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Uworld NCLEX-PN -Based Exam With 100% Correct Answers

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Uworld NCLEX-PN -Based Exam With 100% Correct Answers /. B/P Medication side effects? - Answer-- fatigue - erectile dysfunction - dizziness /.Angina pectoris risk factors? - Answer-- Smoking - Extreme temperatures - Physical exertion (including sex) - Intense emotion - Coronary artery narrowing - Stimulants (cocaine, amphetamines) /.Define angina pectoris - Answer-Chest pain due to myocardial ischemia (decreased blood flow to heart). /.Purpose of an ICD (implantable cardioverter defibrillator)? - Answer-- sense and defibrillate life-threatening dysrhythmias. - overdrive pacing for rapid heart rhythms - back-up pacing for bradycardia that may occur after defibrillation. /.Postoperative teaching for ICD? - Answer-Don't lift arm of affected side above the shoulder unless cleared by the health care provider. /.Where is an ICD placed? - Answer-In the endometrium via the subclavian vein. /.Home care instructions for discharging a patient with heart failure following myocardial infarction? - Answer-- How to take own pulse - Monitoring weight daily - Reduction of sodium in diet - Take blood pressure and keep record of it - Avoid temperature extremes - Increase walking, but plan for rest periods /.Chronic Venous Insufficiency (CVI) s/sx? - Answer-- Brownish skin discoloration on lower extremities - Chronic edema - Inflammation - Leathery skin - Venous leg ulcers inside of ankle /.How to improve pain due to acute pericarditis? - Answer-Sit up and lean forward /.Pericarditis treatment? - Answer-NSAIDs or aspirin plus colchicine. /.Pericarditis is characterized by what symptom? - Answer-Pleuritic chest pain. /.Pericarditis is known to be aggravated by what actions? - Answer-Inspiration and coughing. /.Normal urinary output? - Answer-30 mL/hr /.Urinary output below 30 ml/hr may signify what? - Answer-- low vascular volume - decreased renal perfusion - intrinsic kidney injury - urine outflow obstruction /.A client with heart failure with decreased urine output, what action is the priority? - Answer-Auscultate for lung sounds to assess for crackles due to decreased cardiac function and buildup of fluid in the lungs. /.Anticipated treatment for a client with decreased urine output r/t to heart failure? - Answer-Loop diuretics. /.Critical and life-threatening PTT value? - Answer- 100 sec. /.Common IV Heparin complications? - Answer-- GI bleeds - Epistaxis - Hematuria /.Lab value taken for heparin therapy? - Answer-PTT /.Instructions to prevent recurrent episodes for Raynaud phenomenon? - Answer-- Avoid excess caffeine - Refain using tobacco products - Wear gloves handling cold objects - Reduce cold exposure, wear warm layers in cold weather - Implement stress-management strategies (yoga, tai-chi) - Avoid vasoconstricting drugs (cocaine, amphetamines) /.Treatment for Raynaud's phenomenon? - Answer-Vasodilators, calcium channel blockers /.Teachings for patient who had coronary artery bypass grafting? - Answer-- Refrain lifting weights 5 lb. - Notify HCP of swelling, redness, or drainage at incision site or chest pain/SOB that does not subside with rest - Take a shower daily without soaking chest or leg incision - No applying lotion to incision site (may introduce pathogens)

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NCLEX-RN EXAM PRACTICE
QUESTIONS WITH 100% CORRECT
ANSWERS | VERIFIED | LATEST
UPDATE
/. You have delegated care of a patient in restraints to a nursing assistant. How often
should the nursing assistant inspect skin integrity for this patient?

a. Every 30 minutes
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours - Answer-a. Every 30 minutes

/.You are working in the emergency department and find out that a tornado has hit the
local area. Numerous casualties are being sent to the emergency department. What
action should you take at this time?

a. Prepare the triage room.
b. Obtain additional supplies.
c. Activate the agency disaster plan.
d. Call in additional staff. - Answer-c. Activate the agency disaster plan.

/.You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15
drops per 1 mL. You prepare to set the flow rate at how many drops per minute?

a. 15 drops a minute
b. 17 drops a minute
c. 21 drops a minute
d. 23 drops a minute - Answer-c. 21 drops a minute

/.You are preparing to administer an intravenous dose of 400,000 units of penicillin G
benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000
units per mL. You prepare to administer how much of the medication?

a. 1.3 ml
b. 1.5 ml
c. 10 ml
d. 13 ml - Answer-a. 1.3 ml

,/.You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over
10 hours. The medication label reads 40 mEq per 20 mL. How many milliliters of
potassium chloride do you need to administer the correct dose?

a. 10 ml
b. 15 ml
c. 20 ml
d. 50 ml - Answer-b. 15 ml

/.You enter a patients room and find the patient not breathing, no pulse, and
unresponsive. You have called for help. What is the next step?

a. Bag mask ventilations
b. Chest compressions
c. Oxygen
d. Open airway - Answer-b. Chest compressions

/.The correct hand placement for chest compressions is the:

a. Lower third of sternum
b. Upper half of the sternum
c. Upper third of the sternum
d. Lower half of the sternum - Answer-d. Lower half of the sternum

/.What is the proper technique for opening the airway on a trauma patient?

a. Head tilt-chin lift
b. Flexed position
c. Modified head tilt-chin lift
d. Jaw thrust maneuver - Answer-d. Jaw thrust maneuver

/.The most appropriate place to check the pulse on a 1-month-old infant is:

a. Brachial
b. Carotid
c. Popliteal
d. Radial - Answer-a. Brachial

/.You are encouraging your postoperative patient to cough and take deep breaths. The
patient questions why it is so important to do this. Your response would include the
understanding that retaining pulmonary secretions can lead to:

a. Fluid imbalance
b. Carbon dioxide retention
c. Pulmonary edema
d.Pneumonia - Answer-d.Pneumonia

,/.Which of the following would you want to include in an education session to the staff
on HIV and AIDS?

a. Newborn infants of HIV positive mothers usually test positive

b. The hematological system is usually attacked by HIV.

c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells.

d. T lymphocytes are destroyed because the virus attacks the immune system. -
Answer-d. T lymphocytes are destroyed because the virus attacks the immune system.

/.You are conducting a teaching session for mothers at a local school on rubeola
(measles). Which of the following would you not want to include in this education?

a. Profuse runny nose, coughing and fever occur before the rash develops.

b. The child may develop small, blue-white spots with a red base in the mouth

c. Ears usually develop a rash first, which then spreads toward the feet.

d. The communicable period usually ranges from 10 to 15 days after the rash appears. -
Answer-d. The communicable period usually ranges from 10 to 15 days after the rash
appears.

The communicable period for Rubeola (measles) is 4 to 5 days after the rash appears.
The incubation period is 10-15 days. The blue-white spots found in the mouth during
Rubeola are called Koplik's spots.

/.You are providing a teaching session to a group of patients regarding skin cancer.
Which of the following statements would you not want to include in this education?

a. Wear sunscreen when engaged in outdoor activities.

b. The body should be examined monthly for any lesions that appear suspicious.

c. A hat, opaque clothing, and sunglasses should be worn when in the sun.

d. Avoid sun exposure after 3pm. - Answer-d. Avoid sun exposure after 3pm.

you should avoid the sun from 11am-3pm

/.You are teaching a group of mothers how to apply permethrin (Elimite, Nix) for
pediculosis capitus. Which of the following would be the correct application technique?

, a.Apply at bedtime and wash out in the morning

b. Apply before washing hair

c. Apply to hair avoiding scalp

d. Apply to hair for 10 mins and then rinse - Answer-d. Apply to hair for 10 mins and
then rinse

/.You are preparing a teaching session on tuberculosis. What is one of the first
symptoms that the group might notice in someone who has tuberculosis?

a.Bloody, productive cough
b. Cough with mucoid sputum
c. Chest pain
d. Dyspnea - Answer-b. Cough with mucoid sputum

/.The older patient that you have been assigned to is having difficulty distinguishing
between hot and cold temperatures. Alteration of what gland activity would lead to this
problem?

a. Parotid
b. Thymus
c. Pineal
d. Sweat - Answer-d. Sweat

/.Which of the following would not encourage effective communication between a dying
patient and his family?

a. Discussing feelings openly

b. Making decision for the family and patient

c. Assisting family and patient in performing spiritual practices

d. Acceptance when family and patient express anger - Answer-b. Making decision for
the family and patient

/.You are working in a community that has just experienced a hurricane. You are trying
to find housing and counseling for those who need it. Which type of level of preventions
are you representing?

a. Primary level
b. Secondary level
c. Tertiary level
d. Forth level - Answer-c. Tertiary level

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