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NCLEX/RN ACTUAL TEST QUESTIONS AND ANSWERS TEST BANK - COMPLETE SOLUTION RATED A+
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Created by: A SolutionNCLEX/RN ACTUAL TEST QUESTIONS AND ANSWERS TEST
BANK - COMPLETE SOLUTION RATED A+
Blood leaves embryo through two umbilical arteries. Oxygenated, blood returned by one
umbilical vein.
Arteries carry deoxygenated blood & waste products from fetus, umbilical vein carries
oxygenated blood & provides oxygen & nutrients to fetus. - CORRECT ANSWER-Fetal
circulation
Participative & would likely meet with each staff person individually to determine staff
member's perception of problem. Would also speak with the staff about any issues & ask the
staff for input with developing a plan. - CORRECT ANSWER- Democratic leader
Is a process of learning a different culture to adapt to a new or changing environment. -
CORRECT ANSWER-Acculturation.
Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter,
humor, &
spiritual measures (prayer). - CORRECT ANSWER- Low-risk therapies:
It is a subjective perspective of the person's heritage and a sense of belonging to a group -
CORRECT ANSWER-Ethnic identity
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic
Americans, & African Americans. - CORRECT ANSWER-High risk of obesity & diabetes
mellitus
Surgery is not prohibited, but the administration of blood and blood products is forbidden. This
religious group believes the soul cannot live after death. Administration of medication is an
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acceptable practice except if the medication is derived from blood products. - CORRECT
ANSWER-Jehovah's Witnesses
Believers adhere to dietary kosher laws. In this religion, the dairy-meat combination is
unacceptable. Only fish that have scales and fins are allowed; meats that are allowed include
animals that are vegetable eaters, cloven-hoofed, and ritually slaughtered. - CORRECT
ANSWER-Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative
& body-based practices, & energy medicine. - CORRECT ANSWER-Five categories of
complementary and alternative medicine (CAM):
Focused, maintains strong control, makes decisions, & addresses all problems. Dominates group
& commands, rather than seeks suggestions or input. Manager addresses problem (quality
improvement) with taff, designs a plan without input, & wants all problems reported directly
back to her - CORRECT ANSWER-Autocratic leader
Passive and nondirective. Would state what the problem was & inform staff that the staff needed
to come up with a plan to "fix it." - CORRECT ANSWER-Laissez-faire leader
Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia, elevated blood
pressure, bounding pulse, elevated CVP, weight gain, edema, neck & hand vein distention,
altered LOC, & decreased hematocrit. - CORRECT ANSWER-Overhydration or fluid overload
& occurs when fluid intake or fluid retention
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal,
raisins, spinach, strawberries, & tomatoes - CORRECT ANSWER-Common food sources of
potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be
noted - CORRECT ANSWER-Hyponatremia
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Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or
magnesium-based antacids. Malnutrition is associated with alcoholism. - CORRECT
ANSWER- Hypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should
avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains, &
carbonated beverages. - CORRECT ANSWER-Hyperphosphatemia
Vomiting, diarrhea, conditions that increased respiration's or increased urinary output,
insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or colostomy.
Diuretics, & gastrointestinal suctioning. - CORRECT ANSWER-Causes of a fluid volume
deficit
Decreased kidney function, heart failure, hypotonic fluids to replace isotonic fluid losses,
excessive irrigation of wounds & body cavities, & excessive ingestion of sodium. - CORRECT
ANSWER-Causes of overhydration or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. - CORRECT ANSWER-
Hyperkalemia causes:
Cushing's syndrome or colitis & over use of laxatives. - CORRECT ANSWER-Hypokalemia
causes:
Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic ketoacidosis; high fat diet;
insufficient metabolism of carbohydrates; malnutrition; ingestion of toxins, such as
acetylsalicylic acid (aspirin); malnutrition; severe diarrhea. Intestinal secretion high in
bicarbonate & may be lost through enteric drainage tubes, an ileostomy, or diarrhea. -
CORRECT ANSWER- Metabolic acidotic
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Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced
would include hypoventilation & tachycardia. - CORRECT ANSWER-Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - CORRECT ANSWER-
Respiratory acidotic
Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness, confusion,
tachycardia, dysrhythmias related to hypokalemia, nausea, vomiting, epigastric pain, numbness
& tingling of extremities. Hyperventilation (tachypnea) occurs. - CORRECT ANSWER-
Respiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding - CORRECT
ANSWER-Warfarin (Coumadin)
aPTT monitors the effects. Anticoagulant used most often during hemodialysis. Monitors extent
of anticoagulation checking PTT, which is appropriate measure heparin effect. Protamine sulfate
is antidote. - CORRECT ANSWER-Heparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which
enhances iron absorption. - CORRECT ANSWER- Iron deficiency anemia foods in diet:
May lack B12 in diet. - CORRECT ANSWER-Vegans
Include fruits & vegetables - CORRECT ANSWER- Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish.
Smoked foods, - CORRECT ANSWER-High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops, and
regular or decaffeinated coffee or tea. - CORRECT ANSWER-Clear liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet, breakfast drinks, milk,
pudding &
custard, soups that are strained, refined cooked cereals, & strained vegetable juices. -
CORRECT ANSWER-Full liquid diet:
Pork products rich in this vitamin. Other good food sources include nuts, whole grain cereals, &
legumes. - CORRECT ANSWER-High Thiamine foods
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