NR 668 ACTUAL TEST PAPER UPDATED COMPLETE QUESTIONS WITH VERIFIED ANSWERS

NR 668 ACTUAL TEST PAPER UPDATED
COMPLETE QUESTIONS WITH VERIFIED
ANSWERS

●● SMART goals
Answer: specific, measurable, achievable, relevant, time bound


●● 2017 National Patient Safety Goals
Answer: improve accuracy of patient identification, improve staff
communication, use medications safely, prevent infection, identify
patient safety risks, prevent surgery mistakes


●● Prioritizing Client Care
Answer: airway, breathing, circulation


●● Actual vs At Risk diagnosis
Answer: actual has current diagnosis, at risk doesn't


●● Chain of infection
Answer: pathogen, reservoir, portal of exit, transmission, portal of entry,
host


●● High risk for infection

,Answer: sick, immunocompromised, young and elderly


●● Adult Vital Sign Ranges: T, P, R, BP, SpO2
Answer: 96.8-100.4, 60-100, 12-20, 120/80, 95%


●● Surface temp
Answer: oral, axillary


●● Location for apical HR
Answer: 5th intercoastal mid clavicular line


●● Stage 1 pressure ulcer
Answer: skin in tact, Nonblanchable erythema


●● stage 2 pressure ulcer
Answer: partial thickness skin loss, wound bed pink


●● stage 3 pressure ulcer
Answer: full thickness, tunneling, undermining


●● stage 4 pressure ulcer
Answer: full thickness, exposed bone, ligament

, ●● unstageable pressure ulcer
Answer: would bed covered in slough or eschar


●● Deep tissue injury
Answer: discolored intact skin, mushy


●● serous drainage
Answer: thing, clear, watery


●● serosanguineous drainage
Answer: thin, watery, pale red


●● sanguineous drainage
Answer: thin bright red


●● Primary intention healing
Answer: wound stapled or sutured


●● secondary intention healing
Answer: heals from ground up