NCLEX Prep 2022 questions with correct answers

NCLEX Prep 2022metabolic acidosis - correct answer low pH, low HCO3 metabolic alkalosis - correct answer high pH, high HCO3 respiratory acidosis - correct answer low pH, high CO2 respiratory alkalosis - correct answer high pH, low CO2 As the pH goes so goes my patient except for? - correct answer Potassium High pressure ventilator alarm - correct answer *High pressure alarms* are triggered by *increased* resistance to air flow and can be caused by *obstructions* of three types: 1. kinked tubes = unkink it 2. Water in the tube = drain it 3. Mucus plugging tube = turn, cough, and deep breath actions listed from least invasive to most. *Must* turn, cough, and deep breath BEFORE suctioning the patient Low pressure ventilator alarm - correct answer *Low pressure alarms* are triggered by *decreased* resistance to air flow and can be caused by disconnections of the tube. 1. check for disconnection of the tubing *action depends on *where* the tube lands: a. tubing lands on *floor*: bag the patient, call respiratory b. tubing on *patient chest*: clean tube and reconnect If a patient has an order to disconnect the ventilator and their ABG reveals respiratory acidosis, what should you do? - correct answer Call the MD and hold order; the patient needs the ventilator and the settings are too low what is the number one problem in all abuse situations? - correct answer denial How do you treat denial? - correct answer 1. Confront it by pointing out to the person the difference between what they say and what they do. 2. In contrast, support the denial of loss and grief (b/c the use of denial is serving a functioning person) stages of grief - correct answer DABDA Denial Anger Bargaining Depression Acceptance dependency in alcohol abuse *2 patients* - correct answer abuser gets significant other to do things for them; the abuser is dependent on others codependency in alcoholism *2 patients* - correct answer significant other derives positive self-esteem from making decisions for or doing things for the abuser "Aren't I such a great wife for calling in for you?" manipulation - correct answer An indirect, dishonest way to control or influence others Wernicke-Korsakoff syndrome - correct answer psychosis induced by vitamin B1/thiamine deficiency lose touch with reality psychotic people