NCLEX-RN Questions With Correct Answers 2022-2023

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NCLEX-RN Questions With Correct Answers 2022-2023 Isotonic IV fluids NS And lactated Ringers - Answer- Are used as fluid replacement for fluid volume deficit Serum phenytoin - Answer- 10-20 mcg... /ml Normal glucose Infant - Answer- 40-60mg/dl Normal resp for infant - Answer- 30-60 Normal temp for infant - Answer- 97.7-99.7 What is the antidote for norepinephrine? - Answer- Phentolamine (Regitine) What is autonomic dysreflexia? - Answer- Life-threatening condition in a client with high spinal cord injury Classic symptoms of autonomic dysreflexia? - Answer- Severe hypotension, throbbing headache,diaphoresis,bradycardia,flushing and piloerection. Magnesium - Answer- 1.5-2.5 mEq What is the therapeutic magnesium level to prevent seizures in a preeclamptic client? - Answer- 4-7 mEq Absent or decreased deep-tendon reflexes - Answer- Earliest sign of magnesium toxicity Calcium gluconate (antidote) - Answer- Magnesium toxicity Magnesium sulfate IV antidote? - Answer- Calcium gluconate IV Acetaminophen - Answer- N-acetylcysteine Most effective if given w/in 8hrs of ingesting acetaminophen Anticholinergics - Answer- Physostigmine Arsenic - Answer- Chelation therapy: 1.dimercarpol 2.penincillamine 3.calcium disodium edetate 4. Succimer Benzodiazepines - Answer- Flumazenil Beta blockers - Answer- (High dose) glucagon Calcium channel blockers - Answer- Glucagon, calcium chloride, calcium gluconate Cholinergics - Answer- Atropine,pralidoxime Cyanide - Answer- Amyl nitrate Sodium thiosulfate Hyperbaric oxygen chamber Digitalis/digoxin - Answer- Digoxin antibodies: digoxin immune fab, digifab,digibind Dnoxaparin - Answer- Protamine sulfate Ethylene glycol - Answer- Ethanol Fomepizole Pyridoxine hydrochloride(vitamin b6) Heparin - Answer- Protamine sulfate Hypoglycemic agents - Answer- Glucagon Octreotide Iron - Answer- Deferoxamine mesylate Lead - Answer- Chelation therapy 1. Dimercarpol 2. Penincillamine 3. Succimer Mercury - Answer- Chelation therapy Methanol - Answer- Folic acid and then folic acid fomepizole Mushrooms,muscarinic - Answer- Atropine sulfate Nerve gas( sarin, soman and VX) - Answer- Atropine sulfate Pralidoxime chloride Opiods(codeine,morphine) - Answer- Naloxone, nalmefene Snakes( rattle snakes,copperheads, cottonmouth) - Answer- Antivenin(crotalidae) polyvalent(equine origin) crotalidae polyvalent immune fab(ovine) Spiders(black widow) - Answer- Antivenin( latrodectus Mactans) equine Tricyclic antidepressants - Answer- Sodium bicarbonate Vasopressor infiltration and extravasation - Answer- Phentolamine mesylate Warfarin - Answer- Phytonadione( vitamin k) Normal neonate HR - Answer- 110-160 <60 compression are started Creatinine - Answer- 0.6-1.3 BUN - Answer- 6-20 Hematocrit - Answer- 39-50% Hemoglobin - Answer- 13.2 -17.3 Therapeutic INR Client with mechanical heart valve - Answer- 2.5-3.5 Normal INR - Answer- 0.75-1.25 Therapeutic INR to treat A-FIB - Answer- 2-3 Normal CVP - Answer- 2-8 Elevated CVP can indicate? - Answer- Right ventricular failure aka fluid volume over load S/S fluid overload: - Answer- Peripheral edema Increase urine output that is dilute Rapid weight gain S3 heart soundin adults Tachypnea,dyspnea,crackle in lungs Boundig peripheral pulses What is refeeding syndrome? - Answer- A potential lethal complication of nutritional replenishment in malnourished pt Key signs of refeeding syndrome? - Answer- Rapid decline in phosphorus, potassium, and/or magnesium What is a potential complication of acute pericarditis? - Answer- Cardiac tamponade S/S of tamponade - Answer- JVD, distant heart sounds, and decreased bp 5 stages of grief - Answer- denial, anger,bargain,depression,acceptance what is wernickes (kortakoff's) syndrome? - Answer- Psychosis induced by Vitamin B1(thiamine) deficiency Primary symptoms of wernickes (kortakoof's) syndrome? - Answer- amnesia with confabulation (making up stories) what is aversion therapy? - Answer- when you try and make the patient hate something antabus/Revia onset and duration used for aversion therapy? - Answer- 2 weeks pt. teaching on antaeus /Revia: - Answer- avoid all forms of alcohol to avoid nausea, vomiting, death the difference between alcohol withdrawals and delirium tremens? - Answer- alcohol withdrawals is NOT life threating delirious tremens CAN kill you how to remember aminoglycoslides? - Answer- think " A MEAN OLD MACIN" when are aminoglycolides given? - Answer- used to treat serious, life threatening and resilienant infection what most you remember about aminoglycolides? - Answer- all aminoglycolides end in MYCIN but not all drugs that end in MYCIN are aminoglycolides examples of wanna be mycin's? - Answer- azythromycin, clarithromycin, arthromycin toxic effect of aminoglycolides? - Answer- ototoxicity: monitor hearing, balance, and tints neprotoxocoty: monitor creatine (kidney) frequency of aminoglycolides adminstration? - Answer- every 8 hrs when do you only give amnioglycolides PO? - Answer- hepatic encepalopathy ( r/t high ammonia levels) pre op bowel prep who can sterilize your bowels? - Answer- "Neo-Kan" when do you ALWAYS draw the through? - Answer- 30 minutes before next dose when do you draw the peak levels of sublingual medications? - Answer- 5-10 min after drug dissolved when do you draw the peak level IV medications? - Answer- 15-30 min after medication is finished when do you draw the peak level of IM medication? - Answer- 30-60 min after injecting it how to take off PPE? take it off alphabetic order - Answer- gloves, googles, gowns, mask how to put on PPE? put it on alphabetic order only that mask comes second - Answer- gowns, mask, googles, gloves what are calcium channel blockers? - Answer- they are like valium for the heart. what does that mean? it relaxes the heart what are calcium channel blockers consider? - Answer- calcium channel blockers are cardiac depressants. they are considered negative inotropic, chronotropic, dromotropic. medications: calcium channel blockers, beta blockers what are cardiac stimulants? - Answer- positive inotropic, chronotropic, dromotropic medications are: atropine, epinephrine, and norepinephrine what does calcium channel blockers treat? - Answer- anti hypertensive (decrease bp) anti angina anti-atrial arrhythmic ( atrial flutter, atrial fibrillation) what are some of the side effects of calcium channel blockers? - Answer- headachevasodilation of brain hypotension- relaxes heart and bp can you give calcium channel blockers on a client with supra ventricular tachycardia ? - Answer- yes. because the indication of supra ventricular means its above the ventricle which is were the atrial is located. name of calcium channel blockers can be remember by - Answer- anything finished in DIPINE BUT verapamil and cardizem are also calcium channel blockers what do you monitor for cardizemp? - Answer- check bp. if bp systolic is less than 100 hold calcium channel blockers QRS refers to? - Answer- ventricular P WAVE refers to? - Answer- atrial what is systole? - Answer- a lack of QRS depolarization ( flat line) atrial flutter is? - Answer- rapid P wave depolarization in a "saw tooth pattern" atrial fibrillation is? - Answer- chaotic P wave depolarization chaotic P wave depolarization? - Answer- used to describe fibrillation ventricular fibrillation? - Answer- chaotics QRS ventricular tachycardia? - Answer- wide bizarre QRS PVC IS? - Answer- periodic wide, bizarre QRS CONTINUES...... 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