Fiji Nursing Registration Exam flashcards

34 cards. Read the term and the definition here. The deck at the top of this page is optional.

Nurses Act

The Fiji legislation that establishes the Nursing Council, sets registration requirements, and provides the legal framework for nursing practice, discipline and standards in Fiji.

Informed consent

A patient's voluntary agreement to treatment after receiving adequate information about the procedure, risks, benefits and alternatives, given by someone with capacity.

Negligence elements

Four elements must be proven: a duty of care existed, the standard of care was breached, the breach caused harm, and actual damage resulted.

Normal adult vital signs

Temperature 36.5-37.5 degrees Celsius, pulse 60-100 per minute, respirations 12-20 per minute, blood pressure around 120/80 mmHg, and oxygen saturation 95 percent or above.

Body mass index formula

BMI equals weight in kilograms divided by height in metres squared. Values below 18.5 indicate underweight, 18.5-24.9 normal, 25-29.9 overweight, and 30 or above obese.

IV drip rate formula

Drops per minute equals volume in millilitres multiplied by the drop factor, divided by time in minutes. Macrodrip is 20 drops per mL and microdrip 60 drops per mL.

Hypoglycaemia treatment

Blood glucose below 4 mmol/L. If conscious, give 15-20 g fast-acting oral carbohydrate; if unconscious, give IV dextrose or IM glucagon, then recheck glucose in 15 minutes.

MONA for ACS

Initial acute coronary syndrome management: morphine for pain, oxygen if saturation below 94 percent, nitrates, and aspirin 300 mg chewed, plus a 12-lead ECG within 10 minutes.

FAST stroke assessment

Face drooping, Arm weakness, Speech difficulty, Time to call emergency. Rapid recognition allows thrombolysis, usually within 4.5 hours of symptom onset.

Stages of labour

First stage runs from regular contractions to full cervical dilatation; second stage to birth of the baby; third stage to delivery of the placenta, usually within 30 minutes.

Postpartum haemorrhage definition

Blood loss greater than 500 mL after vaginal birth or greater than 1000 mL after caesarean birth, managed with uterine massage, uterotonics, fluids and urgent escalation.

APGAR score

Scored at 1 and 5 minutes for Appearance, Pulse, Grimace, Activity and Respiration, each 0-2. A total of 7-10 is normal.

Normal fetal heart rate

The normal fetal heart rate range is 110-160 beats per minute. Late decelerations suggest uteroplacental insufficiency and require urgent review and repositioning.

Paediatric dehydration signs

Sunken fontanelle, reduced skin turgor, dry mucous membranes, absent tears, reduced urine output and weight loss. Mild to moderate cases are treated with oral rehydration solution.

IMCI danger signs

Lethargy or unconsciousness, convulsions, inability to feed or drink, and vomiting everything. Any danger sign requires urgent referral and treatment.

Paediatric paracetamol dose

Paracetamol 15 mg per kilogram per dose, up to four doses in 24 hours. Aspirin is avoided in children because of the risk of Reye's syndrome.

Therapeutic communication

Use open questions, active listening, reflection and clarification. Avoid false reassurance, advice-giving and judgemental responses that block the patient's expression of feelings.

Hallucination versus delusion

A hallucination is a false sensory perception, commonly auditory. A delusion is a fixed false belief held despite evidence to the contrary. Both occur in psychosis.

De-escalation of aggression

Maintain safe distance, speak calmly, offer choices and reduce stimulation. Physical restraint is a last resort requiring monitoring, documentation and legal safeguards.

Levels of prevention

Primary prevention reduces risk before disease occurs, secondary prevention detects disease early through screening, and tertiary prevention limits disability through treatment and rehabilitation.

Vaccine cold chain

Vaccines are stored at 2-8 degrees Celsius with temperature monitored twice daily. Vaccines exposed to freezing or excessive heat are discarded, not used.

Incidence versus prevalence

Incidence is the number of new cases divided by the population at risk over a period. Prevalence is all existing cases divided by the total population at a point in time.

Rights of medication administration

Right patient, drug, dose, route, time, documentation and reason, plus the right to refuse. High-alert medicines also require independent double-checking.

Dose calculation formula

Dose required equals desired dose divided by stock strength, multiplied by stock volume. Always check unit conversions such as milligrams to micrograms before administration.

Potassium chloride safety

Never give undiluted potassium chloride by intravenous push. It must be diluted and infused at a controlled rate with cardiac monitoring because rapid infusion causes fatal arrhythmias.

Standard precautions

Precautions applied to all patients: hand hygiene, gloves, gown, mask and eye protection as needed, safe sharps handling, and safe waste disposal.

Airborne precautions

Used for diseases spread by small particles such as tuberculosis: N95 or P2 respirator, negative-pressure room, and door kept closed with limited patient movement.

Basic life support ratio

Chest compressions at 100-120 per minute, depth 5-6 cm, with a compression-to-ventilation ratio of 30:2 for adults, and early use of an automated external defibrillator.

ABCDE assessment

Airway, Breathing, Circulation, Disability and Exposure. Treat the most life-threatening problem first and reassess the patient after every intervention.

Anaphylaxis first-line drug

Intramuscular adrenaline 0.5 mg of 1:1000 solution into the anterolateral thigh, followed by oxygen, intravenous fluids and urgent medical review.

ISBAR handover

Identify, Situation, Background, Assessment and Recommendation. A structured handover improves safety by ensuring complete and consistent transfer of clinical information.

PDSA cycle

Plan, Do, Study, Act. A quality improvement method that tests a small change, measures the result, and then adopts, adapts or abandons the change.

Fiji divisional health structure

Fiji delivers health services through Central, Western and Northern divisions, each with subdivisional hospitals, health centres and nursing stations feeding into tertiary hospitals.

Nursing Council of Fiji role

The statutory body that registers nurses, sets standards of practice, requires practising certificates, and investigates complaints that may lead to suspension or cancellation of registration.