NCLEX review questions and material (NCSBN)

NCLEX review questions and material (NCSBN) Leave the first rating Students also studied Terms in this set (457) Science MedicineNursing Save

NCLEX EXAM PREVIEW

110 terms kandykat1012Preview NCLEX-RN Exam Preview 113 terms lalaitsdestinee Preview

NCSBN NCLEX QUESTIONS

408 terms ANNEMARIEBISHOP Preview NCLEX 111 terms Fut How can you identify your patient?Name Date of birth MR number NOT Room number

R.A.C.ER: Remove and rescue patients

A: Activate fire alarm

C: Contain fire

E: Extinguish

RestraintsIf a client can easily remove the device, it does not qualify as a physical restraint.A provider order for restraints can never be written in advance for "what if" situations or "as needed" (i.e., PRN).Always attempt to use the least restrictive form of restraint and/or safety device.Never apply or use a restraint (chemical, physical or seclusion) to punish a client

Chemical: These include medications such as anxiolytics, sedatives, opioids and

paralytics.Physical: These include mechanical devices or equipment that limit the client from moving or from moving an extremity. A chair with an attached tray that prevents the client from getting up is considered a restraint. Raising all bed rails can be considered a form of restraint; however, one raised side rail that the client uses to move in and out of bed would not be considered a restraint.

Seclusion: A locked room or area away from other clients that the client cannot

leave. This is primarily used with clients in behavioral health settings who are at risk for violent behavior and only after all other interventions have failed

A soft wrist restraint can be applied before a doctor's order is given, but the nurse must contact the HCP immediately after the restraint is applied to obtain the order. (True or False) True Contact precautionsGastrointestinal infections, e.g., foodborne illness such as norovirus or Clostridium difficile (C. diff.) Diarrhea of unknown origin Skin infections or infestations, e.g., impetigo, scabies Presence of, or colonization with, multidrug-resistant bacteria, e.g. methicillin- resistant Staphylococcus aureus (MRSA) Gown, gloves, mask, eye protection Herpes Zoster (shingles) disseminated needs what precautions implement both contact and airborne precautions until lesions are dry and crusted.Droplet precautionsInfluenza Meningococcal meningitis Mumps Rubella (German measles) Diphtheria Pertussis (Whooping cough) Infections caused by drug-resistant Streptococcus pneumonia Surgical mask

• ft distance

gown and gloves when providing care Airborne precautionsVaricella (chicken pox) Tuberculosis Measles (rubella) N95 Filing incidence reportMedication administration errors (even if the error did not reach the client) Any time a client makes a complaint Medical device malfunction Any time a client, staff member or visitor is injured or involved in a situation with the potential for injury When a client leaves the health care facility against medical advice (AMA) Loss or theft of a client's or visitor's property

Triage CategoriesImmediate, Delayed, Minimal, Expectant Immediate (red)Chest wounds Shock Open fractures 2/3 degree burns Delayed (yellow)second priority need treatment and transport but can be delayed multiple injuries to bones or joints, back injuries stable abd wounds eye and CNS injury Minimal (green)Minor burns or fractures or bleeds Expectant (black)last priority dead or minimal chance of survival cardiac arrest or open head injury brain stem injury chelating agentsmolecules that attract or bind with other molecules and are therefore useful in either preventing or promoting movement of substances from place to place

Potassium iodine: helps radioactive iodine in thyroid

Prussian blue : for cesium and thallium

Biological agents with a high probability of mass dissemination or person-to-person transmission and high

mortality rates include:

Anthrax (Bacillus anthracis) Botulism (Clostridium botulinumtoxin) Plague (Yersinia pestis) Smallpox (Variola major)

The nurse is preparing to enter a disaster scene to assist with triaging victims. What assessment priorities should the nurse adhere to? Select all that apply.The nurse requires disaster certification before performing triage during a disaster.The nurse should allocate resources to those victims with the strongest probability of survival.The nurse must consult a qualified health care provider prior to making client resource decisions.The nurse should assess clients by considering their airway, breathing, circulation and neurological function.The nurse should consider the age of a victim before allocating any resources The nurse should allocate resources to those victims with the strongest probability of survival.The nurse should assess clients by considering their airway, breathing, circulation and neurological function.The nurse is caring for a client with schizophrenia, who has an order for haloperidol 5 mg PO every four hours as needed. Which behaviors justify the use of this chemical restraint? Select all that apply.The client is crying after a difficult family meeting.The client is refusing to participate in unit group activities.The client is expressing paranoid delusions.The client is verbalizing a plan to harm another client.The client is experiencing command hallucinations.The client is expressing paranoid delusions.The client is verbalizing a plan to harm another client.The client is experiencing command hallucinations.Command hallucinations and paranoid delusions can be frightening or dangerous, potentially causing a client to act aggressively. It is important to intervene before a client acts on a plan to harm another person. An antipsychotic medication, such as haloperidol, will help control and manage symptoms and behaviors associated with schizophrenia. A chemical restraint should be used in an extreme or emergent situation. A client has the right to refuse to participate in activities. Verbal intervention, such as offering to speak with the client 1:1, would be appropriate if the client is upset and crying.Hyperbaric oxygen therapy increases the dissociation of carbon monoxide from the hemoglobin molecule.Chelation therapyis used for poisoning with mercury or lead.Therapeutic hypothermiais typically used after a cardiopulmonary arrest.