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

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

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

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)