ATI Comprehensive NCLEX-RN Exam

ATI Comprehensive NCLEX-RN Exam Review

Five rights of delegation (Ans- Right person Right task Right circumstance Right direction and communication Right supervision and evaluation

Non-delegatable tasks (Ans- Nursing process Client education Tasks that require nursing judgement (care of unstable patients)

LPN delegation (Ans- Tracheotomy care Suctioning Inserting urinary catheter Checking NG tube patency Medication administration Sterile specimen collection Reinforce client teaching

AP delegation (Ans- ADLs Ambulating Feeding Positioning 1 / 4

Vital signs I&Os

Autonomy (Ans- The right to make ones own decisions

Beneficence (Ans- The obligation to good for others

Confidentiality (Ans- The obligation to observe the privacy of another and maintain strict confidence

Fidelity (Ans- The obligation to be faithful to agreements and responsibilities, to keep promises

Justice (Ans- The obligation to be fair to all people

Nonmaleficence (Ans- The obligation to do no harm to others

Paternalism (Ans- Assuming the right to make decisions for another

Veracity (Ans- The obligation to tell the truth

Nurses role of informed consent (Ans- Ensure the provider gave the necessary information Ensure the client understands the procedure Patient must be competent to sign informed consent Witness the clients signature 2 / 4

Notify the provider if clarification is needed

Mandatory Reporting (Ans- Abuse - vulnerable populations Communicable diseases

Malpractice (Ans- The failure of a person with professional training to act in a reasonable an prudent manner within the identified scope of practice

Negligence (Ans- The omission to do something that a reasonable person would do or something that a reasonable person would not do

Emergency class 1 (red tag) (Ans- Immediate threat to life Do not delay care

Urgent class 2 (yellow tag) (Ans- Major injuries that require treatment Delay of 30 minutes to 2 hours

Non-urgent class 3 (green tag) (Ans- Minor injuries that do not require immediate attention Delay of 2-4 hours

Expectant class 4 (black tag) (Ans- Expected/allowed to die Prepare for morgue

TPN (Ans- Monitor serum glucose ever 4-6 hours 3 / 4

Change dressing every 48 - 72 hours Change IV tubing and fluid every 24 hours If solution is temporarily unavailable, administer 10% dextrose in water to prevent hypoglycemia

Acetaminophen (antidote) (Ans- Acetylcysteine (antidote)

Benzodiazepine (antidote) (Ans- Flumazenil (antidote)

Curare (antidote) (Ans- Edrophonium (antidote)

Cyanide poisoning (antidote) (Ans- Methylene blue (antidote)

Digitalis: (antidote)

(Ans- Digoxin immune FAB (antidote)

Ethylene poisoning (antidote) (Ans- Fomepizole (antidote)

Heparin and enoxaparin (antidote) (Ans- Protamine sulfate (antidote)

Iron (antidote) (Ans- Deferoxamine (antidote)

Lead (antidote) (Ans- Succimer (antidote)

Magnesium sulfate (antidote) (Ans- Calcium gluconate 10% (antidote)

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