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

Download NCLEX EXAM QUESTION WITH VERIFIED ANSWERS BEST RATED 2024 DOWNLOAD TO PASS and more Exams Nursing in PDF only on Docsity! NCLEX EXAM QUESTION WITH VERIFIED ANSWERS BEST RATED 2024 DOWNLOAD TO PASS 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 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 92.What is bad as far as Lie? - ✅✅✅Transverse is bad, vertical is good, parallel is good 93.Stage 1 of L&D - ✅✅✅Labor - thinning and opening, has 3 phases, Latent, Active, Transitional, nothing to do with the baby just the cervix, no baby at the end of labor 94.Stage 2 of L&D - ✅✅✅Delivery - pushing the baby out 95.Stage 3 of L&D - ✅✅✅Placenta delivery 96.Stage 4 of L&D - ✅✅✅Recovery (1st 2 hrs after delivery of placenta), considered unstable patient, stop the bleeding in stage 4 97.Memorize 1st stage 2nd phase of L&D then you know the rest - ✅✅✅Active phase 98.CM dilated 5-7 cm 99.CXN Freq 3-5 min 100. Duration 30-60 sec 101. Intensity moderate 102. Contractions should not be longer than ____ seconds or closer than every _____ minutes. - ✅✅✅90, 2 103. Prolapsed cord - ✅✅✅OB emergency, baby will die if you don't do something 104. What to do with prolapsed cord - ✅✅✅Push then position! Push head off cord then position in knee/chest of trendelenburg (head down) 105. Lithotomy position - ✅✅✅on back with knees drawn up 106. Easy to remember interventions for complications of L&D - ✅✅✅LIONPit 107. L left side, I increase IV, O oxygenate, N notify Dr, Pitocin 108. If question says there is pitocin running and there are complications - ✅✅✅stop pit first then LIONpit 109. Pain meds in labor - ✅✅✅know your peaks for IV, IM, PO, Subling. If baby is likely to be born when the pain med is peaking don't give! Why? Respiratory depression in baby 110. Fetal monitor patterns - ✅✅✅if it starts with L it's bad so do LIONPit, ex; low fetal heart rate, low baseline variability, late decels 111. V C 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 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 205. Always say to a psych patient - ✅✅✅what do you think you should do? 206. No guarantees in psych, avoid - ✅✅✅if you... then ..., you will improve if you ..l., we can... 207. Good strategy for psych if narrowed to 2 answers - ✅✅✅ask yourself which answer will require the patient to keep on talking, it is never wrong to get your patient to keep talking 208. Tie Breakers in Psych - ✅✅✅Why questions are not as good, reflection is good, open ended is good, I, me, we, us are not good, shortest answers are better, concise don't confuse the clientq 209. All psych drugs cause - ✅✅✅low BP and weight change (usually gain) 210. Phenothiazines - ✅✅✅all end in 'zine Ex: Thorazine, Compazine, they are major tranquilizers so think safety 211. 'Zines for the - ✅✅✅Zanny 212. In large doses Phenothiazines are - ✅✅✅anti-psychotics 213. In small doses Phenothiazines are - ✅✅✅anti-emetics 214. Side effects of Phenothiazines - ✅✅✅Anticholinergic (dry mouth), Blurred vision, Constipation, Drowsiness, Extrapyramidal syndrome (parkinsons), Fotosensitivity, aGranulocytosis (low WBC's) 215. #1 problem or concern for patient taking Phenothiazines - ✅✅✅SAFETY 216. Deconoate drug is - ✅✅✅a long acting IM form given to non compliant patients 217. Tricyclic Antidepressants are - ✅✅✅mood elevators to treat depression 218. Examples of Tricyclic anti depressants - ✅✅✅Elavil, tofranil, aventyl desyrel 219. Side effects of Tricyclic medications - ✅✅✅Anticholinergic(dry mouth), Blurred Vision, Constipation, Drowsiness, Euphoria HInt: Elavil starts with E so this group goes through E 220. How long does a tricyclic need to be taken before results are seen? - ✅✅✅2-4 weeks 255. If you know what a particular drug does, choose a side effect in the same ______ ___________ where the drug is working. - ✅✅✅body system Ex: heart drug - tachycardia 256. If a medication is taken PO and you dont know what the drug does pick a ______ side effect - ✅✅✅GI 257. What is the first thing you assess in a med surg situation? - ✅✅✅Level of Consciousness 258. What is the first thing you DO in a med surg situation? - ✅✅✅A, B, C's ok for prioritizing actions just not for prioritizing patients 259. Pediatrics rule of thumb for growth and development questions - ✅✅✅always give the child more time, "don't rush growth and development", tell the family to wait a little while 260. Rule #1 for pediatric growth and development - ✅✅✅when in doubt call it normal 261. Rule #2 for pediatric growth and development - ✅✅✅when in doubt, pick the older (not oldest) age, giving them more time 262. Rule #3 for pediatric growth and development - ✅✅✅when in doubt, pick the easier (not the easiest) task 263. Chant the following chant for pediatric growth and development when you don't know the answer - ✅✅✅normal, older, easier 264. A low empathy answer is ALWAYS wrong avoid saying - ✅✅✅don't worry, don't feel, you shouldn't feel, I would feel, Anybody would feel, nobody would feel, most people would feel 265. How to recognize an empathy question - ✅✅✅They have a quote in the question and the answers contain a quote 266. How to answer an empathy question - ✅✅✅be an actor, put yourself in the client's shoes, say their words as if you really meant them, ask yourself if I said those works and really meant them, how would I be feeling, choose the answer that reflects that reflects their feelings not the answer that reflects their words 267. Rule out absolutes - ✅✅✅always, never are bad 268. If two answers say the same thing ... - ✅✅✅neither one is right EX: tachycardia and racing heart 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