NSG 2050 Latest Exam Questions with Correct
Solutions
According to AACN, baccalaureate generalist nurses are...
designers, coordinators, and managers of care
Prevention
to keep from happening or existing
Management
to handle or direct with a degree of skill; to exercise supervisory direction of; to treat
with care
Examples of nursing prevention
- assessment
- education
- planning
- early intervention
Examples of nursing management
- prioritization
- delegation
- collaboration
- implementation
The Nursing Process
- assessment
- diagnosis
,- planning
- implementation
- evaluation
The NEW Nursing Process
- recognize cues
- analyze cues
- prioritize hypotheses
- generate solutions
- take action
- evaluate outcomes
Priority setting (Prioritization)
the delivery of nursing care based on the urgency or importance of client needs;
required for organization of client care
ATI Priority setting frameworks
- Maslow's hierarchy of needs
- ABCDE
- Nursing process
- Least restrictive/invasive
- survival potential
- acute vs. chronic
- urgent vs. non-urgent
- unstable vs. stable
Maslow's Hierarchy of Needs
ABCDE
,Airway
Breathing
Circulation
Disability
Exposure
Survival potential
-Use this framework for situations in which health resources are extremely limited (mass
casualty, disaster triage)
-give priority to clients who have a reasonable chance of survival with prompt
intervention. **Clients who have a limited likelihood of survival even with intense
intervention are assigned the lowest priority.
Delegation
improves quality of care and safety; cannot delegate care that requires nursing
judgement or clinical decision making; assessment and prioritization must be done first
5 rights of delegation
- right task
- right circumstance
- right person
- right direction/communication
- right supervision/evaluation
Collaboration
working together with intra- and interprofessional groups to benefit the patient and the
healthcare team
Implementation
, putting plan of care into action; "take action" step of new nursing process
Common sign of aspiration pneumonia
right middle lobe pneumonia; provides most direct route down the right mainstem
bronchus
Ventilation
the process of moving gases (CO2 and O2) in and out of the lung
Passive muscles of ventilation
diaphragm and intercostals
Active muscle of ventilation
scalenes, sternocleidomastoid, and abdominal muscles
Phrenic nerve (C3-C5)
innervates the diaphragm; could be greatly affected by cervical spine injuries
Respiration
Inhalation and exhalation of air automatically regulated by the medulla
Effects of brainstem trauma
can no longer regulate rate depth, and rhythm through respiratory center in medulla
CO2 chemoreceptors
located in aorta, medulla, and carotids; sense increased CO2 levels, triggering hyper
carbic respiratory drive
Hypercarbic respiratory drive
the drive to breath based on CO2 levels in the blood
Solutions
According to AACN, baccalaureate generalist nurses are...
designers, coordinators, and managers of care
Prevention
to keep from happening or existing
Management
to handle or direct with a degree of skill; to exercise supervisory direction of; to treat
with care
Examples of nursing prevention
- assessment
- education
- planning
- early intervention
Examples of nursing management
- prioritization
- delegation
- collaboration
- implementation
The Nursing Process
- assessment
- diagnosis
,- planning
- implementation
- evaluation
The NEW Nursing Process
- recognize cues
- analyze cues
- prioritize hypotheses
- generate solutions
- take action
- evaluate outcomes
Priority setting (Prioritization)
the delivery of nursing care based on the urgency or importance of client needs;
required for organization of client care
ATI Priority setting frameworks
- Maslow's hierarchy of needs
- ABCDE
- Nursing process
- Least restrictive/invasive
- survival potential
- acute vs. chronic
- urgent vs. non-urgent
- unstable vs. stable
Maslow's Hierarchy of Needs
ABCDE
,Airway
Breathing
Circulation
Disability
Exposure
Survival potential
-Use this framework for situations in which health resources are extremely limited (mass
casualty, disaster triage)
-give priority to clients who have a reasonable chance of survival with prompt
intervention. **Clients who have a limited likelihood of survival even with intense
intervention are assigned the lowest priority.
Delegation
improves quality of care and safety; cannot delegate care that requires nursing
judgement or clinical decision making; assessment and prioritization must be done first
5 rights of delegation
- right task
- right circumstance
- right person
- right direction/communication
- right supervision/evaluation
Collaboration
working together with intra- and interprofessional groups to benefit the patient and the
healthcare team
Implementation
, putting plan of care into action; "take action" step of new nursing process
Common sign of aspiration pneumonia
right middle lobe pneumonia; provides most direct route down the right mainstem
bronchus
Ventilation
the process of moving gases (CO2 and O2) in and out of the lung
Passive muscles of ventilation
diaphragm and intercostals
Active muscle of ventilation
scalenes, sternocleidomastoid, and abdominal muscles
Phrenic nerve (C3-C5)
innervates the diaphragm; could be greatly affected by cervical spine injuries
Respiration
Inhalation and exhalation of air automatically regulated by the medulla
Effects of brainstem trauma
can no longer regulate rate depth, and rhythm through respiratory center in medulla
CO2 chemoreceptors
located in aorta, medulla, and carotids; sense increased CO2 levels, triggering hyper
carbic respiratory drive
Hypercarbic respiratory drive
the drive to breath based on CO2 levels in the blood
