There are terms a nurse will need to know as they work in the clinical arena. When receiving shift report, the off-going nurse mentions that the client is having their blood glucose checked AC HS. The nurse knows that AC HS refers to:

As needed for pain

Two times a day

Before meals and at bedtime

Once in the morning

Answer and Explanation

The Correct Answer is C

A. As needed for pain: Refers to PRN, not AC HS.

B. Two times a day: Refers to BID, not AC HS.

C. Before meals and at bedtime: AC = before meals, HS = at bedtime. This tells when blood glucose should be checked.

D. Once in the morning: Refers to QD AM, not AC HS.

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Correct Answer is D

Explanation

A. A 75-year-old client who can perform active ROM exercises independently and will be discharged today: Independence with ROM and imminent discharge indicate relative stability and lower immediate risk compared with other options.

B. A 24-year-old client who is grieving after receiving a cancer diagnosis: Emotional support and assessment are important, but grief alone is not immediately life- or safety-threatening compared with clients at higher risk for physical deterioration.

C. A 65-year-old client who has been admitted from a long-term care facility and has several wounds with slough: Multiple sloughing wounds increase risk for infection and require prompt wound assessment and treatment; this client has significant care needs.

D. A 55-year-old client who is newly admitted and is refusing to be turned every 2 hours: This refusal places the client at immediate risk for pressure injury and other immobility complications; because the client is newly admitted and actively refusing a basic safety measure, assessing the reason for refusal and initiating interventions to prevent harm make this the priority for immediate nursing action.

A. Potassium, vancomycin, insulin, and furosemide. B. Opioid and non-opioid pain medications C. Potassium, insulins, opioids, chemotherapeutics, and heparin. D. Antibiotics, antifungals, antianginals, and anticoagulants.

Correct Answer is C

Explanation

A. Potassium, vancomycin, insulin, and furosemide: Potassium and insulin are high-risk, but vancomycin and furosemide are not classified as standard high-alert meds by ISMP.

B. Opioid and non-opioid pain medications: Opioids are high-risk, but non-opioid pain meds (like acetaminophen) are not considered high-alert.

C. Potassium, insulins, opioids, chemotherapeutics, and heparin:. These are classic high-alert medications due to their high potential for harm if used incorrectly.

D. Antibiotics, antifungals, antianginals, and anticoagulants: While anticoagulants (like heparin, warfarin) are high-risk, the rest are not universally classified as high-alert.

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There are terms a nurse will need to know as they work in the clinical arena. When receiving shift report, the off-going nurse mentions that the client is having their blood glucose checked AC HS. The nurse knows that AC HS refers to:

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Naxlex Comprehensive Predictor Exams

After obtaining handoff communication from the previous shift's nurse, the nurse knows that which client is the PRIORITY?

Correct Answer is D

Explanation

Which of the following are considered HIGH RISK medications?

Correct Answer is C

Explanation

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