NCLEX NGN ACTUAL EXAM ALL
450 QUESTIONS AND CORRECT
DETAILED ANSWERS
,ARB - CORRECT ANSWER--sartan: HTN, HF. AE:
angioedema, hypotension, hyperkalemia, renal impairment. Contra:
pregnancy. Nursing: may take with food, take with full glass of water
calcium channel blockers - CORRECT ANSWER--dipine: HTN, angina,
arrhythmias. AE: hepatotoxicity, paralytic ileus, HF, AV block.
CONTRA: A-FIB/FLUTTER, SSS, cardiogenic shock. Nursing: BUN/Cr,
liver enzymes. Avoid: grapefruit juice, in older=constipation
beta blockers - CORRECT ANSWER--olol: slow HR, decrease
vasoconstriction, decrease O2 consumption. Used in: HF, HTN, HR
control, angina, migraine. AE: HF, bronchospasm, dizzy, constipation,
suppresses hypoglycemia indicators. Contra: asthma, bradycardia,
SSS. Nursing: check HR before giving. Teach: take med at bedtime, do
not stop abruptly. Propranolol=essential tremors, Parkinsons
Vasopressor - CORRECT ANSWER-Å and ß:
Dopamine/Levophed/Epinephrine: ^HR/BP, ACLS, CO, shock,
refractory HF. AE: pulm edema, arrhythmias, HTN, cerebral
hemorrhage. Antidote for extravasation: Regitine ß: Dobutamine:
^CO/BP. Used in HF. AE: seizures, cardiac arrest, bronchospasm,
restlessness, tremor. Nursing: monitor BP and HR q15 mins
,Vasodilators - CORRECT ANSWER-Persantine adjunct
thromboembolism prevention. AE: bronchospasm, MI. Teach: avoid
ETOH, report bruising
cardiac conduction - CORRECT ANSWER-SA node: "pacemaker"
intrinsic rate 100 bpm
AV node: 40-60 bpm
Bundle branch/purkinje: 20-40 bpm
Hemophilia - CORRECT ANSWER-bleeding disorder, sex linked, s/s:
prolonged bleeding. Nursing: prevent bleeding/falls, brush teeth with
soft toothbrush. Genetic counseling for parents
Anemia - CORRECT ANSWER-aplastic=not producing RBC,
congenital/pregnancy, hepatits. s/s: petechiae, bruising, fatigue, ha. Rx:
steroids, abx, Nursing: hemorrhage precautions
Antitubercular - CORRECT ANSWER-AE: hepatotoxicity,
agranulocytosis, aplastic anemia, optic neuritis, neuropathy, psychosis.
Nursing: Cr, liver enzymes, eradicated after 3 - sputum cultures, Avoid
ETOH, tyramine, take vit B6 for neuropathy, duration of therapy months
to years
pH - CORRECT ANSWER-7.35-7.45
, PCO2 - CORRECT ANSWER-35-45
HCO3 - CORRECT ANSWER-22-28
PO2 - CORRECT ANSWER-80-100%
SaO2 - CORRECT ANSWER-96-100%
BUN - CORRECT ANSWER-8-25
Creatinine - CORRECT ANSWER-0.5-1
Total cholesterol - CORRECT ANSWER-under 200
HDL - CORRECT ANSWER-30-70
LDL - CORRECT ANSWER-less than 130
Triglycerides - CORRECT ANSWER-under 200
450 QUESTIONS AND CORRECT
DETAILED ANSWERS
,ARB - CORRECT ANSWER--sartan: HTN, HF. AE:
angioedema, hypotension, hyperkalemia, renal impairment. Contra:
pregnancy. Nursing: may take with food, take with full glass of water
calcium channel blockers - CORRECT ANSWER--dipine: HTN, angina,
arrhythmias. AE: hepatotoxicity, paralytic ileus, HF, AV block.
CONTRA: A-FIB/FLUTTER, SSS, cardiogenic shock. Nursing: BUN/Cr,
liver enzymes. Avoid: grapefruit juice, in older=constipation
beta blockers - CORRECT ANSWER--olol: slow HR, decrease
vasoconstriction, decrease O2 consumption. Used in: HF, HTN, HR
control, angina, migraine. AE: HF, bronchospasm, dizzy, constipation,
suppresses hypoglycemia indicators. Contra: asthma, bradycardia,
SSS. Nursing: check HR before giving. Teach: take med at bedtime, do
not stop abruptly. Propranolol=essential tremors, Parkinsons
Vasopressor - CORRECT ANSWER-Å and ß:
Dopamine/Levophed/Epinephrine: ^HR/BP, ACLS, CO, shock,
refractory HF. AE: pulm edema, arrhythmias, HTN, cerebral
hemorrhage. Antidote for extravasation: Regitine ß: Dobutamine:
^CO/BP. Used in HF. AE: seizures, cardiac arrest, bronchospasm,
restlessness, tremor. Nursing: monitor BP and HR q15 mins
,Vasodilators - CORRECT ANSWER-Persantine adjunct
thromboembolism prevention. AE: bronchospasm, MI. Teach: avoid
ETOH, report bruising
cardiac conduction - CORRECT ANSWER-SA node: "pacemaker"
intrinsic rate 100 bpm
AV node: 40-60 bpm
Bundle branch/purkinje: 20-40 bpm
Hemophilia - CORRECT ANSWER-bleeding disorder, sex linked, s/s:
prolonged bleeding. Nursing: prevent bleeding/falls, brush teeth with
soft toothbrush. Genetic counseling for parents
Anemia - CORRECT ANSWER-aplastic=not producing RBC,
congenital/pregnancy, hepatits. s/s: petechiae, bruising, fatigue, ha. Rx:
steroids, abx, Nursing: hemorrhage precautions
Antitubercular - CORRECT ANSWER-AE: hepatotoxicity,
agranulocytosis, aplastic anemia, optic neuritis, neuropathy, psychosis.
Nursing: Cr, liver enzymes, eradicated after 3 - sputum cultures, Avoid
ETOH, tyramine, take vit B6 for neuropathy, duration of therapy months
to years
pH - CORRECT ANSWER-7.35-7.45
, PCO2 - CORRECT ANSWER-35-45
HCO3 - CORRECT ANSWER-22-28
PO2 - CORRECT ANSWER-80-100%
SaO2 - CORRECT ANSWER-96-100%
BUN - CORRECT ANSWER-8-25
Creatinine - CORRECT ANSWER-0.5-1
Total cholesterol - CORRECT ANSWER-under 200
HDL - CORRECT ANSWER-30-70
LDL - CORRECT ANSWER-less than 130
Triglycerides - CORRECT ANSWER-under 200
