COMPREHENSIVE NCLEX-RN ATI EXAM
REVIEW QUESTIONS AND ANSWERS
Five rights of delegation - Answer-Right person
Right task
Right circumstance
Right direction and communication
Right supervision and evaluation
Non-delegatable tasks - Answer-Nursing process
Client education
Tasks that require nursing judgement (care of unstable patients)
LPN delegation - Answer-Tracheotomy care
Suctioning
Inserting urinary catheter
Checking NG tube patency
Medication administration
Sterile specimen colection
Reinforce client teaching
AP delegation - Answer-ADLs
Ambulating
Feeding
Positioning
Vital signs
I&Os
Autonomy - Answer-The right to make ones own decisions
Beneficence - Answer-The obligation to good for others
Confidentiality - Answer-The obligation to observe the privacy of another and maintain
strict confidence
Fidelity - Answer-The obligation to be faithful to agreements and responsibilities, to
keep promises
Justice - Answer-The obligation to be fair to all people
Nonmaleficence - Answer-The obligation to do no harm to others
Paternalism - Answer-Assuming the right to make decisions for another
,Veracity - Answer-The obligation to tell the truth
Nurses role of informed consent - Answer-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 - Answer-Abuse - vulnerable populations
Communicable diseases
Malpractice - Answer-The failure of a person with professional training to act in a
reasonable an prudent manner within the identified scope of practice
Negligence - Answer-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) - Answer-Immediate threat to life
Do not delay care
Urgent class 2 (yellow tag) - Answer-Major injuries that require treatment
Delay of 30 minutes to 2 hours
Non-urgent class 3 (green tag) - Answer-Minor injuries that do not require immediate
attention
Delay of 2-4 hours
Expectant class 4 (black tag) - Answer-Expected/allowed to die
Prepare for morgue
TPN - Answer-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) - Answer-Acetylcysteine (antidote)
Benzodiazepine (antidote) - Answer-Flumazenil (antidote)
Curare (antidote) - Answer-Edrophonium (antidote)
Cyanide poisoning (antidote) - Answer-Methylene blue (antidote)
Digitalis: (antidote) - Answer-Digoxin immune FAB (antidote)
, Ethylene poisoning (antidote) - Answer-Fomepizole (antidote)
Heparin and enoxaparin (antidote) - Answer-Protamine sulfate (antidote)
Iron (antidote) - Answer-Deferoxamine (antidote)
Lead (antidote) - Answer-Succimer (antidote)
Magnesium sulfate (antidote) - Answer-Calcium gluconate 10% (antidote)
Narcotics (antidote) - Answer-Naloxone (antidote)
Warfarin (antidote) - Answer-Phytonadione (vitamin K)(antidote)
Calcium channel blockers - Answer-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 - Answer-Suffix: pril
For: hypertension, heart failure, MI, and diabetic nephropathy
Monitor potassium, BP, angioedema
Captopril should be taken 1hr before meals
ARBS - Answer-Suffix: tan
For: hypertension, heart failure, MI, and diabetic nephropathy
Monitor potassium, BP, angioedema
Beta 2 adrenergic agonists - Answer-For: Respiratory
Albuterol - short acting (inhaled) for acute bronchospasm, onset 5-15 min
Formoterol - long acting/long-term control (inhaled), onset 1-3 min, duration 10hr
Salmeterol - long acting/long-term control (inhaled), onset 10-20 min, duration 12hr
Terbutaline - long acting/long-term control (oral)
Precautions: increased heart rate, tremors, beta blockers will decrease effect, MAOIs
will increase effect
Antilipemic - Answer-Suffix: statin
For: reduction of formation of cholesterol precursors
REVIEW QUESTIONS AND ANSWERS
Five rights of delegation - Answer-Right person
Right task
Right circumstance
Right direction and communication
Right supervision and evaluation
Non-delegatable tasks - Answer-Nursing process
Client education
Tasks that require nursing judgement (care of unstable patients)
LPN delegation - Answer-Tracheotomy care
Suctioning
Inserting urinary catheter
Checking NG tube patency
Medication administration
Sterile specimen colection
Reinforce client teaching
AP delegation - Answer-ADLs
Ambulating
Feeding
Positioning
Vital signs
I&Os
Autonomy - Answer-The right to make ones own decisions
Beneficence - Answer-The obligation to good for others
Confidentiality - Answer-The obligation to observe the privacy of another and maintain
strict confidence
Fidelity - Answer-The obligation to be faithful to agreements and responsibilities, to
keep promises
Justice - Answer-The obligation to be fair to all people
Nonmaleficence - Answer-The obligation to do no harm to others
Paternalism - Answer-Assuming the right to make decisions for another
,Veracity - Answer-The obligation to tell the truth
Nurses role of informed consent - Answer-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 - Answer-Abuse - vulnerable populations
Communicable diseases
Malpractice - Answer-The failure of a person with professional training to act in a
reasonable an prudent manner within the identified scope of practice
Negligence - Answer-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) - Answer-Immediate threat to life
Do not delay care
Urgent class 2 (yellow tag) - Answer-Major injuries that require treatment
Delay of 30 minutes to 2 hours
Non-urgent class 3 (green tag) - Answer-Minor injuries that do not require immediate
attention
Delay of 2-4 hours
Expectant class 4 (black tag) - Answer-Expected/allowed to die
Prepare for morgue
TPN - Answer-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) - Answer-Acetylcysteine (antidote)
Benzodiazepine (antidote) - Answer-Flumazenil (antidote)
Curare (antidote) - Answer-Edrophonium (antidote)
Cyanide poisoning (antidote) - Answer-Methylene blue (antidote)
Digitalis: (antidote) - Answer-Digoxin immune FAB (antidote)
, Ethylene poisoning (antidote) - Answer-Fomepizole (antidote)
Heparin and enoxaparin (antidote) - Answer-Protamine sulfate (antidote)
Iron (antidote) - Answer-Deferoxamine (antidote)
Lead (antidote) - Answer-Succimer (antidote)
Magnesium sulfate (antidote) - Answer-Calcium gluconate 10% (antidote)
Narcotics (antidote) - Answer-Naloxone (antidote)
Warfarin (antidote) - Answer-Phytonadione (vitamin K)(antidote)
Calcium channel blockers - Answer-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 - Answer-Suffix: pril
For: hypertension, heart failure, MI, and diabetic nephropathy
Monitor potassium, BP, angioedema
Captopril should be taken 1hr before meals
ARBS - Answer-Suffix: tan
For: hypertension, heart failure, MI, and diabetic nephropathy
Monitor potassium, BP, angioedema
Beta 2 adrenergic agonists - Answer-For: Respiratory
Albuterol - short acting (inhaled) for acute bronchospasm, onset 5-15 min
Formoterol - long acting/long-term control (inhaled), onset 1-3 min, duration 10hr
Salmeterol - long acting/long-term control (inhaled), onset 10-20 min, duration 12hr
Terbutaline - long acting/long-term control (oral)
Precautions: increased heart rate, tremors, beta blockers will decrease effect, MAOIs
will increase effect
Antilipemic - Answer-Suffix: statin
For: reduction of formation of cholesterol precursors
