Exam (elaborations)
NCLEX UWORLD QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX UWORLD QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX UWORLD QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
whatWmedicationsWinteractWwithWgrapefruit?W-
WANSWERWcalciumWchannelWblockers:Wdiltiazem,Wnifedipine,Wverapamil,Wetc
statins
caffeine
SSRIs
beWsureWtoWpracticeWmath!W-WANSWERW
stentWplacementWusingWtheWfemoralWapproachWputsWyouWatWriskWforWretroperitonealWhemorrhageW-
WANSWERW
whatWareWearlyWsignsWofWbleedingWintoWtheWretroperitonealWspace?W-
WANSWERWhypotension,WbackWpain,WflankWecchymosisW(greyWturnerWsign),WhematomaWformation,Wdimins
hedWdistalWpulses
whatWisWtheWgrey-turnerWsignWandWwhatWisWitWaWsignWof?W-
WANSWERWbruisingWofWtheWflanksWandWretroperitonealWhemorrhageWandWisWaWbluishWcolor
whatWareWsomeWphysicalWsignsWofWperipheralWarterialWdisease?W-
WANSWERWintermittentWcalfWmuscleWpain?,WrestWpain,WhairWloss,WdecreasedWperipheralWpulses,Wcool,Wdry,
WshinyWskin,WthickWbrittleWnails,Wgangrene,WulcersW(allWofWtheseWareWinWtheWextremities)
transplantedWheartsWareWexpectedWtoWbeW-WANSWERWtachycardicWlikeW90-110
whatWisWtheWpriorityWinterventionWforWpainWwithWsickleWcellWcrisisWandWwhy?W-
WANSWERWadministerWIVWfluidsWtoWreduceWbloodWviscosityWandWrestoreWperfusionWtoWareasWaffectedWbyW
vasoocclusion
,whatWisWtheWpurposeWofWcontinuousWbladderWirrigation?W-
WANSWERWitWisWperscribedWafterWTURPWtoWpreventWobstructionWofWurineWoutflowWbyWremovingWclottedW
bloodWfromWtheWbladder
whatWisWtheWnursesWcareWofWmonitoringWCBI?W-
WANSWERWmonitorWqualityWofWdrainage,WtitrateWtheWinflowWrate,WandWmanurallyWirrigatingWasWneeded
characteristicsWofWaWbasilarWskullWfractureW-
WANSWERWperiorbitalWhematomasW(raccoonWeyes),WcsfWfluidWrhinorrhea,WandWbattleWsignW(behindWtheWe
arWbruising)
immediateWclientWcareWforWbasilarWskullWfractureW-
WANSWERWcervicalWspimeWimmobilization,WcloseWneurologicWmonitoring,WandWsupportWofWABCs
vomitingWwithWintakeWmayWmeanW-WANSWERWviralWorWbacterialWinfection
tympanosomtyWtubesWareWplacedWforW-WANSWERWrecurrentWotisWmedias
nurseWactionsWduringWaWseizureW-
WANSWERWassistWthemWtoWlieWdownWisWstanding/sitting,WputWthemWonWsideWforWpatentWairway,WloosenWti
ghtWclothing,WgiveWoxygenWasWneeded,WremoveWobjectsWfromWimmediateWarea,WdocumentWtimeWandWdur
ationWofWseizureW(forWtestsWareWdoneWlaterWtoWseeWwhichWtypeWofWseizureWandWmaybeWwhatWexaceratesW
it)
neverWputWanythingWinWmouthWorWrestrainWthemWsinceWmusclecWontractionsWcanWoccurWduringWaWseizure
whatWareWsomeWearlyWsymptomsWofWICP?W-
WANSWERWalteredWLOC,Wheadache,WabnormalWreathing,WriseWinWbp,WslowWpulse,Wvomiting
clientWwhoWhasWaWTIAWisWoftenWplacedWonW-
WANSWERWprophylacticWantithromboticWtreatmentWlikeWaspirinWorWclopidogrel
glascowWcomaWscaleWrangesWfromW-WANSWERW3-
15;W3WbeingWworstW15WbeingWbestWconditionW(8WorWbelowWinWaWcoma)
,whatWareWtheW3Wcomponents?W-WANSWERWeyeWopening
motorWresponse
verbalWresponse
whatWisWaWprimaryWcomponentWinWTPN?W-
WANSWERWglucose,WsoWtheWnurseWshouldWbeWmonitoringWbloodWglucoseWandWbeWassessingWforWsignsWofW
hyperglycemia
whenWaWclientWisWonWTPN,WtheWnurseWmustWassessWforWhyperglycemiaWwhy?W-
WANSWERWbcWaWprimaryWcomponentWisWglucose.WthereforeWtheWnurseWmustWbeWassessingWtoWseeWifWtheW
clientWisWgettingWtooWmuchWglucoseW(hoerglycemia).WandWwithWaWlargeWurinaryWoutputWlikeW4800,WthisWc
ouldWindicateWsymptomsWofWhyperglycemia
signsWogWhyperglycemiaW-
WANSWERWpolydipsia,Wpolyuria,Wrestless,Wconfused,WbgWoverW200,Wfatigue,WkussmaulWresp
whatWisWtheWgoalWforWmassWcasualtyWevents?W-
WANSWERWdoWtheWgreatestWgoodWforWtheWgreatestWnumberWofWpeople
keepWinWmindWthatWdisasterWtriageWranksWtheWlikelihoodWofWsurvivalWwithWtreatment,WnotWnecessarilyWth
eWseverityWofWtheWinjuryW-WANSWERW
whatWareWtheW4WcategoriesWforWtriaging?W-WANSWERWimmediateW(redWtag)-
WlifeWthreateningWinjuriesWwithWgoodWprognosisWonceWtreatedW
delayedW(yellow)-WinjuriesWrequiringWtreatmentWwithinWhours
minimalW(greenWtag)-WinjuriesWrequiringWtreatmentWwithinWaWfewWdaysW
expectantW(blackWtag)-WextensiveWinjuries,WpoorWprognosisWregardlessWofWtreatment
ruleWofWninesW-WANSWERWhead:W4.5WfrontW4.5Wback
torso:W18WfrontW18Wback
eachWarm:W4.5WfrontW4.5WbackW(eachWarmWisW9Wtotal)
, eachWleg:W9WfrontW8WbackW(eachWisW18Wtotal)
genitals:W1
extrapyramidalWsideWeffectsW-
WANSWERWACUTEWDYSTONICWREACTION:WsuddenWonsetWsustainedWmuscleWcontractions
AKATHISIA:WrestlessnessWwithWinabilityWtoWsitWstillW
drugWinduceWPARKINSONISM:Wtremor,Wrigidity,Wbradykinies,WmaskedWlikeWfaces
AKINISIA:WlossWofWinvoluntaryWmovement
TARDIVEWDYSKININIA
NEUROLEPTICWMALIGNANTWSYNDROME
dontWgiveWmorphineWifWRRWunderW12WbcWitWcanWcauseW-WANSWERWrespiratoryWdepression
airborneWprecautionsW-WANSWERWtuberculosis,Wvaricella,WandWrubeolaW(measles)
wearWN95WrespiratorW(andWotherWasWneededWlikeWforWsplashes)W
ALSOW(negWpressureWroomWandWHEPA)
clientsWsuspectedWareWtoWwearWaWsurgicalWmaskWafterWtriage
UAPWsoftWwristWrestraintsWcan:W-WANSWERWdoWROMWexercises
reapplyWwristWrestraints
reportWchangesWinWskinWtoWnurse
turn/repositionWclientWinWbed
aWclientWwithWmajorWdepressionWandWsevereWweightWlossWneedsWwhatWtypeWofWdiet?W-
WANSWERWhighWinWcaloriesWandWprotein,WalsoWfoodsWthatWareWeasyWtoWchewWandWdontWrequireWaWlotWofW
energyWbcWtheyWmayWhaveWaWlowWenergyWlevelW
examples:WwhileWmilk/dairy,WgranolaWmuffins,Wpottoes,WmeatWfishWeggs,Wpasta
alsoWsmallWfrequentWmeals
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