Exam (elaborations)
NCLEX-RN EXAM Questions and Answers (2022/2023) (Verified Answers)
NCLEX-RN EXAM Questions and Answers (2022/2023) (Verified Answers)
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NCLEX-RN 2022\20231. Delegation: Right Person, Right Task, Right Circumstance, Right
Communica- tion, Right Supervision
AP's: vitals and ALDs
PN: stable clients and the expected outcome
2. Bleeding: Stabilize object
3. Colorectal Screening: Sigmoid: 5 yrs Colon: 10 years ages 50-75
4. Manual BP: 1 Inch above antecubital space
5. Manual Systolic Measurement: Palpate radial pulse, inflate until pulse
disap- pears, inflate another 30 mmHg, release and note when pulse
is palpable again
6. Clear Diet: Fruit juices, gelatin, broth
7. Cane Use: On Stronger side. Move can, move weak leg, move
1/
,stronger leg past cane
Move 6-10 inches forward
8. Infiltration: pallor, swelling, decrease skin temp
stop, remove, elevate, ROM, cold compress, restart
9. hypoxemia: early: Tachypnea,
increased BP Late: Bradypnea, decrease
BP
10.Hypernatermia Risk Factors: older age, decrease total body water
content, inadequate fluid intake, altered thirst
11.Seizure precautions: Rescue equipment at bedside
12.Fire Safety: R: Rescue A: Alarm C: contain E: extinguish
P: Pull A: Aim S: Squeeze S: Sweep
2/
,13.Radiation Precautions: wear monitoring badge for exposure
14.Client Transfer: Fold arms of patient across chest while lifting head
15.Positioning: Prone: on stomach, post lumbar puncture,
tonsillectomy Supine: On back, spinal cord injury
16.Crutches: 3 inch widths between axilla and top of crutch, hand
grips with elbows at 30 degree
17.Walker: Wrist even with hand grips
3/
, 18.Standard Precautions: Teir One
protective equipment when in contact with blood and bodily fluids,
dispose PPE in clients room, clean spills with bleach water
19.Transmission Precautions: Airborne: N95
mask Droplet: Mask within 3 feet of patient
Contact: gloves and gown
20.Order of PPE: On: gown, mask, goggles,
gloves OFF: gloves, goggles, gown, mask
21.Precautions for Diseases: AIDS/HIV:
standard Varicella: airborne
C-diff: contact
Hep A:
standard Hep
B: standard
4/
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