NCLEX Exam 116 Questions with Verified Answers,100% CORRECT

NCLEX Exam 116 Questions with Verified Answers Five Rights of Delegation - CORRECT ANSWER 1. Right Person 2. Right Task 3. Right Circumstance 4. Right Direction and Communication 5. Right Supervision and Evaluat ...

NCLEX Exam 116 Questions with Verified Answers Five Rights of Delegation - CORRECT ANSWER 1. Right Person 2. Right Task 3. Right Circumstance 4. Right Direction and Communication 5. Right Supervision and Evaluation Maslow's Hierarchy of Needs - CORRECT ANSWER Five Rights of Medication Administration - CORRECT ANSWER 1. Right Client 2. Right Drug 3. Right Dose 4. Right Route 5. Right Time Acetaminophen (Tylenol) - CORRECT ANSWER Antidote/Reversal: acetylcysteine (Muscomyst) Toxic Level: >250mcg/mL Benzodiazapine - CORRECT ANSWER Antidote/Reversal: flumazenil (Romazicon) Curare - CORRECT ANSWER Antidote/Reversal: edrophonium (Tensilon) Cyanide Poisoning - CORRECT ANSWER Antidote/Reversal: methylene blue Digitalis/Digoxin - CORRECT ANSWER Antidote/Reversal: digoxin immune FAB (Digibind) Ethylene Poisoning - CORRECT ANSWER Antidote/Reversal: fomepizole (Antizol) Heparin and enoxaparin (Lovenox) - CORRECT ANSWER Antidote/Reversal: protamine sulfate Iron - CORRECT ANSWER Antidote/Reversal: deferoxamine (Desferal) Lead - CORRECT ANSWER Antidote/Reversal: succimer (Chemet) Magnesium Sulfate - CORRECT ANSWER Antidote/Reversal: calcium gluconate 10% (Kalcinate) Narcotics - CORRECT ANSWER Antidote/Reversal: naloxone (Narcan) Warfarin - CORRECT ANSWER Antidote/Reversal: phytonadione (Vit. K) Aminophylline - CORRECT ANSWER bronchodilator (IV) Therapeutic Level: 10-20 mcg/mL Toxic Level: >20 mcg/mL Carbamazepine - CORRECT ANSWER anticonvulsant Therapeutic Level: 5-12 mcg/mL Amitriptyline - CORRECT ANSWER antidepressant and nerve pain med Toxic Level: >500 ng/ML Digoxin - CORRECT ANSWER antiarrhythmic, blood pressure Therapeutic Level: 0.8-2.0 ng/mL Toxic Level: >2.4 ng/mL Gentamicin - CORRECT ANSWER antibiotic (renal/oto toxic) Therapeutic Level: 0.5-0.8 mcg/mL Toxic Level: >12mcg/mL Lithium - CORRECT ANSWER bipolar disorder Therapeutic Level: 0.4-1.4 mEq/L Toxic Level: >2 mEq/L Magnesium Sulfate - CORRECT ANSWER anticonvulsant Therapeutic Level: 4-8 mg/dL Toxic Level: >9mg/dL Phenobarbital - CORRECT ANSWER barbiturate/anticonvulsant Therapeutic Level: 10-30 mcg/mL Toxic Level: >40 mcg/mL Methotrexate - CORRECT ANSWER Chemotherapy/Immunosuppressant Toxic Level: >10 mcmol over 24 hours Phenytoin - CORRECT ANSWER anticonvulsant Therapeutic Level: 10-20 mcg/mL Toxic Level: >30 mcg/mL Quinidine - CORRECT ANSWER antiarrhythmic/anti-parasite Therapeutic Level: 2-5 mcg/mL Toxic Level: >10 mcg/mL Salicylate - CORRECT ANSWER NSAID Therapeutic Level: 100-250 mcg/mL Toxic Level: >300 mcg/mL Theophylline - CORRECT ANSWER bronchodilator Therapeutic Level: 10-20 mcg/mL Toxic Level: >20 mcg/mL Tobramycin - CORRECT ANSWER Therapeutic Level: 5-10 mcg/mL Toxic Level: >12 mcg/mL -dipine - CORRECT ANSWER Ca+ Channel Blocker -afil - CORRECT ANSWER Erectile Dysfunction -caine - CORRECT ANSWER Anesthetics -pril - CORRECT ANSWER ACE inhibitor -pam, -lam - CORRECT ANSWER Benzodiazapine -statin - CORRECT ANSWER Antilipidemic -asone, -solone - CORRECT ANSWER Corticosteroid -olol - CORRECT ANSWER Beta Blocker -cillin - CORRECT ANSWER Penicillin derivative (antibiotic) -ide - CORRECT ANSWER Oral Hypoglycemic -prazole - CORRECT ANSWER Proton Pump Inhibitor -vir - CORRECT ANSWER Antiviral -ase - CORRECT ANSWER Thombolytic -azine - CORRECT ANSWER antiemetic -phylline - CORRECT ANSWER bronchodilator -arin - CORRECT ANSWER anticoagulant -tidine - CORRECT ANSWER antiulcer -zine - CORRECT ANSWER antihistamine -cycline - CORRECT ANSWER antibiotic -mycin - CORRECT ANSWER aminoglycoside -floxacin - CORRECT ANSWER antibiotic -tyline - CORRECT ANSWER Tricyclic antidepressants -pram, -ine - CORRECT ANSWER SSRI's Serum Sodium (Na+) - CORRECT ANSWER 135-145 mEq/L Serum Potassium (K+) - CORRECT ANSWER 3.5-5 mEq/L Serum Calcium (Ca++) - CORRECT ANSWER 8.5-10.5 mg/dL Magnesium (Mg++) - CORRECT ANSWER 1.3-2.1 mEq/L Phosphorus (PO4) - CORRECT ANSWER 3.0-4.5 mg/dL Chloride (Cl) - CORRECT ANSWER 98-106 mEq/L pH - CORRECT ANSWER 7.35-7.45 PaCO2 - CORRECT ANSWER 35-45 mmHg PaO2 - CORRECT ANSWER 80-100 mmHg SaO2 - CORRECT ANSWER 90-100 mmHg HCO3 (bicarbonate) - CORRECT ANSWER 21-28 mEq/L RBC - CORRECT ANSWER Male: 4.5-6.1 million/uL Female: 4.0-5.5 million/uL Hgb - CORRECT ANSWER Male: 14-18 g/dL Female: 12-16 g/dL Hct - CORRECT ANSWER Male: 42%-52% Female: 37%-47% WBC - CORRECT ANSWER 5,000-10,000 mm3 Erythrocyte Sedimentation Rate (ESR) - CORRECT ANSWER <20mm/hr Total Serum Cholesterol - CORRECT ANSWER <200 mg/dL (desirable) >150 mg/dL (risk for stroke/cardiac events) Low-Density Lipids (LDL) - CORRECT ANSWER <130 mg/dL (desirable) High-Density Lipids (HDL) - CORRECT ANSWER Male: 35-65 mg/dL Female: 35-80 mg/dL Triglycerides - CORRECT ANSWER <150 mg/dL Male: 40-160 mg/dL Female: 35-135 mg/dL INR - CORRECT ANSWER 0.7-1.8 (normal) 2.0-3.0 (therapeutic-on anticoagulant therapy) PT - CORRECT ANSWER 11-12.5 (normal) Therapeutic Level: 1.5-2 times normal value Partial Thromboplastin Time (aPTT) - CORRECT ANSWER 30-40 seconds Therapeutic Level: 1.5-2 times normal value Platelets - CORRECT ANSWER 150,000-400,000 mm3 Albumin - CORRECT ANSWER 3.5-5 g/dL Ammonia - CORRECT ANSWER 15-45 mcg/dL Total Bilirubin - CORRECT ANSWER 0.1-1.0 mg/dL Total Protein - CORRECT ANSWER 6-8 g/dL Urine Specific Gravity - CORRECT ANSWER 1.003-1.030 Protein (urine) - CORRECT ANSWER 0.8 mg/dL Glucose (urine) - CORRECT ANSWER <0.5 g/day Ketones - CORRECT ANSWER NONE pH (urine) - CORRECT ANSWER 4.6-8 WBC (urine) - CORRECT ANSWER Male: 0-3 per high power field Female: 0-5 per high power field Serum Creatinine - CORRECT ANSWER Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL BUN - CORRECT ANSWER 10-20 mg/dL Creatinine Clearance *best indicator of overal renal function - CORRECT ANSWER Male: 90-139 mL/min Female: 80-125 mL/min Blood Glucose (fasting) - CORRECT ANSWER 70-110 mg/dL Glycosylated Hemoglobin (HbA1C) - CORRECT ANSWER 4%-6% (expected range) >8% indicates poor diabetes mellitus control TPN Total Parenteral Nutrition - CORRECT ANSWER Hypertonic Solution Given via PICC line, tunneled catheter Prepared daily by pharmacy Use Sterile Asepsis for dressing change Check blood glucose every 4-6 hours Change bag every 24 Standard Precautions - CORRECT ANSWER When handling blood, bodily fluid, bodily tissue, mucous membranes, open skin PPE: depends on type of exposure (minimal is nothing) Contact Precautions - CORRECT ANSWER Used when germs are spread by touching ex) C. Difficile, Norovirus Minimal PPE: Gloves and Gown Droplet Precautions - CORRECT ANSWER Used to prevent contact with mucus and other secretions from nose, sinuses, throat, airway, and lungs. Use when contact will be within 3 ft or less ex) infulenza, mumps, pertussis Minimal PPE: Mask Airborne Precautions - CORRECT ANSWER Needed to prevent transmission from particles so small the can float in the air and travel long distances. ex) chickenpox, measles, Tuberculosis, SARS Minimal PPE: Well fitting mask *Use respirator mask for TB and SARS **Negative Pressure room Trust vs. Mistrust - CORRECT ANSWER 0-1 yr Teach parents to meet infant's physical and social needs Autonomy vs. Shame and Doubt - CORRECT ANSWER 1-3 yrs Provide child with acceptable options. Let them CHOOSE Initiative vs. Guilt - CORRECT ANSWER 3-6 yrs Assist parents to identify age/disease appropriate activities Idustry vs. Inferiority - CORRECT ANSWER 6-12 yrs Encourage child's participation in their care Identity vs. Role Confusion - CORRECT ANSWER 12-20 yrs Provide same age support group Intimacy vs. Isolation - CORRECT ANSWER 20-35 yrs Provide private time with partner/family Generativity vs. Stagnation - CORRECT ANSWER 35-65 yrs assist client with illness adaptation and home/work demands Integrity vs. Despair - CORRECT ANSWER 65+ yrs Encourage use of personal items when not at home HYPOnatremia - CORRECT ANSWER abnormally low sodium level (<135) in the blood, which helps regulate the amount of H2O in and around the cells HYPERnatremia - CORRECT ANSWER abnormally high sodium level (>145) in the blood, which helps regulate the amount of H2O in and around the cells. HYPOcalcemia - CORRECT ANSWER low blood calcium level (<4.0). HYPERcalcemia - CORRECT ANSWER high blood calcium level (>10.5) HYPOglycemia - CORRECT ANSWER HYPERglycemia - CORRECT ANSWER HYPOthyroidism - CORRECT ANSWER HYPERthyroidism - CORRECT ANSWER HYPOparathyroidism - CORRECT ANSWER HYPERparathyroidism - CORRECT ANSWER HYPOkalemia - CORRECT ANSWER HYPERkalemia - CORRECT ANSWER