NCLEX PN COMPLETE QUESTIONS AND ANSWERS

NCLEX PN COMPLETE QUESTIONS AND ANSWERS What is the nursing process? - CORRECT ANSWER-Assess Forming nursing diagnosis Planning and Goal Setting Implementation Evaluation What are some therapeutic communication barriers? - CORRECT ANSWER-Giving advice, judging, stereotyping, being defensive, appearing distracted or uninterested, agreeing or disagreeing, appearing biased, not being a good listener or excessive probing What is HELLP Syndrome? - CORRECT ANSWER-This is preeclampsia with Liver involvement: Hemolysis(breakdown of RBCs) Elevated Liver Function Tests Low Platelet Count How many arteries and veins are in the umblical cord? - CORRECT ANSWER-2 arteries, 1 vein What is Ortilani's Sign - CORRECT ANSWER-The click that is heard or felt when the infant is supine and knees are flexed and hips are abducted = hip dyslpasia What are the dietary considerations for pancreatitis? - CORRECT ANSWER-Avoid aldohol bland foods small, frequent meals decrease fat 1 tsp = how many mL? - CORRECT ANSWER-5 mL What is Ptosis? - CORRECT ANSWER-Drooping Which cranial nerve is the optic? - CORRECT ANSWER-2 The Lub sound of Lub-dub is closure of which heart valves? - CORRECT ANSWERClosure of Tricuspid and Mitral Valves(Systole) = Lub Which sign is the softening of the cervix? - CORRECT ANSWER-Goodell's Drugs ending in "olol" belong to which drug classification? - CORRECT ANSWER-BetaBlockers = particularly for the management of cardiac arrhythmias, cardioprotection after myocardial infarction (heart attack), and hypertension What is the normal Lithium value? - CORRECT ANSWER-normal = < 1.5 mEq/L toxic = > 2 mEq/L Where is the location to listen to the Pulmonic valve? - CORRECT ANSWER-Left second intercostal space Enema position is on the left or right side? - CORRECT ANSWER-left What is the antidote for acetaminophen? - CORRECT ANSWER-Mucomyst (Nacetylcysteine) What are the dietary considerations for Celiac Disease? - CORRECT ANSWER-No gluten Increase calories Increase protein Drugs ending in "statin" belong to which drug classification? - CORRECT ANSWERAntihyperlipidemics = used in the treatment of hyperlipidemias. They are called lipidlowering drugs (LLD) or agents What is a continuous seizure that must be interrupted by emergency measures? - CORRECT ANSWER-Status Epilepticus What are the meds most often used to treat status epilepticus? - CORRECT ANSWERdiazepam (Valium) phenytoin (Dilantin) phenobarbitol (Luminol) Which body positioning is called the "shock" position? - CORRECT ANSWER-Modified Trendelenburg = Supine with legs straight and elevated at the hips and head is slightly raised (increases bloodflow to heart and brain) Which blood type is the universal 'recipient'? - CORRECT ANSWER-AB+ Which blood type is the universal 'donor type'? - CORRECT ANSWER-OWhat is stroke volume? - CORRECT ANSWER-the amount of blood ejected by the heart in any one contraction What is cardiac output? - CORRECT ANSWER-Volume of blood ejected by the heart in one minute: cardiac output = heart rate x stroke volumne Do Mydriatic drops constrict or dilate the pupils? - CORRECT ANSWER-Dilate -- myDriatic (d for dilate) How do you mix insulin? - CORRECT ANSWER-Clear before Cloudy (NPH)!!! 1. draw up air to equal total insulin 2. wipe vial runner with alcohol 3. inject the amount of air to equal the amount of cloudy insulin into the cloudy vial. BE CAREFUL NOT TO INJECT INTO THE SOLUTION 4. Inject the remaining air into clear vial and draw up the clear insulin 5. reinsert the needle into the cloudy vial and withdraw the desired amount What are the dietary considerations for Acute Renal Failure? - CORRECT ANSWERIncrease carbs Limit protein decrease sodium fluid restriction What are the dietary considerations for Chronic Renal Failure? - CORRECT ANSWERAvood high potassium foods Low sodium High iron High calcium Vitamins B, C & D Normal Sodium Values? - CORRECT ANSWER-135 - 145 1 tbsp = how many mL? - CORRECT ANSWER-15 mL What is the normal PT value? - CORRECT ANSWER-9.5 - 12.0 seconds The Dub sound of Lub-Dub is closure of which heart valves? - CORRECT ANSWERClosure of the pulmonic and aortic valves (Distole) = Dub What are the normal Creatinine values? - CORRECT ANSWER-0.6 - 1.5 mg/dl Which cranial nerve is the Vagus? - CORRECT ANSWER-10 - gag reflex, swallowing, talking