RN COMPREHENSIVE PREDICTOR
2019
What0are0some0prioritization0principles0-
0ans✔life0before0limb,0acute0vs0chronic,0actual0before0potential,0trends0vs0transient0fin
dings,0and0medical0emergencies0and0complications0vs0expected0findings.
what0are0the0important0tasks0for0time0management0-
0ans✔what0needs0to0be0done0immediately,0what0needs0to0be0done0in0a0specific0time,0
what0needs0to0be0done0by0end0of0shift,0and0what0can0the0nurse0delegate.
what0are0different0negotiation0strategies0-
0ans✔problem0solving,0progressive0discipline,0and0negotiation
describe0the0problem0solving0strategy0-
0ans✔open0communication0(I0statement,0listen0to0others,0move0to0private0location,0an
d0share0ground0rules).0*steps:0ID0the0problem,0discuss0possible0solutions,0analyze0ide
ntified0solutions,0select0and0implement0solution,0evaluate0the0solutions'0ability0to0resolv
e0conflict,
describe0the0progressive0discipline0steps0-
0ans✔first0(informal0reprimand,0meeting0,discuss0issue,0suggestions0for0improvement),
0second0(written0warning,0meeting,0review0policy0violations0and0discuss0consequences
),0third0(placed0on0suspension0and0can0examine0issue0or0consider0alternatives),0fourth
0(employee0termination).
describe0the0negotiation0strategy0-
0ans✔resolve0conflict0by0agreeing0on0steps0to0take,0bargain0to0protect0interests0and0p
ursue0outcomes0that0benefit0mutual0interests.0strategies0include:0avoiding/
withdrawing,0smoothing,0competing/coercing,cooperating/
accommodating,0compromising/negotiating,0and0collaborating,
what0are0some0findings0of0poor0nutrition0-
0ans✔nausea,0vomiting,0diarrhea,0constipation,0flaccid0muscles,0mental0status0change
s,0changes0in0bowel0pattern,0spleen/
liver0enlargement,0dry0brittle0hair0and0nails,0loss0of0subq0fat,0dry0scaly0skin,0inflammati
on,0poor0dental0health,0dry/dull0eyes,0weakness/
fatigue,0changes0in0weight,0and0poor0posture.
, what0are0interventions0to0prevent0aspiration0-
0ans✔position0in0high0fowlers,0support0upper0back0and0neck,0tick0chin0when0swallowin
g,0avoid0use0of0a0straw,0observe0for0aspiration0and0pocketing0of0food0in0cheeks0or0mo
uth,0observe0for0dysphagia0(coughing,0choking,0gagging,0and0drooling0of0food),0and0pr
ovide0oral0hygiene0after0meals0and0snacks.
describe0START0triaging0-
0ans✔·0based0on0Respirations,0perfusion0and0mental0status0and0allows0for0two0interve
ntions:0direct0pressure0to0control0bleeding0and0basic0airway0opening.
·0START0is0green0(minor/
walking0wounded),0yellow0(everyone0else),0red0(respirations0over030,0cap0refill0longer0t
han020seconds,0unable0to0follow0simple0commands),0or0black0(apneic)
describe0SALT0triaging0-
0ans✔used0with0mass0casualty,0involved0grey0(which0is0expectant0*life0threatening,0bu
t0no0current0resources0are0available)
How0many0CM0are0considered0nonsterile0around0the0object?0-0ans✔10inch
What0height0should0you0add0things0to0the0sterile0field0-0ans✔minimum0of060inches
T/F:0nurse0can0reach0across0the0sterile0field0and0not0contaminate0it0-
0ans✔FALSE:0nurse0should0not0reach0across0the0sterile0field
Newborn0vitals0-0ans✔RR:030-600breaths,0HR:0110-1600BPM,0BP:060-80/40-
50,0Temperature:097.7-99.5
Initial0assessment0after0birth0-
0ans✔skin0color,0peeling,0birthmarks,0foot0creases,0breast0tissue,0nasal0patency,0meco
nium0stain,0PMI0location,0ease0of0breathing,0quality0of0times,0respirations0for0crackles,
0wheezing0and0equality0of0bilateral0breath0sounds,0rounded0abdomen,0umbilical0cord0(
with0one0vein0and0two0arteries),0muscle0tone,0reflexes,0fontanels,0sutures,0and0other0g
ross0structural0malformations.
Reflexes0at0birth0-0ans✔sucking/
rooting,0palmar0grasp,0plantar0grasp,0Moro0reflex,0tonic0neck/
fencer,0Babinski,0and0stepping.
DEF0of0SIDS0-
0ans✔sudden,0unpredictable0death0of0an0infant0without0an0identified0cause
RF0for0SIDS0-0ans✔maternal0smoking0during0pregnancy,0secondhand0smoke,0co-
sleeping,0nonstandard0bed,0prone0or0side0lying0sleeping,0low0birth0weight,0prematurity,
0twin0or0multiple0births,0low0Apgar0scores,0viral0illness,0family0Hx,0and0poverty.
2019
What0are0some0prioritization0principles0-
0ans✔life0before0limb,0acute0vs0chronic,0actual0before0potential,0trends0vs0transient0fin
dings,0and0medical0emergencies0and0complications0vs0expected0findings.
what0are0the0important0tasks0for0time0management0-
0ans✔what0needs0to0be0done0immediately,0what0needs0to0be0done0in0a0specific0time,0
what0needs0to0be0done0by0end0of0shift,0and0what0can0the0nurse0delegate.
what0are0different0negotiation0strategies0-
0ans✔problem0solving,0progressive0discipline,0and0negotiation
describe0the0problem0solving0strategy0-
0ans✔open0communication0(I0statement,0listen0to0others,0move0to0private0location,0an
d0share0ground0rules).0*steps:0ID0the0problem,0discuss0possible0solutions,0analyze0ide
ntified0solutions,0select0and0implement0solution,0evaluate0the0solutions'0ability0to0resolv
e0conflict,
describe0the0progressive0discipline0steps0-
0ans✔first0(informal0reprimand,0meeting0,discuss0issue,0suggestions0for0improvement),
0second0(written0warning,0meeting,0review0policy0violations0and0discuss0consequences
),0third0(placed0on0suspension0and0can0examine0issue0or0consider0alternatives),0fourth
0(employee0termination).
describe0the0negotiation0strategy0-
0ans✔resolve0conflict0by0agreeing0on0steps0to0take,0bargain0to0protect0interests0and0p
ursue0outcomes0that0benefit0mutual0interests.0strategies0include:0avoiding/
withdrawing,0smoothing,0competing/coercing,cooperating/
accommodating,0compromising/negotiating,0and0collaborating,
what0are0some0findings0of0poor0nutrition0-
0ans✔nausea,0vomiting,0diarrhea,0constipation,0flaccid0muscles,0mental0status0change
s,0changes0in0bowel0pattern,0spleen/
liver0enlargement,0dry0brittle0hair0and0nails,0loss0of0subq0fat,0dry0scaly0skin,0inflammati
on,0poor0dental0health,0dry/dull0eyes,0weakness/
fatigue,0changes0in0weight,0and0poor0posture.
, what0are0interventions0to0prevent0aspiration0-
0ans✔position0in0high0fowlers,0support0upper0back0and0neck,0tick0chin0when0swallowin
g,0avoid0use0of0a0straw,0observe0for0aspiration0and0pocketing0of0food0in0cheeks0or0mo
uth,0observe0for0dysphagia0(coughing,0choking,0gagging,0and0drooling0of0food),0and0pr
ovide0oral0hygiene0after0meals0and0snacks.
describe0START0triaging0-
0ans✔·0based0on0Respirations,0perfusion0and0mental0status0and0allows0for0two0interve
ntions:0direct0pressure0to0control0bleeding0and0basic0airway0opening.
·0START0is0green0(minor/
walking0wounded),0yellow0(everyone0else),0red0(respirations0over030,0cap0refill0longer0t
han020seconds,0unable0to0follow0simple0commands),0or0black0(apneic)
describe0SALT0triaging0-
0ans✔used0with0mass0casualty,0involved0grey0(which0is0expectant0*life0threatening,0bu
t0no0current0resources0are0available)
How0many0CM0are0considered0nonsterile0around0the0object?0-0ans✔10inch
What0height0should0you0add0things0to0the0sterile0field0-0ans✔minimum0of060inches
T/F:0nurse0can0reach0across0the0sterile0field0and0not0contaminate0it0-
0ans✔FALSE:0nurse0should0not0reach0across0the0sterile0field
Newborn0vitals0-0ans✔RR:030-600breaths,0HR:0110-1600BPM,0BP:060-80/40-
50,0Temperature:097.7-99.5
Initial0assessment0after0birth0-
0ans✔skin0color,0peeling,0birthmarks,0foot0creases,0breast0tissue,0nasal0patency,0meco
nium0stain,0PMI0location,0ease0of0breathing,0quality0of0times,0respirations0for0crackles,
0wheezing0and0equality0of0bilateral0breath0sounds,0rounded0abdomen,0umbilical0cord0(
with0one0vein0and0two0arteries),0muscle0tone,0reflexes,0fontanels,0sutures,0and0other0g
ross0structural0malformations.
Reflexes0at0birth0-0ans✔sucking/
rooting,0palmar0grasp,0plantar0grasp,0Moro0reflex,0tonic0neck/
fencer,0Babinski,0and0stepping.
DEF0of0SIDS0-
0ans✔sudden,0unpredictable0death0of0an0infant0without0an0identified0cause
RF0for0SIDS0-0ans✔maternal0smoking0during0pregnancy,0secondhand0smoke,0co-
sleeping,0nonstandard0bed,0prone0or0side0lying0sleeping,0low0birth0weight,0prematurity,
0twin0or0multiple0births,0low0Apgar0scores,0viral0illness,0family0Hx,0and0poverty.
