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NCLEX facts Questions with Explanations of Answers

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NCLEX facts Questions with Explanations of Answers

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  • June 20, 2024
  • 31
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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1.Akidwit
hHepat it
isAcanr etur
ntoschool1weekwit
hint
heonsetofj
aundice.
2.Aft
erapatienthasdial
ysistheymayhaveasli
ghtf
ever
..
.t
hisi
snormalduetothef
act
thatt
hedial
ysissolut
ioni
swar medbythemachi
ne.

3.Hy
per
kal
emi
apr
esent
sonanEKGast
all
peakedT-
wav
es

4.Theant
idot
eforMagSul
fat
etoxi
cit
yis-
--
Cal
cium Gl
uconat
e

5.Impeti
goi saCONTAGEOUSski ndisor
derandtheper
sonneedstowashALLl i
nens
anddishesseperatefr
om thef
amily
.Theyalsoneedtowashthei
rhandsf
requentl
yand
avoidcontact.
Vasopressinthi
nkDIABETESINSI
PIDUS!!!
!
Vasopressinisal
soknownasantidi
ureti
chormone

2.1.dontgiv
ebetabl
ockerst
oanyonewithr
espir
ator
yproblemsi
.east
hma,copd.
2.peri
orbi
tal
edemasignofcompl
icat
ionwit
himpeti
go(indi
cat
eglomer
nephri
ti
s)

3.My ocar
diali
nfaract
ional
way
sreli
evepainwi
thmor phi
ne1st
.somet
imest
hechoi
ce
oxygenwillbeinthesamequesti
on.choosemorphi
ne.

4.posi
ti
vesweatt
est
.indi
cat
iveofcy
sti
cfi
brosi
s

5.DKA-
KETONESI
NURINE,FRUITYBREATH,
KUSSMAULRESPDI
ABETESI
,HHNK-
NO
KETONES-
SUGARHIGH-
DIABETESii
.

3.1.Herbs:BlackCohoshi susedt ot r
eatmenopausal symptoms.Whent akenwithan
anti
hyper
tensi ve,
itmaycausehy potension.Li coricecanincreasepot assium l
ossand
maycausedi gtoxicit
y .
2.Withacuteappendi ci
tis,expectt oseepai nf irstthennauseaandv omi ti
ng.With
gastr
oeniti
s,youwi l
lseenauseaandv omitingf irstthenpain.
3.I
fapat i
enti saller
gictol atex,theyshoul dav oidapricot
s,cherr
ies,grapes,ki
wi,
passi
onfruit,bananas, av ocados, chestnuts, t
omat oesandpeaches.
4.Donotel evatethest umpaf teranAKAaf tert hefir
st24hour s,
ast hismaycause
fl
exi
oncont racture.
5.BetaBlockersandACEIar el esseffectivei nAf ri
canAmer icansthanCaucasi ans.

4.fort
hemy el
ogr
am post
opposi
ti
ons.wat
erbaseddy
e(l
i
ght
er)bedel
evat
ed.oi
lbased
dyeheav
ierbedfl
at.

2.
aut
onomi
cdy
sref
lexi
a-el
evat
edbedf
ir
st.
..
.t
hencheckf
oleyorf
ori
mpact
ion

3.anyoft
hemy
cin'
s.
.checkf
ort
inni
tusorhear
ingl
oss

4.cl
oudydi
aly
sat
e..
.al
way
sfut
herassessandcal
ldoct
or

5.
ost
eopor
osi
spr
event
ionandmgt
.choosewei
ghtbear
ing(
wal
ki
ng)i
nst
eadofcal
cium

, i
fbot
har
echoi
ces.

5..Dil
ant
incancausegi
ngi
val
hypopl
asi
a,adv
isegoodor
alhy
gieneandf
req.dent
alv
isi
ts,
IVP25-
50mg/ min

2.Pl
acent
iaPr
evi
aispai
nless,
bri
ghtr
edbl
eed

3.Abr
upt
ioni
spai
nful
,boar
d-l
i
keabdomen

4.NeedMAPof70-
90t
oper
fuseor
gans

5.Vi
tami
nCcancausef
alse+occul
tbl
ood

6.MAP=di astol
i
cx2+syst
oli
c
__
__ _
___
_ _
______
___
di
videdby3

7..cel
i
acdi
seasecanthav
eBROW!BARLEYRYEOATWHEAT

2.anyey
esur
ger
ypl
aceonptonunaf
fect
edsi
de

3.i
fpthasl
ungcancer
,cr
ani
otomy
,orsomeki
ndapi
tui
tar
ysur
ger
ywat
chf
ordi
abet
es
i
nsi
pidus

4.si
ckl
ecel
l
-hy
drat
ionhy
drat
ioni
mpor
tantandt
reatpai
nifi
ncr
isi
s

5.
dontpal
pat
eawi
l
m'st
umoront
hepedspt
.cancausecancercel
l
stober
eleased!

ohonemor
e:

6.t
erbut
ali
ne(
Bret
hine)andmagsul
fat
e-t
xforpr
eter
mlabor
.

8.Here'ssomephar macol ogy :
Li
brium- antianxi etyusedt otxsy mpt omsofacut ealcoholwithdrawal .
Cogent i
n-usedt ot xpar kinsoni ansi deef fectsofThorazine(antipsychoti
cmed)
Methadonehy drochl oride- opiodanal gesi c;t
xfornarcoti
cwi thdrawal
Procardia-ant iangi nalmed( CCB)decr easesmy ocardialO2demand.
Digoxin-strengt hensmy ocar dial contract i
o0n&sl owsconduct ionthruAVnode
Coumadi n-inhiitspr othrombi nsy nthesi s
Ami car-
ant ifibri
nol yti
c; pr eventsr ecurrenceofsubar achnoidhemor hage.
Li
thium- txmani cphaseofbi pol ar
Nimodi pine- CCB; decr easesspasm i ncer ebralbl
oodv essel
s
di
lti
azem- CCB; inhibitsCa+i nfluxi nv ascularsmoot hmuscle; r
educesmy ocar
dial
O2
demand&decr easesf or ceofv ent ri
cul arcontr
action
cl
otrimazol e- antifungal ;treat sr ashes.

9.NEVERNEVERNEVERadmi
nist
erKCl
viaI
Vpush.

,10.
Thelev
elinthewaterseal
chamber(
chesttubes)fl
uct
uat
eswit
hrespi
rat
ion-no
fl
uct
uati
onindicat
esanobstr
uct
ionandexcessiv
ebubbli
ngi
ndi
catesanairl
eak.

St
aywi
tht
hecl
i
entf
or15mi
nut
esatt
hest
artofabl
oodt
ransf
usi
on.

Nephr
oti
cSy
ndr
omel
eadst
opr
otei
nur
iawhi
l
eGl
omer
ulonephr
it
isl
eadst
ohemat
uri
a.

Goodel
l
'sSi
gni
sthesof
teni
ngoft
hecer
vixatt
hest
artoft
he2ndmont
hofpr
egnancy

Nagel
e'
sRul
eisFi
rstdat
eofl
astmenst
rual
per
iod+7day
s-3mont
hs+1y
ear
.

VincaAl
kal
oids(Vi
ncr
ist
ine)l
eadtoneur
otoxi
cit
yandcanpr
esentwi
thnumbnessand
ti
ngli
ngi
nthelegsorpar
alyti
cil
eus.

11.
Avoidherbal
suppsli
kegi
nsi
ng,gi
nger,gi
nko,gar
li
c(al
ltheG'
s)i
fonanycl
ott
ing
drugs/
products(
coumadi
n,pl
atel
ets,
ASA, Pl
avi
x)

Hi
ght
ri
gly
cer
idesmaycauseaf
alseHI
GHHemogl
obi
nA1C(
nor
mal
is2.
6-6)

Deerti
ckstransmitLy
meDiseaseanditi
smostcommoni
ntheNEAt
lant
icst
ates.(
Go
fi
gureIthoughti
twasdownhereintheSout
h)

Thi
nkofpai
nlastorasapsy
chosoci
alUNLESS:
Bur
ns,
sickl
ecel
lcr
isi
s,orki
dney
st
ones.

Anemiaofpr
egnancyi
scommoninthe2ndtr
imest
erduet
orapi
dexpandi
ngbl
ood
vol
umeandisnotacausef
orconcer
n.I
tcangetasl
owas10.5andst
il
lbeOK.1stand
3rdt
ri
mester
scangoaslowas11andstil
lbeok

Pr
eter
mlabor
--
aft
er20weeksandbef
ore37

t
r uelaborINCREASESwit
hacti
vit
yandusuall
ymov esfrom t
hebackt
othef
ront
(accordingtoouri
nst
ruct
orsbutfr
om per
sonalexper
ianceITHURTALLOVERTHE
DANGPLACEANDI NCREASEDWI THEVERYTHING ) .

Recommendedwei
ghtgai
nf orpr
egnancy1.5-16kgor25-
35lbs
HAHAHAHAHAHAHAHAHy eahri
ght.Imyselfcl
assi
fi
edasShamu'
sli
tt
lesi
sterbyweek
39 .

OKonemor efor2ni
te.
..
.
normalnewbor nj
aundi
ce--AFTER24hoursofli
fe
pathol
ogicjaundi
ce-
-BEFORE24hour sofli
fe
*f
eedor al
lyASAPbecauseifitget
stoohighKer
nict
erus(
brai
ndamaget
hatIcan'
tspel
l
ri
ghtnow) .

12.
Dil
ant
incancausegi
ngi
valhy
popl
asi
a,adv
isegoodor
alhy
gieneandf
req.dent
alv
isi
ts,

, I
VP25-
50mg/
min

2.Pl
acent
iaPr
evi
aispai
nless,
bri
ghtr
edbl
eed

3.Abr
upt
ioni
spai
nful
,boar
d-l
i
keabdomen

4.NeedMAPof70-
90t
oper
fuseor
gans

5.Vi
tami
nCcancausef
alse+occul
tbl
ood

13.
Ifi
tcomesoutyourass..
.i
tsmetaboli
caci
dosi
s..
.
byvomit
ti
ng.
..
met abol
i
cal kal
osi
s..
.

14.
1.pri
orit
yunstabl
ept
-wor
dst
olookf
or:
cyanot
ic,
sudden,
incr
easi
ngpai
n,hy
poxi
c,
rest
lessness

2.whenlef
twi
tht
wochoi
cespi
ckt
heonet
hingy
oucandot
omakept
.comf
ort
abl
e,
saf
e,andmorest
abl
e

3.nonarcot
icst
oanyheadinj
ury
..
wontbeabl
etoaccur
atel
yassessLOC.sopi
ckt
he
narcot
ici
fyouhaveanordert
oquest
ion.

4.f
lui
dresus.bur
nformul
a:kgX4ml
/kgX%(
bur
nar
ea)
=tot
al
gi
vehalfoftot
ali
nfi
rst8hour
s

5.af
tert
hyroi
dsurger
y-mai
ntai
nairway-
keepemergencytrachsetnear
by,
checkf
or
bl
oodatsidesandbackofdressi
ng,t
eachpttosupportneck

6.buckst
ract
ion-
nopi
nst
ongs.ski
ntr
act
ion

7.shoul
dnothearabr
uitov
erany
thi
ngexceptdi
aly
sisshunt
s.i
fsot
hisi
stheunst
abl
e
pt

8.DVT-el
evat
eext
remi
ty ,
bedr
est
,war
m(nothot
)compr
esses

15.
Rubell
a-rashonfacegoesdownt oneckandar mst hent
runkandlegs
pregnantwomenshouldavoidcontactwithanychil
dwhohasRubel laorj
ustr
eci
eved
thevaccine.i
fshedoesshehastogetv acci
neaftershehasdeli
vered

mmr#1@ 12-15mont
hsmmr#24-
6year
sol
d.

PMIf
orheartsoundsonanadul
t=Lef
t5t
hICSl
ater
alt
otheLef
tni
ppl
e.I
fyougett
he
di
agr
am don'
tputtheXonarib.

Angl
eofLoui
s-manubr
ial
-st
ernal
junct
ionatt
he2ndi
ntercost
alspace.

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