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?
- 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?
- Within 1 hour.
- What acid-base disturbance is most common in diabetic ketoacidosis (DKA)?
- High anion gap metabolic acidosis.
- In DKA management, what electrolyte level must be above 3.3 mEq/L before starting an insulin infusion?
- Potassium.
- What is the nursing role called that coordinates a patient's care across multiple providers and care settings?
- Case manager (care coordinator).
- What does the acronym PICO stand for when formulating an evidence-based practice question?
- Population, Intervention, Comparison, Outcome.
- What is the 'teach-back' method used for in patient discharge education?
- 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?
- The LACE index.
- What is the primary purpose of a root cause analysis after a sentinel event?
- To identify underlying systemic causes and prevent recurrence.
- In the evidence hierarchy, which study design provides the strongest level of evidence?
- 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?
- 30 to 45 degrees.
- What complication should the nurse monitor for after chest tube removal?
- Pneumothorax.
- What is the term for confusion with an acute onset and fluctuating course, common in hospitalized older adults?
- Delirium.
- Which delirium screening tool is validated for use in the ICU?
- 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?
- Notify the provider immediately for emergent evaluation, as fasciotomy may be needed.