Clinical Judgement and RRT Exam
Questions and answers
What are the steps of the nursing process? - ✅✅assessment, analysis,
planning, implementation, and evaluation
What are the steps of the clinical judgment measurement model? - ✅✅1.
recognize cues
2. analyze cues
3. form and prioritize hypotheses
4. generate solutions
5. take action
6. evaluate outcomes
What are characteristics of critical thinking and prioritization? - ✅✅treat acute
before chronic, expected vs unexpected, urgent vs nonurgent, unstable vs stable,
and life over limb
What is expected vs unexpected prioritization? - ✅✅expected is furosemide
can cause hypokalemia whereas unexpected is when the hypokalemia causes v-
tach
When should the nurse never leave a patient? - ✅✅if they are unstable (NOT
CNA)
What are types of ways to prioritize? - ✅✅Maslow's hierarchy, nursing process,
ABC, safety and risk reduction, survivability, and least restrictive and least invasive
first (freebie)
, What type of nursing intervention is considered least restrictive and least invasive
(freebie)? - ✅✅raising head of bed
What is the order of ABC importance? - ✅✅1. airway 2. circulation 3. breathing
What is an early indicator of deterioration? - ✅✅respirations
What does CAB stand for? - ✅✅chest compressions, airway, breathing
What is the sequence of events from BLS to CAB? - ✅✅1. do they have DNR
2. assess responsiveness
3. activate code team (call for help and set up AED)
4. check for breathing and pulse simultaneously for no longer than 10 seconds
5. start CPR
6. use AED/defibrillator asap
What does CPR support? - ✅✅circulation, oxygenation, and ventilation
What can cardiocerebral resuscitation (CCR)(chest compressions) do? -
✅✅maximizes blood flow to the brain
What is considered good chest compressions during CPR? - ✅✅2in at a rate of
100 to 120bpm (change compressors every 2 minutes)
Questions and answers
What are the steps of the nursing process? - ✅✅assessment, analysis,
planning, implementation, and evaluation
What are the steps of the clinical judgment measurement model? - ✅✅1.
recognize cues
2. analyze cues
3. form and prioritize hypotheses
4. generate solutions
5. take action
6. evaluate outcomes
What are characteristics of critical thinking and prioritization? - ✅✅treat acute
before chronic, expected vs unexpected, urgent vs nonurgent, unstable vs stable,
and life over limb
What is expected vs unexpected prioritization? - ✅✅expected is furosemide
can cause hypokalemia whereas unexpected is when the hypokalemia causes v-
tach
When should the nurse never leave a patient? - ✅✅if they are unstable (NOT
CNA)
What are types of ways to prioritize? - ✅✅Maslow's hierarchy, nursing process,
ABC, safety and risk reduction, survivability, and least restrictive and least invasive
first (freebie)
, What type of nursing intervention is considered least restrictive and least invasive
(freebie)? - ✅✅raising head of bed
What is the order of ABC importance? - ✅✅1. airway 2. circulation 3. breathing
What is an early indicator of deterioration? - ✅✅respirations
What does CAB stand for? - ✅✅chest compressions, airway, breathing
What is the sequence of events from BLS to CAB? - ✅✅1. do they have DNR
2. assess responsiveness
3. activate code team (call for help and set up AED)
4. check for breathing and pulse simultaneously for no longer than 10 seconds
5. start CPR
6. use AED/defibrillator asap
What does CPR support? - ✅✅circulation, oxygenation, and ventilation
What can cardiocerebral resuscitation (CCR)(chest compressions) do? -
✅✅maximizes blood flow to the brain
What is considered good chest compressions during CPR? - ✅✅2in at a rate of
100 to 120bpm (change compressors every 2 minutes)
