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NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio GI, Endocrine, Integumentary (Test Bank) Latest 2025/2026, A+ Guide.

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NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio GI, Endocrine, Integumentary (Test Bank) Latest 2025/2026, A+ Guide. Acetaminophen (Tylenol) is what type of drug? What is the maximum recommended dosage? What should you monitor? - AMSNonopioid Analgesics. Max dose: 4000 mg (4 g) in 24 hrs Monitor liver function Aldosterone attracts what? - AMSSodium aminoglycosides (mycins) - AMS Angiotensin II in the lungs is a potent? - AMSvasodialator At what pain level should an Opioid Analgesic be considered? - AMSPain level of 6 or greater. Opioids are used for moderate to severe pain. Define fluid volume excess: Hypervolemia - AMStoo much fluid in the vascular space (first). Vascular equals the vessels -- veins, arteries, capillaries, heart chambers, etc. DO NOT delegate what you can EAT - AMSE = evaluate A = assess T = teach EPI is always given in what type of syringe - AMSTB syringe HIV Nursing and Collaborative Management includes... - AMS- 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 - AMSC+40, multiply 9/5 and subtract 40 How do you convert Fahrenheit to Centigrade - AMSF+40, multiply 5/9 and subtract 40 How do you test for the Chvostek sign and what happens if there is a positive response? - AMSElicitation: 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? - AMSElicitation: 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? - AMSStrict I&O Replace with isotonic fluids monitor Bp weight daily How does atrial natriuretic peptide (ANP) work? - AMSIt 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? - AMSup 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 - AMSAddress 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? - AMSGive 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. - AMSAssessment 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? - AMSVentricular fibrillation Name 3 Invasive non-pharmacological pain relief techniques. - AMSNerve blocks Interruption of neural pathways Acupuncture Name 3 types of IV fluids - AMSIsotonic: 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 - AMS1. Acetaminophen: Tylenol 2. Salicylates: Aspirin, Trilisate 3. NSAIDS: ibuprofen, Indomethacin, Ketorolac, Diclofenac 4. COX-2 inhibitors: Celebrex

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NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
GI, Endocrine, Integumentary (Test Bank) Latest
2025/2026, A+ Guide.
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - AMSNonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function

Aldosterone attracts what? - AMSSodium

aminoglycosides (mycins) - AMS

Angiotensin II in the lungs is a potent? - AMSvasodialator

At what pain level should an Opioid Analgesic be considered? - AMSPain level of 6 or greater. Opioids
are used for moderate to severe pain.

Define fluid volume excess: Hypervolemia - AMStoo much fluid in the vascular space (first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.

DO NOT delegate what you can EAT - AMSE = evaluate
A = assess
T = teach

EPI is always given in what type of syringe - AMSTB syringe

HIV Nursing and Collaborative Management includes... - AMS- 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 - AMSC+40, multiply 9/5 and subtract 40

How do you convert Fahrenheit to Centigrade - AMSF+40, multiply 5/9 and subtract 40

How do you test for the Chvostek sign and what happens if there is a positive response? - AMSElicitation:
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? -
AMSElicitation: 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? - AMSStrict I&O
Replace with isotonic fluids
monitor Bp
weight daily

How does atrial natriuretic peptide (ANP) work? - AMSIt 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? - AMSup 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 - AMSAddress 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? - AMSGive 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. - AMSAssessment 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? - AMSVentricular fibrillation

Name 3 Invasive non-pharmacological pain relief techniques. - AMSNerve blocks
Interruption of neural pathways
Acupuncture

Name 3 types of IV fluids - AMSIsotonic: 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 - AMS1. 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) - AMSTen's
heat and cold application

,message therapy
relaxation techniques
guided imagery
biofeedback techniques

Never IV push what electroylte - AMSK+

Nursing assessment r/t HIV - AMS-Positive result on enzyme-linked immunosorbed assay (ELISA)
- CONFIRMED WITH WESTERN BLOT TEST
-Polymerase chain reaction (PCR) - used with neonate
- OraQuick In-Home HIV Test: positive result is only preliminary; it must be confirmed by a healthcare
professional.

**Ongoing assessment, interaction with the client, and client education and support are required.***

- NCLEX testing - never choose abstinence, choose educate!

Related to mental Health, how long can an involuntary admission last? - AMS72 hours

To much CO2 causes what? - AMSvasoconstriction

What dare dlow drisk dtherapies d- dAMSLow-risk dtherapies dare dtherapies dthat dhave dno dadverse
deffects dand, dwhen dimplementing dcare, dcan dbe dused dby dthe dnurse dwho dhas dtraining dand
dexperience din dtheir duse. dLow-risk dtherapies dinclude dmeditation, drelaxation dtechniques, dimagery,
dmusic dtherapy, dmassage, dtouch, dlaughter dand dhumor, dand dspiritual dmeasures, dsuch das dprayer.

What dare dnosocomial dinfections d- dAMSInfections dacquired das da dresult dof dexposure dto da
dmicroorganism din dthe dhospital dsetting

What dare dnurses dresponsible dfor drelated dto dthe dstandards dof dcare? d- dAMSNurses dare
dresponsible dfor dperforming dprocedures dcorrectly dand dexercising dprofessional djudgment dwhen
dimplementing dhealthcare dproviders dprescriptions.

What dare dsome dexamples dof dNon-opioid dAnalgesic dpain dmedications d- dAMSAcetaminophen
d(Tylenol)
Salicylates: d
- dAspirin
- dCholine dmagnesium dtrisalcylate d(Trilisate)
NSAIDs: d
- dIbuprofen
- dIndomethacin
- dKetorolac
- dDiclofenac dK d
Cyclooxygenase-2 d(COX-2) dinhibitors
- dCelecoxib

What dare dsome dHIV dMedications d- dAMSNucleoside dreverse dtranscriptase dinhibitors d(NRTIs)
-zidovudine d(AZT, dZDV, dRetrovir)
-lamivudine
-abacavir
-emtricitabine
Nucleotide dreverse dtranscriptase dinhibitor d(NtRTI)
- dTenofovir dDF d(Viread)

What dare dsome dsymptoms dof dfluid dvolume ddeficit d- dAMSweight dloss
oliguria d(not denough durine)

, postural dhypotension

What dare dsome dtypes dof dAnalgesics d(used dfor dmoderate dto dsevere dpain)? d- dAMSMu dagonists
- dMorphine
- dHydromorphone
- dMethadone
- dLevorphanol d
- dFentanyl
- dOxycodone d
- dCodeine d(Tylenol dNo.3)
Mixed dagonist-antagonists
- dPentazocine d
-Butorphanol d
Partial dagonists
- dNuprenorphine
-Buprenorphine dplus dnaloxone
Adjuvant ddrugs
- dused dfor dneuropathic dpain
- dAntiepileptic ddrugs, dantidepressants, dand danesthetics dare dprescribed dalone dor din dcombination
dwith dopioids dfor dneuropathic dpain,
- dCorticosteroids

What dare dthe d3 dcategories dof dpain dmedications d- dAMS1. dnon-opioids: dfor dmild dpain dor din
dcombination dfor dmoderate dpain
2. dOpioids: dfor dmoderate dto dsevere dpain
3. dCo-analgesic dor dadjuvant ddrugs d(i.e. danticonvulsants, dantidepressants) dfor dneuropathic dpain

What dare dthe d5 dstages dof dgrief d- dAMSDenial, danger, dbargaining, ddepression, dand dacceptance

What dare dthe d7 dRights dof dmedication dadministration? d- dAMS1. dRight ddrug
2. dright ddose
3. dRight droute
4. dRight dtime
5. dRight dpatient
6. dRight ddocumentation
7. dRight dto drefuse

What dare dthe dfive drights dof ddelegation? d- dAMS1. dright dtask
2. dright dcircumstance
3. dright dperson
4. dright ddirection/communication
5. dright dsupervision

What dare dthe dgoals dof dHIV ddrug dtherapy? d- dAMS-Reduce dthe dviral dload
-maintain dor draise dthe dCD4+ dT dcell dcounts. dT dcell dcounts d= d
dNormal d800-1200 dHIV d500 dAIDS dbelow d200
-Delay dthe ddevelopment dof dHIV drelated dsymptoms dand dopportunistic ddiseases
**compliance**

What dare dthe dnormal dranges dfor dABGs?
d(pH, dpCO2, dHCO3) d- dAMSpH d(AC) d7.35-7.45 d(AL)
pCo2 d(AL) d35 d- d45 d(AC)
HCO3 d(AC) d22 d- d26 d(AL)

What dare dthe dnormal dranges dfor dALP d(alkaline dphosphatase)? d- dAMS30-120 d
slightly dincreased din dthe delderly

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