RN Comprehensive Predictor 2024
What are some prioritization principles - ANSlife before limb, acute vs chronic, actual before
potential, trends vs transient findings, and medical emergencies and complications vs expected
findings.
what are the important tasks for time management - ANSwhat needs to be done immediately,
what needs to be done in a specific time, what needs to be done by end of shift, and what can
the nurse delegate.
what are different negotiation strategies - ANSproblem solving, progressive discipline, and
negotiation
describe the problem solving strategy - ANSopen communication (I statement, listen to others,
move to private location, and share ground rules). *steps: ID the problem, discuss possible
solutions, analyze identified solutions, select and implement solution, evaluate the solutions'
ability to resolve conflict,
describe the progressive discipline steps - ANSfirst (informal reprimand, meeting ,discuss issue,
suggestions for improvement), second (written warning, meeting, review policy violations and
discuss consequences), third (placed on suspension and can examine issue or consider
alternatives), fourth (employee termination).
describe the negotiation strategy - ANSresolve conflict by agreeing on steps to take, bargain to
protect interests and pursue outcomes that benefit mutual interests. strategies include:
avoiding/withdrawing, smoothing, competing/coercing,cooperating/accommodating,
compromising/negotiating, and collaborating,
what are some findings of poor nutrition - ANSnausea, vomiting, diarrhea, constipation, flaccid
muscles, mental status changes, changes in bowel pattern, spleen/liver enlargement, dry brittle
hair and nails, loss of subq fat, dry scaly skin, inflammation, poor dental health, dry/dull eyes,
weakness/fatigue, changes in weight, and poor posture.
what are interventions to prevent aspiration - ANSposition in high fowlers, support upper back
and neck, tick chin when swallowing, avoid use of a straw, observe for aspiration and pocketing
of food in cheeks or mouth, observe for dysphagia (coughing, choking, gagging, and drooling of
food), and provide oral hygiene after meals and snacks.
describe START triaging - ANS· based on Respirations, perfusion and mental status and allows
for two interventions: direct pressure to control bleeding and basic airway opening.
· START is green (minor/walking wounded), yellow (everyone else), red (respirations over 30,
cap refill longer than 2 seconds, unable to follow simple commands), or black (apneic)
, describe SALT triaging - ANSused with mass casualty, involved grey (which is expectant *life
threatening, but no current resources are available)
How many CM are considered nonsterile around the object? - ANS1 inch
What height should you add things to the sterile field - ANSminimum of 6 inches
T/F: nurse can reach across the sterile field and not contaminate it - ANSFALSE: nurse should
not reach across the sterile field
Newborn vitals - ANSRR: 30-60 breaths, HR: 110-160 BPM, BP: 60-80/40-50, Temperature:
97.7-99.5
Initial assessment after birth - ANSskin color, peeling, birthmarks, foot creases, breast tissue,
nasal patency, meconium stain, PMI location, ease of breathing, quality of times, respirations for
crackles, wheezing and equality of bilateral breath sounds, rounded abdomen, umbilical cord
(with one vein and two arteries), muscle tone, reflexes, fontanels, sutures, and other gross
structural malformations.
Reflexes at birth - ANSsucking/rooting, palmar grasp, plantar grasp, Moro reflex, tonic
neck/fencer, Babinski, and stepping.
DEF of SIDS - ANSsudden, unpredictable death of an infant without an identified cause
RF for SIDS - ANSmaternal smoking during pregnancy, secondhand smoke, co-sleeping,
nonstandard bed, prone or side lying sleeping, low birth weight, prematurity, twin or multiple
births, low Apgar scores, viral illness, family Hx, and poverty.
teaching to prevent SIDS - ANSback to sleep, avoid tobacco smoke, prevent overheating, firm,
tight fitting mattress, remove pillows and other things from cribs, ensure head is uncovered, offer
pacifier at naps and night, encourage breastfeeding, and avoid co-sleeping.
Findings indicative of idiopathic scoliosis - ANSasymmetry in scapula/ribs/flanks/shoulders/hips,
and improperly fitting clothes.
RF for idiopathic scoliosis - ANSgenetic, more common in women, highest incidence between
8-15.
Contrainidcations for combined oral contraceptives - ANSthromboembolic d/o, stroke, heart
attack, coronary artery disease, gall bladder disease, cirrhosis, liver tumor, headache,
uncontrolled HTN, diabetes with vascular involvement, breast or estrogen related cancers,
pregnancy, lactating, smoking,
What are some prioritization principles - ANSlife before limb, acute vs chronic, actual before
potential, trends vs transient findings, and medical emergencies and complications vs expected
findings.
what are the important tasks for time management - ANSwhat needs to be done immediately,
what needs to be done in a specific time, what needs to be done by end of shift, and what can
the nurse delegate.
what are different negotiation strategies - ANSproblem solving, progressive discipline, and
negotiation
describe the problem solving strategy - ANSopen communication (I statement, listen to others,
move to private location, and share ground rules). *steps: ID the problem, discuss possible
solutions, analyze identified solutions, select and implement solution, evaluate the solutions'
ability to resolve conflict,
describe the progressive discipline steps - ANSfirst (informal reprimand, meeting ,discuss issue,
suggestions for improvement), second (written warning, meeting, review policy violations and
discuss consequences), third (placed on suspension and can examine issue or consider
alternatives), fourth (employee termination).
describe the negotiation strategy - ANSresolve conflict by agreeing on steps to take, bargain to
protect interests and pursue outcomes that benefit mutual interests. strategies include:
avoiding/withdrawing, smoothing, competing/coercing,cooperating/accommodating,
compromising/negotiating, and collaborating,
what are some findings of poor nutrition - ANSnausea, vomiting, diarrhea, constipation, flaccid
muscles, mental status changes, changes in bowel pattern, spleen/liver enlargement, dry brittle
hair and nails, loss of subq fat, dry scaly skin, inflammation, poor dental health, dry/dull eyes,
weakness/fatigue, changes in weight, and poor posture.
what are interventions to prevent aspiration - ANSposition in high fowlers, support upper back
and neck, tick chin when swallowing, avoid use of a straw, observe for aspiration and pocketing
of food in cheeks or mouth, observe for dysphagia (coughing, choking, gagging, and drooling of
food), and provide oral hygiene after meals and snacks.
describe START triaging - ANS· based on Respirations, perfusion and mental status and allows
for two interventions: direct pressure to control bleeding and basic airway opening.
· START is green (minor/walking wounded), yellow (everyone else), red (respirations over 30,
cap refill longer than 2 seconds, unable to follow simple commands), or black (apneic)
, describe SALT triaging - ANSused with mass casualty, involved grey (which is expectant *life
threatening, but no current resources are available)
How many CM are considered nonsterile around the object? - ANS1 inch
What height should you add things to the sterile field - ANSminimum of 6 inches
T/F: nurse can reach across the sterile field and not contaminate it - ANSFALSE: nurse should
not reach across the sterile field
Newborn vitals - ANSRR: 30-60 breaths, HR: 110-160 BPM, BP: 60-80/40-50, Temperature:
97.7-99.5
Initial assessment after birth - ANSskin color, peeling, birthmarks, foot creases, breast tissue,
nasal patency, meconium stain, PMI location, ease of breathing, quality of times, respirations for
crackles, wheezing and equality of bilateral breath sounds, rounded abdomen, umbilical cord
(with one vein and two arteries), muscle tone, reflexes, fontanels, sutures, and other gross
structural malformations.
Reflexes at birth - ANSsucking/rooting, palmar grasp, plantar grasp, Moro reflex, tonic
neck/fencer, Babinski, and stepping.
DEF of SIDS - ANSsudden, unpredictable death of an infant without an identified cause
RF for SIDS - ANSmaternal smoking during pregnancy, secondhand smoke, co-sleeping,
nonstandard bed, prone or side lying sleeping, low birth weight, prematurity, twin or multiple
births, low Apgar scores, viral illness, family Hx, and poverty.
teaching to prevent SIDS - ANSback to sleep, avoid tobacco smoke, prevent overheating, firm,
tight fitting mattress, remove pillows and other things from cribs, ensure head is uncovered, offer
pacifier at naps and night, encourage breastfeeding, and avoid co-sleeping.
Findings indicative of idiopathic scoliosis - ANSasymmetry in scapula/ribs/flanks/shoulders/hips,
and improperly fitting clothes.
RF for idiopathic scoliosis - ANSgenetic, more common in women, highest incidence between
8-15.
Contrainidcations for combined oral contraceptives - ANSthromboembolic d/o, stroke, heart
attack, coronary artery disease, gall bladder disease, cirrhosis, liver tumor, headache,
uncontrolled HTN, diabetes with vascular involvement, breast or estrogen related cancers,
pregnancy, lactating, smoking,
