NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE QUESTIONS AND ANSWERS

NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE QUESTIONS AND ANSWERS The pt is scheduled for a pelvic ultrasound to investigate cervical CA. What instruction does the RN include during the pre-procedure teaching? 1.) NPO for 6 hrs ac procedure 2.) The ultrasound transducer might cause some discomfort while examining the abdomen 3.) Should drink 1L of H2O ac ultrasound 4.) Don't worry about the pain b/c local anesthetic will be given - CORRECT ANSWER 3 = filling the bladder w/ H2O ac the test expands the uterus, causing it to move up & our of the pelvic cavity, which improves visualization - needs a full bladder tp move uterus up & move the intestines so you will have a better visual Explanations: 1 = does NOT need to be NPO ac procedure - pelvic or abd. 2 = NO discomfort or pain 4 = NP pain @ all Pt is being txed w/ radioactive implant for a bladder CA. The RN will intervene when the NAP? (NOT in NAP scope of practice) 1.) Spends 30 mins in pt's room @ a time 2.) Puts the morning care equipment @ bedside table 3.) Stands @ foot of bed, crossing the placed portable bedside shield 4.) Stays @ least 3 ft away when speaking w/ pt - CORRECT ANSWER 3 = Do NOT do; Neither NAP or visitors should stand @ foot of bed - shield should be between pt & RN * ALWAYS protect self w/ a lead shield NCLEX RN: 7 Explanations: 1 = limit direct contact contact for 30 mins; stays in room w/ pt for 30 mins w/o direct contact: True - pregnant & kids do NOT go in 2 = true; do NOT put if a pt is confused w/ Dementia & Parkinson's b/c may drink shampoo - warn to pt's safety -Do NOT leave 4 = ONLY on droplet precautions; stay BEHIND the shield NOT 3 ft This is directly linked to human papilloma virus (HPV) - CORRECT ANSWER Cervical cancer Cervical cancer is most common amongst a.)who & b.)@ what age? - CORRECT ANSWER a.) Women b.) btwn 9& 30 yrs-old (Cervical CA) ALL women should be tested for HPV by _________ - CORRECT ANSWER Papanicolau (Pap smear test) (Cervical CA) Women should start getting Pap test @ ____ OR when they start to be sexual active - CORRECT ANSWER 21 yr-old (Cervical CA) The precursor to CA of the cervix is _______. = pressure of cells of an abnormal type w/in a tissue, which may signify a stage preceding to the development of CA - CORRECT ANSWER Dysplasia (Cervical CA) What is the tx for Cervical cancer? (4 things) - CORRECT ANSWER 1.) Cryosurgery = freeze the tumor; all tissues around tumor will die from cold