NCSBN Test Plan Info Exam With Complete Questions And 100% Verified Correct Answers.

Client Needs *Safe and Effective Care Environment* -Management of Care: 17-23% -Safety and Infection Control: 9-15% *Health Promotion and Maintenance*: 6-12% *Psychosocial Integrity*: 6-12% *Physiological Integrity* -Basic Care and Comfort: 6-12% -Pharmacological and Parenteral Therapies: 12-18% -Reduction of Risk Potential: 9-15% Physiological Adaptation: 11-17% - correct answers distribution of content Identify laboratory values for ABGs (pH, PO2, PCO2, SaO2, HCO3), BUN, cholesterol (total), creatinine, glucose, glycosylated hemoglobin (HgbA1C), hematocrit, hemoglobin, INR, platelets, potassium, PT, PTT & APTT, sodium, WBC - correct answers lab values to know 7.35-7.45 -low pH in the 6's= D (severe acidosis) -immediately assess vital signs -call HCP is V/S bad, call rapid response team - correct answers pH 80-100 mmHg - correct answers PO2 35-45 mmHg -*in 50s= C* -- assess respiratory status -- have pt do pursed lip breathing -*in 60s= respiratory failure* -- assess respiratory status; if symptomatic call rapid response team -- do pursed lip breathing -- prepare to ventilate & intubate -- call HCP -- call respiratory therapist - correct answers PCO2 95-100% - 95= C -- assess RR -- give O2 - correct answers SaO2 22-26 mmHg -abnormal= A - correct answers HCO3 8.0-16.4 -elevated= B -check for dehydration -kidney/liver damage (build up of urea d/t ammonia) - correct answers BUN 4.3-5.2 mmol/L - correct answers cholesterol (total) 45-90 umol/L -elevated= A -best indicator of kidney function - correct answers creatinine 3.6-10.0 mmol/L (3.9-6.1 mmol/L per Hurst) - correct answers glucose 6.5%: diagnostic for diabetes for ppl w/ diabetes, ideal goal is 7% - correct answers glycosylated hemoglobin (HgbA1C) 0.33-0.48 L/L -abnormal= B -- assess for bleeding - correct answers hematocrit 110-160 g/L -80-109= B - 80= C -- assess for bleeding (may transfuse 80) -- call HCP - correct answers hemoglobin 0.8-1.2 seconds -therapeutic range: 2-3 -monitors warfarin therapy - 4= C -pt could bleed to death -hold all warfarin -assess for bleeding -prepare to administer vitamin K (antidote) -call physician - correct answers INR 150,000-400,000 - 90,000= C -- assess for bleeding -- bleeding precautions -- call HCP - 40,000= D -- could spontaneously hemorrhage to death -- assess for bleeding -- bleeding precautions -- prepare for transfusion -- call HCP - correct answers platelet - correct answers PT - correct answers PTT 27-39 seconds (therapeutic level: 46-70 sec) -monitors heparin therapy The therapeutic range for aPTT or PT/INR is generally 1.5-2.0 times the control value (up to 3 times the control value at times). An aPTT value above the therapeutic range places the client at risk for excess bleeding - correct answers aPTT