LVN NCLEX REVIEW COMBINED QUESTIONS FOR 2017 Book reference pg.#: Foundations Of Nursing ISBN: 978-0-323-10003-8 and Adult Health Nursing IBSN: 978-0-323-10002-1

LVN NCLEX REVIEW COMBINED QUESTIONS FOR 2017 Book reference pg.#: Foundations Of Nursing ISBN: 978-0-323-10003-8 and Adult Health Nursing IBSN: . Math: IV Drip Rate 40mL/hr. 4 gm/hr. conversion liter per hour 2. Math: D/H pg. 156 NCLEX 3. Math: Mg/kg/day 4. Patient has peptic ulcer what meds should nurse question? (Patient history with tabs read all information on file chart) Pg. 468 Ibuprofen – all NSAID Which medications are contraindicated in a patient with peptic ulcer disease page 469 Ibuprofen, Aspirin, Advil, Nuprin, Motrin, Naxproxen, Sodium (Aleve) NSAIDS pose risk of GI bleed 5. Metabolic Acidosis ABG’s, Pertaining to diarrhea 3. Sodium135 - 145 4. Potassium 3.5 - 5 6. Tonsillectomy patient teaching and what the nurse notices: pg. 401  constant swallowing, iced cold liquids ice cream is okay, keep hydrated, avoid spicy fluid, avoid over-exertion, patient to avoid clearing throat, avoid vigorous nose bleeding, avoid aspirin, 5 yrs. and up old enough, should have explanation. What will happen a week before surgery. Parent teaching for a child being discharged after tonsillectomy pg. 408, 401 report excess swallowing, avoid overexertion 7. UTI patient teaching: how to prevent UTI when cleaning catheter. Pg. 669 Wipe from patient, front to back, clean form meatus to tubing. Clean at least every 8 hours Rifampin causes pee to be Orange How to prevent UTI in a patient with indwelling catheter page 741 clean - to - dirty always away, clean meatus to bag, bag below, obtain urine sterile technique 8. C-diff (Clostridium difficile) isolation nurse action: pg. 130 & 136 Contact precautions: hand hygiene, gown, gloves, remove everything in patient room, leave the stethoscope in the patient room, and also put the mask on. Spores are unaffected by alcohol-based not recommended, soap & water must be used 9. Diabetic patients: AHN pg. 537 What should nurse instruct patient when getting out of bed? Proper foot care: Wear slippers, wear sturdy properly fitting shoes, wide toe less constricted. Agradestuvia 10. Removal NG tube: FON: pg. 683 (6 drag and drop, put in order on the right) Raise head of bed Evaluate patient’s abdomen for bowel sounds Turn off suction, remove tape, unfasten pin Place towel across chest Instruct patient to take deep breath and hold it pinch tube with fingers or clamp Place tube in plastic bag or towel Provide oral and nasal care, make sure inspect nares and oral cavity Palpate abdomen periodically, noting any distention, pain or rigidity 11. Tracheostomy dressing change pg. 654 (drag and drop) Skills 22-9 Resp. /Airway 1. Remove old dressings 2. Remove and cleanse Inner cannula 3. Clean skin, rinse solution from skin, apply new clean dry sterile dressing 4. Change cotton tapes from around the neck, hold trach in place when moving cotton tape 5. Auscultate lung sounds 6. Provide mouth care 12. Idiopathic thrombocytopenia: signs and symptoms pg. 278 patient bleeds easily, their immune system attacks and destroys platelets (blood cells that aid in blood clotting, a splenectomy may be needed, protect them from bleeding. Adhere to strict aseptic techniques for dressing changes and IV site care. Avoid IM injections, administration of rectal meds and taking rectal temp., help child to avoid injury and avoid contact sports, avoid aspirin 13. Patient with diabetes 1 (patients do not produce insulin, will always need insulin; follow doctor’s orders) glucose level at 96 do you hold or give? Pg. 527 Give insulin (normal insulin levels 70-110) – Yes You Give! (Check Pt Sliding Scale) 14. Wound care packing stage 4 Ulcer: how to pack the wound? (wet to dry) Pg. 342 using sterile normal saline solution; apply moist gauze dressing as a single layer directly onto wound surface. If wound is deep, gently pack gauze into wound with forceps until all wound 15. Steps on how to do dressing change: Pg. 343 1. Sterile room Temp 2. Normal saline 3 x day 3.Sterile dressing 4. Paper tape 5. Diet 2400 plus calories a day 6. Promote healing Agradestuvia 16. Colonoscopy patient teaching pg. 373 table 15-1 Pre-op: Question Ask: when was the last tim