NCLEX NGN ACTUAL EXAM ALL 450 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES ALREADY GRADED A+

NCLEX NGN ACTUAL EXAM ALL 450 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES ALREADY GRADED A+ ACE inhibitors - CORRECT ANSWER--pril: HTN, HF. AD: angioedema, cough, hypotension, hyperkalemia, hepatotoxicity, neutropenia, agranulocytosis, pancreatitis, SJS. Contra: pregnancy. Nursing: empty stomach, monitor for infection, dry cough, use contraception (teratogenic), avoid sports drinks/salt substitutes (extra K) ARB - CORRECT ANSWER--sartan: HTN, HF. AE: angioedema, hypotension, hyperkalemia, renal impairment. Contra: pregnancy. Nursing: may take with food, take with full glass of water calcium channel blockers - CORRECT ANSWER--dipine: HTN, angina, arrhythmias. AE: hepatotoxicity, paralytic ileus, HF, AV block. CONTRA: A-FIB/FLUTTER, SSS, cardiogenic shock. Nursing: BUN/Cr, liver enzymes. Avoid: grapefruit juice, in older=constipation beta blockers - CORRECT ANSWER--olol: slow HR, decrease vasoconstriction, decrease O2 consumption. Used in: HF, HTN, HR control, angina, migraine. AE: HF, bronchospasm, dizzy, constipation, suppresses hypoglycemia indicators. Contra: asthma, bradycardia, SSS. Nursing: check HR before giving. Teach: take med at bedtime, do not stop abruptly. Propranolol=essential tremors, Parkinsons Vasopressor - CORRECT ANSWER-Å and ß: Dopamine/Levophed/Epinephrine: ^HR/BP, ACLS, CO, shock, refractory HF. AE: pulm edema, arrhythmias, HTN, cerebral hemorrhage. Antidote for extravasation: Regitine ß: Dobutamine: ^CO/BP. Used in HF. AE: seizures, cardiac arrest, bronchospasm, restlessness, tremor. Nursing: monitor BP and HR q15 mins Vasodilators - CORRECT ANSWER-Persantine adjunct thromboembolism prevention. AE: bronchospasm, MI. Teach: avoid ETOH, report bruising cardiac conduction - CORRECT ANSWER-SA node: "pacemaker" intrinsic rate 100 bpm AV node: 40-60 bpm Bundle branch/purkinje: 20-40 bpm Hemophilia - CORRECT ANSWER-bleeding disorder, sex linked, s/s: prolonged bleeding. Nursing: prevent