Certified Medical-Surgical Registered Nurse exam content: complex adult care coordination and evidence-based practice, beyond the entry-level NCLEX Medical-Surgical Nursing deck.
35 cards · basic cards · AI-written, checked twice. Edit anything.
- What three criteria make up the quick SOFA (qSOFA) score used to identify high-risk sepsis patients outside the ICU?
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Respiratory rate 22/min or higher, altered mentation, and systolic blood pressure 100 mmHg or lower.- Within how many hours should broad-spectrum antibiotics be given after sepsis is recognized, per the Surviving Sepsis Campaign?
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Within 1 hour.- What acid-base disturbance is most common in diabetic ketoacidosis (DKA)?
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High anion gap metabolic acidosis.- In DKA management, what electrolyte level must be above 3.3 mEq/L before starting an insulin infusion?
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Potassium.- What is the nursing role called that coordinates a patient's care across multiple providers and care settings?
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Case manager (care coordinator).- What does the acronym PICO stand for when formulating an evidence-based practice question?
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Population, Intervention, Comparison, Outcome.- What is the 'teach-back' method used for in patient discharge education?
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Having the patient repeat instructions in their own words to confirm understanding.- What index is commonly used to predict a patient's risk of hospital readmission and guide care transition planning?
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The LACE index.- What is the primary purpose of a root cause analysis after a sentinel event?
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To identify underlying systemic causes and prevent recurrence.- In the evidence hierarchy, which study design provides the strongest level of evidence?
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A systematic review or meta-analysis of randomized controlled trials.- What head-of-bed elevation is recommended to reduce aspiration risk in a mechanically ventilated patient?
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30 to 45 degrees.- What complication should the nurse monitor for after chest tube removal?
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Pneumothorax.- What is the term for confusion with an acute onset and fluctuating course, common in hospitalized older adults?
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Delirium.- Which delirium screening tool is validated for use in the ICU?
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CAM-ICU (Confusion Assessment Method for the ICU).- What is the priority nursing action when a patient develops signs of acute compartment syndrome after a fracture?
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Notify the provider immediately for emergent evaluation, as fasciotomy may be needed.
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