NCLEX RN NEXTGENERATION EXAM QUESTIONS AND ANSWERS LATEST UPDATE

NCLEX RN NEXTGENERATION EXAM QUESTIONS AND ANSWERS LATEST UPDATE What is metoclopramide? What adverse effect/condition is this associated with? What are common symptoms of this condition? Choose matching definition syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions Begins usually after 2 weeks of birth AASH: Airway, Altered mental status, Sepsis, Hemorrhage ASK GRAPH: Airway, Sepsis, K changes, Glucose, Lethargy/Grunting, Altered MS, Peritonits, Hemorrhages Anti-cancer medication Used to slow cancer cells Antiemetic used to treat delayed gastric emptying, and GERD Tardive Dyskinesia Protruding or twisting tongue Lip smaking puffing cheeks involuntary movement Don't know? 1 of 100 Term T/F NSAIDS can worsen asthma symptoms Choose matching definition True False Don't know? 2 of 100 Term What is the correct administration route for NPH insulin? Choose matching definition Intradermal Intravenous Intramuscular Subcutaneous Don't know? 3 of 100 Term What is a sausage shaped mass associated with? Besides red feces, how else does the stool appear Choose matching definition occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone Treatment includes: Life long hormone replacement Increase salt intake Monitoring ortho BP Intussusception - a type of bowel obstruction with telescoping of a proximal segment of the intestine into an adjacent distal segment COMPROMISES CIRULATION Appears as a red, jelly like stool Bilious vomiting may occur Botox - a neuromuscular transmission used by inhibiting acetylcholine(excite) release from nerve endings. RELAXATION of skeletal and smooth muscles. Used to treating wrinkles, blepharospasm (eye twitching), and cervical dystonia It is placed to prevent preterm labor This can be placed 12-14 weeks gestation Don't know? 4 of 100 Term osteomalacia Choose matching definition abnormal softening of bones in adults this occurs when the body is unable to use calcium and phosphorus for bone calcification due to vitamin D deficiency Activities of daily living Hygiene Linene changes Routine, stable vital signs Documenting I&O Positioning ROM Apply protective ointment ascending symmetric muscle paralysis and areflexia (no reflexes), watch for respiratory problems. Usually occurs after a respiratory or GI infections that triggers this immune response Type 1 diabetes Younger age More rapid onset o hyperglycemia Hyperventilation Abdominal pain Glucose 250-500 Bicarb <18 Elevated anion gap KETONES serum osm <320 Don't know? 5 of 100 Term How long before a surgery is the nurse to discontinue antiplatlet medication Choose matching definition 1 to 2 days after the surgery immediately before the surgery 3 to 4 weeks before the surgery 5 to 7 days before the surgery Don't know? 6 of 100 Term What are 4 interventions that are important to monitor with HELLP? Choose matching definition -Increase fluids -Cool mist humidifier -Guaifensein (expectorant) -Huff coughing - abdominal breathing with a huff, and expiratory cough technique Hemorrhage!! Bone fragments and sever the veins or arteries in the pelvis Preparing the client for birth Magnesium sulfate Deep tendon reflexes Monitoring clotting factors Dorsum of the hand Femoral line because it can easily be contaminated with urine or feces Don't know? 7 of 100 Term testicular torsion How is this condition usually treated? Choose matching definition twisting of the spermatic cord AND testicular ischemia and necrosis from inadequate blood supply Treatment: Surgery Removal of the testes When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out Behaving in a manner of expressing a feeling opposite of ones true feelings A parent disappointed in an unplanned child, becomes overprotective of that child Preparing the client for birth Magnesium sulfate Deep tendon reflexes Monitoring clotting factors Don't know? 8 of 100 Term Acute Rheumatic Fever (ARF) Choose matching definition prioritize interventions for a client in shock over interventions for a client who has a localized limb injury a handheld device often used to test those with asthma to measure how quickly the patient can expel air exhale a complete breath as quickly as possible Inflammatory condition that occurs after STREP group A infection (untreated) LIFE LONG TREATMENT Includes: Joint pain Fever STRAWBERRY tounge Rash Cardiac involvement Creates a MegaColon lack of specialized nerve cells in portions of the distal intestine, resulting in the inability of the internal anal sphincter to relax Don't know? 9 of 100 Term What is AASH and ASK GRAPH? Choose matching definition AASH: Airway, Altered mental status, Sepsis, Hemorrhage ASK GRAPH: Airway, Sepsis, K changes, Glucose, Lethargy/Grunting, Altered MS, Peritonits, Hemorrhages Activities of daily living Hygiene Linene changes Routine, stable vital signs Documenting I&O Positioning ROM Apply protective ointment presence of more than 3 metabolic health factors that increase risk for stroke, diabetes mellitus and cardiovascular disease INCLUDING: HIGH BP LOW HDL Abdominal obesity HIGH Trigylerides HIGH fasting glucose Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm Don't know? 10 of 100 Term Where should the nurse auscultate for heart murmers? Choose matching definition Mitral point Aortic point Tricuspid point Erb's point Don't know? 11 of 100 Term What is a sentinel event? What is a near miss event? Choose matching definition A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm -Increase fluids -Cool mist humidifier -Guaifensein (expectorant) -Huff coughing - abdominal breathing with a huff, and expiratory cough technique substances that cause birth defects Phenytoin Lithium Valproate Isotretinoin (BLACK BOX) - acne Methotrexate ACE inhibitors // ARBs Warfarin Doxycycline (sulfa) Don't know? 12 of 100 Term Which side should a cane be held on when ambulating? Choose matching definition On the affected side On the left side On the stronger side On the weaker side Don't know? 13 of 100 Term What can colorless nasal drainage indicate? Choose matching definition A prolonged and painful erection Anemia is common with PICA Subcutaneous CSF A complication Don't know? 14 of 100 Term Which precaution is recommended for C.diff? Choose matching definition Left lower sternal border Erbs point 3rd intercostal space Low fat diet Eat small and frequent Avoid/Limit: Alcohol Tobacco Caffeine Chocolate Peppermint Jaundice manifests within the first 24 hours. Always investigate causes and notify the MD. Contact precautions Single use gown Single client room Clean gloves hand hygiene soap/H2o Don't know? 15 of 100 Term What is Metabolic syndrome Choose matching definition syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions Begins usually after 2 weeks of birth disseminated intravascular coagulation A BLOOD CLOTTING disease that can turn into uncontrolled bleeding this results from abnormal activation of clotting cascade followed by consumption of clotting factors and platlets Treatment: replacement of clotting factors blood platlets presence of more than 3 metabolic health factors that increase risk for stroke, diabetes mellitus and cardiovascular disease INCLUDING: HIGH BP LOW HDL Abdominal obesity HIGH Trigylerides HIGH fasting glucose Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm Don't know? 16 of 100 Term Nifedipine (Procardia) Choose matching definition Contact with bodily fluids such as: Semen Vaginal secretions Breast Milk Bacterial infection that occurs after A BITE Includes: BULLS EYE Flu like symptoms fever joint pain Anti-cancer medication Used to slow cancer cells calcium channel blocker Lowers blood pressure Don't know? 17 of 100 Term Carboxyhemoglobin Choose matching definition Clinical assessment Initial client education Discharge education Clinical judgment Initiating blood transfusion Bacterial infection that occurs after A BITE Includes: BULLS EYE Flu like symptoms fever joint pain abnormal softening of bones in adults this occurs when the body is unable to use calcium and phosphorus for bone calcification due to vitamin D deficiency Carbon monoxide bound with hemoglobin' Normal is < less than 5% in nonsmokers slightly over 10% in smokers Don't know? 18 of 100 Term What is intrahepatic cholestasis of pregnancy? How can this lead to harming the fetus? Choose matching definition Immunosuppressant Suppresses the immune system to prevent WBC from getting rid of a organ transplant A LIFE THREATENING complication of E.coli diarrhea and results in red cell hemolysis, low platelets, and acute kidney injury(low UO) Common to see petechiae Focus on reality and verbally reinforce it Focus on the clients feeling secondary to the delusions (this is an example of empathy, and therapeutic communication) Disorder characterized by general pruritis, itching palms and sole of feet A LIVER disorder with itching but no rash This condition can lead to fetal demise Don't know? 19 of 100 Term Oxybutynin What should be avoided with this medication Choose matching definition twisting of the spermatic cord AND testicular ischemia and necrosis from inadequate blood supply Treatment: Surgery Removal of the testes Supine position Inspection Auscultation Percussion Palpation Palpation last because it can induce pain Anticholinergic Its used to treat parkinsons disease AND Extrapyramidal symptoms (EPS) Ditropan (anticholinergic) Used to treat overreactive bladder Be cautious in hot weather and during physical activity Don't know? 20 of 100 Term Steven Johnson Syndrome (SJS) How does it appear on the skin? Choose matching definition syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions Begins usually after 2 weeks of birth Severe blistering of the skin, with mucous membrane involvement and fever Can be FATAL Begins with flu like symptoms, painful and purple/red rash. Resembles 3rd degree burns. When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone Treatment includes: Life long hormone replacement Increase salt intake Monitoring ortho BP Don't know? 21 of 100 Term Fexofenadine Choose matching definition regular insulin antiemetic antihistamine anticholinergic Don't know? 22 of 100 Term What are the signs of compartment syndrome? Choose matching definition Haemophilus Influenza B (HiB) Preventable through vaccination at 2 to 4 months visits. Preparing the client for birth Magnesium sulfate Deep tendon reflexes Monitoring clotting factors the 6 Ps Pain Pallor Pulselessness Paresthesias Poikilotherma Paralysis Contact precautions Single use gown Single client room Clean gloves hand hygiene soap/H2o Don't know? 23 of 100 Term Intrathecal administration Choose matching definition Monitoring RN findings Reinforcing education Routine procedures Most medication admin Ostomy care Tube patency and enteral feedng Specific assessments Activities of daily living Hygiene Linene changes Routine, stable vital signs Documenting I&O Positioning ROM Apply protective ointment injection into the cerebrospinal fluid by lumbar puncture A medication used to destroy leukemic cells in the CSF Jaundice manifests within the first 24 hours. Always investigate causes and notify the MD. Don't know? 24 of 100 Term What is DIC? How would this be treated? Choose matching definition AASH: Airway, Altered mental status, Sepsis, Hemorrhage ASK GRAPH: Airway, Sepsis, K changes, Glucose, Lethargy/Grunting, Altered MS, Peritonits, Hemorrhages disseminated intravascular coagulation A BLOOD CLOTTING disease that can turn into uncontrolled bleeding this results from abnormal activation of clotting cascade followed by consumption of clotting factors and platlets Treatment: replacement of clotting factors blood platlets Returning to a previous level of development An adult throwing an temper tantrum while stuck in traffic Its a strip test that help determine between amniotic fluid (alkaline) and normal vaginal fluids or urine (acidic) Yellow, olive, green color means the membrane is intact Blueish color suggest rupture of membrane Don't know? 25 of 100 Term Hemolytic Uremic Syndrome (HUS) What finding will be commonly seen with this condition Choose matching definition Supine position Inspection Auscultation Percussion Palpation Palpation last because it can induce pain A LIFE THREATENING complication of E.coli diarrhea and results in red cell hemolysis, low platelets, and acute kidney injury(low UO) Common to see petechiae Antiemetic used to treat delayed gastric emptying, and GERD Tardive Dyskinesia Protruding or twisting tongue Lip smaking puffing cheeks involuntary movement Dilantin/Anticonvulsant Used to treat tonic-clonic seizures Range: 10 -20 Toxicity: Horizontal Nystagmus Gait unsteadiness Don't know? 26 of 100 Term What is the meaning of the defense mechanism of reaction formation? Give an example Choose matching definition A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION Behaving in a manner of expressing a feeling opposite of ones true feelings A parent disappointed in an unplanned child, becomes overprotective of that child Dissolve clots and restore perfusion ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm Don't know? 27 of 100 Term Bupropion (Wellbutrin) Can this med be chewed, cut or crushed? Choose matching definition Antidepressant NO Poor Perfusion antibiotic Used for C.diff Less than 100ml/hr Don't know? 28 of 100 Term How should a nurse provide care for a patient with schizophrenia and persecutory delusions? Choose matching definition syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions Begins usually after 2 weeks of birth Focus on reality and verbally reinforce it Focus on the clients feeling secondary to the delusions (this is an example of empathy, and therapeutic communication) A LIFE THREATENING complication of E.coli diarrhea and results in red cell hemolysis, low platelets, and acute kidney injury(low UO) Common to see petechiae Intussusception - a type of bowel obstruction with telescoping of a proximal segment of the intestine into an adjacent distal segment COMPROMISES CIRULATION Appears as a red, jelly like stool Bilious vomiting may occur Don't know? 29 of 100 Term What is the normal amount of drainage from a chest tube after an hour of placement? Choose matching definition More than 30ml/hr More than 100ml/hr Less than 100ml/hr Less than 0ml/hr Don't know? 30 of 100 Term What is tissue plasminogen activator (tPA) When should it be administered within? (hours) What is it contraindicated with Choose matching definition Dissolve clots and restore perfusion ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out Pancreatic abscess development Evidenced by increase temperature and increased abdominal pain Fatty, yellow, fouls smelling stools (Steatorrhea) Don't know? 31 of 100 Term What does green amniotic fluid indicate? Choose matching definition fetus has passed meconium in utero High fiber Low sodium Low glycemic index Steven Johnsons Syndrome Can be FATAL therapeutic hypothermia Don't know? 32 of 100 Term What are teratogens? What are the drugs harmful to fetuses? Choose matching definition When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out substances that cause birth defects Phenytoin Lithium Valproate Isotretinoin (BLACK BOX) - acne Methotrexate ACE inhibitors // ARBs Warfarin Doxycycline (sulfa) twisting of the spermatic cord AND testicular ischemia and necrosis from inadequate blood supply Treatment: Surgery Removal of the testes Low fat diet Eat small and frequent Avoid/Limit: Alcohol Tobacco Caffeine Chocolate Peppermint Don't know? 33 of 100 Term What oxygen saturation is concerning for a patient with status asthmatics Choose matching definition Less than 67% Less than 100% Less than 92% Between 98%-100% Don't know? 34 of 100 Term what does the loss of hair on legs indicate? Choose matching definition Poor Ventilation Inadequate Nutrition Poor Perfusion Excess Fluid Volume Don't know? 35 of 100 Term Phenytoin What is this med used for? What is the therapeutic range for this medication? What are symptoms of toxicity? Choose matching definition Dilantin/Anticonvulsant Used to treat tonic-clonic seizures Range: 10 -20 Toxicity: Horizontal Nystagmus Gait unsteadiness Pancreatic abscess development Evidenced by increase temperature and increased abdominal pain Fatty, yellow, fouls smelling stools (Steatorrhea) On an empty stomach Best taken in the morning because they increase metabolism and energy Safe during pregnancy Dissolve clots and restore perfusion ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) Don't know? 36 of 100 Term Who/what role is legally appointment to be the primary decision maker for a patient? What is the role of a __________? Choose matching definition fifth disease; erythema infectious TORCH Transmitted from person to person contact, RESPIRATORY secretions Droplet precautions Parovirus is infectious to the fetus, can cause abnormalities Used to increase HCT & Hgb Stimulates bone marrow to produce RBC's. Usually given IV during dialysis. Side effects: HTN, ↑clotting of vascular access, seizures, & body iron depletions. Sertraline, Escitalopram (-etine, -opram) Selective Serotonin Re-uptake Inhibitors Used to treat Depression and Anxiety Side effect: Sexual dysfunction which is usually under reported WEIGHT GAIN (eat a health diet and regular exercise) It will take about 4-6 weeks to take effect Health care proxy the role is to make decisions for a client who is unable to do so. They should have good understanding of the the clients wishes and be emotionally capable of fulfilling the role Don't know? 37 of 100 Term What IV site is at least risk of infections? What CVC location is at most risk of infection and why? Choose matching definition Preparing the client for birth Magnesium sulfate Deep tendon reflexes Monitoring clotting factors a stimulant used in treating ADHD Effects can be observed quickly after the FIRST DOSE Dorsum of the hand Femoral line because it can easily be contaminated with urine or feces Dissolve clots and restore perfusion ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) Don't know? 38 of 100 Term What is botulinum toxin type A What should you closely monitor while using this drug? Choose matching definition presence of neurological symptoms brought on by psychological stress, without clear physical cause The nurse should validate the clients feelings and educate the using therapeutic communication Botox - a neuromuscular transmission used by inhibiting acetylcholine(excite) release from nerve endings. RELAXATION of skeletal and smooth muscles. Used to treating wrinkles, blepharospasm (eye twitching), and cervical dystonia It is placed to prevent preterm labor This can be placed 12-14 weeks gestation Returning to a previous level of development An adult throwing an temper tantrum while stuck in traffic Don't know? 39 of 100 Term Methylphenidate (Ritalin) After which does do you start to see results of the drug? Choose matching definition Anticoagulant, Direct Thrombin Inhibitor Commonly used for patients with A-Fib and Flutter Do not crush or open pills. KEEP THIS MEDICATION IN ITS ORIGINAL CONTAINER/BOX. A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION Returning to a previous level of development An adult throwing an temper tantrum while stuck in traffic a stimulant used in treating ADHD Effects can be observed quickly after the FIRST DOSE Don't know? 40 of 100 Term Benzotropine What is this medication used to treat? Choose matching definition Anticholinergic Its used to treat parkinsons disease AND Extrapyramidal symptoms (EPS) a stimulant used in treating ADHD Effects can be observed quickly after the FIRST DOSE Contact precautions Single use gown Single client room Clean gloves hand hygiene soap/H2o Haemophilus Influenza B (HiB) Preventable through vaccination at 2 to 4 months visits. Don't know? 41 of 100 Term What condition is commonly associated with PICA? Choose matching definition Diabeta used to treat diabetes mellitus. can cause severe hypoglycemia especially in children Anemia is common with PICA A prolonged and painful Erection Pyloric stenosis Don't know? 42 of 100 Term Addison's disease - what does this effect What are the treatments for this disease? Choose matching definition Transforming unacceptable thoughts and need into acceptable actions A person who is angry takes up boxing to clear excess tension presence of neurological symptoms brought on by psychological stress, without clear physical cause The nurse should validate the clients feelings and educate the using therapeutic communication A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone Treatment includes: Life long hormone replacement Increase salt intake Monitoring ortho BP Don't know? 43 of 100 Term What is the action of Sucralfate? how should it be taken? Choose matching definition Its a strip test that help determine between amniotic fluid (alkaline) and normal vaginal fluids or urine (acidic) Yellow, olive, green color means the membrane is intact Blueish color suggest rupture of membrane Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions Begins usually after 2 weeks of birth An oral medication that forms a protective layer in the gastrointestinal mucosa that provides a physical barrier against stomach acids and enzymes TAKE ON A EMPTY STOMACH w water Other meds should be taken 1 or 2 hours before or after this med! Don't know? 44 of 100 Term What complication is common with elevated levels of serum bilirubin level Choose matching definition Steven Johnsons Syndrome Can be FATAL Fifth disease; erythema infectious torch transmitted from person to person contact, respiratory secretions droplet precautions parovirus is infectious to the fetus, can cause abnormalities Be aware of permanent neurological damage Nephrotoxicity and Ototoxicity (vertigo and tinitis) Don't know? 45 of 100 Term T/F - Food decreases the absorption of iron supplements Choose matching definition True False Don't know? 46 of 100 Term Clozapine (Clozaril) What RF/ADV effect is this med associated with? What must the patients WBC and ANC be to have this drug? Choose matching definition antipsychotic anticholinergic Associated with agranulocytosis CBC must be GEATER than 3500 ANC must be GREATER than 2000 Dilantin/Anticonvulsant Used to treat tonic-clonic seizures Range: 10 -20 Toxicity: Horizontal Nystagmus Gait unsteadiness Pancreatic abscess development Evidenced by increase temperature and increased abdominal pain Fatty, yellow, fouls smelling stools (Steatorrhea) Dissolve clots and restore perfusion ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) Don't know? 47 of 100 Term What is Trazadone? What is this used for? What are the common adverse effects of this medication? Choose matching definition substances that cause birth defects Phenytoin Lithium Valproate Isotretinoin (BLACK BOX) - acne Methotrexate ACE inhibitors // ARBs Warfarin Doxycycline (sulfa) Dissolve clots and restore perfusion ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) Propranolol Nadolol Timolol This medication has beta 2 blocking effect that results in bronchial smooth muscle constriction A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION Don't know? 48 of 100 Term Hodgkin's lymphoma What are typical signs and symptoms of this disease? Choose matching definition antipsychotic anticholinergic Associated with agranulocytosis CBC must be GEATER than 3500 ANC must be GREATER than 2000 Propranolol Nadolol Timolol This medication has beta 2 blocking effect that results in bronchial smooth muscle constriction -Increase fluids -Cool mist humidifier -Guaifensein (expectorant) -Huff coughing - abdominal breathing with a huff, and expiratory cough technique chronic malignant disease of the lymph nodes affects the lympathic system S/S include: Sweats Painless Enlarged lymph nodes Fever Fatigue Don't know? 49 of 100 Term characteristic of hyperosmolar hyperglycemia Choose matching definition -Increase fluids -Cool mist humidifier -Guaifensein (expectorant) -Huff coughing - abdominal breathing with a huff, and expiratory cough technique Type 1 diabetes Younger age More rapid onset o hyperglycemia Hyperventilation Abdominal pain Glucose 250-500 Bicarb <18 Elevated anion gap KETONES serum osm <320 the 6 Ps Pain Pallor Pulselessness Paresthesias Poikilotherma Paralysis Type 2 diabetes Older age Altered mental status Gradual onset of hyperglycemia Hyperventilation glucose >600 BECAUSE people with type 2 can develop some insulin, the symptoms occur gradually Don't know? 50 of 100 Term Dabigatran (Pradaxa) What condition is this used for? Why? Where should you keep these pills? Choose matching definition antipsychotic anticholinergic Associated with agranulocytosis CBC must be GEATER than 3500 ANC must be GREATER than 2000 Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm Anticoagulant, Direct Thrombin Inhibitor Commonly used for patients with A-Fib and Flutter Do not crush or open pills. KEEP THIS MEDICATION IN ITS ORIGINAL CONTAINER/BOX. Intussusception - a type of bowel obstruction with telescoping of a proximal segment of the intestine into an adjacent distal segment COMPROMISES CIRULATION Appears as a red, jelly like stool Bilious vomiting may occur Don't know? 51 of 100 Term What is a common symptom to Rotavirus? Choose matching definition Diarrhea Vomiting Weight Gain Nausea Don't know? 52 of 100 Term What task are delegated to an LPN? Choose matching definition Monitoring RN findings Reinforcing education Routine procedures Most medication admin Ostomy care Tube patency and enteral feedng Specific assessments Behaving in a manner of expressing a feeling opposite of ones true feelings A parent disappointed in an unplanned child, becomes overprotective of that child substances that cause birth defects Phenytoin Lithium Valproate Isotretinoin (BLACK BOX) - acne Methotrexate ACE inhibitors // ARBs Warfarin Doxycycline (sulfa) Transforming unacceptable thoughts and need into acceptable actions A person who is angry takes up boxing to clear excess tension Don't know? 53 of 100 Term How should patients be roomed together? Choose matching definition fetus has passed meconium in utero Nephrotoxicity and Ototoxicity (vertigo and tinitis) Patients with varying medical histories should be roomed together Patients with the same organism should be roomed together Don't know? 54 of 100 Term Metoclopramide (Reglan) Choose matching definition Analgesic Antiemetic Antihistamine Muscle Relaxant Don't know? 55 of 100 Term What is required for airborne precautions? Choose matching definition Gloves N95 Mask Surgical Gloves Surgical Mask Don't know? 56 of 100 Term What is the best indicator of improve nutrition and response to treatment of malnuttirion? Choose matching definition Diarrhea Weight gain Chest pain Weight loss Don't know? 57 of 100 Term Isotreninoin use Choose matching definition Inflammation that occurs in the arterial walls. Mostly common in CHILDHOOD Includes: Joint pain Fever STRAWBERRY tounge Rash Cardiac involvement alendronate inhibit osteoclast to allow bone mineralization to occur more quickly injection into the cerebrospinal fluid by lumbar puncture A medication used to destroy leukemic cells in the CSF Used for cystic acne! Also a BLACK BOX medication Mot safe during pregnancy Don't know? 58 of 100 Term gullian-barre syndrome Choose matching definition Used to increase HCT & Hgb Stimulates bone marrow to produce RBC's. Usually given IV during dialysis. Side effects: HTN, ↑clotting of vascular access, seizures, & body iron depletions. AASH: Airway, Altered mental status, Sepsis, Hemorrhage ASK GRAPH: Airway, Sepsis, K changes, Glucose, Lethargy/Grunting, Altered MS, Peritonits, Hemorrhages Type 1 diabetes Younger age More rapid onset o hyperglycemia Hyperventilation Abdominal pain Glucose 250-500 Bicarb <18 Elevated anion gap KETONES serum osm <320 ascending symmetric muscle paralysis and areflexia (no reflexes), watch for respiratory problems. Usually occurs after a respiratory or GI infections that triggers this immune response Don't know? 59 of 100 Term How are thyroid medications best absorbed? What time of the day should they be taken? Are they safe to take during pregnancy? Choose matching definition substances that cause birth defects Phenytoin Lithium Valproate Isotretinoin (BLACK BOX) - acne Methotrexate ACE inhibitors // ARBs Warfarin Doxycycline (sulfa) Dissolve clots and restore perfusion ADMINISTER within 3 to 4 hours Contraindicated in patients with recent surgeries (2 weeks) antipsychotic anticholinergic Associated with agranulocytosis CBC must be GEATER than 3500 ANC must be GREATER than 2000 On an empty stomach Best taken in the morning because they increase metabolism and energy Safe during pregnancy Don't know? 60 of 100 Term Pathological Jaundice of the Newborn Choose matching definition Monitoring RN findings Reinforcing education Routine procedures Most medication admin Ostomy care Tube patency and enteral feedng Specific assessments Clinical assessment Initial client education Discharge education Clinical judgment Initiating blood transfusion Jaundice manifests within the first 24 hours. Always investigate causes and notify the MD. alendronate inhibit osteoclast to allow bone mineralization to occur more quickly Don't know? 61 of 100 Term Curling's ulcer Choose matching definition inflammation of the skin due to excessive exposure to sunlight a condition caused by the overproduction of stomach acid leading to indigestion a type of infection that affects the respiratory system ulceration of gastric or duodenal tissue as a result of burn or trauma or STRESS Don't know? 62 of 100 Term What insulin is the ONLY insulin administered IV Push? Choose matching definition Insulin Aspart Insulin Lispro Regular Insulin Nph Insulin Don't know? 63 of 100 Term What is the meaning of the defense mechanism of Introjection? Give an example Choose matching definition When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out Returning to a previous level of development An adult throwing an temper tantrum while stuck in traffic A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION It is placed to prevent preterm labor This can be placed 12-14 weeks gestation Don't know? 64 of 100 Term Digoxin (Lanoxin) What should be monitored while on this medication? What the symptoms of Digoxin toxicity Choose matching definition Intussusception - a type of bowel obstruction with telescoping of a proximal segment of the intestine into an adjacent distal segment COMPROMISES CIRULATION Appears as a red, jelly like stool Bilious vomiting may occur chronic malignant disease of the lymph nodes affects the lympathic system S/S include: Sweats Painless Enlarged lymph nodes Fever Fatigue Gout, Anti-gout medication Used to decrease/prevent levels of Uric Acid Takes with full glass of water to prevents complications with kidneys and nausea. COMPLICATION: Rash - which can indicate a hypersensitivity and develop to Stevens Johnsons Syndrome cardiac glycoside Be sure to monitor patients HR Toxicity: Visual symptoms Gastrointestinal (N/V) Neurologic manifestions Positive Inotropic Effects (increase Cardiac Output) and Negative Chronotropic Effects (Decrease Heart Rate) Don't know? 65 of 100 Term Cyclobenzaprine (Flexeril) Choose matching definition Muscle Relaxant Antiemetic Weight Gain Antihistamine Don't know? 66 of 100 Term Mononucleosis What is the sudden symptoms that presents with the condition? Choose matching definition Anticholinergic Its used to treat parkinsons disease AND Extrapyramidal symptoms (EPS) Ditropan (anticholinergic) Used to treat overreactive bladder Be cautious in hot weather and during physical activity Low fat diet Eat small and frequent Avoid/Limit: Alcohol Tobacco Caffeine Chocolate Peppermint A RUPTERED SPLEEN condition caused by Epstein Barr virus. Sudden onset of left upper quadrant abdominal pain Don't know? 67 of 100 Term What are some lifestyle modifications that help reduce symptoms of GERD? Choose matching definition Hemorrhage!! Bone fragments and sever the veins or arteries in the pelvis Clinical assessment Initial client education Discharge education Clinical judgment Initiating blood transfusion On an empty stomach Best taken in the morning because they increase metabolism and energy Safe during pregnancy Low fat diet Eat small and frequent Avoid/Limit: Alcohol Tobacco Caffeine Chocolate Peppermint Don't know? 68 of 100 Term Montgomery straps are used for clients Choose matching definition That are undergoing chemotherapy and require special nutrition Who have chronic pain and need pain management strategies Who need assistance with mobility and physical therapy That require frequent dressing changes or if they are allergic to certian tapes Don't know? 69 of 100 Term What is postpartum psychosis? How long after birth, can this condition occur? Choose matching definition Behaving in a manner of expressing a feeling opposite of ones true feelings A parent disappointed in an unplanned child, becomes overprotective of that child syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions Begins usually after 2 weeks of birth Transforming unacceptable thoughts and need into acceptable actions A person who is angry takes up boxing to clear excess tension presence of more than 3 metabolic health factors that increase risk for stroke, diabetes mellitus and cardiovascular disease INCLUDING: HIGH BP LOW HDL Abdominal obesity HIGH Trigylerides HIGH fasting glucose Don't know? 70 of 100 Term Tetracycline/Doxycycline // Sulfa Drugs What are common complications with these type of drugs Choose matching definition Therapeutic Hypothermia Low fat diet Eat small and frequent Avoid/Limit: Alcohol Tobacco Caffeine Chocolate Peppermint Sulfa Drugs: Tetracyclines Antibiotics Complication: Sun Burn a stimulant used in treating ADHD Effects can be observed quickly after the FIRST DOSE Don't know? 71 of 100 Term Life before limb Choose matching definition prioritize interventions for a client in shock over interventions for a client who has a localized limb injury prioritize interventions for a client with a minor cut over interventions for a client in shock prioritize interventions for a client with a headache over interventions for a client in shock prioritize interventions for a client with a broken limb over interventions for a client in shock Don't know? 72 of 100 Term What is the antidote to BENZOS Choose matching definition Naloxone Diarrhea Flumazenil Pyloric Stenosis Don't know? 73 of 100 Term Biphosphonates Choose matching definition Bacterial infection that occurs after A BITE Includes: BULLS EYE Flu like symptoms fever joint pain alendronate inhibit osteoclast to allow bone mineralization to occur more quickly ulceration of gastric or duodenal tissue as a result of burn or trauma or STRESS abnormal softening of bones in adults this occurs when the body is unable to use calcium and phosphorus for bone calcification due to vitamin D deficiency Don't know? 74 of 100 Term What's methotrexate? Choose matching definition Gout, anti-gout medication used to decrease/prevent levels of uric acid takes with full glass of water to prevents complications with kidneys and nausea. complication: rash - which can indicate a hypersensitivity and develop to stevens johnsons syndrome calcium channel blocker Lowers blood pressure Csf a complication Anti-cancer medication Used to slow cancer cells Don't know? 75 of 100 Term Peak flow meter How do you use it? Choose matching definition a handheld device often used to test those with asthma to measure how quickly the patient can expel air exhale a complete breath as quickly as possible Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out Creates a MegaColon lack of specialized nerve cells in portions of the distal intestine, resulting in the inability of the internal anal sphincter to relax Don't know? 76 of 100 Term How often do you assess a patients weaning readiness on a ventilator? Choose matching definition Monthly Annually Daily Weekly Don't know? 77 of 100 Term What can a new painful skin rash indicate? Choose matching definition Steven Johnsons Syndrome Can be FATAL It is Placed to Prevent Preterm Labor this can be Placed 12-14 Weeks Gestation Patients with the same Organism should be Roomed Together Fetus has Passed Meconium in Utero Don't know? 78 of 100 Term What medications should be avoided with patients with asthma? Why? Choose matching definition High fiber Low sodium Low glycemic index Gout, anti-gout medication used to decrease/prevent levels of uric acid takes with full glass of water to prevents complications with kidneys and nausea. complication: rash - which can indicate a hypersensitivity and develop to stevens johnsons syndrome Ibuprofen and Aspirin These can cause bronchspams Preparing the client for birth Magnesium sulfate Deep tendon reflexes Monitoring clotting factors Don't know? 79 of 100 Term In newborns, what is the normal percent of weight loss? Choose matching definition 15% 50% 25% 10% Don't know? 80 of 100 Term Phenylketonuria (PKU) What is needed to manage this conditon? Choose matching definition Severe blistering of the skin, with mucous membrane involvement and fever Can be FATAL Begins with flu like symptoms, painful and purple/red rash. Resembles 3rd degree burns. Its a strip test that help determine between amniotic fluid (alkaline) and normal vaginal fluids or urine (acidic) Yellow, olive, green color means the membrane is intact Blueish color suggest rupture of membrane a disorder related to a defective recessive gene on chromosome 12 that prevents metabolism of phenylalanine Manage: Low phenylalanine diet NO meat or dairy A serotonin modulator Used to treat Major depressive Disorders Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION Don't know? 81 of 100 Term Hodgkin's lymphoma What is used to treat this condition? Choose matching definition occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone Treatment includes: Life long hormone replacement Increase salt intake Monitoring ortho BP syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions Begins usually after 2 weeks of birth twisting of the spermatic cord AND testicular ischemia and necrosis from inadequate blood supply Treatment: Surgery Removal of the testes A form of cancer characterized by abnormal growth of lymphocytes Treatment: chemotherapy and external bean radiation therapy. Don't know? 82 of 100 Term What are some examples of SSRIs? What are they and what is a common adverse effect of there use? How long does it take for this medication to take effect? Choose matching definition disseminated intravascular coagulation A BLOOD CLOTTING disease that can turn into uncontrolled bleeding this results from abnormal activation of clotting cascade followed by consumption of clotting factors and platlets Treatment: replacement of clotting factors blood platlets When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out fifth disease; erythema infectious TORCH Transmitted from person to person contact, RESPIRATORY secretions Droplet precautions Parovirus is infectious to the fetus, can cause abnormalities Sertraline, Escitalopram (-etine, -opram) Selective Serotonin Re-uptake Inhibitors Used to treat Depression and Anxiety Side effect: Sexual dysfunction which is usually under reported WEIGHT GAIN (eat a health diet and regular exercise) It will take about 4-6 weeks to take effect Don't know? 83 of 100 Term What is the 9th cranial nerve? Choose matching definition Facial Subcutaneous Vestibulocochlear Glossopharyngeal Don't know? 84 of 100 Term What is priapism? Is it painful? Choose matching definition Csf a complication Poor perfusion Painful urination A prolonged and painful erection Don't know? 85 of 100 Term Hirschsprung disease Choose matching definition Creates a MegaColon lack of specialized nerve cells in portions of the distal intestine, resulting in the inability of the internal anal sphincter to relax Monitoring RN findings Reinforcing education Routine procedures Most medication admin Ostomy care Tube patency and enteral feedng Specific assessments injection into the cerebrospinal fluid by lumbar puncture A medication used to destroy leukemic cells in the CSF Type 1 diabetes Younger age More rapid onset o hyperglycemia Hyperventilation Abdominal pain Glucose 250-500 Bicarb <18 Elevated anion gap KETONES serum osm <320 Don't know? 86 of 100 Term Lyme disease Choose matching definition Anticholinergic Its used to treat parkinsons disease AND Extrapyramidal symptoms (EPS) Jaundice manifests within the first 24 hours. Always investigate causes and notify the MD. Bacterial infection that occurs after A BITE Includes: BULLS EYE Flu like symptoms fever joint pain Activities of daily living Hygiene Linene changes Routine, stable vital signs Documenting I&O Positioning ROM Apply protective ointment Don't know? 87 of 100 Term what is Epoetin alfa? Choose matching definition Its a strip test that help determine between amniotic fluid (alkaline) and normal vaginal fluids or urine (acidic) Yellow, olive, green color means the membrane is intact Blueish color suggest rupture of membrane Used to increase HCT & Hgb Stimulates bone marrow to produce RBC's. Usually given IV during dialysis. Side effects: HTN, ↑clotting of vascular access, seizures, & body iron depletions. Sentinel Unanticipated, preventable errors that cause significant harm or death Near-miss Medical errors that are identified before reaching the clients and does not cause harm presence of more than 3 metabolic health factors that increase risk for stroke, diabetes mellitus and cardiovascular disease INCLUDING: HIGH BP LOW HDL Abdominal obesity HIGH Trigylerides HIGH fasting glucose Don't know? 88 of 100 Term are NSAIDs such as ibuprofen recommended during pregnancy? Choose matching definition Yes No Don't know? 89 of 100 Term Pulsatile Mass Choose matching definition Irregular pulse in the neck, possible thyroid issue Rapid heartbeat in the chest, possible heart attack Weak pulse in the extremities, possible peripheral artery disease Strong pulse of midline abdomen, possible aortic aneurysm Don't know? 90 of 100 Term What is the meaning of the defense mechanism of regression? Give an example Choose matching definition Preparing the client for birth Magnesium sulfate Deep tendon reflexes Monitoring clotting factors Returning to a previous level of development An adult throwing an temper tantrum while stuck in traffic When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out It is placed to prevent preterm labor This can be placed 12-14 weeks gestation Don't know? 91 of 100 Term After how many hours can a nurse consider a patient stabilized enough to eat after having a stroke? Choose matching definition 12 hours 24 hours 48 hours 72 hours Don't know? 92 of 100 Term Where would you hear a friction rub? Choose matching definition Gas producing foods such as broccoli ect AND Foods with seeds That require frequent dressing changes or if they are allergic to certian tapes Left lower sternal border Erbs point 3rd intercostal space Anti-cancer medication Used to slow cancer cells Don't know? 93 of 100 Term What are interventions to help reduce viscosity of mucus? Choose matching definition Propranolol Nadolol Timolol This medication has beta 2 blocking effect that results in bronchial smooth muscle constriction substances that cause birth defects Phenytoin Lithium Valproate Isotretinoin (BLACK BOX) - acne Methotrexate ACE inhibitors // ARBs Warfarin Doxycycline (sulfa) -Increase fluids -Cool mist humidifier -Guaifensein (expectorant) -Huff coughing - abdominal breathing with a huff, and expiratory cough technique Its a strip test that help determine between amniotic fluid (alkaline) and normal vaginal fluids or urine (acidic) Yellow, olive, green color means the membrane is intact Blueish color suggest rupture of membrane Don't know? 94 of 100 Term How long should unused prepared formula be kept in the fridge? Choose matching definition 48 hours 72 hours 12 hours 24 hours Don't know? 95 of 100 Term What is the meaning of the defense mechanism of sublimation? Give an example Choose matching definition Haemophilus Influenza B (HiB) Preventable through vaccination at 2 to 4 months visits. Transforming unacceptable thoughts and need into acceptable actions A person who is angry takes up boxing to clear excess tension Its a strip test that help determine between amniotic fluid (alkaline) and normal vaginal fluids or urine (acidic) Yellow, olive, green color means the membrane is intact Blueish color suggest rupture of membrane Behaving in a manner of expressing a feeling opposite of ones true feelings A parent disappointed in an unplanned child, becomes overprotective of that child Don't know? 96 of 100 Term characteristic of DKA Choose matching definition Type 2 diabetes Older age Altered mental status Gradual onset of hyperglycemia Hyperventilation glucose >600 BECAUSE people with type 2 can develop some insulin, the symptoms occur gradually Used to increase HCT & Hgb Stimulates bone marrow to produce RBC's. Usually given IV during dialysis. Side effects: HTN, ↑clotting of vascular access, seizures, & body iron depletions. Type 1 diabetes Younger age More rapid onset o hyperglycemia Hyperventilation Abdominal pain Glucose 250-500 Bicarb <18 Elevated anion gap KETONES serum osm <320 Creates a MegaColon lack of specialized nerve cells in portions of the distal intestine, resulting in the inability of the internal anal sphincter to relax Don't know? 97 of 100 Term Conversion Disorder (Functional Neurological Symptom Disorder) What should the nurse do for this patient? Choose matching definition syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions Begins usually after 2 weeks of birth presence of neurological symptoms brought on by psychological stress, without clear physical cause The nurse should validate the clients feelings and educate the using therapeutic communication cardiac glycoside Be sure to monitor patients HR Toxicity: Visual symptoms Gastrointestinal (N/V) Neurologic manifestions Positive Inotropic Effects (increase Cardiac Output) and Negative Chronotropic Effects (Decrease Heart Rate) Botox - a neuromuscular transmission used by inhibiting acetylcholine(excite) release from nerve endings. RELAXATION of skeletal and smooth muscles. Used to treating wrinkles, blepharospasm (eye twitching), and cervical dystonia Don't know? 98 of 100 Term What is the function of a cervical cerclage? When can you place this in patients? what term gestation? Choose matching definition It is placed to prevent preterm labor This can be placed 12-14 weeks gestation Returning to a previous level of development An adult throwing an temper tantrum while stuck in traffic When someone takes on another persons attitudes and beliefs. Someone who doesn't like working out dates someone who is a personal trainer and now works out Transforming unacceptable thoughts and need into acceptable actions A person who is angry takes up boxing to clear excess tension Don't know? 99 of 100 Term Patients with acute pancreatitis are a risk for what complication? As evidence by what symptoms? What type of bowel movement is commonly associated with this condition? Choose matching definition Behaving in a manner of expressing a feeling opposite of ones true feelings A parent disappointed in an unplanned child, becomes overprotective of that child Pancreatic abscess development Evidenced by increase temperature and increased abdominal pain Fatty, yellow, fouls smelling stools (Steatorrhea) Its a strip test that help determine between amniotic fluid (alkaline) and normal vaginal fluids or urine (acidic) Yellow, olive, green color means the membrane is intact Blueish color suggest rupture of membrane AASH: Airway, Altered mental status, Sepsis, Hemorrhage ASK GRAPH: Airway, Sepsis, K changes, Glucose, Lethargy/Grunting, Altered MS, Peritonits, Hemorrhages