©BRAINBARTER 2024/2025
Quick Facts Nclex Remar Questions With
Verified Answers
What is the parkland formula? - answer✔4 ml of LR x wt(kg) x % of body burned
What is the primary symptom of GERD? - answer✔Heartburn (pyrosis)
What tests confirms GERD? - answer✔Barium Swallow fluoroscopy
What malfunction allows reflux in GERD? - answer✔lower esophageal sphincter
what is the client teaching for GERD? - answer✔Low fat high protein diet, take antacids, avoid
lying flat after meals
What is the virus that causes AIDS? - answer✔human immunodeficiency virus (HIV)
How is HIV transmitted? - answer✔sexual intercourse, direct contact with infected blood/ body
fluids ( body fluids- semen, breast milk) HIV mother gives birth to baby
What are the symptoms of HIV - answer✔Fever, weight loss, night sweats, diarrhea, fatigue
How is the presence of HIV confirmed? - answer✔Screening is done FIRST to see if HIV
antibodies are present. The test is performed to specifically identify the HIV antibodies
What is the screening for AIDS? - answer✔ELISA
What confirms the screening test for HIV - answer✔Western blot
Hos does HIV attack the body? - answer✔It attacks the immune system by destroying T-
lymphocytes The virus also rapidly self=replicates
What is so important about T-lymphocytes? - answer✔T cells help immune system + recognize
and fight pathogens
What is another name for T-Lymphocytes? - answer✔CD4 cells
Why is the CD4 count important? - answer✔The lower the CD4 count the more damage the
virus has done to the body.
, ©BRAINBARTER 2024/2025
What is a normal cd4 count? - answer✔500-1500 cells/mm3
What is the normal CD4 count in a client with HIV? - answer✔Anything at or above 500. Client
is considered in good health. If below 500 HIV has progressed to AIDS.
If a client's CD4 count is below 200, client is at risk for what? - answer✔Opportunistic Infections
List some opportunistic Infections - answer✔-Oral pharyngeal canididal infection (mouth
fungus)
-Kaposi's sarcoma (skin cancer)
-Pneumocystis pneumonia
-Cytomegalovirus (blindness)
-Meningitis
What is the goal of HIV medications? - answer✔To interfere with the virus replicating
The most important medication for HIV/ AIDS is? - answer✔Zidovudine (AZT, Retrovir)
Which isolation precautions are used with HIV? - answer✔Universal precautions, patients do not
have to tell you they have HIV, treat everyone as if they are INFECTED!
How do the precautions change with AIDS? - answer✔If the client has a low CD4 count and is at
risk for opportunistic infection implement private room, reverse isolation, RN wears gown,
goggles, and mask when in direct contact with blood or body fluids.
What are teaching points for parents who have a child with HIV - answer✔clean up body
fluid/blood with a 10:1 water/bleach ratio
get all immunizations except MMR, Varicella and oral poliovirus(live vaccines)
High Calorie High protein diet
gloves when changing diapers.
What is the definition of ACUTE RENAL FAILURE?(ARF) - answer✔Sudden loss of kidney
function to excrete toxins and regulate fluids/electrolytes
What are some possible causes of ARF? - answer✔Infection, obstruction, shock
What are the three phases of ARF - answer✔Oliguric, diuretic, recovery
During the Oliguric phase what will you see? - answer✔This phase lasts one to two weeks.
Low urine output <400
, ©BRAINBARTER 2024/2025
hyperkalemia, hypertension, elevated BUN/creatinine
fluid overload
What other two electrolytes will be elevated in the oliguric phase of ARF? - answer✔Sodium
and potassium
The diuretic phase is second in ARF what will you see? - answer✔Urine output slowly returns,
hypokalemia, hypotension, BUN/creatinine decreases but still elevated.
What does recovery phase mean? - answer✔Kidneys are recovering through a slow process,
urine vl & BUN is normal
What are nursing interventions? ARF - answer✔Daily weights strict I and O treat the causes of
renal failure and diuretics
What is the best diet for a client with ARF? - answer✔High carb & low protein
Clients allergic to latex may also be allergic to which foods? - answer✔bananas, kiwi, chestnuts
What standard hospital equipment contains latex? - answer✔Blood pressure cuffs, gloves,
stethoscopes, tourniquets, band aids, and indwelling catheters
What allergy is contraindicated for IV contrast dye? - answer✔iodine/shellfish allergy
What are the major complications of having an amputation performed? - answer✔Infections,
skin breakdown, phantom limb pain, joint contractures
what is the positioning for post op care? AKA (above the knee) amputation - answer✔Elevate
first 24 hours, then prone position twice daily to prevent hip flexion
What is the positioning for post op care BKA(below the knee) amputation - answer✔elevate foot
of bed first 24 hours, then prone position twice daily to prevent hip flexion
What should you encourage with an amputation? - answer✔Expressing feelings about lost limb
Pain felt in an area that has been amputated - answer✔Pain felt in an area that has been
amputated
True or False? An aneurysm is a dilation formed at a weak point on the wall of an artery -
answer✔True
What are the symptoms of aneurysms inside the body? - answer✔most aneurysms inside the
body have NO symptoms
what sound would be heard on auscultation of an aneurysm - answer✔blowing bruit
, ©BRAINBARTER 2024/2025
what are some of the risk factors of an aneurysm - answer✔arteriosclerosis, infection (syphilis),
smoking, HTN
What is the treatment for an aneurysm? - answer✔Surgery-depends on size, strict blood pressure
control with medications
What are the signs of a ruptured aneurysm? - answer✔Severe pain, nausea, vomiting,
tachycardia, decreased level of conscious, hypotension
List important NCLEX teaching points for aneurysm? - answer✔Avoid straining, lifting, or
exerting, take medications on schedule, report severe back/flank pain.
What is the primary symptom of anorexia nervosa - answer✔starvation
what is the perception of the body with anorexia nervosa - answer✔distorted
at what age does anorexia nervosa occur - answer✔adolescent
What is the usual personality type of someone with anorexia nervosa - answer✔perfectionist,
overachievers, low esteem
What is a major cardiac complication of anorexia? - answer✔Arrhythmias
What is a majore gynecological complication of anorexia? - answer✔Amenorrhea
What is the treatment involved in the recovery of anorexia - answer✔small, frequent meals with
inpatient counseling and milieu therapy
Commonly seen in what age range? Appendicitis? - answer✔10-30
What is the classic sign of appendicitis? - answer✔Acute right lower abdominal pain
what are some other signs/ symptoms of appendicitis? - answer✔loss of appetite, nausea,
vomiting, low grade fever
Localized tenderness is found where in appendicitis? - answer✔McBurney's Point
What are the tests used to determine appendicitis? - answer✔Complete history and physical
exam with WBC it will be elevated
What is the treatment for appendicitis? - answer✔Immediate surgery to remove the appendix, IV
antibiotics, Semi-Fowlers position, NPO- gut t rest
What is the general treatment for any acute abdominal pain? - answer✔NPO status, no heat on
abdomen, assess abdominal distention, IV fluid therapy.
Where are most ABG samples drawn from? - answer✔Radial artery in wrist
