Nursing Knowledge Exam Preparation, Exams of Nursing

Download Nursing Knowledge Exam Preparation and more Exams Nursing in PDF only on Docsity! NCLEX PN EXAM QUESTIONS WITH CORRECTLY SOLVED ANSWERS. Reduce symptoms of Raynaud’s disease? - Correct Answer-Wearing gloves when handling frozen food What is Raynaud’s disease? - Correct 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? - Correct Answer-hold breathe and bear down When you notice blanching, coldness and edema at the IV site, what should you do? - Correct Answer-Remove the IV What is considered a normal Blood Glucose level? - Correct Answer-70-100 What PPE to use for MRSA patient? - Correct Answer-Gloves Gown Goggles Mask What is an EARLY sign of digoxin toxicity, from the drug digoxin? - Correct Answer-Anorexia What are normal Magnesium levels? - Correct Answer-1.6 - 2.6 mg What are signs of elevated magnesium levels? - Correct Answer-Drowsiness Sedation Lethargy Muscle weakness Areflexia What is Areflexia? - Correct Answer-Absence of the reflexes What position should you place a patient with acute epiglottitis? - Correct Answer-Sit upright What position to use for Soapsuds enema? - Correct Answer-Left side SIMS position What is the 1st step when looking into the NCLEX exam? - Correct Answer- Step 1: Access the NCSBN website at www.ncsbn.org (Obtain info for international nurses) For state licensing? - Correct 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? - Correct Answer-They must come from the "Licensing Authority" Is the NCLEX exam administered in other languages? - Correct Answer-No (ONLY in English) What is your Initial response after a patients trach tube becomes dislodged? - Correct 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? - Correct Answer-Raise the head of the bed How soon after the administration of nitroglycerin should the patient see relief? - Correct Answer-5 mins (Burning sensation/vertigo are common side effects) What is a concern when a patient is taking Warfarin? - Correct Answer- Bleeding easily (Educate patient on straight razor use) What is Dystocia? - Correct Answer-Abnormal labor or childbirth What are the 5 types of leaders? - Correct 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? - Correct Answer-Intra- within a person Inter-within the group When does discharge planning begin? - Correct Answer-When patient is admitted What is Priority 1, 2, and 3 of the Emergency room triage? - Correct 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? - Correct Answer-Inflammation of a vein What id Third Spacing? - Correct Answer-The accumulation of extracellular fluid in a body space due to disease or injury What does Extracellular mean? - Correct Answer-Fluid outside the cells What does Interstitial mean? - Correct Answer-Fluid between the cells and the blood vessels Which population is at "higher" risk for fluid related problems? - Correct Answer-infants and Elderly Water lost through the skin and lungs (expired air) is called? - Correct Answer-Insensible loss What is Hypokalemia? - Correct Answer-A potassium level lower than 3.5 mEq/L Can potassium supplement be taken on an empty stomach? - Correct Answer-No, causes nausea and emesis What else should be performed when a patient is receiving potassium supplements through IV? - Correct Answer-Cardiac monitoring Can potassium be administer via IV push? - Correct Answer-No, only IV or orally What level is the sodium when a patient has hyponatremia? - Correct Answer-Sodium level will be less than 135 What is the antidote for magnesium overdose? - Correct Answer-Calcium gluconate Why is a patient with a nasogastric suction at risk of potassium deficit? - Correct Answer-Potassium rich fluids are lost through GI suctions Patients with Addisons disease are at risk for what? - Correct Answer- Hyperkalemia (High potassium) When a patient has hyperkalemia, what can you expect to see on an EKG? - Correct Answer-Narrow peaked T waves What is an insensible fluid loss? - Correct Answer-Can’t be measured (Through skin and lungs) Can a patient with a fast respiratory rate be susceptible to "Insensitive" fluid loss? - Correct Answer-Yes (From the lungs) What 4 patients may be at risk for "Third Spacing"? - Correct Answer--Renal failure -Sepsis -Liver (cirrhosis) -Burns (major) What patient is least likely to have Third Spacing? - Correct Answer-Diabetic What is the primary buffer system in the body? - Correct Answer-Carbonic acid-bicarbonate (HCO 3 -) What does the respiratory rate do with Acidosis and Alkalosis? - Correct Answer-Acidosis-RR increases Alkalosis-RR decrease What should you monitor for in a patient with severe diarrhea? - Correct Answer-Metabolic acidosis What should you monitor for in a patient with severe vomiting? - Correct Answer-Metabolic alkalosis What is the Allens test? - Correct Answer-Applying pressure to the arteries in your wrist How soon should blood return to the hand after the Allen test? - Correct 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? - Correct Answer-5-10 mins (3-5 mins for a coagulation defect) In Acidosis the pH is up or down? - Correct Answer-Down In Alkalosis the pH is up or down? - Correct Answer-Up Can you use the arm that has an infusion going for blood draws? - Correct 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? - Correct Answer-Potassium level (Monitor for reactions the 1st 30 mins) Can lipid solutions be given to patients with egg allergies? - Correct Answer- No What can happen if you abruptly stop PN solutions? - Correct Answer- Hypoglycemia (Decrease slowly) What type of foods should a diverticulitis patient avoid? - Correct Answer- High-fiber foods What food does the lacto-vegetarian NOT eat? - Correct Answer-Eggs (Lacto Ovo vegetarians eat eggs) Which patients should be on a low-purine diet? - Correct Answer-Gout Kidney stones What are a few high purine foods? - Correct Answer-Anchovies Herring Scallops Mackerel Wild game Sweetbreads What are a few foods high in riboflavin? - Correct Answer-Milk Lean meats Fish Grains Can you write on the outside of IV bags? - Correct Answer-No (Use a label instead) Why are the veins in the forearm mist commonly used for IV sites? - Correct Answer-They provide natural support and splint Why is a patient with heart failure not given saline solutions? - Correct Answer-Increases fluid overload and exacerbates heart failure Why is a patient with kidney disease/failure not supposed to receive lactated ringers? - Correct Answer-Contains a potassium solution How are Central venous catheters position determined? - Correct Answer- Xray What position should the patient be in for central line insertion, removal and tubing change? - Correct Answer-Trendelenburg Washed red blood cells may be ordered for what 2 types of issues? - Correct Answer-1) Recent allergic reaction to transfusion 2) Recent stem cell transplant How are platelets administered? - Correct Answer-Rapidly over 15-30 mins What is the Universal RBC donor? - Correct Answer-O negative Who is the Universal recipient? - Correct Answer-AB positive If the patient has a reaction to blood, where should the blood bag be returned to? - Correct Answer-Blood bank Hold off on giving the patient blood if the temp exceeds? - Correct Answer- 100 F How long should the nurse remain with the patient who has just received a blood transfusion? - Correct Answer-15 mins How often should you check on a patient who is receiving fluid replacement therapy? - Correct Answer-Every hour What is the limit of time a caregiver should be exposed to radiation per shift? - Correct Answer-30 mins MAX What should you do with a dislodged radiation implant? - Correct Answer- Don't touch it Can needles be recapped? - Correct Answer-No, but if you have to, use a mechanical device to recap Can safety devices/restraints be prescribed by a nurse? - Correct Answer-No, only a HCP can prescribe Can a prescription for a restraint be used PRN? - Correct Answer-No Who should you call first prior to attempting an intervention of a poison ingestion? - Correct Answer-Poison control Which population should have poison control # by each phone? - Correct Answer-homes with children Who is most at risk of contracting Clostridium difficile (C-Diff)? - Correct Answer-Patients in hospitals who have been on multiple long term antibiotics What are the parts of bleach/water solution to use for disinfection? - Correct Answer-1:10 How is Anthrax contracted? - Correct Answer-Direct (GI, skin, inhalation) How is Smallpox contracted? - Correct Answer-Air droplets, highly contagious How often should you check the circulation of a patient with restraints? - Correct Answer-Every 30 mins (loosen every 2 hours) Gram measures? - Correct Answer-Mass (Gram-mass) How are "Drops" abbreviated? - Correct Answer-gtt What is the first step in the calculation of dosages? - Correct Answer- Conversion What type of dropper should you use for children? - Correct Answer- Calibrated dropper How should you administer Regular and NPH insulin? - Correct Answer-Mix both in the same syringe (Regular than NPH) Can the nurse speed up an IV infusion rate if the schedule is running late? - Correct Answer-No What should you have at the bedside of a patient who has a Sengstacke- Blakemore tube inserted for esophageal varices - Correct Answer-A pair of scissors When inserting a catheter into a male Urethra, you see the flow of urine, what should you do next? - Correct Answer-Insert another 2.5 to 5 cm and inflate the ballon How often should you empty a chest tube drainage chamber? - Correct Answer-Never, due to the risk of collapsing a lung What should you instruct the patient to do while you move a chest tube? - Correct Answer-Valsalva maneuver What position should the patient be for an insertion of a nasogastric tube for continuous feeding? - Correct Answer-Head at least 45 degree When residual formula is noted in a scheduled feeding, at which point would you hold the feeding? - Correct Answer-any residual more than 100ml (test residual for pH balance, should be 3.5 or less) How fast should intermittent feedings last? - Correct Answer-administer over 30-60 mins What are the 3 systems of personality? - Correct Answer-ID, Ego and SuperEgo (The have different operating principles, but in a mature/well adjusted personality, they work together under the command of the EGO) When does the SuperEgo emerge? - Correct Answer-Phallic Stage (3-6 years old) What is the drug Questran used for? - Correct Answer-Lower cholesterol What does a Pericardial friction rub sound like? - Correct Answer-Loud booming/muffled heartbeat A patient with hyperparathyroidism is likely to have elevated calcium levels, which foods should they avoid? - Correct Answer-dairy products such as milk, cheese, ice cream, or yogurt. A client with a Sengstacke-Blakemore tube in place to treat esophageal varices suddenly becomes restless, the heart rate and blood pressure increase, what is the immediate nursing action? - Correct Answer-cut the tube and pull it out The older patient is at risk for falls due to what? - Correct Answer-Changes in the Neurological and Muscle skeletal systems What is a common adverse reaction to medication in the older patient? - Correct Answer-Change in mental health status