breathing is labored (short of breath) Pulses are bounding. What do you do? -
stop iv and notify physician
pt with HF has shortness of breath, fatigue, stomach bloating, and swollen feet. BMP shows sodium of
126 meq/l. whats the issue and how do we resolve it? - volume overload with dilutional
hypervolemic hyponatremia from congestion. treat with fluid restriction and loop diuretics
