NCLEX-RN Problem Solving Exam Questions and With Distinction level Marking scheme updated 2024/2025
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Course
Nclex
Institution
Nclex
NCLEX-RN Problem Solving Exam Questions and With Distinction level Marking scheme updated 2024/2025
Which medications interfere with absorption of Levothyroxine (Synthroid)? - correct answer antacids, calcium, and iron preparations.
Heart attack symptoms in women and elderly with a history ...
NCLEX-RN Test Exam Review Questions with
all Answers verified for accuracy Updated
2024/2025
Calcium scoring CT exam; No preparation is required - correct
answer This diagnostic test is a noninvasive procedure that is
performed to visualize calcification of the coronary arteries and
heart valves. What type of client preparation is required?
1.010-1.025 - correct answer What is normal urine specific
gravity?
Suction control chamber - correct answer When caring for a
patient with a chest tube, where can the nurse expect
continuous, gentle bubbling in the collection device?
Water seal chamber - correct answer When caring for a
patient with a chest tube, where can the nurse expect tidaling to
be observed?
The lung has re-expanded - correct answer When caring for a
patient with a chest tube, the nurse notices that tidaling in the
water seal chamber has ceased. What has most likely occurred?
- Briefly soak area in cool water to stop the burning process
- Remove any clothing or jewelry around the era
- Cover with a clean, dry cloth to prevent contamination and
further trauma - correct answer What home care interventions
should the RN teach a patient r/t minor burns?
,- Do not apply ice directly to burn as this will cause further tissue
damage
- Do not apply ointments, creams or - correct answer When
educating a patient on home care for minor burns, what should
the nurse instruct the patient NOT to do?
Before:
- Nurse must witness informed consent
- D/c all anticoagulants and anti platelet agents for at least one
week
- Client should be typed/crossmatched for blood in case of a
hemorrhage situation
After:
- Nurse should monitor vitals for at least every 15 min for s/s of
hypovolemia due to bleeding
- Assess puncture site for bleeding - correct answer For a
patient scheduled to undergo a percutaneous left kidney biopsy,
what are proper nursing interventions for before/after
procedure?
,- Opioids
- Sliding scale insulins - correct answer Related to the Beers
criteria, what are classes of medications that should be avoided
or administered in caution in the elderly?
Aortic dissection - correct answer This complication of HTN
occurs when the arterial wall intimal layer tears and allows blood
between the inner and middle layers; EMERGENCY*
- Abrupt onset and "worst ever", "tearing," or "ripping," pain with
HTN being a contributing factor - correct answer What clinical
manifestations would a patient report suspected of having an
aortic dissection?
- STOP INFUSION & CALL FOR HELP*
- Ensure patent airway & administer o2 via high flow non-
rebreather
- Give IM epinephrine (Bronchodilation and vasoconstriction)
- Administer adjunctive therapies (Corticosteroids,
bronchodilators, antihistamines)
- Monitor and reassess vitals for changes
- Notify HCP - correct answer After administration of an
antibiotic, the patient develops SOB and parities. What are
proper nursing interventions when caring for a patient
experiencing anaphylaxis?
Gloves should be worn when applying the medication to prevent
the spread of - correct answer When educating a patient with
active genital herpes infection about application of acyclovir
topical cream, how should the patient apply the cream?
, At 1 year of age - correct answer When assessing the babinski
reflex in newborns, when will this reflex disappear?
Epstein's pearls - correct answer Defined as white, pearl like
epithelial cysts on gum margins and the palate in newborns
Within a few weeks of birth - correct answer When do
Epstein's pearls disappear in newborns?
2 arteries & 1 vein - correct answer When assessing the
umbilical cord of a newborn, how many arteries/veins should be
present?
Suctioning - This will deplete the client's oxygen level and cause
inaccurate results - correct answer When performing an ABG
on a sedated, ventilated patient, what nursing intervention
should be avoided prior which could skew the results?
Greater than or equal to 65 mm Hg - correct answer What is
normal MAP (Mean arterial pressure)?
Extravasation - correct answer A complication of IV therapy
defined as infiltration of a drug into the tissue surrounding the
vein
Discontinue the infusion ASAP
- Disconnect the IV tubing
- Aspirate the drug with a syringe
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