NCLEX Questions and Answers 2023-2024 Graded A+, Exams of Nursing

Download NCLEX Questions and Answers 2023-2024 Graded A+ and more Exams Nursing in PDF only on Docsity! NCLEX QUESTIONS AND ANSWERS 2023-2024 GRADED A+ Reduce symptoms of Raynauds disease? - correct answer ✅Wearing gloves when handling frozen food What is Raynauds 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 Iron supplements should be taken with what? - correct answer ✅Vitamin C rich juices (Tomato juice, Orange juice) When noticing that the fundus of a postpartum patient is soft and spongy, what should you do? - correct answer ✅Massage the fundus gently until it is firm Drugs that end in "lol" are normally used for what? - correct answer ✅Beta Blocker (for hypertension) ("Lo" Lowers the BP) What OTC tabs should patients not take with medication? - correct answer ✅Antacids tabs (effects the absorption of the med) Which tabs should not be crushed? - correct answer ✅Enteric Coated/sustained release tabs Can nurses adjust or change a patients medication? - correct answer ✅NO (only the Doctor can do this) T/F Patients should consult a doctor before taking OTC or any herbal preparations? - correct answer ✅True Can Abandonment charges be filed against nurses who walk out if staffing is inadequate? - correct answer ✅Yes Can nurses refuse to float? - correct answer ✅No, unless their Union contract states they only work in a specific area Do Nurses need to get their own Insurance against malpractice? - correct answer ✅YES Who issued the Patients Bill of Rights? - correct answer ✅American Hospital Association What is habeas Corpus, and can a mentally ill patient request it? - correct answer ✅Requesting a release from care/Yes they can T/F Catholics, Christians and Jehovah witness are the only religions that allow organ donations? - correct answer ✅True T/F Orthodox Judaism may allow organ donation with the Rabbis approval? - correct answer ✅True What are Incident reports used for? - correct answer ✅Identifying risk situations and Improving care Do Incident reports get filed in the Patients record? - correct answer ✅No What are the components of a medication prescription? - correct answer ✅Date/Time Med name Dosage Route Frequency Signature How is a Telephone medication order abbreviated? - correct answer ✅t.o Can a nurse sign or be a witness to a signature for a "Living Will" for her patient? - correct answer ✅No, must be signed by someone who isn't staff or be notarized What is managed care? - correct answer ✅Strategies used to reduce the cost of health care. 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 ✅Cant 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 the patient fast before a glucose study? - correct answer ✅8-12 hours What is the normal WBC count? - correct answer ✅4,500 - 11,000 What is the normal specific gravity of urine? - correct answer ✅1,016 - 1,022 What is the preferred source of energy? - correct answer ✅Carbs (Milk, grains, fruits and veggies) Not enough essential fats in the diet can lead to what? - correct answer ✅Amenorrhea Sensitivity to cold Skin lesions Risk of infections What are the fat soluble vitamins? - correct answer ✅ADEK (Excess causes toxicity) What is a mechanical diet? - correct answer ✅Meals that are prepared for easy swallowing (Avoid nuts, dried, salty foods) What type of candy can you offer a patient who has reduced salivary flow? - correct answer ✅Sour candy Foods low in potassium? - correct answer ✅Applesauce Grapes Blueberries Raspberries Most Green veggies Can you give a patient hard candy to relieve thirst? - correct answer ✅Yes How can you determine the patients BMI? - correct answer ✅Divide the weight (kilo) by the height (meters squared) What is Enteral nutrition? - correct answer ✅Feeding through the GI tract What is Parenteral nutrition (PN)? - correct answer ✅Feeding through a vein (Last resort) Where should the PN line be placed when short term nutrition is needed (4 weeks or less)? - correct answer ✅Subclavian or jugular vein Where should the PN line be placed when "long" term nutrition is needed (longer than 4 weeks)? - correct answer ✅PICC is used How often should you monitor the VS of a patient receiving lipid solutions? - correct answer ✅Every 10 mins (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) 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 Trendelenburg position? - correct answer ✅Lower body raised (reserve is upper body raised) What position should a patient be that had a mastectomy? - correct answer ✅Semi-fowlers with affected side arm raised to heart level For vaginal or anal exams, what should the position be? - correct answer ✅Lithotomy What should you do when a patient who is tube feeding needs to be turned? - correct answer ✅Turn off feeding until completed What is the most common position for a cardiac or respiratory patient? - correct answer ✅Head of the bed raised What is Autonomic Dysreflexia, and which position should the patient be placed in? - correct answer ✅Caused when a painful stimulus occurs below the level of spinal cord injury. (High Fowlers position) What position should the patient with a Head Injury NOT be placed in? - correct answer ✅Flat of Trendelenburg During Cardiac catheterization what position should the patient be in? - correct answer ✅Head elevated NO MORE than 30 degrees After cataract surgery, instruct the patient to sleep in which position? - correct answer ✅on back or non-operative side What position should you place a patient who has just had a liver biopsy? - correct answer ✅Right side laying with a rolled towel under puncture site What position should the patient be for Nasogastric tube? - correct answer ✅HIGH Fowlers position What is the best way to turn a patient who has had spinal surgery? - correct answer ✅logrolling What should be kept at the bedside of a patient with an endotracheal or tracheotomy tube? - correct answer ✅BVM/Ambu bag What should you do if a chest tube is accidentally pulled from the site? - correct answer ✅Pinch the skin together, apply a sterile dressing and put overlapping 2" tape over the dressing (call the HCP) What are the normal/average pH levels of the stomach? - correct answer ✅1.5 to 3.5 What should you instruct the patient to do when you remove a Nasogastric tube? - correct answer ✅Take a deep breathe and hold What should you have at the bedside of a patient who has a Sengstaken- 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