NCLEX- Archer Exam Questions with Complete Solutions

Prochlorperazine maleate 10 mg IM and butorphanol 2 mg IM - Prochlorperazine should not be mixed with other medications as it is not compatible Preparing a client for angiography using contrast media, the nurse should tell patient that he will experience all of the following: - - Client might feel possible nausea, Flushing of the face, and sudden urge to urinate. Allergic reactions: Warmth, nausea, severe vomiting, and anaphylaxis (chest tightness, dyspnea, angioedema Which type of crisis is the American Red Cross most involved with - Adventitious crisis: an emergency that occurs as the result of some external force like cyclone, tsunami, tornado Methicillin-resistant Staphylococcus aureus (MRSA) - gram positive bacteria, it is susceptible only to a few antibiotics like IV Vancomycin, and oral linezolid Pt is prescribed with terbutaline in the respiratory clinic, which medication should we be concerned about? - Beta blockers such as Atenolol. Beta blockers can interfere with the action of terbutaline due to its antagonistic effects on the beta receptor cells in the bronchi What is the normal therapeutic range for digoxin level? - 0.5 to 2 ng/mL Airborne Precautions - My Stupid Chicken Hez TB; (Measles, SARS, Chicken Pox, Herpes Zos, TB) Rubeola is another word for Measles Droplet Precautions - Rubella, Influenza, Pertussis, Bacterial meningitis, Pneumonic plague, Diphtheria (Pharyngeal), Mumps, Rhinovirus What is the most preferred first choice for venipuncture in the arm - Medial cubital vein (antecubital vein) located in the CENTER of the antecubital fossa. This vein connects the cephalic vein with basilic vein and is well anchored, less likely to roll, and large, closer to skin surface. 2. Cephalic vein is the second choice, located lateral aspect of forearm 3. Basilic vein is the third choice, tends to roll, located on medial aspect of forearm Physiological sensory changes in the older adult include: - 1. Presbycusis (loss of acuity for high pitched tones) 2. Presbyopia (decline in accommodation from near to far vision) 3. Decreased taste due to taste bud atrophy 4. Increased sensitivity to glare (smaller pupils. slow pupillary reaction, decreased visual acuity, light accommodation 5. Decreased touch sensation 6. Thickening of tympanic membrane (increased cerumen build up) Communicable disease just expired - Mortuary team can be informed of the client's diagnosis since they are also part of the health care team First bodily area to be washed - Inner canthus of the right eye, next steps for the bath is the rest of the face, upper chest, arms, hands (downward on the body from head to toes) Formoterol, which statement indicate a correct understanding of the teaching? - this medication may make it hard for me to fall asleep. Formoterol is indicated for treatment of asthma (LABAs) LABAs adverse reactions: tachycardia, palpitations, angina - beta adrenergic agonists may cause a client to develop insomnia. Drugs in this same class share same effect of insomnia (albuterol, salmeterol) what is the order of lung assessment? - inspection, palpation, percussion, and auscultation what is the order of abdominal assessment? - inspection, auscultation, percussion, palpation Normal ranges for 1 yr old (infants) - 20-40 breaths/ min 97-99 degrees F axillary temp 90-130 bpm BP: 90/56 mmHg