NCLEX PN Exam latest updated 2022

Reduce symptoms of Raynauds disease? - ANSWER Wearing gloves when handling frozen food What is Raynauds disease? - ANSWER reduced blood flow due to spasm of arteries of the feet and hands When removing a chest tube ...

Reduce symptoms of Raynauds disease? - ANSWER Wearing gloves when handling frozen food What is Raynauds disease? - ANSWER reduced blood flow due to spasm of arteries of the feet and hands When removing a chest tube, what should you instruct the patient to do? - ANSWER hold breathe and bear down When you notice blanching, coldness and edema at the IV site, what should you do? - ANSWER Remove the IV What is considered a normal Blood Glucose level? - ANSWER 70-100 What PPE to use for MRSA patient? - ANSWER Gloves Gown Goggles Mask What is an EARLY sign of digoxin toxicity, from the drug digoxin? - ANSWER Anorexia What are normal Magnesium levels? - ANSWER 1.6 - 2.6 mg What are signs of elevated magnesium levels? - ANSWER Drowsiness Sedation Lethargy Muscle weakness Areflexia What is Areflexia? - ANSWER Absence of the reflexes What position should you place a patient with acute epiglottitis? - ANSWER Sit upright What position to use for Soapsuds enema? - ANSWER Left side SIMS position What is the 1st step when looking into the NCLEX exam? - ANSWER Step 1: Access the NCSBN website at www.ncsbn.org (Obtain info for international nurses) For state licensing? - ANSWER Contact the state in which you are taking the NCLEX in and determine specific requirements for that state What is the process for sending the state official documents? - ANSWER They must come from the "Licensing Authority" Is the NCLEX exam administered in other languages? - ANSWER No (ONLY in English) What is your Initial response after a patients trach tube becomes dislodged? - ANSWER Use a manual BVM/resuscitation device? What is the "immediate" action to take after a heart failure patient presents with shortness of breath/dyspnea? - ANSWER Raise the head of the bed How soon after the administration of nitroglycerin should the patient see relief? - ANSWER 5 mins (Burning sensation/vertigo are common side effects) What is a concern when a patient is taking Warfarin? - ANSWER Bleeding easily (Educate patient on straight razor use) What is Dystocia? - ANSWER Abnormal labor or childbirth What is the 1st step in the Nursing process? - ANSWER Data collection What is the 2nd step in the Nursing process? - ANSWER Planning What is the 3rd step in the Nursing process? - ANSWER Implementation What is the 4th step in the Nursing Process? - ANSWER Evaluation What is the medication "Tigan" used for? - ANSWER Nausea and Emesis Iron supplements should be taken with what? - ANSWER Vitamin C rich juices (Tomato juice, Orange juice) When noticing that the fundus of a postpartum patient is soft and spongy, what should you do? - ANSWER Massage the fundus gently until it is firm Drugs that end in "lol" are normally used for what? - ANSWER Beta Blocker (for hypertension) ("Lo" Lowers the BP) What OTC tabs should patients not take with medication? - ANSWER Antacids tabs (effects the absorption of the med) Which tabs should not be crushed? - ANSWER Enteric Coated/sustained release tabs Can nurses adjust or change a patients medication? - ANSWER NO (only the Doctor can do this) T/F Patients should consult a doctor before taking OTC or any herbal preparations? - ANSWER True Can Abandonment charges be filed against nurses who walk out if staffing is inadequate? - ANSWER Yes Can nurses refuse to float? - ANSWER No, unless their Union contract states they only work in a specific area Do Nurses need to get their own Insurance against malpractice? - ANSWER YES Who issued the Patients Bill of Rights? - ANSWER American Hospital Association What is habeas Corpus, and can a mentally ill patient request it? - ANSWER Requesting a release from care/Yes they can T/F Catholics, Christians and Jehovah witness are the only religions that allow organ donations? - ANSWER True T/F Orthodox Judaism may allow organ donation with the Rabbis approval? - ANSWER True What are Incident reports used for? - ANSWER Identifying risk situations and Improving care Do Incident reports get filed in the Patients record? - ANSWER No What are the components of a medication prescription? - ANSWER Date/Time Med name Dosage Route Frequency Signature How is a Telephone medication order abbreviated? - ANSWER t.o Can a nurse sign or be a witness to a signature for a "Living Will" for her patient? - ANSWER No, must be signed by someone who isn't staff or be notarized What is managed care? - ANSWER Strategies used to reduce the cost of health care. T/F Case management involves collaboration with an Interprofessional health care team? - ANSWER TRUE What are the 5 types of leaders? - ANSWER 1) Autocratic-Dominates the group, maintains strong control and address problems with clearly defined tasks. 2) Democratic-Participative style, all members of the team should have input. 3) Laissez-faire-Passive, inactive and delegates responsibility to the group (Lazy) 4) Situational-Leads based on current circumstance/situation. 5) Bureaucratic-Leader believes that the team is motivated by EXTERNAL forces, relies on policies/procedures for decision making. What is Inter-personal and Intra-personal conflict? - ANSWER Intra-within a person Inter-within the group When does discharge planning begin? - ANSWER When patient is admitted What is Priority 1, 2, and 3 of the Emergency room triage? - ANSWER Priority 1-Emergent (Chest pain, respiratory distress, major arterial bleed, chemical splashes to the eye) Priority 2-Urgent (Not life-threatening, unless not treated within 1-2 hours, eval every 30-60 mins) Priority 3-Minor issues, eval every 1-2 hours) What is Phlebitis? - ANSWER Inflammation of a vein What id Third Spacing? - ANSWER The accumulation of extracellular fluid in a body space due to disease or injury What does Extracellular mean? - ANSWER Fluid outside the cells What does Interstitial mean? - ANSWER Fluid between the cells and the blood vessels Which population is at "higher" risk for fluid related problems? - ANSWER infants and Elderly Water lost through the skin and lungs (expired air) is called? - ANSWER Insensible loss What is Hypokalemia? - ANSWER A potassium level lower than 3.5 mEq/L Can potassium supplement be taken on an empty stomach? - ANSWER No, causes nausea and emesis What else should be performed when a patient is receiving potassium supplements through IV? - ANSWER Cardiac monitoring Can potassium be administer via IV push? - ANSWER No, only IV or orally What level is the sodium when a patient has hyponatremia? - ANSWER Sodium level will be less than 135 What is the antidote for magnesium overdose? - ANSWER Calcium gluconate Why is a patient with a nasogastric suction at risk of potassium deficit? - ANSWER Potassium rich fluids are lost through GI suctions Patients with Addisons disease are at risk for what? - ANSWER Hyperkalemia (High potassium) When a patient has hyperkalemia, what can you expect to see on an EKG? - ANSWER Narrow peaked T waves What is an insensible fluid loss? - ANSWER Cant be measured (Through skin and lungs) Can a patient with a fast respiratory rate be susceptible to "Insensitive" fluid loss? - ANSWER Yes (From the lungs) What 4 patients may be at risk for "Third Spacing"? - ANSWER -Renal failure -Sepsis -Liver (cirrhosis) -Burns (major) What patient is least likely to have Third Spacing? - ANSWER Diabetic What is the primary buffer system in the body? - ANSWER Carbonic acid-bicarbonate (HCO 3 -) What does the respiratory rate do with Acidosis and Alkalosis? - ANSWER Acidosis-RR increases Alkalosis-RR decrease What should you monitor for in a patient with severe diarrhea? - ANSWER Metabolic aCidosis What should you monitor for in a patient with severe vomiting? - ANSWER Metabolic alKalosis What is the Allens test? - ANSWER Applying pressure to the arteries in your wrist How soon should blood return to the hand after the Allen test? - ANSWER 6-7 seconds (If it takes longer, use a different hand for blood draw) How long should you hold pressure on a draw site if patients are taking anticoagulants? - ANSWER 5-10 mins (3-5 mins for a coagulation defect) In Acidosis the pH is up or down? - ANSWER Down In Alkalosis the pH is up or down? - ANSWER Up Can you use the arm that has an infusion going for blood draws? - ANSWER No, it can give inaccurate results (Try and draw blood 1 hour prior to intermittent heparin) Clenching/unclenching of the fist during a blood draw can cause what inaccurate result? - ANSWER Potassium level If the aPTT value is prolonged longer than ___ seconds in a patient receiving heparin, initiate bleeding precautions? - ANSWER 90 seconds If the PT value is longer longer than ___ seconds in a patient receiving warfarin, initiate bleeding precautions? - ANSWER 30 seconds What should you monitor in a patient receiving Chemo due to the risk of Thrombocytopenia? - ANSWER Platelet count What is the normal RBC for a male and female? - ANSWER Female 4.0 - 5.5 Male. 4.5 - 6.2 If a patient is experiencing dyspnea and has an elevated BNP, what is the diagnosis? - ANSWER Heart failure (If the BNP is normal, the the dyspnea is a result of respiratory distress) In "acute" pancreatitis the amylase levels may exceed how many times the normal limit? - ANSWER 5 times (Levels start rising around 6 hours of the onset of pain, peaks at 24 hours) In "chronic" pancreatitis the serum amylase levels may increase how many times the normal limit? - ANSWER 3 times (normally does not exceed 3) True/False Patients with liver disease have prolonged clotting times? - ANSWER True How long should the patient fast before a glucose study? - ANSWER 8-12 hours What is the normal WBC count? - ANSWER 4,500 - 11,000 What is the normal specific gravity of urine? - ANSWER 1,016 - 1,022