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HESI®-RN Comprehensive Review
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NGN-NCLEX-RN Clinical Judgment Model

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HESI®-RN Comprehensive Review | Registered Nurse (RN) School Study Aid

NGN-NCLEX-RN Clinical Judgment Model
9 Picmonics to Learn | 25 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
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
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
Assessment
Health History
Objective Data
Subjective Data
TEST-TAKING STRATEGY: KEY WORDS
Identify
Determine
Obtain Information
CONSIDERATIONS
Assessment Always Done Before Treatments
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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
Planning
Nursing Care Plan
Tailored to Patient
Short-and-Long-Term Goals
SMART GOALS
Specific
Measurable
Attainable
Realistic
Time-Oriented
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2 mins
Implementation
Types of Nursing Interventions
Direct Care Interventions
Indirect Care Interventions
A Community (Public Health) Intervention
Implementing the Care Plan
Partnership with the Patient/Family
Performing the Nursing Action
Documenting Nursing Care
Delegating Nursing Care
TEST-TAKING STRATEGY: KEY WORDS
Intervene
Priority Action
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3 mins
Evaluation
Consider the Effectiveness of Care
Reassess
Make Necessary Modifications
Continuously Ensure Favorable Patient Outcome
TEST-TAKING STRATEGY: KEY WORDS
Evaluate
Outcome
Consider the Degree of Effectiveness
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2 mins

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