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15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Welcome.

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Presentation on theme: "15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Welcome."— Presentation transcript:

1 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Welcome to Who Wants to be a Millionaire 50:50

2 © Mark E. Damon - All Rights Reserved Another Presentation © 2000 - All rights Reserved markedamon@hotmail.com

3 © Mark E. Damon - All Rights Reserved

4 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

5 © Mark E. Damon - All Rights Reserved A: Gather Supplies C: Check the medical record for the order B: Check the IV site D: Check the patient’s Blood Pressure 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 The doctor tells you he just ordered Lasix 40 mg IV for room 408. What do you do first?

6 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

7 © Mark E. Damon - All Rights Reserved A: Hand Hygiene C: Using Chlorhexidine wash B: Routine Oral Hygiene D: Aseptic technique for sterile procedures 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 What is the best way to prevent healthcare associated infections (HAIs)?

8 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

9 © Mark E. Damon - All Rights Reserved A: Pain C: Pallor B: Pulselessness D: Petichiae 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Which of the following are symptoms of peripheral ARTERIAL occlusion? (select all that apply)

10 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

11 © Mark E. Damon - All Rights Reserved A: Inflate the balloon C: Leave the catheter in place and then attempt with 2 nd unused catheter B: Insert the catheter another 3-4 inches D: Remove the catheter and try again, using the same catheter 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 You are inserting an indwelling catheter on a 45 year old female with urinary retention. You do not see any urine return. What do you do?

12 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

13 © Mark E. Damon - All Rights Reserved A: Turn, Cough, Deep Breathe C: Early Ambulation B: Anti-coagulants D: Incentive Spirometry 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Which of the following are nursing interventions that prevent post-operative complications? (select all that apply)

14 © Mark E. Damon - All Rights Reserved Congratulations! You’ve Reached the $1,000 Milestone! Congratulations! C o n g r a t u l a t i o n s !

15 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

16 © Mark E. Damon - All Rights Reserved A: Vastus Lateralis Muscle C: Acromial Process B: Superior Iliac Spine D: Conoid Tubercle 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 You are working in the ED with an adult patient who stepped on a nail at home. A tetanus vaccine has been ordered for intramuscular (IM) administration. Which of the following is an anatomical landmark for the deltoid injection site?

17 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

18 © Mark E. Damon - All Rights Reserved A: Push the plunger at a slow and steady rate C: Inject needle quickly at a 90 degree angle B: Aspirate to check for blood D: Apply Pressure over injection site without massaging 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 You are ready to give the IM injection in the deltoid muscle. Put the steps in the appropriate order.

19 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

20 © Mark E. Damon - All Rights Reserved A: You follow the surgeon’s orders C: You can witness consent, but the surgeon must review the risks with the patient first B: You are not allowed to witness consent as an RN D: You ask the charge nurse to do this 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 You are a Registered Nurse practicing on a Med- Surg unit and you are preparing a patient for surgery. The surgeon asks you to review the risks with the patient and have them sign the consent. The appropriate response to this request is:

21 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

22 © Mark E. Damon - All Rights Reserved A: Coffee C: Jello B: Apple Juice D: Milk 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 In some situations, clear liquids can be given up to 2 hours prior to surgery. Which of the following are considered “clear” liquids? (select all that apply)

23 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

24 © Mark E. Damon - All Rights Reserved A: Aspiration Pnuemonia C: Malnutrition B: Choking D: Falls 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Patients who have dysphagia are at risk for which of the following? (select all that apply)

25 © Mark E. Damon - All Rights Reserved Congratulations! You’ve Reached the $32,000 Milestone! Congratulations! C o n g r a t u l a t i o n s !

26 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

27 © Mark E. Damon - All Rights Reserved A: Route C: Reason B: Time D: Dose 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Which of the Following are the “Rights” of Medication Administration? (select all that apply)

28 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

29 © Mark E. Damon - All Rights Reserved A: Apical Pulse C: Urinary Output B: Blood Pressure D: Pupillary Response 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Mrs. Walters has an order for Digoxin 0.25 mg IV at 0900. What assessment data must you collect prior to administering this medication?

30 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

31 © Mark E. Damon - All Rights Reserved A: Subcutaneous C: Intramuscular B: Intravenous D: Oral 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Which medication route acts fastest?

32 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

33 © Mark E. Damon - All Rights Reserved A: Insensible Fluid Loss through respiration C: Persperation B: Urine D: Feces 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Of all the components of “output”, which accounts for the largest volume?

34 © Mark E. Damon - All Rights Reserved 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100

35 © Mark E. Damon - All Rights Reserved A: Falls C: Aspiration Pneumonia B: Hospital Acquired Infection D: Medication Toxicity 50:50 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 $1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Mr. Baldwin has end stage renal disease and a creatinine of 5.4. Which of the following adverse events is he at highest risk for?

36 © Mark E. Damon - All Rights Reserved YOU WIN $1 MILLION DOLLARS!

37 © Mark E. Damon - All Rights Reserved https://quizlet.com/fshalash/folders/hosa-clinical-nursing http://nurseslabs.com/pharmacology-board-exam-quiz/ http://www.hostgeni.net/docs/hosa-clinical-nursing-practice- test/ http://www.hostgeni.net/docs/hosa-clinical-nursing-practice- test/ http://www.bestbooklibrary.com/signup?b=1&ad_domain=ads.a d- center.com&ad_path=/smart_ad/display&prod=176&ref=50424 80&q=hosa-clinical-nursing-practice- test.pdf%20PDF&seed=4226987826&sf=books_newdesign&ad server=0.17.0- rc5&m=books&sid=715&bt=1451923063455&bh=3954130359


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