NCLEX-RN EXAM REVIEW with correct
answers
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - CORRECT ANSWERS-Nonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
Aldosterone attracts what? - CORRECT ANSWERS-Sodium
aminoglycosides (mycins) - CORRECT ANSWERS-
Angiotensin II in the lungs is a potent? - CORRECT ANSWERS-vasodialator
At what pain level should an Opioid Analgesic be considered? - CORRECT ANSWERS-
Pain level of 6 or greater. Opioids are used for moderate to severe pain.
Define fluid volume excess: Hypervolemia - CORRECT ANSWERS-too much fluid in
the vascular space (first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.
DO NOT delegate what you can EAT - CORRECT ANSWERS-E = evaluate
A = assess
T = teach
EPI is always given in what type of syringe - CORRECT ANSWERS-TB syringe
HIV Nursing and Collaborative Management includes... - CORRECT ANSWERS--
Monitor disease progression and immune function
-Initiate and monitor (ART) antiretroviral therapy: to decrease viral load and increase T
cell count
-prevent development of opportunistic diseases
-detect and treat opportunistic diseases
-manage symptoms
-prevent or decrease complications of treatment
-prevent transmission of HIV
,How do you convert Centigrade to Fahrenheit - CORRECT ANSWERS-C+40, multiply
9/5 and subtract 40
How do you convert Fahrenheit to Centigrade - CORRECT ANSWERS-F+40, multiply
5/9 and subtract 40
How do you test for the Chvostek sign and what happens if there is a positive
response? - CORRECT ANSWERS-Elicitation: Tapping on the face at a point just
anterior
to the ear and just below the zygomatic bone
Postitive response: Twitching of the ipsilateral facial
muscles, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you test for the Trousseau's sign and what happens if there is a positive
response? - CORRECT ANSWERS-Elicitation: Inflating a sphygmomanometer cuff
above
systolic blood pressure for several minutes
Positive response: Muscular contraction including flexion of the wrist and
metacarpophalangeal joints,
hyperextension of the fingers, and flexion of the thumb
on the palm, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you treat fluid volume deficits? - CORRECT ANSWERS-Strict I&O
Replace with isotonic fluids
monitor Bp
weight daily
How does atrial natriuretic peptide (ANP) work? - CORRECT ANSWERS-It is the
opposite of aldosterone, so it causes excretion of Nas and H2O
How often is nitroglycerine administered and when should you not give it? - CORRECT
ANSWERS-up to 3 times (every 5 minutes) do not give when BO is less than 90/60
How should you address questions related to Maslow's Hierarchy of Needs - CORRECT
ANSWERS-Address physiological needs first, followed by safety and security needs,
love and belonging needs, self esteem needs and finally self actualization needs.
*When a physiological need is not addressed in the question, look for the option that
addresses safety.
How would you treat fluid volume excess? - CORRECT ANSWERS-Give Diuretics
(Lasix), fluid restrictions, weigh daily, monitor K+
, If a question is related to the nursing process, read the question to determine the step of
the nursing process. What are the steps in the nursing process and what kind of
question might be related to that step. - CORRECT ANSWERS-Assessment question
address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional information,
identify and communicate nursing diagnoses and determine the health team's ability to
meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying outcomes of care.
Implementation questions reflect the management and organization of care and the
assignment and delegation of tasks. Be prepared for questions on client teaching.
Evaluation questions focus on comparing the actual outcomes of care with the expected
outcomes and on communicating and documenting findings.
If PVC's are left untreated what can it lead to? - CORRECT ANSWERS-Ventricular
fibrillation
Name 3 Invasive non-pharmacological pain relief techniques. - CORRECT ANSWERS-
Nerve blocks
Interruption of neural pathways
Acupuncture
Name 3 types of IV fluids - CORRECT ANSWERS-Isotonic: 0.9% NS, LR, and D5w
Hypotonic: 0.5% NS, 0.45% NS
Hypertonic: d5 0.45% NS, D5LR, D5NS
Name 4 types of Nonopioid Analgesics - CORRECT ANSWERS-1. Acetaminophen:
Tylenol
2. Salicylates: Aspirin, Trilisate
3. NSAIDS: ibuprofen, Indomethacin, Ketorolac, Diclofenac
4. COX-2 inhibitors: Celebrex
Name 5 non-invasive non-pharmacological pain relief techniques (1st choice of pain
relief) - CORRECT ANSWERS-Ten's
heat and cold application
message therapy
relaxation techniques
guided imagery
biofeedback techniques
Never IV push what electroylte - CORRECT ANSWERS-K+
answers
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - CORRECT ANSWERS-Nonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
Aldosterone attracts what? - CORRECT ANSWERS-Sodium
aminoglycosides (mycins) - CORRECT ANSWERS-
Angiotensin II in the lungs is a potent? - CORRECT ANSWERS-vasodialator
At what pain level should an Opioid Analgesic be considered? - CORRECT ANSWERS-
Pain level of 6 or greater. Opioids are used for moderate to severe pain.
Define fluid volume excess: Hypervolemia - CORRECT ANSWERS-too much fluid in
the vascular space (first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.
DO NOT delegate what you can EAT - CORRECT ANSWERS-E = evaluate
A = assess
T = teach
EPI is always given in what type of syringe - CORRECT ANSWERS-TB syringe
HIV Nursing and Collaborative Management includes... - CORRECT ANSWERS--
Monitor disease progression and immune function
-Initiate and monitor (ART) antiretroviral therapy: to decrease viral load and increase T
cell count
-prevent development of opportunistic diseases
-detect and treat opportunistic diseases
-manage symptoms
-prevent or decrease complications of treatment
-prevent transmission of HIV
,How do you convert Centigrade to Fahrenheit - CORRECT ANSWERS-C+40, multiply
9/5 and subtract 40
How do you convert Fahrenheit to Centigrade - CORRECT ANSWERS-F+40, multiply
5/9 and subtract 40
How do you test for the Chvostek sign and what happens if there is a positive
response? - CORRECT ANSWERS-Elicitation: Tapping on the face at a point just
anterior
to the ear and just below the zygomatic bone
Postitive response: Twitching of the ipsilateral facial
muscles, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you test for the Trousseau's sign and what happens if there is a positive
response? - CORRECT ANSWERS-Elicitation: Inflating a sphygmomanometer cuff
above
systolic blood pressure for several minutes
Positive response: Muscular contraction including flexion of the wrist and
metacarpophalangeal joints,
hyperextension of the fingers, and flexion of the thumb
on the palm, suggestive of neuromuscular excitability
caused by hypocalcemia
How do you treat fluid volume deficits? - CORRECT ANSWERS-Strict I&O
Replace with isotonic fluids
monitor Bp
weight daily
How does atrial natriuretic peptide (ANP) work? - CORRECT ANSWERS-It is the
opposite of aldosterone, so it causes excretion of Nas and H2O
How often is nitroglycerine administered and when should you not give it? - CORRECT
ANSWERS-up to 3 times (every 5 minutes) do not give when BO is less than 90/60
How should you address questions related to Maslow's Hierarchy of Needs - CORRECT
ANSWERS-Address physiological needs first, followed by safety and security needs,
love and belonging needs, self esteem needs and finally self actualization needs.
*When a physiological need is not addressed in the question, look for the option that
addresses safety.
How would you treat fluid volume excess? - CORRECT ANSWERS-Give Diuretics
(Lasix), fluid restrictions, weigh daily, monitor K+
, If a question is related to the nursing process, read the question to determine the step of
the nursing process. What are the steps in the nursing process and what kind of
question might be related to that step. - CORRECT ANSWERS-Assessment question
address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional information,
identify and communicate nursing diagnoses and determine the health team's ability to
meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying outcomes of care.
Implementation questions reflect the management and organization of care and the
assignment and delegation of tasks. Be prepared for questions on client teaching.
Evaluation questions focus on comparing the actual outcomes of care with the expected
outcomes and on communicating and documenting findings.
If PVC's are left untreated what can it lead to? - CORRECT ANSWERS-Ventricular
fibrillation
Name 3 Invasive non-pharmacological pain relief techniques. - CORRECT ANSWERS-
Nerve blocks
Interruption of neural pathways
Acupuncture
Name 3 types of IV fluids - CORRECT ANSWERS-Isotonic: 0.9% NS, LR, and D5w
Hypotonic: 0.5% NS, 0.45% NS
Hypertonic: d5 0.45% NS, D5LR, D5NS
Name 4 types of Nonopioid Analgesics - CORRECT ANSWERS-1. Acetaminophen:
Tylenol
2. Salicylates: Aspirin, Trilisate
3. NSAIDS: ibuprofen, Indomethacin, Ketorolac, Diclofenac
4. COX-2 inhibitors: Celebrex
Name 5 non-invasive non-pharmacological pain relief techniques (1st choice of pain
relief) - CORRECT ANSWERS-Ten's
heat and cold application
message therapy
relaxation techniques
guided imagery
biofeedback techniques
Never IV push what electroylte - CORRECT ANSWERS-K+
