Comprehensive NCLEX-RN ATI Review Questions And Answers Graded A+.

Comprehensive NCLEX-RN ATI Review Questions And Answers Graded A+. Five rights of delegation - correct answer. Right person Right task Right circumstance Right direction and communication Right supervision and evaluation Non-delegatable tasks - correct answer. Nursing process Client education Tasks that require nursing judgement (care of unstable patients) LPN delegation - correct answer. Tracheotomy care Suctioning Inserting urinary catheter Checking NG tube patency Medication administration Sterile specimen colection Reinforce client teaching AP delegation - correct answer. ADLs Ambulating Feeding Positioning Vital signs I&Os Autonomy - correct answer. The right to make ones own decisions Beneficence - correct answer. The obligation to good for others Confidentiality - correct answer. The obligation to observe the privacy of another and maintain strict confidence Fidelity - correct answer. The obligation to be faithful to agreements and responsibilities, to keep promises Justice - correct answer. The obligation to be fair to all people Nonmaleficence - correct answer. The obligation to do no harm to others Paternalism - correct answer. Assuming the right to make decisions for another Veracity - correct answer. The obligation to tell the truth Nurses role of informed consent - correct 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 - correct answer. Abuse - vulnerable populations Communicable diseases Malpractice - correct answer. The failure of a person with professional training to act in a reasonable an prudent manner within the identified scope of practice Negligence - correct 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) - correct answer. Immediate threat to life Do not delay care Urgent class 2 (yellow tag) - correct answer. Major injuries that require treatment Delay of 30 minutes to 2 hours Non-urgent class 3 (green tag) - correct answer. Minor injuries that do not require immediate attention Delay of 2-4 hours Expectant class 4 (black tag) - correct answer. Expected/allowed to die Prepare for morgue TPN - correct 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) - correct answer. Acetylcysteine (antidote) Benzodiazepine (antidote) - correct answer. Flumazenil (antidote) Curare (antidote) - correct answer. Edrophonium (antidote) Cyanide poisoning (antidote) - correct answer. Methylene blue (antidote) Digitalis: (antidote) - correct answer. Digoxin immune FAB (antidote) Ethylene poisoning (antidote) - correct answer. Fomepizole (antidote) Heparin and enoxaparin (antidote) - correct answer. Protamine sulfate (antidote) Iron (antidote) - correct answer. Deferoxamine (antidote) Lead (antidote) - correct answer. Succimer (antidote) Magnesium sulfate (antidote) - correct answer. Calcium gluconate 10% (antidote) Narcotics (antidote) - correct answer. Naloxone (antidote) Warfarin (antidote) - correct answer. Phytonadione (vitamin K)(antidote) Calcium channel blockers - correct 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 - correct answer. Suffix: pril For: hypertension, heart failure, MI, and diabetic nephropathy Monitor potassium, BP, angioedema Captopril should be taken 1hr before meals ARBS - correct answer. Suffix: tan For: hypertension, heart failure, MI, and diabetic nephropathy Monitor potassium, BP, angioedema Beta 2 adrenergic agonists - correct 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 - correct answer. Suffix: statin For: reduction of formation of cholesterol precursors Drug interactions: digoxin, warfarin, thyroid hormones, thiazide diuretics, phenobarbital, NASIDs, tetracycline, beta blockers, gemfibrozil, glipizide, glyburide, oral contraceptices, and phenytoin Do not administer with grapefruit juice Glucocorticoids - correct answer. Suffix: one, ide & ate For: Prevention of inflammatory responses by suppression of airway mucus production Interaction: DM may require higher doses Side effects: insomnia, psychotic behavior, hyperglycemia, peptic ulcer, fluid retention, withdrawal symptoms, increased appetite, risk for infection (prednisone & methotreaxate), risk for osteoporosis (prednisone) Administer medication with meals Do not take with NSAIDs Beta blockers - correct answer. Suffix: olol For: decreased cardiac excitability, cardiac output, myocardial and oxygen demand Use: primary HTN, angina, tachydysrhythmias, heart failure, and MI Contraindications: AV Block and sinus tachy, asthma, bronchospasms, or heart failure Side effects: nasal stuffiness, bronchospasms Monitor blood glucose with propranolol Do not administer labetalol in same IV as furosemide Do not crush/chew Hold medications if pulse is less than 60 or systolic BP is less than 100 Vasodilators - correct answer. Nitroglycerine, enalaprilat, nitroprusside, hydralazine For: vasodilation of arteries and veins resulting in decreased blood pressure Precautions: hepatic and renal disorders, older adults, electrolyte imbalances Side effects: cyanide toxicity Nitroprusside may not be mixed with any medication Continuious ECG and BP monitoring Insulin - correct answer. Lispro: rapid acting, 15-30 min