NCLEX UWORLD Review Questions and Answers 100% CORRECT

NCLEX UWORLD Review Questions and Answers 100% CORRECT What medications are used once adverse effects occur with ACE inhibitor use? Correct Answer: ARBs (sartans) What are the adverse effects of ACE inhibitors? Co ...

NCLEX UWORLD Review Questions and Answers 100% CORRECT What medications are used once adverse effects occur with ACE inhibitor use? Correct Answer: ARBs (sartans) What are the adverse effects of ACE inhibitors? Correct Answer: symptomatic hypotension intractable cough hyperkalemia angioedema temporary increase in creatinine What is dextromethorphan used for? Correct Answer: cough suppressant what causes phenylketonuria in newborns? Correct Answer: genetic problem lacking phenylalanine hydroxylase What is the tx for phenylketonuria? Correct Answer: low phenlylalanine diet for life monitor serum phenylalanine levels use synthetic special formulas encourage consumption of fruit & veggies avoid eggs, meats, milk & replace w/ protein substitutes can LPN assess the quality of pt problems? Correct Answer: no should you remove ADHD child from room to sit in time out? Correct Answer: no, puntitive & not therapeutic (move away from source of anger) What is the best action for child with ADHD in situation where child had difficulty controlling anger? Correct Answer: requesting child to relax & take deep breaths (will distract client & calm them) when is methylphenidate administered? Correct Answer: 2-3 divided doses or sustained release 30-45 mins before meals what has most likely happened if pt's PTT is control value? Correct Answer: pt is not getting the ordered heparin (check IV tubing, IV patency, etc.) How long is heparin effective? Correct Answer: 2-6h can pts develop tolerance to heparin? Correct Answer: no does vitamin k effect heparin? Correct Answer: no low platelets while pt is receiving heparin places them at risk for? Correct Answer: heparin-induced thrombocytopenia (results in clot formation, not bleeding & has NO EFFECT on PTT) What is the priority tx for client with hemophilia A & suspected head injury? Correct Answer: IV factor VIII then head CT teaching about injury prevention s/sx of intracranial bleed are? Correct Answer: lethargy HA irritability vomiting Why would you administer factor VIII before head CT in pt with hemophilia A who has suspected head trauma? Correct Answer: can't perform surgery to fix head bleed without the factor & head bleed cannot clot w/o factor . can you give blood through a 20g needle? Correct Answer: yes can you run blood as IV piggyback through infusion pump? Correct Answer: NO! (blood must be on it's own line w/ filtered tubing) what should you do before administering blood if client had anything going through IV other than saline? Correct Answer: flush IV catheter first What medications do elderly most commonly have a negative effect with? Correct Answer: benzos diuretics opioids antihistamines antihypertensives antipsychotics antichollinergics insulin (DOBI's 4A's) what is the recommended glucose range for pt. receiving parenteral/enteral support? Correct Answer: 140-180 what is a normal CD4+ count? Correct Answer: 500-1200 an infection causes increased serum glucose, requiring more insulin, but does it affect HbA1c? Correct Answer: no what does A1c reflect? Correct Answer: serum glucose level for 2-3 month period what is the normal platelet range? Correct Answer: 150K-400K mature minors (14-18) are allowed to give consent for tx of? Correct Answer: STIs family planning drug & alcohol abuse blood donation mental health care what is hirschsprung disease? Correct Answer: child born w/o distal large intestine cells causing anal sphincter to remain closed & no peristalsis/excretion can occur. Who will most likely present with distended abdomen, difficulty feeding, vomiting green bile, & no bowel movement in first 24-48h after birth? Correct Answer: Hirschsprung disease infant Will pt with Hirschsprung disease have bright red bleeding from anus present? Correct Answer: no what are 3 possible interventions to reduce aspiration risk in client with feeding tube? Correct Answer: assess gastric residuals Q4h administer continual feeds check feed tube placement What is theophylline's therapeutic range? Correct Answer: 10-20 What is theophylline used for? Correct Answer: relaxing bronchial muscles how often is theophylline levels drawn? Correct Answer: Q6 months T/F: pt with knee arthroplasty should be fully weight-bearing by d/c? Correct Answer: TRUE do pts with gestational HTN have proteinuria? Correct Answer: no (that's a sign of preeclampsia) What causes addisons? Correct Answer: adrenal insufficiency What are the symptoms of addison's disease? Correct Answer: weight loss muscle weakness low BP hypoglycemia hyperpigmented skin African american women are at highest risk for which diseases? Correct Answer: cervical cancer HTN ischemic stroke When drawing blood specimen off central line, what should you do to prevent transmission of infection? Correct Answer: wash hands scrub hub prior to use place in biohazard bag immediate transport to lab Why should pt report prosthetic heart valves to dentist? Correct Answer: they re at risk for infective endocarditis & should receive prophylactic antibiotic therapy ALS (Lou Gehrig disease) causes what symptoms? Correct Answer: progressive muscle weakness twitching & spasms difficulty swallowing/speaking resp. failure What medication may slow the progression of ALS (NO CURE-->think of old guy from private practice) Correct Answer: riluzole How long do most ALS pts survive? Correct Answer: 3-5 years what is the normal serum calcium? Correct Answer: 8.6-10.2 What is a potential electrolyte imbalance complication of a thyroidectomy Correct Answer: hypocalcemia s/sx of hypocalcemia? Correct Answer: tetany tingling (hands/feet/mouth) spasms/cramps trousseau/chvostek signs in case of hypocalcemia, what medication is given? Correct Answer: calcium gluconate Why is hypocalcemia such a large concern after thyroidectomy? Correct Answer: can cause fatal laryngeal spasm if not resolved T/F can nurse remove objects from hoarders house for pt safety if they are using oxygen? Correct Answer: no (must have consent from client) if a pt is under general anesthesia, what would be a main concern? A: difficulty arousing B: muscle stiffness C: pinpoint pupils D: temp of 94F Correct Answer: B (malignant hyperthermia. pt is usually sedated so A is normal, pinpoint pupils b/c they're on pain meds, and temp because of inactivity & cold climate) S/sx of malignant hyperthermia? Correct Answer: hypercapnia generalized muscle rigidity (jaw, trunk, extremities) hyperthermia how quickly can malignant hyperthermia rise? Correct Answer: 1 degree Celsius Q5m & excel 105F What tx is used for malignant hyperthermia? Correct Answer: notify provider dantrolene cooling blanket fluid resuscitation