NCLEX-RN Study Guide with Complete Solutions
DO NOT delegate what you can...EAT (Acronym) - Answer✔✔-*E*valuate, *A*ssess, *T*each
UAP's can not be delegated: - Answer✔✔-EAT, meds, and unstable patients
LPNs cannot be delegated: - Answer✔✔-Anything related with blood.
1 oz = ? mL - Answer✔✔-30 mL
MAP formula - Answer✔✔-SBP+2(DBP)/3
Normal level for CVP - Answer✔✔-2 - 8 mmhg
Increased CVP can indicate - Answer✔✔-Right ventricular failure or fluid volume excess
Order of assessment - Answer✔✔-1) Inspection
2) Palpation
3) Percussion
4) Auscultation (except with the abdomen, this is #2)
Blood type O - Answer✔✔-- Can receive from O
- Can donate to O, A, B, AB,
Blood Type A - Answer✔✔-Antigen-A; Antibody-Anti B; Can receive from A or O; Can donate to
A or AB
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Blood type B - Answer✔✔-- Receive from B and O
- Can donate to B and AB
Blood Type AB - Answer✔✔-- Can donate to O, A, B, AB
- Can receive from AB
buck's traction - Answer✔✔-knee immobility
russell's traction - Answer✔✔-a sling is positioned under the knee which suspends the distal
thigh above the bed (femur or lower leg)
dunlap traction - Answer✔✔-skeletal or skin
bryant's traction - Answer✔✔-children <3 y <35 lbs with femur fx
Infant's development: 2-3 months - Answer✔✔-Turns head side to side
Infant's development: 4-5 months - Answer✔✔-Grasps, switch & roll
Infant's development: 6-7 months - Answer✔✔-Sit at 6, waves bye-bue
Infant's development: 8-9 months - Answer✔✔-Stands straight at 8
Infant's development: 10-11 months - Answer✔✔-Belly to butt (phrase has 11 letters)
Infant's development: 12-13 months - Answer✔✔-Twelve and up, drink from a cup
Erikson's Stage: Infancy (0-18m) - Answer✔✔-Trust vs. Mistrust
Development of trust based on caregivers
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Erikson's Stage: Early childhood (18m-3yrs) - Answer✔✔-Autonomy vs. Shame & doubt
Development of sense of
personal control
Preschool (3-5yrs) - Answer✔✔-Initiative vs. Guilt
Development of sense of
purpose and directive
School age (6- 11yrs) - Answer✔✔-Industry vs. Inferiority
Development of pride in accomplishments
Erikson's Stage: Adolescence (12-18yrs) - Answer✔✔-Identity vs. Role confusion
Exploration of independence and development of self
Erikson's Stage: Early adulthood (18- 40yrs) - Answer✔✔-Intimacy vs. Isolation
Development of personal relationships and love
Erikson's Stage: Adulthood (40- 65yrs) - Answer✔✔-Generativity vs. Stagnation
Fulfilling goals and building career and family
Erikson's Stage: Older adult (>65yrs) - Answer✔✔-Integrity vs. Despair
Looking back on life with acceptance
Parkland formula: - Answer✔✔-4ml/kg/%body burned
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How should you administer the fluids when utilizing the Parkland formula? - Answer✔✔-- 1st
8h: 1⁄2 total volume - 2nd/ 8h: 1⁄4 total volume - 3rd 8h: 1⁄4 total volume
What does it control? Cranial Nerve I Olfactory - Answer✔✔-Smell test
What does it control? II Optic - Answer✔✔-Visual acuity and visual fields
What does it control? III Oculomotor - Answer✔✔-Pupil constriction and extraocular
movements
What does it control? IV Trochlear - Answer✔✔-Extraocular movements: inferior adduction
What does it control? V Trigeminal - Answer✔✔-Clench teeth and light touch
What does it control? VI Abducens - Answer✔✔-Extraocular movements: lateral abduction
What does it control? VII Facial - Answer✔✔-Facial movement: close eyes, smile
What does it control? VIII Auditory - Answer✔✔-Hearing and Romberg test
What does it control? IX Glossopharyngeal - Answer✔✔-Gag reflex
What does it control? X Vagus - Answer✔✔-Say "ah" - uvular and palate movement
What does it control? XI Accessory - Answer✔✔-Turn head and lift shoulders to resistance
What does it control? XII Hypoglossal - Answer✔✔-Stick out tongue
Don PPE Order - Answer✔✔-1. Hand hygiene 2. Gown
3. Mask
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