Download NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ and more Exams Nursing in PDF only on Docsity! NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What condition is commonly associated with PICA? - correct answers ✅Anemia is common with PICA T/F NSAIDS can worsen asthma symptoms - correct answers ✅TRUE Fexofenadine - correct answers ✅antihistamine Hodgkin's lymphoma What are typical signs and symptoms of this disease? - correct answers ✅chronic malignant disease of the lymph nodes affects the lympathic system S/S include: Sweats Painless Enlarged lymph nodes Fever Fatigue How should a nurse provide care for a patient with schizophrenia and persecutory delusions? - correct answers ✅Focus on reality and verbally reinforce it NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Focus on the clients feeling secondary to the delusions (this is an example of empathy, and therapeutic communication) What are interventions to help reduce viscosity of mucus? - correct answers ✅-Increase fluids -Cool mist humidifier -Guaifensein (expectorant) -Huff coughing - abdominal breathing with a huff, and expiratory cough technique What GI condition is associated with olive shaped mass? - correct answers ✅Pyloric stenosis What is botulinum toxin type A What should you closely monitor while using this drug? - correct answers ✅Botox - a neuromuscular transmission used by inhibiting acetylcholine(excite) release from nerve endings. RELAXATION of skeletal and smooth muscles. NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Dabigatran (Pradaxa) What condition is this used for? Why? Where should you keep these pills? - correct answers ✅Anticoagulant, Direct Thrombin Inhibitor Commonly used for patients with A-Fib and Flutter Do not crush or open pills. KEEP THIS MEDICATION IN ITS ORIGINAL CONTAINER/BOX. What is Trazadone? What is this used for? NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What are the common adverse effects of this medication? - correct answers ✅A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION What is priapism? Is it painful? - correct answers ✅A prolonged and painful erection What is tissue plasminogen activator (tPA) When should it be administered within? (hours) What is it contraindicated with - correct answers ✅Dissolve clots and restore perfusion NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) How are thyroid medications best absorbed? What time of the day should they be taken? Are they safe to take during pregnancy? - correct answers ✅On an empty stomach Best taken in the morning because they increase metabolism and energy Safe during pregnancy Steven Johnson Syndrome (SJS) NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Be sure to monitor patients HR Toxicity: Visual symptoms Gastrointestinal (N/V) Neurologic manifestions Positive Inotropic Effects (increase Cardiac Output) and Negative Chronotropic Effects (Decrease Heart Rate) What can colorless nasal drainage indicate? - correct answers ✅CSF A complication T/F Any drug order-dose takes priority - correct answers ✅TRUE NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What can a new painful skin rash indicate? - correct answers ✅Steven Johnsons Syndrome Can be FATAL What is the action of Sucralfate? how should it be taken? - correct answers ✅An oral medication that forms a protective layer in the gastrointestinal mucosa that provides a physical barrier against stomach acids and enzymes TAKE ON A EMPTY STOMACH w water Other meds should be taken 1 or 2 hours before or after this med! Glyburide What is this medication used for? NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What common symptom is associated with his medication? - correct answers ✅Diabeta Used to treat diabetes mellitus. Can cause severe hypoglycemia especially in children How should patients be roomed together? - correct answers ✅Patients with the same organism should be roomed together Life before limb - correct answers ✅prioritize interventions for a client in shock over interventions for a client who has a localized limb injury Pulsatile Mass - correct answers ✅Strong pulse of midline abdomen, possible aortic aneurysm Phenytoin What is this med used for? NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Altered mental status Gradual onset of hyperglycemia Hyperventilation glucose >600 BECAUSE people with type 2 can develop some insulin, the symptoms occur gradually Metronidazole (Flagyl) What condition is this medication usually used for? - correct answers ✅antibiotic Used for C.diff What are nonselective beta blockers? NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What can these medications effect? - correct answers ✅Propranolol Nadolol Timolol This medication has beta 2 blocking effect that results in bronchial smooth muscle constriction After how many hours can a nurse consider a patient stabilized enough to eat after having a stroke? - correct answers ✅48 hours Addison's disease - what does this effect What are the treatments for this disease? - correct answers ✅occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone Treatment includes: NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Life long hormone replacement Increase salt intake Monitoring ortho BP What is a sentinel event? What is a near miss event? - correct answers ✅Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm What are 4 interventions that are important to monitor with HELLP? - correct answers ✅Preparing the client for birth Magnesium sulfate Deep tendon reflexes Monitoring clotting factors NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Who/what role is legally appointment to be the primary decision maker for a patient? What is the role of a __________? - correct answers ✅Health care proxy the role is to make decisions for a client who is unable to do so. They should have good understanding of the the clients wishes and be emotionally capable of fulfilling the role What task are delegated to an RA? - correct answers ✅Clinical assessment Initial client education Discharge education Clinical judgment Initiating blood transfusion What task are delegated to an LPN? - correct answers ✅Monitoring RN findings Reinforcing education Routine procedures NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Most medication admin Ostomy care Tube patency and enteral feedng Specific assessments What task are delegated to a UAP? - correct answers ✅Activities of daily living Hygiene Linene changes Routine, stable vital signs Documenting I&O Positioning ROM Apply protective ointment Occupational therapy NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ v. Physical therapy - correct answers ✅Above the waist v Below the waist T/F - Food decreases the absorption of iron supplements - correct answers ✅TRUE gullian-barre syndrome - correct answers ✅ascending symmetric muscle paralysis and areflexia (no reflexes), watch for respiratory problems. Usually occurs after a respiratory or GI infections that triggers this immune response testicular torsion NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Hodgkin's lymphoma What is used to treat this condition? - correct answers ✅A form of cancer characterized by abnormal growth of lymphocytes Treatment: chemotherapy and external bean radiation therapy. Peak flow meter How do you use it? - correct answers ✅a handheld device often used to test those with asthma to measure how quickly the patient can expel air exhale a complete breath as quickly as possible Pathological Jaundice of the Newborn - correct answers ✅Jaundice manifests within the first 24 hours. Always investigate causes and notify the MD. NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What complication is common with elevated levels of serum bilirubin level - correct answers ✅Be aware of permanent neurological damage Oxybutynin What should be avoided with this medication - correct answers ✅Ditropan (anticholinergic) Used to treat overreactive bladder Be cautious in hot weather and during physical activity osteomalacia - correct answers ✅abnormal softening of bones in adults this occurs when the body is unable to use calcium and phosphorus for bone calcification due to vitamin D deficiency NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What is a common bleeding complication associated with hip fractures. - correct answers ✅Hemorrhage!! Bone fragments and sever the veins or arteries in the pelvis Conversion Disorder (Functional Neurological Symptom Disorder) What should the nurse do for this patient? - correct answers ✅presence of neurological symptoms brought on by psychological stress, without clear physical cause The nurse should validate the clients feelings and educate the using therapeutic communication what does the loss of hair on legs indicate? - correct answers ✅Poor Perfusion What is the number one cause of Epiglottis in children? NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Isotretinoin (BLACK BOX) - acne Methotrexate ACE inhibitors // ARBs Warfarin Doxycycline (sulfa) What's methotrexate? - correct answers ✅Anti-cancer medication Used to slow cancer cells Which precaution is recommended for C.diff? - correct answers ✅Contact precautions Single use gown Single client room Clean gloves hand hygiene soap/H2o NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What is required for airborne precautions? - correct answers ✅Surgical Mask How is HIV transmitted - correct answers ✅Contact with bodily fluids such as: Semen Vaginal secretions Breast Milk What is metoclopramide? What adverse effect/condition is this associated with? What are common symptoms of this condition? - correct answers ✅Antiemetic used to treat delayed gastric emptying, and GERD NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Tardive Dyskinesia Protruding or twisting tongue Lip smaking puffing cheeks involuntary movement What is the 9th cranial nerve? - correct answers ✅Glossopharyngeal What is a sausage shaped mass associated with? Besides red feces, how else does the stool appear - correct answers ✅Intussusception - a type of bowel obstruction with telescoping of a proximal segment of the intestine into an adjacent distal segment COMPROMISES CIRULATION Appears as a red, jelly like stool NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ What is the best indicator of improve nutrition and response to treatment of malnuttirion? - correct answers ✅Weight gain What is the antidote to BENZOS - correct answers ✅Flumazenil What is the normal amount of drainage from a chest tube after an hour of placement? - correct answers ✅Less than 100ml/hr Kawasaki disease - correct answers ✅Inflammation that occurs in the arterial walls. Mostly common in CHILDHOOD Includes: Joint pain Fever STRAWBERRY tounge Rash Cardiac involvement NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ Acute Rheumatic Fever (ARF) - correct answers ✅Inflammatory condition that occurs after STREP group A infection (untreated) LIFE LONG TREATMENT Includes: Joint pain Fever STRAWBERRY tounge Rash Cardiac involvement Lyme disease - correct answers ✅Bacterial infection that occurs after A BITE Includes: BULLS EYE Flu like symptoms NCLEX NEXT GEN 2.0 Exam Questions and Answers (Verified Answers 2023-2024) GRADED A+ fever joint pain What is used to increase neurologic function after cardiac arrest? - correct answers ✅Therapeutic hypothermia How often do you assess a patients weaning readiness on a ventilator? - correct answers ✅Daily Which side should a cane be held on when ambulating? - correct answers ✅On the stronger side What is a Nitrazine PH test? What does the color Yellow vs Blue mean? - correct answers ✅Its a strip test that help determine between amniotic fluid (alkaline) and normal vaginal fluids or urine (acidic) Yellow, olive, green color means the membrane is intact