2023 NCLEX RN Uworld Comprehensive Study Guide Updated May 2023 with Questions, Answers, a, Exams of Nursing

Download 2023 NCLEX RN Uworld Comprehensive Study Guide Updated May 2023 with Questions, Answers, a and more Exams Nursing in PDF only on Docsity!

2023 NCLEX RN Uworld Comprehensive Study Guide

Updated May 2023 with Questions, Answers, and

Rationale from Actual Exam 1700+ Terms

what will damage to the occipital lobe cause? --------- Correct Answer -------- visual disturbances what do advanced care documents include? --------- Correct Answer -------- healthy care proxy and living will if pt comes into ER and says they have the worst HA of their life what could it be --------- Correct Answer -------- an aneurysm what is the most important med to give for anaphylactic shock? --------- Correct Answer -------- IM epinephrine what are mongolian spots? --------- Correct Answer -------- benign discoloration bluish gray but usually fades after an amputation, should the residual limb be elevated? --------- Correct Answer -------- NO, to prevent hip flexion contractures buck traction --------- Correct Answer -------- immobilizes hip and femur fractures. the weight pulls the limb into traction. the foot of the bed is elevated following total hip replacement, how is hip dislocation prevented? --------- Correct Answer -------- using an abductor pillow to maintain hip in a straight position. dont bend hip more than 90 deg before starting broad spectrum antibiotics, what must be done? --------- Correct Answer -------- blood culture and sensitivity what is HELLP related to pregnancy? --------- Correct Answer -------- Hemolysis Elevated Liver enzymes Low Platelet it is a severe sign of preeclampsia. symptoms may be RUQ pain n/v and malaise normal sodium --------- Correct Answer -------- 135- homonymous hemianopsia --------- Correct Answer -------- loss in half of the visual field on the same side oxytocin --------- Correct Answer -------- induction or augmentation of labor

should be given by an electronic infusion pump requires frequent mother/fetal assessment adverse affects: maternal hypotension and water intoxication what are some seizure triggers? --------- Correct Answer -------- excess caffeine, alcohol, sleep deprivation, and stress phenytoin --------- Correct Answer -------- gingival hyperplasia dont give nsaids with nasal polyps --------- Correct Answer -------- dont give beta blockers to asthma patient --------- Correct Answer -------- treat asthma with --------- Correct Answer -------- albuterol. SE: n/v, insomnia, palpitations, tremor proton pump inhibitors can increase the risk of --------- Correct Answer -------- C-diff common proton pump inhibitors PPIs --------- Correct Answer -------- Prazoles: omeprazole, lansoprazole, etc heparin is measured thru what levels? --------- Correct Answer -------- PTT normal wbcs --------- Correct Answer -------- 4,000-11, a pt with heparin should have a ptt of 1.5-2 times the normal range which is 25-35 scds --------- Correct Answer -------- what is the causitive agent of fifth disease? --------- Correct Answer -------- human parvovirus fifth disease --------- Correct Answer -------- "slapped face" distinct red rash on cheeks its on communicable before the onset of symptoms spreads via respiratory PKU --------- Correct Answer -------- low phenylalanine diet specal infant formula no meat eggs or dairy warning signs of cancer --------- Correct Answer -------- CAUTION what do rales (crackles) indicate? --------- Correct Answer -------- fluid in the lungs proper nasal spray administration --------- Correct Answer -------- high fowlers and head bowed slightly forward

This is a preview

Do you want full access? Go

Premium and unlock all 129 pages

Access to all documents

Get Unlimited Downloads

Improve your grades

Already Premium?

Upgrade

Become Premium to unlock

Upload

Share your documents to unlock

Log in

occlude one nostril and put it in open one point tip toward side and away from center spray while inhaling deeply normal platelets --------- Correct Answer -------- 150,000-400, 000 how to close a hemovac --------- Correct Answer -------- compress to create negative suction pressure and APPLY PLUG BEFORE RELEASING THE PRESSURE most important to monitor bulemic pts when? --------- Correct Answer -------- cystic fibrosis --------- Correct Answer -------- chest physiotherapy- to remove secretions that cause ineffective airway clearance CF is genetic HIGH fat HIGH calorie diet liberal fluid intake when would you see dry shiny hairless skin? --------- Correct Answer -------- peripheral atherosclerotic arterial disease wilms tumor is on the --------- Correct Answer -------- kidney presents as abnormal bulging on one side of child's abdomen DO NOT PALPATE ABDOMEN process for a burn at home --------- Correct Answer -------- soak in cool water to stop buring process remove clothing around burn cover with a clean dry cloth dont put any meds or anything on the wound post surgical pts are usually perscrbed which prn med to help from the opioid drugs they were on --------- Correct Answer -------- naloxone (Narcan) but it wears off in 1-2 hours so be prepared to give more than once monitor RR and give oxygen cushings triad --------- Correct Answer -------- bradycardia, slowed RR, widened pulse pressure what is the normal pulse rate for a 1 year old --------- Correct Answer -------- 100- hypokalemia can cause --------- Correct Answer -------- heart arrythmias and muscle cramps and weakness what do you closely monitor when giving furosemide? --------- Correct Answer -------- blood pressure potassium

BUN

creatinine what type of medication is clopidogrel? --------- Correct Answer -------- antiplatelet "look, listen, feel" approach --------- Correct Answer -------- ppl with long bone or pelvic fractures are at risk for developing what? --------- Correct Answer -------- fat embolism what patients are considered immunosuppressed? --------- Correct Answer -------- on steroids/chemo, HIV pos, new post op, multiple chronic co morbidities, splenectomy, diabetes, very young/elderly what kind of precautions do you need for open lesions from shingles? --------- Correct Answer -------- both contact and airborne precautions and a negative airflow room symptom of macular degeneration --------- Correct Answer -------- loss of central field of vision seeing small flashes of light is a sign of --------- Correct Answer -------- retinal detachment what is presbyopia? --------- Correct Answer -------- inability to see things close up some of the "cin" antibiotics can cause what? --------- Correct Answer -------- prolonged QT interval and can also cause hepatotoxicity so make sure to check liver function tests diet for chronic kidney disease --------- Correct Answer -------- restrict fluids, sodium, potassium, and phosphorus what wilyl you hear in lungd during atelactasis? --------- Correct Answer -------- fine crackles (high pitched popping sound) calcium channel blockers end in --------- Correct Answer -------- "pine" what are the most important adverse effects of calcium channel blockers? --------- Correct Answer -------- dizziness, flushing, HA, peripheral edema, and constipation poor thiamine consumption can lead to wernicke encepalopathy --------- Correct Answer

---

tracheostomy allow for 1 finger to fit under the ties --------- Correct Answer -------- main care with someone with a new tracj --------- Correct Answer -------- prevent dislodgement

what is Docusate --------- Correct Answer -------- stool softener what is the beers criteria? --------- Correct Answer -------- list of drugs that are dangerous in the elderly what are foods high in vitamin k? --------- Correct Answer -------- leafy green veggies, asparagus, brocoli, kale, brussel sprout, spinach some symptoms of tardive dyskinesia --------- Correct Answer -------- unusualy movements of arms, legs, face, body metoclopramide --------- Correct Answer -------- can cause tardive dyskinesia therapeutic trough levels of vancomycin --------- Correct Answer -------- 10- normal creatinine level --------- Correct Answer -------- 0.6-1. normal BUN level --------- Correct Answer -------- 6- elevated bun and creatinine may indicate what? --------- Correct Answer -------- nephrotoxicity first level priority problems --------- Correct Answer -------- airway breathing circulation & cardiac (become first priority in cardiac arrest) vital signs second level priority problems --------- Correct Answer -------- altered mental status acute pain untreated medical problems (like hyperglycemia in client with diabetes) chronic pain acute elimination problems abnormal lab results risk for infection, safety where should the nurse listen for a bruit in abdominal aneyurism --------- Correct Answer -------- epigastric/periumbilical area what are TORCH infections --------- Correct Answer -------- cause fetal abnormalities in pregnant women what does TORCH stand for? --------- Correct Answer -------- T: toxoplasmosis O: otherparvo- b 19, varicella zoster R: rubella C: cytomeglovirus

This is a preview

Do you want full access? Go

Premium and unlock all 129 pages

Access to all documents

Get Unlimited Downloads

Improve your grades

Already Premium?

Upgrade

Become Premium to unlock

Upload

Share your documents to unlock

Log in

H: herpes pt with measles precautions --------- Correct Answer -------- airborne and neg pressure room n95 respirators priority intervention for excema --------- Correct Answer -------- prevent scratching when are pancreativ supplements taken? --------- Correct Answer -------- with or judt before every meal what will chronic pancreatitis show in stool --------- Correct Answer -------- greasy, foamy, foul-smelling, fatty how about biliary obstruction --------- Correct Answer -------- light gray clay colored RA causes bilateral symmetrical pain insmall joints of hands wrists and feet --------- Correct Answer -------- displacement --------- Correct Answer -------- angry at boss and comes home yelling at wife warfarin --------- Correct Answer -------- monthly INR spironolactone --------- Correct Answer -------- potassium sparing diuretic liver dysfunction abnormalities --------- Correct Answer -------- low albumin, high ammonia, elevated INR/PT, increased bilirubin, low platelets symptoms of malignant hyperthermia --------- Correct Answer -------- tachycardia, tachypnea, rigid jaw, high fever. it is triggered by drugs used for anesthesia give them IV DANTROLENE PTSD patients tend to --------- Correct Answer -------- blame themselves. make sure to tell them it wasnt their fault how to use the peak flow meter for asthma --------- Correct Answer -------- exhale quickly and forcibly thru the mouthpiece nursing care for acute pancreatitis --------- Correct Answer -------- NPO IV opioids IV fluids NG tube for suction what puts a patient at risk for preterm labor? --------- Correct Answer -------- infection like periodontal disease

symptoms of active tuberculosis --------- Correct Answer -------- cough, ,fever/chills, malaise, weight loss, night sweats, anorexia, fatigue positive T skin test abnormal chest xray can transmit latent TB infection --------- Correct Answer -------- positive TST, neg chest xray, asymptomatic, cant transmit what medications interact with grapefruit? --------- Correct Answer -------- calcium channel blockers: diltiazem, nifedipine, verapamil, etc statins caffeine SSRIs be sure to practice math! --------- Correct Answer -------- stent placement using the femoral approach puts you at risk for retroperitoneal hemorrhage --------- Correct Answer -------- what are early signs of bleeding into the retroperitoneal space? --------- Correct Answer -------- hypotension, back pain, flank ecchymosis (grey turner sign), hematoma formation, diminshed distal pulses what is the grey-turner sign and what is it a sign of? --------- Correct Answer -------- bruising of the flanks and retroperitoneal hemorrhage and is a bluish color what are some physical signs of peripheral arterial disease? --------- Correct Answer -------- intermittent calf muscle pain?, rest pain, hair loss, decreased peripheral pulses, cool, dry, shiny skin, thick brittle nails, gangrene, ulcers (all of these are in the extremities) transplanted hearts are expected to be --------- Correct Answer -------- tachycardic like 90-1 10 what is the priority intervention for pain with sickle cell crisis and why? --------- Correct Answer -------- administer IV fluids to reduce blood viscosity and restore perfusion to areas affected by vasoocclusion what is the purpose of continuous bladder irrigation? --------- Correct Answer -------- it is perscribed after TURP to prevent obstruction of urine outflow by removing clotted blood from the bladder

what is the nurses care of monitoring CBI? --------- Correct Answer -------- monitor quality of drainage, titrate the inflow rate, and manurally irrigating as needed characteristics of a basilar skull fracture --------- Correct Answer -------- periorbital hematomas (raccoon eyes), csf fluid rhinorrhea, and battle sign (behind the ear bruising) immediate client care for basilar skull fracture --------- Correct Answer -------- cervical spime immobilization, close neurologic monitoring, and support of ABCs vomiting with intake may mean --------- Correct Answer -------- viral or bacterial infection tympanosomty tubes are placed for --------- Correct Answer -------- recurrent otis medias nurse actions during a seizure --------- Correct Answer -------- assist them to lie down is standing/sitting, put them on side for patent airway, loosen tight clothing, give oxygen as needed, remove objects from immediate area, document time and duration of seizure (for tests are done later to see which type of seizure and maybe what exacerates it) never put anything in mouth or restrain them since musclec ontractions can occur during a seizure what are some early symptoms of ICP? --------- Correct Answer -------- altered LOC, headache, abnormal reathing, rise in bp, slow pulse, vomiting client who has a TIA is often placed on --------- Correct Answer -------- prophylactic antithrombotic treatment like aspirin or clopidogrel glascow coma scale ranges from --------- Correct Answer -------- 3-15; 3 being worst 15 being best condition (8 or below in a coma) what are the 3 components? --------- Correct Answer -------- eye opening motor response verbal response what is a primary component in TPN? --------- Correct Answer -------- glucose, so the nurse should be monitoring blood glucose and be assessing for signs of hyperglycemia when a client is on TPN, the nurse must assess for hyperglycemia why? --------- Correct Answer -------- bc a primary component is glucose. therefore the nurse must be assessing to see if the client is getting too much glucose (hoerglycemia). and with a large urinary output like 4800, this could indicate symptoms of hyperglycemia signs og hyperglycemia --------- Correct Answer -------- polydipsia, polyuria, restless, confused, bg over 200, fatigue, kussmaul resp

This is a preview

Do you want full access? Go

Premium and unlock all 129 pages

Access to all documents

Get Unlimited Downloads

Improve your grades

Already Premium?

Upgrade

Become Premium to unlock

Upload

Share your documents to unlock

Log in

what is the goal for mass casualty events? --------- Correct Answer -------- do the greatest good for the greatest number of people keep in mind that disaster triage ranks the likelihood of survival with treatment, not necessarily the severity of the injury --------- Correct Answer -------- what are the 4 categories for triaging? --------- Correct Answer -------- immediate (red tag)- life threatening injuries with good prognosis once treated delayed (yellow)- injuries requiring treatment within hours minimal (green tag)- injuries requiring treatment within a few days expectant (black tag)- extensive injuries, poor prognosis regardless of treatment rule of nines --------- Correct Answer -------- head: 4.5 front 4.5 back torso: 18 front 18 back each arm: 4.5 front 4.5 back (each arm is 9 total) each leg: 9 front 8 back (each is 18 total) genitals: 1 extrapyramidal side effects --------- Correct Answer -------- ACUTE DYSTONIC REACTION: sudden onset sustained muscle contractions AKATHISIA: restlessness with inability to sit still drug induce PARKINSONISM: tremor, rigidity, bradykinies, masked like faces AKINISIA: loss of involuntary movement TARDIVE DYSKININIA NEUROLEPTIC MALIGNANT SYNDROME dont give morphine if RR under 12 bc it can cause --------- Correct Answer -------- respiratory depression airborne precautions --------- Correct Answer -------- tuberculosis, varicella, and rubeola (measles) wear N95 respirator (and other as needed like for splashes) ALSO (neg pressure room and HEPA) clients suspected are to wear a surgical mask after triage UAP soft wrist restraints can: --------- Correct Answer -------- do ROM exercises reapply wrist restraints report changes in skin to nurse turn/reposition client in bed a client with major depression and severe weight loss needs what type of diet? --------- Correct Answer -------- high in calories and protein, also foods that are easy to chew and dont require a lot of energy bc they may have a low energy level examples: while milk/dairy, granola muffins, pottoes, meat fish eggs, pasta also small frequent meals

memorize MAOIs and remember --------- Correct Answer -------- they cant eat foods high in tyramine like aged cheese, yogurt, fermented foods, beer, red wine, cocolate, avocados do not give lasix to a pneumonia patient with fine crackles bc they dont result from heart failure or edema --------- Correct Answer -------- you can give pneumonia patient exportants, antibiotics, mucolytics, antipyretics, analgesics, and antinflammatories examples are --------- Correct Answer -------- Mucinex, Ibuprofin, decerebrate posturing (toes point down and amrs/legs straight out) is a sign of --------- Correct Answer -------- severe brain damage near drowning hypothermia --------- Correct Answer -------- warm iv fluids, blankets, and air also will find weak and thready pulse a client is not dead until warm and dead!!! --------- Correct Answer -------- nc sometimes a pt is so cold that a pulse cannot be felt intussusception causes intestinal obstruction --------- Correct Answer -------- ileum telescopes into cecum, pain obstruction, edema, compression of BVs, bowel ischemia, rectal bleeing (CURRANT JELLY stools) signs of intussusceotion --------- Correct Answer -------- inital periodic pain with legs drawn up to abdomen, pain is severe and progressive though, inconsolable crying, blood/mucousy stools "current jelly" how is it treated? --------- Correct Answer -------- an air enema guaifenesin (Mucinex) --------- Correct Answer -------- expecorant med that inc resp fluids and thins secretions to facilitate expectoration erythropoeitin Epogen --------- Correct Answer -------- stimulates bone marrow to make RBCs and combats the effects of chemo and used for kidney disease when is hemoccult done? --------- Correct Answer -------- when hidden (occult) blood is suspected due to dark and tarry stool treat intussusception with --------- Correct Answer -------- AIR ENEMA tetraology of fallot --------- Correct Answer -------- exacerbation can happen when infant or child cries, becomes upset, or is feeding you immediately place them in KNEE CHEST position

hemolytic uremic syndrome --------- Correct Answer -------- life threatening complication of e. coli diarhea what are the signs? --------- Correct Answer -------- anemia (pallor), low platelets (petechiae and purpura, and acute kidney injury (low UO) cognitive behavioral therapy (CBT) 5 basic components --------- Correct Answer -------- education about pts disorder self observing and monitoring relaxation techniques cognitive restructuring behavioral strategies speicen collection from a foley is considered sterile and should not be delegated to uap --------- Correct Answer -------- a clients first and last name is not PHI privileged health info --------- Correct Answer -------- it is not a violation to cal them by their first and last names or have info heard inadvertently what happens if a client does not full undersnad infromed consent?q --------- Correct Answer -------- the nurse must contact the doctor. the nurse is not responsible for verifiying that the client understands how to stop epistaxis --------- Correct Answer -------- tilt the head forward and apply direct continuous pressure on the alaes (sides) for about 5-20 mins can also hold a cold washcloth to the bridge of nose for vasoconstriction keep child calm and quiet IV iodinated contrast used for ct scan can cause --------- Correct Answer -------- kidney injury metformin is discontinued on the day of IV iodine contrast exposure --------- Correct Answer -------- Amlodipine --------- Correct Answer -------- calcium channel blocker used to treat hypertension Gabapentin (Neurontin) --------- Correct Answer -------- used for neuropathic pain Phenytoin (Dilantin) --------- Correct Answer -------- antiseizure Glipizide --------- Correct Answer -------- oral sulfonylurea controls blood sugar Levofloxacin (Levaquin) --------- Correct Answer -------- antibiotic

This is a preview

Do you want full access? Go

Premium and unlock all 129 pages

Access to all documents

Get Unlimited Downloads

Improve your grades

Already Premium?

Upgrade

Become Premium to unlock

Upload

Share your documents to unlock

Log in

This is a preview

Do you want full access? Go

Premium and unlock all 129 pages

Access to all documents

Get Unlimited Downloads

Improve your grades

Already Premium?

Upgrade

Become Premium to unlock

Upload

Share your documents to unlock

Log in

This is a preview

Do you want full access? Go

Premium and unlock all 129 pages

Access to all documents

Get Unlimited Downloads

Improve your grades

Already Premium?

Upgrade

Become Premium to unlock

Upload

Share your documents to unlock

Log in