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NCLEX-RN® Test Plan: Client Needs
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Establishing Priorities

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NCLEX-RN® Test Plan: Client Needs | Registered Nurse (RN) School Study Aid

Establishing Priorities
13 Picmonics to Learn | 32 mins
Guidelines for Prioritizing
First-level priority problems
Airway, Breathing, Circulation (ABCs)
Second-level Priority Problems
MAA-U-AR
Mental Status Change
Acute Pain
Acute Urinary Elimination Problems
Untreated Medical Problems
Abnormal Laboratory Values
Risk of Infection, Safety or Security
Third-Level Priority Problems
Long-Term Treatments
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2 mins
Triage
Simple Triage And Rapid Treatment (START)
Tags
Red: Immediate (Critical)
Yellow: Delayed (Urgent)
Green: Minor (Ambulatory)
Black: Deceased (Expired)
Step 1: Movement
Ability to Walk
Step 2: Respirations
Spontaneous Breathing
Respiratory Rate
Step 3: Perfusion
Check Circulation
Step 4: Mental Status
Mental Status
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4 mins
How to Use Prioritization in Exam Questions
Prioritize First
Airway
Breathing
Circulation
Prioritize Second
Change in LOC (Altered Mental Status)
Sepsis
Acute Pain
Untreated Medical Problems
Prioritize Third
Education
Feelings
Patient Waiting to be Discharged
Test-taking Strategies
Maslow’s Hierarchy of Needs
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3 mins
Airway, Breathing, Circulation (ABC's)
Airway Assessment
Changed Sound of Voice
"See-saw" Respirations
Stridor
Breathing Assessment
Normal Respiratory Rate: 12–20 Breaths/Min
Use of Accessory Muscles in Respiration
Cyanosis
Circulation Assessment
Color of Hands and Digits
Normal Capillary Refill Time (CRT): 2 Seconds
Decreased LOC
Considerations
Initial ‘Look, Listen and Feel” Assessment
Emergency Treatment
Prioritization in Exam Questions
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5 mins
The Nursing Process
ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
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2 mins
How to Use ADPIE for Exam Questions
ASSESSMENT QUESTIONS
Data Collection
NURSING DIAGNOSIS QUESTIONS
Data Analysis
PLANNING QUESTIONS
Plan of Care
INTERVENTION QUESTIONS
Action or Intervening
EVALUATION QUESTIONS
Outcomes of Care
STEPS
Read Entire Question
Identify Step in the Nursing Process
Eliminate Answer Choices; Choose the Best Answer
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3 mins
Strategic Words
WORDS THAT REFLECT THE NEED TO PRIORITIZE
First/Initial/Early
Highest Priority
Most Appropriate
WORDS THAT REFLECT THE NEED TO ASSESS
Assess
Collect/Gather
Identify
WORDS THAT REFLECT THE NEED TO INTERVENE
Action/Intervention
OPEN-ENDED WORDS
Normally/Generally
CLOSED-ENDED WORDS
Always/Never/None
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3 mins
Maslow's Hierarchy of Needs
Physiological Needs
Oxygen, Water, Nutrition
Body temperature, Elimination, Shelter, Sexual Expression
Safety and Security
Physical Safety
Physiological Safety
Love and Belonging
Affection and Companionship
Esteem
Self Respect and Respect for Others
Self Actualization
Fulfillment
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2 mins
Safety and Security
Safety and Security Needs
Second Basic Needs
Safety and Security Needs
Physical Safety
Physiological Safety
Financial Security
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2 mins
Love and Belonging
Love and Belonging Hierarchy
Third Basic Need
Love and Belonging Needs
Love and Affection
Relationships
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59 secs
Esteem
Esteem HIERARCHY
Fourth Basic Need
Eteem Need
Esteem for Oneself
Reputation and Respect
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53 secs
Self-Actualization
Self-Actualization Hierarchy
Fifth Need
Self-Actualization Needs
Helping Others
Objectivity
Personal Growth
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2 mins
Cardiopulmonary Resuscitation (CPR) for Adults
Steps Before CPR
Scan Scene
Activate Emergency Response System
Check For Breathing (Max 10 Seconds)
Open Airway
Compressions, Airway, Breathing (CAB)
Compressions: 2 Inches Deep (100-120 Compressions/Min)
Airway: Ensure Airway is Still Open
Breathing: Administer 2 Rescue Breaths
Considerations
Repeat C-A-B Sequence (30:2) Until Help Arrives
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3 mins

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