NCLEX Review Exam 109 Questions with Verified Answers DO NOT delegate (E.A.T.) - CORRECT ANSWER E- evaluate A- assess T- teach Addisons - CORRECT ANSWER down, down, down, up, down hyponatremi... a, hypotension, decreased blood volume, hyperkalemia, hypoglycemia Cushings - CORRECT ANSWER up, up, up, down, up hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia No Pee, No ___ - CORRECT ANSWER K - No potassium without adequate urine output Transmisson of Airborne - CORRECT ANSWER My- Measles Chicken- chicken pox/ varicella Hez- Herpez Zoster/shingles TB Give Private room, negative pressure with 6-12 air exchange/hr, mask, N95 for TB Droplet - Spiderman - CORRECT ANSWER S- sepsis S- scarlet fever S- streptococcal pharyngitis P-parvovirus B 19 P - pneumonia P- pertussis I- influenza D- diptheria (pharyngeal) E- epiglottitis R- rubella M- mumps M- meningitis M- mycoplasma or meningeal pneumonia An- adenovirus Give - Private room or cohort, mask Contact precautions - Mrs. WEE - CORRECT ANSWER M- multidrug resistant organism R- respirotary infection S- skin infections W- wound infections E- eteric infection- clostridium difficile E- eye infection- conjunctivitis Skin infections - VCHIPS - CORRECT ANSWER V- varicella zoster C- cutaneous diphtheria H- herpez simplex I - impetigo P- pediculosis S- scabies From the a** (diarrhea) - CORRECT ANSWER metabolic acidosis from the mouth (vomitus) - CORRECT ANSWER metabolic alkalosis Myxedema/ hypothyroidism - CORRECT ANSWER slowed physical and mental function, sensitivity to cold, dry skin and hair Graves' disease/ hyperthyroidism - CORRECT ANSWER accelerated physical and mental function, sensitivity to heat, fine/soft hair Thyroid storm - CORRECT ANSWER increased temperature, pulse, and HTN Post-thyroidectomy - CORRECT ANSWER semi-fowlers, prevent neck flextion/hyperextension, trach at bedside measles dangerous to get when pregnant - CORRECT ANSWER Never get pregnant with a German (rubella) Order with drawing up insulin - CORRECT ANSWER RN (regular comes before NPH) MAOI's (PANAMA) - CORRECT ANSWER PA- parnate NA- nardil MA- marplan Digoxin - CORRECT ANSWER check pulse, less than 60 hold, check dig levels and potassium levels Amphojel - CORRECT ANSWER tx of GERD and kidney stones, watch our for constipation Vistaril - CORRECT ANSWER tx of anxiety and also itching, watch out for dry mouth, given preop commonly Versed - CORRECT ANSWER given for conscious sedation- watch for resp. depression and hypotension PTU and Tapazole - CORRECT ANSWER prevention of thyroid storm Sinemet - CORRECT ANSWER tx of parkinson... sweat, saliva, urine may turn reddish brown occassionally.. causes drowsiness Artane - CORRECT ANSWER tx of parkinson... sedative Tigan - CORRECT ANSWER tx of postop n/v and for nausea associated with gastroenteritis Timolol (Timoptic) - CORRECT ANSWER tx of gluacoma Bactrim - CORRECT ANSWER antibiotic.. dont take if allergic to sulfa drugs... diarrhea common side effect.. drink plenty of fluids Hypokalemia - CORRECT ANSWER muscle weakness, dysrhythmias, increase K by giving raisins, bananas, apricots, oranges, beans, potatoes, carrots, celery Hyperkalemia - M.U.R.D.E.R - CORRECT ANSWER M - muscle weakness U - urine (oliguria/anuria R- respiratory depression D- decreased cardiac contractility E- ECG changes R- reflexes Calan (verapamil) - CORRECT ANSWER calcium channel blocker, tx of HTN, angina, assess for constipation Carafate - CORRECT ANSWER 1.tx of duodenal ulcers 2. coats the ulcer 3. give before meals Synthroid - CORRECT ANSWER 1. tx of hypothyroidism 2. notify doctor of chest pain 3. take in the AM on empty stomach ICP - CORRECT ANSWER increased BP, decreased pulse, decrease respirations Shock - CORRECT ANSWER decreased BP, increased pulse, increased respirations Jews - CORRECT ANSWER no meat and milk together Lower amputations - CORRECT ANSWER prone position Cold products - CORRECT ANSWER for acute pain (sprain ankle) Heat products - CORRECT ANSWER chronic pain (rheumatoid arthritis) Reverse agents heparin - CORRECT ANSWER protamine sulfate Reverse agents coumadin - CORRECT ANSWER vitamin K Reverse agents ammonia - CORRECT ANSWER lactulose Reverse agents acetaminophen - CORRECT ANSWER n-Acetylcysteine Reverse agents Iron - CORRECT ANSWER deferoxamine Reverse agents Digitoxin, digoxin - CORRECT ANSWER digibind Reverse agents Alcohol withdrawl - CORRECT ANSWER Librium Heparin prevents? - CORRECT ANSWER platelet aggrgation patient in Vtach give? - CORRECT ANSWER lidocaine patinet in SVT give? - CORRECT ANSWER adenosine or adenocard patient in Asystole (no heart beat) give? - CORRECT ANSWER atropine Patient with CHF give? - CORRECT ANSWER Ace Unhibitor Patient in anaphylactic shock give? - CORRECT ANSWER Epinephrine Patient who is bipolar give? - CORRECT ANSWER Lithium Meningitis what do you check? - CORRECT ANSWER Kernig's and Brudzinski's sign Eclampsia is? - CORRECT ANSWER a seizure Placenta previa - CORRECT ANSWER no pain only bleeding Placenta abruption - CORRECT ANSWER pain but no bleeding dystocia - CORRECT ANSWER baby cannot make it down to the canal Pitocin give when? - CORRECT ANSWER uterine stimulation Magnesium sulfate is used when? - CORRECT ANSWER halt preterm labor- contrainindicated if deep tendon reflexes are ineffective Phenergan - CORRECT ANSWER an antiemetic used to reduce nausea Demerol - CORRECT ANSWER pain control hypernatremia - CORRECT ANSWER greater than 145 S - skin flushed A- agitation L- low grade dever T- thirst Developmental stages 2-3 months - CORRECT ANSWER turns head side to side Developmental stages 4-5 months - CORRECT ANSWER grasps, switch and roll Developmental stages 6-7 months - CORRECT ANSWER sit at 6 and waves bye-bye Developmental stages 8-9 months - CORRECT ANSWER stands straight at eight Developmental stages 10-11 months - CORRECT ANSWER belly to butt (phrase has 10 letters) Developmental stages 12-13 months - CORRECT ANSWER twelve and up, drink from a cup Hep A - CORRECT ANSWER ends in a VOWEL, comes from the BOWEL Hep B - CORRECT ANSWER Blood and bodily fluids Hep C - CORRECT ANSWER Blood and bodily fluids signs of hypoxia - CORRECT ANSWER restless, anxious, cyanotic, tachycardia, increased resps., monitor ABG"s When to give antacids - CORRECT ANSWER after meals FHR patterns (VEAL CHOP) - CORRECT ANSWER V C = variable decels, cord compression caused E H = early decels, head compression caused A O= accels, okay no a problem L P = late decels, placental insufficiency, can't fill Dilantin - CORRECT ANSWER tx of seizures- thera drug level : 10-20 Dopamine (Intropine) - CORRECT ANSWER tx of hypotenison, shock, low cardiac output, poor perfusion to vital organs... monitor EKG of arrhythmias, monitor BP BURNS - CORRECT ANSWER 1 degree - Red and painful 2 degree - Blisters 3 degree - No pain because of blocked and burned nerves NS 0.9% NaCl - CORRECT ANSWER Expand volume, dilute medications and to keep the vein open, Isotonic Lactated Ringers - CORRECT ANSWER commonly used for fluid resuscitation, Isotonic D5W - CORRECT ANSWER Isotonic outside body but metabolizes glucose and becomes hypotonic D5 1/2 NS D5NS - CORRECT ANSWER used for Na and volume replacement. CAUTION - go slow.. monitor BP, pulse, and quality of lung sounds as well as serum Na and urine output. Hypertonic Don't give _____ to infants or head injury patients. May cause cerebral edema - CORRECT ANSWER D5W Serous - CORRECT ANSWER clear, watery plasma Purulent - CORRECT ANSWER Thick, yellow, green, tan, or brown: indicates infection process Serosanguineous - CORRECT ANSWER Pale, red, watery: mixture of serous and sanguineous Sanguineous - CORRECT ANSWER Bright red: indicates active bleeding Meds taken with Meals - CORRECT ANSWER Allupurinol, Apresoline, ASA, Dilantin, Flagyl, Inderal, Pancreatin, Tagamet Meds taken on Empty stomach - CORRECT ANSWER Ampicilin, pcn, Ferrous Sulfate, INH, Isordil Meds taken before meals - CORRECT ANSWER Valium, Atropine, Bactrim, Insulin Meds taken After meals - CORRECT ANSWER Clozaril, Deltasone, Lithium, MAOI, Nardil, Pyridium, Ritalin, Thorazine, Tofranil Meds taken in the morning - CORRECT ANSWER Aminophyline, Epi, Adriamycin, Mannitol, Tamofen, Synthroid Acute Glumerulonephritis diet - CORRECT ANSWER Low Na, Low Protein Addison's disease diet - CORRECT ANSWER High Na, Low K Anemia, Sickle cell diet - CORRECT ANSWER High fluids Gout diet - CORRECT ANSWER No purine Bipolar/ ADHD diet - CORRECT ANSWER Finger foods Burn diet - CORRECT ANSWER High calorie, high protein cholecystitis diet - CORRECT ANSWER High protein, high carbs, low fat Crohn's diease diet - CORRECT ANSWER high protein, high carbs, low fat CHF diet - CORRECT ANSWER Low sodium, low cholesterol Cushing's disease diet - CORRECT ANSWER High K, Low Na Ulcer pressure diet - CORRECT ANSWER High protein, high vit C Diverticulitis diet - CORRECT ANSWER Low residue Hyperthyroidism diet - CORRECT ANSWER high calorie, high protein Liver cirrhosis diet - CORRECT ANSWER Low protein MI diet - CORRECT ANSWER Low fat, low cholesterol, low Na Meniere's disease diet - CORRECT ANSWER Low Na Pancreatitis diet - CORRECT ANSWER Low fat Renal failure diet - CORRECT ANSWER low protein, low Na [Show More]
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