NCLEX EXAM QUESTION WITH VERIFIED ANSWERS BEST RATED 2024 DOWNLOAD TO PASS, Exams of Nursing

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NCLEX EXAM QUESTION WITH

VERIFIED ANSWERS BEST RATED 2024

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1. Hyperthyroidism is also called - ✅✅✅Grave's disease or hypermetabolism
2. Tip to remember Grave's disease s/s's - ✅✅✅"Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance
3. Treatment for Grave's disease - ✅✅✅Radioactive Iodine, PTU (put thyroid under), surgically remove
4. Total thyroidectomy ... totals get - ✅✅✅tetany, need lifelong hormone replacement
5. After thyroidectomy patients are at risk for - ✅✅✅hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia
6. parathesia - ✅✅✅numbness and tingling, first sign of electrolyte imbalance
7. Subtotal thyroidectomy ... subs get - ✅✅✅storm
8. S/S of thyroid storm - ✅✅✅Extremely high vital signs, hyperpyrexia, psychotic delerium
9. How to treat thyroid storm - ✅✅✅give o2, lower temp to spare brain
10. Risks post op for total thyroidectomy - ✅✅✅airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany
11. Risks post op for sub total thyroidectomy - ✅✅✅airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm
12. Hypothyroidism is also called - ✅✅✅Myxedema or hypometabolism
13. S/S of mydexema - ✅✅✅everything is down, constipation, heat tolerance, cold intolerance
14. Treatment for mydexema - ✅✅✅give thyroid medications
15. Where to put the 5 ice packs to cool a thyroid storm patient - ✅✅✅neck pits groin
16. If you cool a patient too fast what might happen? - ✅✅✅Heart arrythmias

17. Never hold the hormone for what patient? - ✅✅✅patient who is NPO with mydexema
18. Addison's disease easy way to remember - ✅✅✅Add a Sone (sone = steroid)
19. Adrenal Cortex diseases easy way to remember - ✅✅✅A in Adrenal stands for Addison's
20. C in Cortex stands for Cushing's
21. Addison's disease is - ✅✅✅undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.
22. Addison's disease treatment - ✅✅✅give a steroid, chronic steroid therapy
23. Cushing's syndrome - ✅✅✅Over secretion of adrenal cortex, too much hormone, too much steroid.
24. S/S of Cushing's syndrome - ✅✅✅same as steroid use ... moon face, think cushman "I'm mad I have an infection", high blood sugar, losing Potassium,
25. Treatment for Cushing's syndrome - ✅✅✅Surgery, bi or uni lateral adrenalectomy (bilateral is worse)
26. Donning PPE's order - ✅✅✅Gown, Mask, Goggles, Gloves
27. Removing PPE's order - ✅✅✅alphabetically inside the room
28. For airborne precautions the mask is removed where? - ✅✅✅outside of the room
29. Avoid answers with what words for children 9 mths and younger? - ✅✅✅build, sort, stack, construct, make
30. Toddlers (1-3) work on - ✅✅✅their gross motor skills (jump, hop, throw), NO fine motor, parallel play
31. Preschoolers (3-6) work on - ✅✅✅fine motor, balance (tumbling, dance, tricycle), cooperative play, pretend
32. School age (7-11) work on - ✅✅✅creative, collect, competitive
33. Best default order for click and drag order questions? - ✅✅✅Hold ..... med
34. Assess ..... what med does
35. Prepare ...... the correction
36. Call ..... or notify

54. NA lab values - ✅✅✅135-145, if a change in LOC then evaluate for fall/safety risk
55. WBC lab values - ✅✅✅5000-11000 if low assess for infection
56. CD4 count less than 200 equals - ✅✅✅AIDS
57. Neutropenic precautions (low WBC) - ✅✅✅strict handwashing, avoid crowds, private room, low bacteria diet (no raw or undercooked), no water that has been standing longer than 15 min, vital signs Q4H
58. Platelets lab value - ✅✅✅150000-400000 if lower than 90000 bad if lower than 40000 REALLY bad, if they sneeze they could die. Called thrombocytopenia
59. Bleeding precautions - ✅✅✅no venipuncture, injection or IV, if necessary use small guage, handle patient gently, use drawsheet, no razor, no toothbrush, blow nose gently, no aspriin, no rectal temp, no hard foods
60. RBC lab values - ✅✅✅4-6 million abnormal doesn't really matter
61. Reason for laminectomy - ✅✅✅treat nerve root compression
62. S/S of nerve root compression - ✅✅✅Pain
63. Parasthesia (numbness & tingling)
64. Paresis (muscle weakness)
65. Cervical - ✅✅✅Diaphram and Arms affected, breathing, respiratory pattern
66. Thoracic - ✅✅✅Abd muscles and gut affected, ability to cough
67. Lumbar - ✅✅✅Bladder and legs affected, when did they last void, are they distended
68. #1 post op answer for spinal problems is - ✅✅✅log roll patient
69. Activity post op spinal issue - ✅✅✅do not dangle
70. stand, walk, lie down w/o restricitons
71. limit sitting to 30 min at a time
72. Post op complications for cervical spinal surgery - ✅✅✅pneumonia
73. Post op complications for thoracic spinal surgery - ✅✅✅pneumonia (no cough), paralytic illeus (gut shuts down)
74. Post op complications for lumbar spinal surgery - ✅✅✅urinary retention

75. How long does temporary restrictions usually mean? - ✅✅✅6 weeks (driving, lifting, etc.)
76. Nagele's Rule - ✅✅✅1st day of last period + 7 days - 3 months
77. Weight gain during pregnancy - ✅✅✅28 lbs plus or minus 3 lbs
78. 1st trimester weight gain - ✅✅✅1 lb/month or 3 lbs for 1st trimester
79. 2nd/3rd trimester weight gain - ✅✅✅1 lb/week
80. Easy way to calculate appropriate weight gain during pregnancy - ✅✅✅The week number minus 9 so if 12 weeks pregnant 12-9=3 lbs. not allowed to be off by more than 2 lbs.
81. Fundal Height - ✅✅✅not palpable until 12 weeks, 2nd and 3rd trimesters week gestation 20-22 in cm so at the navel is 20 weeks
82. Positive signs of pregnancy - ✅✅✅xray, ultrasound, auscultation of fetal HR on doppler 10 weeks, examiner (not the mother) palpates fetal movement
83. Probable signs of pregnancy - ✅✅✅blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign
84. Chadwick's sign - ✅✅✅Cervical color changes to Cyanosis See all the CCCCCC's!
85. Goodell's sign - ✅✅✅Cervical softening
86. Hegar's sign - ✅✅✅Uterine softening
87. All changes in cervix and vagina occur in what order? - ✅✅✅alphabetical order
88. Pattern of Office Visits for prenatal care - ✅✅✅once a month until 28 weeks, once every 2 weeks until week 36, once a week until delivery or week 42 when induction is scheduled
89. Pregnancy hemoglobin - ✅✅✅normal is 12-18, first trimester falls to 11 which is okay, second trimester falls to 10.5 which is okay and then third trimester falls to 10 also okay
90. Easy way to remember station - ✅✅✅has it made it through the "tight squeeze" (ischial spine) no then its a negative, yes then its a positive, 0 station is when it's at the ischial spine
91. Presenting part is 99% of the time the - ✅✅✅head

112. E H

113. A O

114. L P - ✅✅✅Variable Decels Cord Compression (bad)
115. Early Decels Head (bad)
116. Acels Okay (good)
117. Late Decels Placenta (bad)
118. Best answer for what to check first in fetal monitoring is - ✅✅✅fetal heart rate, it's the ace of spades!
119. During the 2nd stage (delivery of baby), order of actions. - ✅✅✅Deliver the head then stop pushing, suction the mouth first then the nose, check for nuchal cord, deliver shoulders and body, ID band
120. If the baby has to leave the delivery area, the priority is - ✅✅✅the ID band
121. Umbilical cord has what in it - ✅✅✅AVA 2 arteries and a vein
122. 4th stage of L&D recovery stage, what do do? - ✅✅✅4 things you do 4 times an hour in 4th stage
123. Vitals (assess for s/s of shock)
124. Fundus (want midline and firm, if boggy, massage, if displaced void/cath)
125. Pads (check and replace)
126. Roll on side (check for bleeding under patient)
127. Excessive Lochia is - ✅✅✅a pad saturated in less than or equal to 15 minutes
128. Postpartum Uterus Tone - ✅✅✅Firm NOT boggy
129. Postpartum Fundal Height - ✅✅✅Fundal height should equal day post partum, day 5 = 5 cm below navel
130. Postpartum Uterus location - ✅✅✅midline, if not void/cath
131. Postpartum Lochia color - ✅✅✅Rubra - Red (ruby red)
132. Serosa - Pink (rosa pink)
133. Alba - whitish (albino white)
134. Postpartum Lochia amount - ✅✅✅Moderage 4-6 inches on pad in one hour
135. Excessive pad saturated in 15 min
136. Best way to measure DVT is - ✅✅✅calf circumferences, NOT Homan's sign, but if select all that apply question, include Homan's sign

137. Postpartum assessment of extremities - ✅✅✅Pulses, Edema, S&S of Thrombophlebitis
138. Postpartum assessment includes assessment of - ✅✅✅Uterus, Lochia and Extremities
139. Way to remember difference between Cephalohematoma and Caput Succedaneum - ✅✅✅C S in Caput Succedaneum = Crosses suture lines, both are swelling on scalp caused by bleeding and both are normal or okay.
140. OB medications tocolytics - ✅✅✅stop contractions, Brethine causes maternal tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache
141. OB medications oxytocics - ✅✅✅makes labor more intense, Pitocin, Methergine, Cervidil
142. Uterine Hyperstimulation - ✅✅✅contractions longer than 90 seconds or closer than 2 minutes
143. OB medications Fetal/Neonatal Lung meds - ✅✅✅Betamethasone, speeds the development of the baby's lungs, given to Mom before baby is born, given IM, will increase the blood sugar of Mom
144. Survanta (surfactant) - ✅✅✅given to baby after baby is born given trastracheal through the airway develops lungs
145. Med hints for IM injections - ✅✅✅Look for 1's in both parts (the 1 looks like an I), guage and length, 21 g, 1 inch means IM
146. Med hints for SQ injections - ✅✅✅look for 5's in both parts (the 5 looks like an S), guage and length, 25 g, 5/8 inch means SQ
147. Drawing up Insulin rules - ✅✅✅R then N, Draw up R then N, NRRN the whole process
148. Pressurizing Insulin rule - ✅✅✅put air into N then R , NRRN the whole process
149. If 70/30 insulin it is - ✅✅✅70% N and 30% R, may have to make your own on boards, no 70/30 on the floor
150. Heparin is given IV or SQ NOT PO, info re: Heparin - ✅✅✅works immediately, labs Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C pregnancy drug, use caution)

165. Prioritize patients at this very moment, not - ✅✅✅3 seconds later or 10 minutes ago, Right NOW, right HERE, as they say it!
166. Rule #2 for prioritization - ✅✅✅Fresh post op (12 hours out) beats medical or other surgical, Ex: 2 hr post op cholesysectomy beats acute appendicitis and post op one day CABG and COPD, CHF, CRF (then do ABC's)
167. Rule #3 for prioritization - ✅✅✅Unstable beats stable
168. Things that make a patient stable - ✅✅✅the word stable, chronic, post op greater than 12 hours, local or regional anesthesia, unchanged assessment, to be discharged, lab values that aren't urgent
169. Stable patients are experiencing the ___________ or __________ s/s's of the disease with which they have been diagnosed and for which they are receiving treatment - ✅✅✅Typical, expected
170. Things that make a patient unstable - ✅✅✅the word unstable, acute, post op less than 12 hours, general anesthesia, changing assessment, newly, recently admitted or diagnosed, lab values that are critical or deadly
171. Unstable patients are experiencing _________ or ____________ s/s's, complications - ✅✅✅unexpected, atypical
172. Patients who are always unstable - ✅✅✅hypoglycemia, hemorrhaging clients, fevers over 104, pulselessness, breathlessness
173. Faulty reasoning, prioritizing by symptom severity - ✅✅✅It is not how severe the symptom is, its if the symptom has changed or if its typical or expected.
174. Rule #4 for prioritization - ✅✅✅Tie-breaker, ONLY use for a tie breaker, the more Vital the organ the higher the priority.
175. Vital organ priority list - ✅✅✅brain
176. lung
177. heart
178. liver
179. kidney
180. pancreas
181. LPN's can't do - ✅✅✅IV anything (don't assume they have IV cert unless it says so), assessments, planning, admission, discharge, transfer, teaching, taking verbal orders or 1st of anything

182. AID's can't do - ✅✅✅charting (only document what they did), assess, meds, IV, treatments, fleet enemas
183. AIDS can do - ✅✅✅Soap suds enema, beds, bath, ADL's VS (not the first set), Accu check (not the first one)
184. Options to intervene when inappropriate behavior of staff is discovered (not in order of what to do first): - ✅✅✅Tell supervisor
185. Take over immediately and intervene
186. counsel them later
187. NEVER IGNORE IT
188. If it's illegal - ✅✅✅tell supervisor
189. If pt or staff is in danger - ✅✅✅take over and intervene
190. If it's legal and not hurtful but just inappropriate - ✅✅✅counsel them later
191. Phases of nurse patient relationship Pre-Interaction phase - ✅✅✅How does the RN feel, own feelings about ...
192. Phases of nurse patient relationship Introductory (Orientation) phase - ✅✅✅During the initial interview ...
193. Upon admitting the patient ...
194. On admission ...
195. At your first few meetings with ...
196. While assessing ...
197. On the day of admission ...
198. While formulating nursing diagnoses ...
199. Correct answers should be warm and fuzzy and nosey
200. Phases of nurse patient relationship Working Phase (Therapeutic phase) - ✅✅✅Implementing the plan of care, these answers will seem very focused, directive, "tough", stern and slightly unfriendly
201. When does the termination phase of the nurse patient relationship begin?

- ✅✅✅on admission 

202. Gift giving to psych patients - ✅✅✅includes hugs, kisses, compliments (oh you are doing really well)
203. Advice giving to psych patients - ✅✅✅DO NOT GIVE ADVICE.
204. Advice words to avoid - ✅✅✅Suggest, advise, tell the patient, if I were you, You should do, you ought to, you should not do, don't do, recommend that

221. Benzodiazepines are for - ✅✅✅anti anxiety, they are minor tranquilizers, have 'zep in the name, EX: Diazepam (Valium), plus Xanax, Often given pre op, muscle relaxant, alcohol withdrawal, seizures, facilitates mechanical ventilation
222. Benzodiazepines works - ✅✅✅quickly, must not take for 6 weeks, keep on Valium until Elavil kicks in
223. Side effects for Benzodiazepines - ✅✅✅Anticholinergic (dry mouth), Blurred Vision, Constipation, Drowsiness
224. Number one nursing concern for patient taking Benzo's is - ✅✅✅also safety
225. MAOI's - ✅✅✅antidepressants, happy pills
226. Depression is caused by a deficiency of - ✅✅✅norepinephrine, dopamine and serotonin in the brain
227. Names of MAOI's - ✅✅✅MAR, NAR, PAR: Marplan, Nardil, Parnate
228. Side effects of MAOI's - ✅✅✅Anticholinergic (dry mouth), Blurred vision, Constipation, Drowsiness
229. How long can a person be on MAOI's and how long before they work? - ✅✅✅rest of life, 2-4 weeks
230. MAOI's interact with LOTS - ✅✅✅Avoid all foods containing Tyramine, causes fatal hypertension
231. Tyramine foods - ✅✅✅Fruits and Veggies are okay except remember salad BAR, avoid Banannas, Avacados, Raisins, Grains are okay except for active yeast, no organ meats, no preserved meats, no dairy, no alcohol, tinctures, caffiene, chocolate, licorice, soy sauce
232. Lithium - ✅✅✅for bipolar disorder (manic depression) it decreases mania
233. Side effects of Lithium - ✅✅✅peeing, pooping, parasthesia
234. Lithium Toxicity - ✅✅✅2 or greater, tremors, metallic taste, severe diarrhea, number one intervention, give fluids, if sweating give electrolytes too
235. Lithium monitor what levels - ✅✅✅sodium, low sodium levels prolong lithium's half-life, causing lithium toxicity, high sodium levels decrease the effectiveness of lithium
236. Prozac - ✅✅✅it an SSRI, similar to Elavil so same info as Tricyclic's

237. Prozac causes - ✅✅✅insomnia, so give before noon, so if BID, give at 6A and 12N NOT at bedtime
238. When changing the dose of Prozac for an adolescent or young adult, watch for - ✅✅✅suicide
239. 'zine, 'zep, 'zap - ✅✅✅all tranquilizers
240. a good guess about psych med weening - ✅✅✅decrease the dose of the old drug
241. Haldol - ✅✅✅just like the Thorazine's, also has a deconoate form
242. Dose of Haldol for elderly patient should be - ✅✅✅half of usual adult dose
243. Neuroleptic Malignant Syndrome - ✅✅✅a potentially fatal hyperpyrexia with temp of over 104, looks like EPS except for temp
244. Clozaril (Clozapine) - ✅✅✅'zap's, for schizophrenia
245. Biggest and only side effect of Clozaril - ✅✅✅aGranulocytosis
246. How often should WBC be drawn when pt is taking 'zap's for schizo? - ✅✅✅1 time per week for 1 month, 1 month every month for 6 months then every 6 months
247. Zoloft (sertraline) - ✅✅✅also a SSRI like prozac, antidepressant, doesn't cause insomnia so it can be taken at bedtime.
248. Zoloft interacts with other medications like - ✅✅✅St John's wart (causes serotonin syndrome) - sweating, apprehension (impending sense of doom), dizziness (vertigo), headache, also with Coumadin so watch for bleeding
249. Zoloft with Coumadin? - ✅✅✅Question the order if the coumadin dose wasn't lowered
250. Nutrition questions - ✅✅✅pick chicken or fish
251. Never pick _________ for children in nutrition questions. - ✅✅✅casseroles
252. Never mix ___________ in children's food - ✅✅✅medications
253. Toddlers favorite food? - ✅✅✅Finger-food
254. Preschoolers and nutrition - ✅✅✅leave them alone, one meal a day is okay

269. If two answers are opposite, one of them is - ✅✅✅probably right (consider one of them)
270. Names of uppers - ✅✅✅caffiene, cocaine, PCP/LSD, Amphetamines/meth, adderol/ritalin
271. Do give aminoglycocides via PO in - ✅✅✅hepatic encephalopathy & pre-op bowel surgery
272. Hepatic encephalopathy - ✅✅✅liver coma, crazy movements, high amonia level, don't give protien
273. Peak level for sublingual - ✅✅✅5-10 minutes after disolved
274. Peak level for IV - ✅✅✅15-30 min after finished
275. Peak level for IM - ✅✅✅30-60 min after drug is in
276. Peak level for SQ - ✅✅✅diabetes peak levels apply here
277. Peak level for PO - ✅✅✅who cares!
278. Asystole - ✅✅✅no QRS
279. A Fluttter - ✅✅✅Rapid P waves
280. A fib - ✅✅✅Chaotic P wave
281. V fib - ✅✅✅Chaotic
282. VTach - ✅✅✅Bizarre
283. Top priority arrhythmias - ✅✅✅VFib & Asystole, die in 8 minutes over 8 minutes not a priority anymore
284. Vtach could become - ✅✅✅life threatening
285. Ventricular gets what med - ✅✅✅Lidocane (think of the V turning sideways to an L) & Amiodorone
286. AsystolE gets what med - ✅✅✅A for Atropine and E for Epinephrine ... Epi is first though
287. Atrial Arrhythmias (same as supraventricular) medications - ✅✅✅ABCD
288. Adenocard (push fast)
289. Beta Blockers ('lol)

290. CCB's
291. Digoxin
292. Water Seal bubbling intermittently or a suction control chamber bubbling continously is - ✅✅✅GOOD
293. Water Seal bubbling continuously or a suction control chamber bubbling intermittently is - ✅✅✅BAD
294. A Seal should not be - ✅✅✅bubbling.
295. What to do first if a water seal breaks? - ✅✅✅clamp
296. What is best to do if a water seal breaks? - ✅✅✅submerge
297. TRouBLe for heart defects - ✅✅✅RL shunting is bad
298. Blue is bad
299. T starts with a T so it's bad (also Hypoplastic is bad, it's just TET)
300. Easy way to remember 4 defects in Tet of Fallot - ✅✅✅VarieD Ventricular Defect
301. PictureS Pulmonary Stenosis
302. Of A Overriding Aorta
303. RancH Right Hypertrophy
304. Crutches - even numbered gate if - ✅✅✅2 legs are affected
305. Crutches - odd numbered gate if - ✅✅✅1 affected leg
306. Hold a cane - ✅✅✅on good side
307. advance a cane - ✅✅✅with Bad side
308. Hallucinations have a _________ component, delusions do not. - ✅✅✅sensory, EX: voices, tactile, visual, gustatory, olfactory
309. Psychosis patients (schizo, depression, mania) can learn - ✅✅✅reality, enforce limits, teach reality
310. Dementia (alzheimers, Wernicke's) can not learn - ✅✅✅reality, redirect
311. Delirium is sudden onset and - ✅✅✅temporary
312. Reassure a patient with delirium that the symptoms - ✅✅✅will go away and that they are temporary and reassure their safety

337. Diet for Hiatal Hernia - ✅✅✅High Carbs, Low Protien
338. Diet for Dumping Syndrome - ✅✅✅Low carb, High Protien
339. Kalemias - ✅✅✅same as prefix except HR and UO
340. Calcemias - ✅✅✅Opposite of prefix anything to BP
341. Chvostek's sign - ✅✅✅Cheek, facial spasm when Cheek is tapped associates with hypocalcemia
342. Trousseau's sign - ✅✅✅arm/carpal spasm associated with hypocalcemia
343. Magnesemias - ✅✅✅opposite of prefix anything to BP, in a tie don't pick magnesemia's
344. Natremias - ✅✅✅hypErnatremia = dEhydration
345. hypOnatremia = Overload
346. King K lives in the ... - ✅✅✅Kastle of the cell while Sir Sodium lives outside
347. Earliest sign of any electrolyte disorder is - ✅✅✅parathesia or numbness and tingling
348. Universal sign of any electrolyte imbalance is - ✅✅✅paresis or muscle weakness
349. Fast but temporary solution to decrease K is to - ✅✅✅give D5W w/regular insulin
350. Never give more than ____ of K/liter of IV fluid - ✅✅✅40 mEq, question the order of more is ordered