NCLEX-RN ATI Exam Review: Comprehensive
Practice Questions, Rationales & Essential
Nursing Concepts
Terms in this set (204)
Five rights of delegation Right person
Right task
Right circumstance
Right direction and communication
Right supervision and evaluation
Non-delegatable tasks Nursing
process Client
education
Tasks that require nursing judgement (care of unstable
patients)
LPN delegation Tracheotomy care
Suctioning
Inserting urinary catheter
Checking NG tube
patency Medication
administration Sterile
specimen colection
Reinforce client
teaching
,AP delegation ADLs
Ambulating
Feeding
Positioning
Vital signs
I&Os
Autonomy The right to make ones own decisions
Beneficence The obligation to good for others
Confidentiality The obligation to observe the privacy of another and maintain
strict confidence
Fidelity The obligation to be faithful to agreements and
responsibilities, to keep promises
Justice The obligation to be fair to all people
Nonmaleficence The obligation to do no harm to others
Paternalism Assuming the right to make decisions for another
Veracity The obligation to tell the truth
Nurses role of informed consent 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 Abuse - vulnerable populations
Communicable diseases
Malpractice The failure of a person with professional training to act in a
reasonable an prudent manner within the identified scope of
practice
Negligence 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) Immediate threat to life
Do not delay care
Urgent class 2 (yellow tag) Major injuries that require treatment
Delay of 30 minutes to 2 hours
Non-urgent class 3 (green tag) Minor injuries that do not require immediate attention
Delay of 2-4 hours
, Expectant class 4 (black tag) Expected/allowed to die
Prepare for morgue
TPN 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) Acetylcysteine (antidote)
Benzodiazepine (antidote) Flumazenil (antidote)
Curare (antidote) Edrophonium (antidote)
Cyanide poisoning (antidote) Methylene blue (antidote)
Digitalis: (antidote) Digoxin immune FAB (antidote)
Ethylene poisoning (antidote) Fomepizole (antidote)
Heparin and enoxaparin (antidote) Protamine sulfate (antidote)
Iron (antidote) Deferoxamine (antidote)
Lead (antidote) Succimer (antidote)
Magnesium sulfate (antidote) Calcium gluconate 10% (antidote)
Narcotics (antidote) Naloxone (antidote)
Warfarin (antidote) Phytonadione (vitamin K)(antidote)
Calcium channel blockers Suffix: dipine
Causes: arterial dilation and decreased BP
For: angina and HTN, verapamil and diltazem can be used
for a-fib, a-flutter, svt
Precautions: digoxin and beta blockers
Contraindication: heart failure, heart block, of bradycardia
Side effects: reflex tachycardia, peripheral edema, and toxicity
Monitor: BP and HR
Do not drink grapefruit juice
Do not crush/chew
IV administration 2-3 minutes
ACE inhibitor Suffix: pril
For: hypertension, heart failure, MI, and diabetic nephropathy
Monitor potassium, BP, angioedema
Captopril should be taken 1hr before meals
Practice Questions, Rationales & Essential
Nursing Concepts
Terms in this set (204)
Five rights of delegation Right person
Right task
Right circumstance
Right direction and communication
Right supervision and evaluation
Non-delegatable tasks Nursing
process Client
education
Tasks that require nursing judgement (care of unstable
patients)
LPN delegation Tracheotomy care
Suctioning
Inserting urinary catheter
Checking NG tube
patency Medication
administration Sterile
specimen colection
Reinforce client
teaching
,AP delegation ADLs
Ambulating
Feeding
Positioning
Vital signs
I&Os
Autonomy The right to make ones own decisions
Beneficence The obligation to good for others
Confidentiality The obligation to observe the privacy of another and maintain
strict confidence
Fidelity The obligation to be faithful to agreements and
responsibilities, to keep promises
Justice The obligation to be fair to all people
Nonmaleficence The obligation to do no harm to others
Paternalism Assuming the right to make decisions for another
Veracity The obligation to tell the truth
Nurses role of informed consent 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 Abuse - vulnerable populations
Communicable diseases
Malpractice The failure of a person with professional training to act in a
reasonable an prudent manner within the identified scope of
practice
Negligence 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) Immediate threat to life
Do not delay care
Urgent class 2 (yellow tag) Major injuries that require treatment
Delay of 30 minutes to 2 hours
Non-urgent class 3 (green tag) Minor injuries that do not require immediate attention
Delay of 2-4 hours
, Expectant class 4 (black tag) Expected/allowed to die
Prepare for morgue
TPN 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) Acetylcysteine (antidote)
Benzodiazepine (antidote) Flumazenil (antidote)
Curare (antidote) Edrophonium (antidote)
Cyanide poisoning (antidote) Methylene blue (antidote)
Digitalis: (antidote) Digoxin immune FAB (antidote)
Ethylene poisoning (antidote) Fomepizole (antidote)
Heparin and enoxaparin (antidote) Protamine sulfate (antidote)
Iron (antidote) Deferoxamine (antidote)
Lead (antidote) Succimer (antidote)
Magnesium sulfate (antidote) Calcium gluconate 10% (antidote)
Narcotics (antidote) Naloxone (antidote)
Warfarin (antidote) Phytonadione (vitamin K)(antidote)
Calcium channel blockers Suffix: dipine
Causes: arterial dilation and decreased BP
For: angina and HTN, verapamil and diltazem can be used
for a-fib, a-flutter, svt
Precautions: digoxin and beta blockers
Contraindication: heart failure, heart block, of bradycardia
Side effects: reflex tachycardia, peripheral edema, and toxicity
Monitor: BP and HR
Do not drink grapefruit juice
Do not crush/chew
IV administration 2-3 minutes
ACE inhibitor Suffix: pril
For: hypertension, heart failure, MI, and diabetic nephropathy
Monitor potassium, BP, angioedema
Captopril should be taken 1hr before meals
