A nurse assesses a client with a traumatic brain injury (TBI). The client opens his eyes and decerebrate postures to sternal rub, and has no verbal response to any stimulation. How will the nurse document this client’s Glasgow Coma Scale (GCS)?

After receiving a handoff report from the night shift, the nurse completes the morning assessment of a client with severe sepsis. Vital signs are: blood pressure 95/60 mm Hg, heart rate 110 beats/min, respirations 32 breaths/min, oxygen saturation (SpO2) 96% on 45% oxygen via Venturi mask, temperature 101.5° F, central venous pressure (CVP) 2 mm Hg, and urine output of 10 mL for the past hour. The nurse initiates which provider order first?

A nurse is assesses a client and finds that the client does not have a pulse and is apneic. The nurse places the client on the cardiac monitor and find the following rhythm: What is the nurse’s priority action?

A nurse is teaching a student about the components of the Institute for Healthcare Improvement’s (IHI’s) ventilator bundle. Which of the following component will the nurse include in the teaching?

Which of the following is NOT a technology/company that Dr. Wyckoff was involved in?

Which of the following is NOT a phrase Dr. Wyckoff used in his presentation?

A new patient just transferred from an acute hospital to the inpatient rehabilitation facility (IRF) where you work. Medical records and reports mention that the patient has Broca’s aphasia. Statements in the record that are consistent with this patient’s communication disorder include:

You are planning to conduct an assessment with a 25-year-old who presents with concerns in the area of visual perception. You want to use an assessment to discern what area(s) of visual perception are causing occupational performance difficulties. The BEST tool to choose is:

Which of these choices would be best for communicating with someone who has aphasia? 

You have a client with a TBI who has diplopia and difficulties with fusion (oculomotor skills). You would expect to see all of the following problems as a result EXCEPT: