NCLEX PN 3000 exam with complete
solution 2024/2025
Monitor postpartum clients closely for puerperal infection. Which factor alerted
the nurse to the client's risk for this complication? - ANSWER-C-section
increases the risk as much as 20 times
for heparin, monitor which values throughout the therapy? - ANSWER-PTT 1.5-2
times control, platelet count for thrombocytopenia
hypoglycemia (an insulin rxn) signs and symptoms - ANSWER-headache,
sweating, tremor, pallor, and nervousness. Hypoglycemia may occur 4-18 hours
after administration of isophane insulin suspension or insulin nc suspension
(lente), which are intermediate-acting insulins. It usually procedes meals.
Hyperglycemia - ANSWER-causes early manifestations as fatigue malaise,
drowsiness, polyuria, and polydipsia.
Hypochondria - ANSWER-an abnormal anxiety about one's health, a false belief
that one has a disease
Depression - ANSWER-bouts of anger
periods of irritability
worthlessness
what key psychosocial tasks must a woman accomplish during the third
trimester? - ANSWER-overcoming fears she may have about the unknown, labor
pain, loss of self-esteem, loss of control, and death
, when irrigating an wound - ANSWER-the solution should flow from the top inside
of the wound, through the wound, and then out
vesicular rash (elevated, round, blister like lesions that are filled with clear fluid) -
ANSWER-contact dermatitis, herpes zoster, and the late stages of smallpox
papular rash - ANSWER-cutaneous anthrax and kaposi's sarcoma
when preparing a draining vertical incision for ambulation - ANSWER-reinforced
dressing should be applied at the base of the wound
Rationale for drawing a small amount of air into the syringe - ANSWER-adding air
prevents the drug from flowing back into the needle track. the added air flushes
the drug from the syringe, ensuring that the drug goes into the muscle tissue,
and preventing it from flowing back
after how many weeks of antitubercular therapy the client is no longer considered
contagious? - ANSWER-2wks
Alzheimer's stage 2 - ANSWER-difficulty of recent and remote memory, irritability,
depression, restlessness, difficulty swallowing, and occasional
incontinence=motor disturbances, forgetfulness, and psychosis. stage 2 lasts 2-
10 years.
alzheimer's stage 1 - ANSWER-lasts 1-3 years
memory loss, poor judgment and problem solving, difficulty adapting to a new
environments and challenges, and agitation or apathy.
alzheimer's stage 3 - ANSWER-loss of all mental abilities and the ability to care
for self.
no stage 4
when caring for a toddler with epiglottitis, the nurse should first - ANSWER-
prepare him for tracheotomy.
it is an emergency because inflammation and swelling of epiglottis can lead to
airway obstruction.
common adverse effect of phototherapy - ANSWER-watery stools result from
excretion of bilirubin. phototherapy involves exposing an infant's care skin to
intense fluorescent light in the tx of hyperbilirubinemia and jaundice
solution 2024/2025
Monitor postpartum clients closely for puerperal infection. Which factor alerted
the nurse to the client's risk for this complication? - ANSWER-C-section
increases the risk as much as 20 times
for heparin, monitor which values throughout the therapy? - ANSWER-PTT 1.5-2
times control, platelet count for thrombocytopenia
hypoglycemia (an insulin rxn) signs and symptoms - ANSWER-headache,
sweating, tremor, pallor, and nervousness. Hypoglycemia may occur 4-18 hours
after administration of isophane insulin suspension or insulin nc suspension
(lente), which are intermediate-acting insulins. It usually procedes meals.
Hyperglycemia - ANSWER-causes early manifestations as fatigue malaise,
drowsiness, polyuria, and polydipsia.
Hypochondria - ANSWER-an abnormal anxiety about one's health, a false belief
that one has a disease
Depression - ANSWER-bouts of anger
periods of irritability
worthlessness
what key psychosocial tasks must a woman accomplish during the third
trimester? - ANSWER-overcoming fears she may have about the unknown, labor
pain, loss of self-esteem, loss of control, and death
, when irrigating an wound - ANSWER-the solution should flow from the top inside
of the wound, through the wound, and then out
vesicular rash (elevated, round, blister like lesions that are filled with clear fluid) -
ANSWER-contact dermatitis, herpes zoster, and the late stages of smallpox
papular rash - ANSWER-cutaneous anthrax and kaposi's sarcoma
when preparing a draining vertical incision for ambulation - ANSWER-reinforced
dressing should be applied at the base of the wound
Rationale for drawing a small amount of air into the syringe - ANSWER-adding air
prevents the drug from flowing back into the needle track. the added air flushes
the drug from the syringe, ensuring that the drug goes into the muscle tissue,
and preventing it from flowing back
after how many weeks of antitubercular therapy the client is no longer considered
contagious? - ANSWER-2wks
Alzheimer's stage 2 - ANSWER-difficulty of recent and remote memory, irritability,
depression, restlessness, difficulty swallowing, and occasional
incontinence=motor disturbances, forgetfulness, and psychosis. stage 2 lasts 2-
10 years.
alzheimer's stage 1 - ANSWER-lasts 1-3 years
memory loss, poor judgment and problem solving, difficulty adapting to a new
environments and challenges, and agitation or apathy.
alzheimer's stage 3 - ANSWER-loss of all mental abilities and the ability to care
for self.
no stage 4
when caring for a toddler with epiglottitis, the nurse should first - ANSWER-
prepare him for tracheotomy.
it is an emergency because inflammation and swelling of epiglottis can lead to
airway obstruction.
common adverse effect of phototherapy - ANSWER-watery stools result from
excretion of bilirubin. phototherapy involves exposing an infant's care skin to
intense fluorescent light in the tx of hyperbilirubinemia and jaundice
