Case studies

337 unfolding cases. Each is one client and 6 questions, with the client record open beside every one, following the clinical judgment model from noticing a cue to judging whether what you did worked. Nothing is graded until you submit the whole case, like the real exam. The first case is a free sample; the rest open with full access.

Start with this oneSepsis in an older adult with pneumoniaPhysiological Adaptation · 6 questions · about 10 minutes

Management of Care36 cases

An advance directive and a family that disagrees6 questions · full access A deteriorating client and a chain of command6 questions · full access The tablet that belonged to the next bed6 questions · full access Medically fit, and three flights from safe6 questions · full access A camera test she never booked6 questions · full access Four clients, three people, one shift6 questions · full access The teacher everyone in town knows6 questions · full access The granddaughter who offered to translate6 questions · full access He wanted his shoes and a payment plan6 questions · full access The usual, forty, and four of morphine6 questions · full access Two minutes of telephone and a glass of water6 questions · full access The son who was not the surrogate6 questions · full access Thirty casualties in eight minutes6 questions · full access The sixteen-year-old who signed for herself6 questions · full access The counts always balanced6 questions · full access Four calls in ten minutes6 questions · full access The count that was crossed out6 questions · full access Eleven medicines and no transport6 questions · full access His heart was still beating6 questions · full access The signature and what it means6 questions · full access Sent to a unit she does not know6 questions · full access Who the client needs next6 questions · full access The order behind the restraint6 questions · full access A final year and four requests6 questions · full access Going home to feed the dog6 questions · full access Sixteen falls after ten at night6 questions · full access One line through an error6 questions · full access Twenty-two days and no benefit6 questions · full access Eleven interruptions in one round6 questions · full access Report given in the corridor6 questions · full access Four things she was asked to do6 questions · full access Two plans in one chart6 questions · full access The house she has always lived in6 questions · full access Two beds and four waiting6 questions · full access Six pounds on a screen6 questions · full access She has raised it twice before6 questions · full access

Safety and Infection Prevention and Control36 cases

Clostridioides difficile on a surgical unit6 questions · full access A surgical site infection missed as expected pain6 questions · full access A needlestick during a medication round6 questions · full access A cold that reached the eye6 questions · full access The target on his thigh6 questions · full access The hand between two dogs6 questions · full access The lines that ended mid-calf6 questions · full access The rash that marched downward6 questions · full access A cough in a shared room and a door that must stay shut6 questions · full access Smoke in the corridor on the night shift6 questions · full access A used needle and the six months after6 questions · full access Rigors ten minutes after the flush6 questions · full access Three sources said left6 questions · full access One degree and no white cells6 questions · full access Eleven operations of reminding people6 questions · full access Four rooms, four precautions6 questions · full access The field that got wet6 questions · full access The cylinder by the heater6 questions · full access Jones, Johnson, and a faded band6 questions · full access The room that protects the client6 questions · full access The needle and the sharps box6 questions · full access The drug that needs its own gear6 questions · full access The sealed source on the linen6 questions · full access Two devices, nine days in6 questions · full access The ceiling lift nobody fetched6 questions · full access A walk through her own house6 questions · full access The meter that went room to room6 questions · full access One sponge short at closure6 questions · full access What came onto the unit with him6 questions · full access Scrubs and no badge6 questions · full access Sanding in an old hallway6 questions · full access A swab, not an illness6 questions · full access Dust, stagnant water, and two infections6 questions · full access Short-staffed and unwell6 questions · full access Day six of a drug she outgrew6 questions · full access Three in one bay overnight6 questions · full access

Health Promotion and Maintenance36 cases

Postpartum hemorrhage after a long labor6 questions · full access Preeclampsia at 34 weeks6 questions · full access Placental abruption after a car accident6 questions · full access Shoulder pain at seven weeks6 questions · full access A fever on the third day6 questions · full access The head that came and stopped6 questions · full access The ache under the right ribs6 questions · full access Nothing stayed down for four days6 questions · full access The boy at the water fountain6 questions · full access The placenta thing6 questions · full access Tired of being a disease6 questions · full access Three weeks in the shower mirror6 questions · full access It has a name6 questions · full access The vaccines she wanted to space out6 questions · full access Two days old, and everything to learn6 questions · full access The visit she asked to have alone6 questions · full access The first physical in twenty years6 questions · full access The annual visit she nearly canceled6 questions · full access The happiest time she could not feel6 questions · full access The valproate she stopped herself6 questions · full access The stages of a normal labor6 questions · full access The six-month well-baby visit6 questions · full access Rh-negative and due for screening6 questions · full access The screenings she was due for6 questions · full access Five days old and a painful feed6 questions · full access Eight weeks and no period yet6 questions · full access Four years old, four hours of screens6 questions · full access A month in a village with no screens6 questions · full access Nine weeks and a list of habits6 questions · full access Thirteen, and hard to wake6 questions · full access Lost twice on a familiar road6 questions · full access A pad soaked in an hour6 questions · full access Irregular for a year6 questions · full access The mole his wife noticed6 questions · full access Allergic to everything, he says6 questions · full access Everyone on the line shouts6 questions · full access

Psychosocial Integrity35 cases

Lithium toxicity in bipolar disorder6 questions · full access Delirium in a hospitalized older adult6 questions · full access Acute mania and a stopped medication6 questions · full access The social drinker on the surgical unit6 questions · full access The quiet hours after6 questions · full access The runner who ran on empty6 questions · full access The wife who never left the house6 questions · full access The house with one narrow path6 questions · full access The two men discussing him6 questions · full access Three hours was a good day6 questions · full access The question nobody had asked him6 questions · full access Frightened, hypoxic, and shouting at the door6 questions · full access Believed, this time6 questions · full access The tools and the dog he gave away6 questions · full access The voice rising in the corridor6 questions · full access Please do not tell her6 questions · full access The grip-shaped bruise6 questions · full access The second night without a drink6 questions · full access The hour before supper6 questions · full access What the nurse says next6 questions · full access The tray that hit the floor6 questions · full access Her place still set each evening6 questions · full access One kind nurse, one cruel one6 questions · full access The bracelet and the friend request6 questions · full access Three years of normal results6 questions · full access The foot that was not there6 questions · full access The house, the husband, the dog6 questions · full access Insects under the skin6 questions · full access Said to the floor on the way out6 questions · full access Toast at half past five6 questions · full access The unit is the treatment6 questions · full access She came alone at two6 questions · full access Insomnia and hidden debts6 questions · full access The baby she says was swapped6 questions · full access What to tell a six-year-old6 questions · full access

Basic Care and Comfort36 cases

Pain control at the end of life6 questions · full access Aspiration in a client with dysphagia after stroke6 questions · full access The flowerpot and the vertebra6 questions · full access Two legs, two textbooks6 questions · full access The pills that let him work6 questions · full access A red mark that did not turn white6 questions · full access Going a little, several times6 questions · full access Eight hours and nothing passed6 questions · full access The comfortable chair by the window6 questions · full access The batteries that had gone flat6 questions · full access Four times out of eighteen6 questions · full access An order that outlived its reason6 questions · full access Flat overnight, feed still running6 questions · full access The new stoma he could not look at6 questions · full access The rattle that frightened the family6 questions · full access Eight hundred milliliters and no urge6 questions · full access Staging what the skin shows6 questions · full access Comfort without a syringe6 questions · full access The cane on the wrong side6 questions · full access The tray that came back full6 questions · full access Nobody let her sleep6 questions · full access What a week in bed does6 questions · full access The bottles she never mentioned6 questions · full access The hour after he died6 questions · full access Four trays and four diets6 questions · full access The feet he cannot feel6 questions · full access Three ways to be understood6 questions · full access Skin that tears on removal6 questions · full access The tray with the lids still on6 questions · full access The jug on the far locker6 questions · full access Five questions about hospice6 questions · full access Ten stools and sore skin6 questions · full access Pain she cannot report6 questions · full access Equipment rated below him6 questions · full access Numb hands on new crutches6 questions · full access An opening cut too wide6 questions · full access

Pharmacological and Parenteral Therapies35 cases

Digoxin toxicity in heart failure6 questions · full access Serotonin syndrome after a new prescription6 questions · full access Anaphylaxis during a first antibiotic dose6 questions · full access A missed-insulin weekend6 questions · full access Forty milliequivalents in one hour6 questions · full access A low aPTT and a bleeding gum6 questions · full access Fasting for the cath lab with basal insulin on board6 questions · full access The button his wife kept pressing6 questions · full access Six milliliters and a burning forearm6 questions · full access Flushed, but not allergic6 questions · full access Everything down the same tube6 questions · full access Thirty-one pounds since March6 questions · full access Four drugs and two jobs6 questions · full access One point zero milligrams6 questions · full access Fifteen minutes into the unit6 questions · full access The late tray and the insulin peak6 questions · full access From the pump to the pills6 questions · full access The allergy that was an upset stomach6 questions · full access No blood return in the forearm6 questions · full access The parameters before the dose6 questions · full access The pills and how to take them6 questions · full access The two inhalers in the wrong order6 questions · full access Four ways an antipsychotic goes wrong6 questions · full access The bag that must not stop6 questions · full access Two falls and a longer list6 questions · full access None of these go in her mouth6 questions · full access The cheese and the decongestant6 questions · full access The count that gates the dose6 questions · full access Most days, but not all6 questions · full access Four injections, three techniques6 questions · full access Before the sickness starts6 questions · full access Iron taken with morning tea6 questions · full access A metallic taste mid-repair6 questions · full access Checked twice, or checked once6 questions · full access A drawer the children can open6 questions · full access

Reduction of Risk Potential36 cases

A concealed bleed after cardiac catheterization6 questions · full access Compartment syndrome after a tibial fracture6 questions · full access A fall with a head injury on anticoagulation6 questions · full access The pain he kept to himself6 questions · full access A pop from a low stool6 questions · full access The boy who kept swallowing6 questions · full access An hour into the film6 questions · full access The monkey bars at recess6 questions · full access The cough that opened the wound6 questions · full access The calf she blamed on the baby6 questions · full access The sore that did not hurt6 questions · full access The blood meant for someone else6 questions · full access The connection that came apart at three in the morning6 questions · full access Ten centimeters of tube that nobody measured6 questions · full access The catheter that would not pass6 questions · full access What came into the scanner room6 questions · full access The number that stayed at ninety-seven6 questions · full access Four liters and a long night6 questions · full access Fluid in and nothing out6 questions · full access Bubbling in the wrong chamber6 questions · full access Three critical values at once6 questions · full access The drain that filled too fast6 questions · full access The pattern after the peak6 questions · full access Two drains, two positions6 questions · full access Sedated with breakfast still there6 questions · full access What the culture will grow6 questions · full access A potassium nobody believed6 questions · full access Something gave way when he coughed6 questions · full access One minute was not enough6 questions · full access Two bags and an unread film6 questions · full access The fourth alarm of the night6 questions · full access A needle into a vascular organ6 questions · full access Dye, kidneys, and metformin6 questions · full access What the aspiration feels like6 questions · full access Four legs, four different plans6 questions · full access A score that climbed to seven6 questions · full access

Physiological Adaptation87 cases

Sepsis in an older adult with pneumonia6 questions · free sample Asthma exacerbation in a 7-year-old6 questions · full access Bleeding esophageal varices in cirrhosis6 questions · full access Pulmonary embolism after hip surgery6 questions · full access Hyperkalemia after a missed dialysis session6 questions · full access Acute ischemic stroke6 questions · full access Adrenal crisis in a client on long-term steroids6 questions · full access A threatened airway in a child with a neck infection6 questions · full access A grease fire in a closed kitchen6 questions · full access A rash counted in hours6 questions · full access The knee that refused the floor6 questions · full access A scoring sheet and a swaddle6 questions · full access The clot that traveled at lunch6 questions · full access Four months off the methimazole6 questions · full access The pain that moved and then stopped6 questions · full access A night in the doorway6 questions · full access Two days of vomiting in a one-year-old6 questions · full access The scar from an old operation6 questions · full access Six weeks old and always hungry6 questions · full access Black stools and a bottle of ibuprofen6 questions · full access The pain in the left lower corner6 questions · full access The meal that would not settle6 questions · full access Six days of fever and a strawberry tongue6 questions · full access The cellulitis that hurt too much6 questions · full access A stone with a fever6 questions · full access The winter cough that stopped the bottle6 questions · full access The first feed that came back6 questions · full access The handlebars took the corner6 questions · full access Born with the bowel outside6 questions · full access Born through the stained water6 questions · full access The tingling that climbed6 questions · full access Three days of thirst6 questions · full access A headache above the injury6 questions · full access The cloudy bag6 questions · full access The crisis that reached the lungs6 questions · full access Air with nowhere to go6 questions · full access The voice that faded by evening6 questions · full access The winter that slowed her down6 questions · full access The cough that barked at midnight6 questions · full access Six liters by morning6 questions · full access The heart in a shrinking box6 questions · full access The kidney his sister gave him6 questions · full access The murmur that was not there before6 questions · full access The boy who would not walk6 questions · full access Fourteen hours old and fading6 questions · full access The puffy face that was not an allergy6 questions · full access The knee he recognized6 questions · full access The relief that was not relief6 questions · full access The face in the photographs6 questions · full access The jaw that tired at dinner6 questions · full access The vomit that turned green6 questions · full access The fever that toured her joints6 questions · full access The rash that would not blanch6 questions · full access The battery behind the remote6 questions · full access The tablets that looked like candy6 questions · full access The pool behind the propped gate6 questions · full access The house that made them sick6 questions · full access The cough that came in volleys6 questions · full access The bottle that was full this morning6 questions · full access A month without the pills6 questions · full access Twenty minutes at breakfast6 questions · full access Normal for a new mother6 questions · full access The feeder who quit at breakfast6 questions · full access The fever with no cold attached6 questions · full access The trucker who slept at red lights6 questions · full access Three days of not feeling right6 questions · full access Three ribs and a porch railing6 questions · full access Eleven missed days6 questions · full access Saturday was the championship6 questions · full access The uvula pushed off midline6 questions · full access The fever that kept a schedule6 questions · full access Forty minutes into the night6 questions · full access Wired, then worn out6 questions · full access The tug across the parking lot6 questions · full access The weekend that lit the rash6 questions · full access The year the machines arrived6 questions · full access The whistle after the party6 questions · full access The breath that pulled the air in6 questions · full access A fist tightening at the throat6 questions · full access The ear that stood out6 questions · full access The belly that filled with blood6 questions · full access Pink when he cried6 questions · full access Blue and barely breathing6 questions · full access The spots that spread on his legs6 questions · full access Not making sense6 questions · full access The attacks they called panic6 questions · full access The chest full of bowel6 questions · full access

NCLEX case studies | ExamDayReady