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Registered Nurse (RN)
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NCLEX-RN® Test Plan: Client Needs
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Techniques of Physical Assessment

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

Techniques of Physical Assessment
6 Picmonics to Learn | 14 mins
Vital Signs - Adult
Temperature (96.8-100.4 Degrees F) (36-38 Degrees C)
Rectal
Tympanic
Oral
Axillary
Temporal
Respiration (12-20)
Oxygen Saturation (95%-100%)
Pulse (60-100)
Blood Pressure (<120/80)
Pain
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2 mins
Neurovascular Assessment 6 P's
Pain
Paresthesia
Pulse
Pallor
Pressure
Paralysis
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1 min
Glasgow Coma Scale
LOC Assessment
Score of 3 to 15
8 or Less = Coma
Eye Opening
Verbal Response
Motor Response
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1 min
Level of Consciousness: Descriptive guide for Glasgow Coma Scale
Conscious
Confused
Delirious
Somnolent
Obtunded
Stuporous
Comatose
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3 mins
Pain Assessment
Types of Pain
Acute Pain
Chronic Pain
OPQRST Mnemonic
Onset
Provoking or Palliative
Quality
Radiation
Severity
Timing
Nursing Considerations
Subjective Findings
Objective Findings
Reassessment of Pain
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2 mins
Rancho Los Amigos Levels of Cognitive Functioning Scale
Total Assistance
Level I - No Response
Level II - Generalized Response
Level III - Localized Response
Maximal Assistance
Level IV - Confused/Agitated
Level V - Confused, Inappropriate Non-Agitated
Moderate Assistance
Level VI - Confused, Appropriate
Minimal Assistance for Daily Living Skills
Level VII - Automatic, Appropriate
Stand-By Assistance
Level VIII - Purposeful, Appropriate with Stand-by Assistance
Stand-By Assistance on Request
Level IX - Purposeful, Appropriate with Stand-by Assistance on Request
Modified Independent
Level X - Modified Purposeful, Appropriate
Mnemonic
No General Localizes Aggresively Inappropriate Apples Automatically on Purpose
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4 mins

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