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2023 Nclex RN Uworld Comprehensive Study Guide Updated May 2023 with Questions & Answers
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l 2023 NCLEX RN Uworld Comprehensive Study GuideUpdated May 2023 with Questions, Answers, and
Rationale from Actual Exam 1700+ Terms A+
what will damage to the occipital lobe cause? --------- Correct Answer ---------visual
disturbances
what do advanced care documents include? --------- Correct Answer --------- healthy care
proxy and living will
if pt comes into ER and says they have the worst HA of their life what could it be ---------
Correct Answer --------- an aneurysm
what is the most important med to give for anaphylactic shock? ---------- Correct Answer
-------- IM epinephrine
what are mongolian spots? --------- Correct Answer --------- benign discoloration bluish
gray but usually fades
after an amputation, should the residual limb be elevated? ---------- Correct Answer
-------- NO, to prevent hip flexion contractures
buck traction --------- Correct Answer --------- immobilizes hip and femur fractures . the
weight pulls the limb into traction. the foot of the bed is elevated
following total hip replacement, how is hip dislocation prevented?---------- Correct
Answer ---------using an abductor pillow to maintain hip in a straight position.
dont bend hip more than 90 deg
before starting broad spectrum antibiotics, what must be done? ---------- Correct Answer
-------- blood culture and sensitivity
what is HELLP related to pregnancy? --------- Correct Answer --------- Hemolysis
Elevated Liver enzymes
Low Platelet
it is a severe sign of preeclampsia. symptoms may be RUQ pain n/v and malaise
normal sodium --------- Correct Answer --------- 135-145
homonymous hemianopsia --------- Correct Answer --------- loss in half of the visual field
on the same side
oxytocin --------- Correct Answer --------- induction or augmentation of labor
,should be given by an electronic infusion pump
requires frequent mother/fetal assessment
adverse affects: maternal hypotension and water intoxication
what are some seizure triggers? --------- Correct Answer --------- excess caffeine, alcohol,
sleep deprivation, and stress
phenytoin --------- Correct Answer --------- gingival hyperplasia
dont give nsaids with nasal polyps --------- Correct Answer --------
dont give beta blockers to asthma patient --------- Correct Answer --------
treat asthma with --------- Correct Answer --------- albuterol. SE: n/v, insomnia,
palpitations, tremor
proton pump inhibitors can increase the risk of --------- Correct Answer --------- C-diff
common proton pump inhibitors PPIs --------- Correct Answer --------- Prazoles:
omeprazole, lansoprazole, etc
heparin is measured thru what levels? --------- Correct Answer --------- PTT
normal wbcs --------- Correct Answer --------- 4,000-11,000
a pt with heparin should have a ptt of 1.5-2 times the normal range which is 25-35 scds
--------- Correct Answer --------
what is the causitive agent of fifth disease? --------- Correct Answer ---------human
parvovirus
fifth disease --------- Correct Answer --------- "slapped face"
distinct red rash on cheeks
its on communicable before the onset of symptoms
spreads via respiratory
PKU --------- Correct Answer --------- low phenylalanine diet
specal infant formula
no meat eggs or dairy
warning signs of cancer --------- Correct Answer --------- CAUTION
what do rales (crackles) indicate? --------- Correct Answer --------- fluid in the lungs
proper nasal spray administration --------- Correct Answer --------- high fowlers and head
bowed slightly forward
,occlude one nostril and put it in open one
point tip toward side and away from center
spray while inhaling deeply
normal platelets --------- Correct Answer--------- 150,000-400,000
how to close a hemovac --------- Correct Answer -------- compress to create negative
suction pressure and APPLY PLUG BEFORE RELEASING THE PRESSURE
most important to monitor bulemic pts when? --------- Correct Answer --------
cystic fibrosis --------- Correct Answer --------- chest physiotherapy- to remove secretions
that cause ineffective airway clearance
CF is genetic
HIGH fat HIGH calorie diet
liberal fluid intake
when would you see dry shiny hairless skin? --------- Correct Answer -------- peripheral
atherosclerotic arterial disease
wilms tumor is on the --------- Correct Answer--------- kidney
presents as abnormal bulging on one side of child's abdomen
DO NOT PALPATE ABDOMEN
process for a burn at home --------- Correct Answer --------- soak in cool water to stop
buring process
remove clothing around burn
cover with a clean dry cloth
dont put any meds or anything on the wound
post surgical pts are usually perscrbed which prn med to help from the opioid drugs they
were on --------- Correct Answer --------- naloxone (Narcan) but it wears off in 1-2 hours
so be prepared to give more than once
monitor RR and give oxygen
cushings triad --------- Correct Answer --------- bradycardia, slowed RR, widened pulse
pressure
what is the normal pulse rate for a 1 year old --------- Correct Answer --------- 100-160
hypokalemia can cause --------- Correct Answer --------- heart arrythmias and muscle
cramps and weakness
what do you closely monitor when giving furosemide? --------- Correct Answer --------
blood pressure
potassium
, BUN
creatinine
what type of medication is clopidogrel? --------- Correct Answer --------- antiplatelet
"look, listen, feel" approach --------- Correct Answer --------
ppl with long bone or pelvic fractures are at risk for developing what? --------- Correct
Answer ---------fat embolism
what patients are considered immunosuppressed? --------- Correct Answer --------- on
steroids/chemo, HIV pos, new post op, multiple chronic co morbidities, splenectomy,
diabetes, very young/elderly
what kind of precautions do you need for open lesions from shingles? ---------- Correct
Answer ---------both contact and airborne precautions and a negative airflow room
symptom of macular degeneration --------- Correct Answer --------- loss of central field of
vision
seeing small flashes of light is a sign of --------- Correct Answer --------- retinal
detachment
what is presbyopia? --------- Correct Answer --------- inability to see things close up
some of the "cin" antibiotics can cause what? --------- Correct Answer----------prolonged
QT interval and can also cause hepatotoxicity so make sure to check liver function tests
diet for chronic kidney disease --------- Correct Answer --------- restrict fluids, sodium,
potassium, and phosphorus
what wilyl you hear in lungd during atelactasis? --------- Correct Answer --------- fine
crackles (high pitched popping sound)
calcium channel blockers end in --------- Correct Answer --------- "pine"
what are the most important adverse effects of calcium channel blockers? ---------
Correct Answer --------- dizziness, flushing, HA, peripheral edema, and constipation
poor thiamine consumption can lead to wernicke encepalopathy ---------- Correct Answer
tracheostomy allow for 1 finger to fit under the ties --------- Correct Answer --------
main care with someone with a new tracj --------- Correct Answer ---------prevent
dislodgement
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