Graded (2025)
Legal .Responsibilities: .Caring .for .a .Client .Who .Has .a .Terminal .Illness .(RN
.QSEN .- .Patient-centered .Care, .RM .FUND .9.0
Ch .4, .Active .Learning .Template .- .Basic .Concept) .- .CORRECT .ANSWER-clients
.with .terminal .illness .should .know .all .their .available .options
make .sure .to .inform .a .patient .about .hospice .- .what .services .they .provide .and
.what .is .offered .to .you
respect .the .clients .wishes
keep .them .out .of .pain/misery
Managing .Client .Care: .Delegating .to .an .LPN .(RM .Leadership .7.0 .Chp. .1, .Active
.Learning .Template .- .Basic .Concept, .RN
QSEN .- .Teamwork .and .Collaboration) .- .CORRECT .ANSWER-LPN .can .insert
.nasogastric .tubes
LPN .cannot .assess .or .educate, .they .can .reinforce .education .though
AP .can .collect .specimen .so .if .AP .is .available, .dont .delegate .to .an .LPN
Managing .Client .Care: .Evaluating .Time .Management .Skills .(RN .QSEN .-
.Teamwork .and .Collaboration, .RM .Leadership
7.0 .Chp. .1, .Active .Learning .Template .- .Basic .Concept) .- .CORRECT .ANSWER-
Use .clinical .standard .to .evaluate
Maintain .notes .over .a .period .of .time .provides .a .comprehensive .view .of .nurses
.abilitles
It .is .not .responsibility .of .other .staff .to .evaluate .nurses .profieicny
Professional .Responsibilities: .Documentation .of .Care .(RN .QSEN .- .Teamwork
.and .Collaboration, .RM .Leadership .7.0 .Chp.
3, .Active .Learning .Template .- .Basic .Concept) .- .CORRECT .ANSWER-all .care
.must .be .documented
nurses .should .take .short .notes .while .doing .an .assessment .
add .more .detailed .notes .and .charting .after .completing .assessment .to .prevent
.interruption .of .assessment
Managing .Client .Care: .Prioritizing .Postoperative .Client .Care .(RM .Leadership .7.0
.Chp. .1, .Active .Learning .Template .-
,Basic .Concept, .RN .QSEN .- .Safety) .- .CORRECT .ANSWER-follow .ABC .follow
.surgery
make .sure .airway .is .clear .and .patient .is .able .to .breathe .off .of .anestheesia
promote .ambulation .and .anticoags .to .prevent .blood .clots
monitor .the .surgery .site .to .watch .for .infection
Managing .Client .Care: .Implementing .Change .(RM .Leadership .7.0 .Chp. .1, .Active
.Learning .Template .- .Basic .Concept) .- .CORRECT .ANSWER-phases .of .making
.change:
1st .stage: .unfreezing .- .Inform .others .about .current .issues
2nd .stage: .moving .- .implementing .change
3rd: .refreezing .- .solidoifying .change .into .a .daily .thing
Coordinating .Client .Care: .Support .for .Client .Who .Has .a .New .Colostomy .(RM
.Leadership .7.0 .Chp. .2, .RN .QSEN .-
Teamwork .and .Collaboration, .Active .Learning .Template .- .Basic .Concept) .-
.CORRECT .ANSWER-teach .about .colostomy .care .- .teach .family/caregivers .if
.necessary
talk .about .self .esteem .issues
often .patients .have .a .hard .time .accepting .this .change
Mobility .and .Immobility: .Use .of .Hand .Rolls .(Active .Learning .Template .- .Nursing
.Skill, .RM .FUND .9.0 .Ch .40) .- .CORRECT .ANSWER-Help .to .maintain .functional
.position
prevents .hands .from .losing .all .funtion .and .mobility
Mobility .and .Immobility: .Verifying .Prescription .for .Cold .Therapy .(Active
.Learning .Template .- .Basic .Concept, .RM .FUND
9.0 .Ch .40) .- .CORRECT .ANSWER-make .sure .cold .therapy .is .necessary .and .not
.contraindicated
cold .therapy .should .not .be .used .in .patients .with .diabetes .due .to .neuropathy
.and .increased .risk .for .injury
Facility .Protocols: .Developing .an .Emergency .Preparedness .Plan .(Active
.Learning .Template .- .Basic .Concept, .RM
Leadership .7.0 .Chp. .5, .RN .QSEN .- .Safety) .- .CORRECT .ANSWER-first .action
.notify .the .incident .commadner .to .initiate .the .command .hierarchy
patient .and .staff .safety .is .the .most .important
Medical .and .Surgical .Asepsis: .Handling .Biohazardous .Materials .(RN .QSEN .-
.Safety ., .RM .FUND .9.0 .Ch .10, .Active
Learning .Template .- .Basic .Concept) .- .CORRECT .ANSWER-medical .asepsis:
.clean .technique
surgical .asepsis: .sterile .technique
blood .should .be .cleaned .with .a .bleach .solution
if .body .fluids .get .on .a .reusable .machine, .place .item .in .sealed .biohazard .bag
.and .send .it .to .appropriate .place .to .be .cleaned
,Nursing .Care .and .Discharge .Teaching: .Newborn .Home .Safety .Instructions .(RM
.MN .RN .10.0 .Chp .26, .Active .Learning
Template .- .Basic .Concept, .RN .QSEN .- .Safety) .- .CORRECT .ANSWER-Set .water
.heater .to .no .more .than .120*F .or .49*C
Safe .sleep .- .sleep .on .back, .no .extra .blankets/pillows .in .crib, .tight .fitting .sheets
Crib .slats .should .be .no .more .than .2.25 .inches .apart
Place .child .in .rear .facing .seat .until .2 .yrs .old
Client .Safety: .Guidelines .for .the .Use .of .Mechanical .Restraints .(Active .Learning
.Template .- .Basic .Concept, .RN .QSEN .-
Safety ., .RM .FUND .9.0 .Ch .12) .- .CORRECT .ANSWER-Assess .client .every .15-30
.minutes
Someone .must .be .with .patient .at .all .times
Check .for .new .prescription .q .4ht .for .> .18, .q2 .for .9-17 .yo, .and .q1 .for .< .9 .y.o.
Food .Safety: .Food .Safety .During .Pregnancy .(RN .QSEN .- .Patient-centered .Care,
.RM .Nutrition .6.0 .Chp. .5, .Active
Learning .Template .- .Basic .Concept) .- .CORRECT .ANSWER-mothers .during
.pregnancy .because .they .are .feeding .two .bodies
they .need .enoguh .nutrients .to .allow .for .a .healthy .baby .to .grow
mothers .should .maintain .a .healthy .diet .while .pregnant, .with .increased .protein
.intake .and .other .nutrients
moms .should .take .folic .acid .while .pregnany .to .promote .neural .tube .closure .in
.infants
Newborn .Assessment: .Priority .Action .Following .Birth .(Active .Learning
.Template .- .Basic .Concept, .RM .MN .RN .10.0 .Chp
23) .- .CORRECT .ANSWER-first .thing .first .- .dry .the .abbay
the .baby .is .at .highest .risk .for .hypothermia .due .to .change .in .environment .and
.cold
after .drying, .assess .and .assign .apgar .score
Normal .Physiological .Changes .During .Pregnancy: .Client .Teaching .About
.Constipation .(Active .Learning .Template .-
System .Disorder, .RN .QSEN .- .Patient-centered .Care, .RM .MN .RN .10.0 .Chp .3) .-
.CORRECT .ANSWER-constipation .is .a .normal .complication .tht .comes .with
.pregnancy
Enlarged .uterus .compresses .intestines .and .causes .compressions
estrogen .and .progesterone .decrease .during .pregnancy .causing .constipation
Prenatal .Care: .Assessing .for .Fetal .Heart .Tones .(Active .Learning .Template .-
.Nursing .Skill, .RM .MN .RN .10.0 .Chp .4) .- .CORRECT .ANSWER-fetus .in .left
.occipital .anterior .position .- .where .do .you .hear .heart .sounds: .left .lower
.quadrant
listen .to .the .heart .of .the .fetus .based .on .where .the .fetus .is .positioined .in .the
.womb
Continuity .of .Care: .Recognizing .the .Need .for .Referral .to .the .Program .of .All-
Inclusive .Care .for .the .Elderly .(PACE) .(RM .CH
, RN .7.0 .Chp .7, .Active .Learning .Template .- .Basic .Concept, .RN .QSEN .- .Teamwork
.and .Collaboration) .- .CORRECT .ANSWER-provides .adult .day .care .services
.along .with .in .home .assessmenets .and .supportive .serices
good .for .clients .whose .caregiver .requests .adult .day .care .services
Data .Collection .and .General .Survey: .Appropriate .Physical .Assessment
.Techniques .(RM .FUND .9.0 .Ch .26, .Active
Learning .Template .- .Nursing .Skill, .RN .QSEN .- .Patient-centered .Care) .-
.CORRECT .ANSWER-assess .from .head .to .toe .
know .what .needs .to .be .asssessed .based .on .the .of .the .patients .chief .complaint
Effective .Communication: .Family .Member .of .a .Client .Who .Has .Alzheimer's
.Disease .(RN .QSEN .- .Patient-centered .Care,
RM .MH .RN .10.0 .Chp .3, .Active .Learning .Template .- .Basic .Concept) .- .CORRECT
.ANSWER-be .very .respectful .and .listen .as .they .talk .- .especiall .when .they .are
.caretakers
as .alzheimers .progreses, .it .can .get .harder
let .the .caretaker/family .member .know .what .are .possible .options .- .adult .day
.care, .long .term .acre .facilities
Neurocognitive .Disorders: .Expected .Manifestations .of .Delirium .(RM .MH .RN .10.0
.Chp .17, .Active .Learning .Template .-
System .Disorder) .- .CORRECT .ANSWER-rapid .speech
irritability
Clouding .of .consciousness.
Difficulty .maintaining .or .shifting .attention.
Disorientation.
Illusions.
Hallucinations.
Fluctuating .levels .of .consciousness.
Disorders .of .the .Eye: .Assessing .an .Older .Adult .Client .for .Macular .Degeneration
.(Active .Learning .Template .- .System
Disorder, .RM .AMS .RN .10.0 .Chp .12) .- .CORRECT .ANSWER-manifestations:
.decrease .or .loss .in .his .central .vision .due .to .bleeding .into .the .macula, .yellow
.spots .under .the .retina
Amsler .grid .can .be .used .to .help .diagnose .or .test .for .this, .grid .with .lines, .pt
.with .macular .degeneration .may .see .blurred .or .twisted .libes .with .dark .spots
Mobility .and .Immobility: .Developing .a .Plan .of .Care .for .a .Client .Who .Is .Immobile
.(RM .FUND .9.0 .Ch .40, .Active .Learning
Template .- .Basic .Concept, .RN .QSEN .- .Safety) .- .CORRECT .ANSWER-consider
.who .much .the .patient .can .move
work .to .their .strengths
be .considerate .of .their .health .needs
work .on .regaining .stregnth .and .mobility .if .immobility .is .not .related .to
.paralsysis
place .trochanter .rolls .to .prevent .external .rotation .and .abduction .of .the .hips
encourage .2-3L .consumption .of .water .a .day