RN COMPREHENSIVE PREDICTOR LATEST UPDATED VERSION: GRADED
A+
What are some prioritization principles
life 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
what 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
problem solving, progressive discipline, and negotiation
describe the problem solving strategy
open 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
first (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
resolve 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
nausea, 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
position 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
· 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
used 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?
1 inch
What height should you add things to the sterile field
minimum of 6 inches
T/F: nurse can reach across the sterile field and not contaminate it
FALSE: nurse should not reach across the sterile field
Newborn vitals
RR: 30-60 breaths, HR: 110-160 BPM, BP: 60-80/40-50, Temperature: 97.7-99.5
Initial assessment after birth
skin 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
sucking/rooting, palmar grasp, plantar grasp, Moro reflex, tonic neck/fencer, Babinski, and stepping.
DEF of SIDS
sudden, unpredictable death of an infant without an identified cause
RF for SIDS
maternal 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
back 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
asymmetry in scapula/ribs/flanks/shoulders/hips, and improperly fitting clothes.
A+
What are some prioritization principles
life 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
what 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
problem solving, progressive discipline, and negotiation
describe the problem solving strategy
open 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
first (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
resolve 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
nausea, 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
position 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
· 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
used 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?
1 inch
What height should you add things to the sterile field
minimum of 6 inches
T/F: nurse can reach across the sterile field and not contaminate it
FALSE: nurse should not reach across the sterile field
Newborn vitals
RR: 30-60 breaths, HR: 110-160 BPM, BP: 60-80/40-50, Temperature: 97.7-99.5
Initial assessment after birth
skin 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
sucking/rooting, palmar grasp, plantar grasp, Moro reflex, tonic neck/fencer, Babinski, and stepping.
DEF of SIDS
sudden, unpredictable death of an infant without an identified cause
RF for SIDS
maternal 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
back 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
asymmetry in scapula/ribs/flanks/shoulders/hips, and improperly fitting clothes.
