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NCLEX-PN EXAM QUESTIONS AND ANSWERS
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NCLEX-PN EXAM QUESTIONS AND ANSWERS
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NCLEX-PN EXAM QUESTIONS AND ANSWERSDO NOT delegate what you can EAT! - answer- E-evaluate
A-assess
T-teach
Addisons Disease - answer- down (Na), down (bp), down (blood vol), up (K), down
(glucose)
Cushings Disease - answer- up (Na), up (bp), up (blood vol), down (K), up (glucose)
Addisons - answer- hyponatremia, hypotension, decreased blood vol, hyperkalemia,
hypoglycemia
Cushings - answer- hypernatremia, hypertension, increased blood vol, hypokalemia,
hyperglycemia
No Pee - answer- No K
do not give POTASSIUM without adequate urine output
APGAR - answer- A=appearance (color all pinks, pink and blue, blue (pale)
P= pulse (>100, <100, absent)
G=grimace (cough, grimace, no response)
A=activity (flexed, flaccid, limp)
R=respirations (strong cry, weak cry, absent)
AIRBORNE - answer- MY-Measles
Chicken-Chicken Pox/Varicella
Hez=Herpez Zoster/Shingles
TB
or remember . . .
MTV=Airborne
Measles
TB
Varicella-Chicken Pox/Herpes Zoster-Shingles
*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB
DROPLET - answer- think of SPIDERMAN
S-sepsis
S-scarlet fever
S-streptococcal pharyngitis
P-parvovirus B19
P=pneumonia
P-pertussis
I-influenza
D-diptheria (pharyngeal)
,E=epiglottitis
R-rubella
M-mumps
M-meningitis
M-mycoplasma
An-adenovirus
*Private Room or cohort*
*Mask*
CONTACT PRECAUTION - answer- Mrs. Wee
M-multidrug resistant organism
R-respiratory infection
S-skin infections
W-wound infxn
E-enteric infxn - clostridum difficile
E- eye infxn - conjunctivitis
SKIN INFECTIONS - answer- VCHIPS
V-varicella zoster
C-cutaneous diptheria
H-herpez simplex
I-impetigo
P-pediculosis
S-scabies
Air/Pulmonary Embolism - answer- S&S;chest pain, difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
Methylphenidate (Ritalin)
Stimulant - answer- tx of ADHD and narcolepsy . . . assess for heart related side effects
reports immediately . . . child may need drug holiday b/c it stunts growth
Controlled substance
Can cause rapid or irregular heartbeat, delirium, panic, psychosis, and heart failure.
Dopamine (intropine)
Blood pressure support - answer- tx of hypotension, shock (by improving blood flow),
low cardiac output, poor perfusion to vital organs . . . montitor EKG for arrhythmias,
monitor BP
have trouble remembering FHR patterns in OB? think VEAL CHOP - answer- V-variable
decels; C-cord compression caused
E-early decels; H- head compression caused
A- accels; O-okay, not a problem!
L- late decels; P-placental insufficiency, can't fill
, Variable decelerations - answer- are irregular, often jagged dips in the fetal heart rate
that look more dramatic than late decelerations. Variable decelerations happen when
the baby's umbilical cord is temporarily compressed
Early decelerations - answer- are caused by fetal head compression during uterine
contraction, resulting in vagal stimulation and slowing of the heart rate.
A late deceleration - answer- is a symmetric fall in the fetal heart rate, beginning at or
after the peak of the uterine contraction and returning to baseline only after the
contraction has ended (Figure 6). The descent and return are gradual and smooth
for cord compression - answer- place mother in TRENDELENBERG position because
this removes pressure of the presenting part off the cord. If her head is down, the baby
is no longer being pulled out of the body by gravity.
If the cord is prolapsed, cover it with sterile saline gauze to prevent drying of the cord
and to minimize infection.
for late decels - answer- turn the mother to her left side, to allow for more blood flow to
the placenta.
for any kind of bad fetal heart rate pattern - answer- you give O2, often by mask
when doing an epidural anesthesia - answer- hydration before hand is a priority
hypotension and bradyapnea/bradycardia - answer- are major risks and emergencies
if the baby is a posterior presentation - answer- the sounds are heard on the sides
if the baby is anterior - answer- the sounds are heard closer to midline, between the
umbillicus and where you would listen to posterior presentation
if baby is breech - answer- the sounds are high up in the fundus near the umbilicus
if the baby is vertex - answer- the sounds are little bit above the symphsis pubis
to remember blood sugar
hyperglycemia - answer- hot and dry-sugar high
hypoglycemia - answer- cold and clammy-need some candy
Cor pulmonale - answer- right sided heart failure caused by left ventricular failure (so
pick edema, jvd, if it is a choice)
is defined as an alteration in the structure and function of the right ventricle (RV) of the
heart caused by a primary disorder of the respiratory system. Pulmonary hypertension
is often the common link between lung dysfunction and the heart in cor pulmonale.
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