SAUNDERS COMPREHENSIVE REVIEW FOR THE
NCLEX PN FINAL PAPER SOLVED QUESTIONS
WITH COMPLETE ANSWERS
◉ how does BP change throughout the day?
Answer: BP is typically lowest in the early morning, gradually
increases during the day, and peaks in the late afternoon and
evening
◉ when checking BP, avoid applying a cuff to an extremity....
Answer: *into which IV fluids are infusing
*where an arteriovenous shunt or fistula is present
*on the side on which breast or axillary surgery has been performed
*that has been traumatized or is diseased
◉ when checking BP why is it important to select the appropriate
cuff size?.
Answer: *a cuff that is too small will yield a falsely high reading
*a cuff that is too large will yield a falsely low reading
◉ a pulse oximetry reading below __________ should be reported the
the HCP..
,Answer: 90% (except in certain chronic conditions in which this
value is the normal state)
◉ nursing considerations for NSAIDs and acetylsalicylic acid 1-3.
Answer: *these meds are contraindicated in clients experiencing
gastric irritation, ulcer disease, or an allergy to the med
*bleeding is a concern
*instruct client to take oral doses with milk or a snack to reduce
gastric irritation
◉ nursing considerations for NSAIDs and acetylsalicylic acid 4-6.
Answer: *NSAIDs can amplify the effects of anticoagulants
*hypoglycemia may result for the client taking ibuprofen if the client
is concurrently taking an oral hypoglycemic agent
*a high risk for toxicity exists if the client is taking ibuprofen
concurrently with a calcium channel blocker
◉ side and adverse effects of NSAIDs 1-4.
Answer: *gastric irritation
*hypotension
*sodium and water retention
*blood dyscrasias
,◉ side and adverse effects of NSAIDs 5-7.
Answer: *dizziness
*tinnitus
*pruritis
◉ side and adverse effects of acetylsalicylic acid (aspirin) 1-3.
Answer: *gastric irritation
*flushing
*tinnitus
◉ side and adverse effects of acetylsalicylic acid (aspirin) 4-6.
Answer: *drowsiness
*headaches
*vision changes
◉ when is acetaminophen contraindicated?.
Answer: in clients with hepatic or renal disease,
alcoholism
hypersensitivity
◉ the major concerns with acetaminophen is....
Answer: hepatotoxicity
, ◉ what is the antidote for acetaminophen?.
Answer: acetylcysteine
◉ opioids should not be given if a client's respiratory rate is less
than ___________, or if _______________ develops..
Answer: 12 breaths per minute, bradycardia (hold med and notify
HCP)
◉ normal serum sodium value.
Answer: 135-145 mEq/L
◉ function of sodium.
Answer: maintains osmotic pressure and acid-base balance, and
assists in the transmission of nerve impulses
◉ normal potassium value.
Answer: 3.5-5 mEq/L
◉ function of potassium.
Answer: *regulates water balance, electrical conduction in muscle
cells, and acid-base balance
NCLEX PN FINAL PAPER SOLVED QUESTIONS
WITH COMPLETE ANSWERS
◉ how does BP change throughout the day?
Answer: BP is typically lowest in the early morning, gradually
increases during the day, and peaks in the late afternoon and
evening
◉ when checking BP, avoid applying a cuff to an extremity....
Answer: *into which IV fluids are infusing
*where an arteriovenous shunt or fistula is present
*on the side on which breast or axillary surgery has been performed
*that has been traumatized or is diseased
◉ when checking BP why is it important to select the appropriate
cuff size?.
Answer: *a cuff that is too small will yield a falsely high reading
*a cuff that is too large will yield a falsely low reading
◉ a pulse oximetry reading below __________ should be reported the
the HCP..
,Answer: 90% (except in certain chronic conditions in which this
value is the normal state)
◉ nursing considerations for NSAIDs and acetylsalicylic acid 1-3.
Answer: *these meds are contraindicated in clients experiencing
gastric irritation, ulcer disease, or an allergy to the med
*bleeding is a concern
*instruct client to take oral doses with milk or a snack to reduce
gastric irritation
◉ nursing considerations for NSAIDs and acetylsalicylic acid 4-6.
Answer: *NSAIDs can amplify the effects of anticoagulants
*hypoglycemia may result for the client taking ibuprofen if the client
is concurrently taking an oral hypoglycemic agent
*a high risk for toxicity exists if the client is taking ibuprofen
concurrently with a calcium channel blocker
◉ side and adverse effects of NSAIDs 1-4.
Answer: *gastric irritation
*hypotension
*sodium and water retention
*blood dyscrasias
,◉ side and adverse effects of NSAIDs 5-7.
Answer: *dizziness
*tinnitus
*pruritis
◉ side and adverse effects of acetylsalicylic acid (aspirin) 1-3.
Answer: *gastric irritation
*flushing
*tinnitus
◉ side and adverse effects of acetylsalicylic acid (aspirin) 4-6.
Answer: *drowsiness
*headaches
*vision changes
◉ when is acetaminophen contraindicated?.
Answer: in clients with hepatic or renal disease,
alcoholism
hypersensitivity
◉ the major concerns with acetaminophen is....
Answer: hepatotoxicity
, ◉ what is the antidote for acetaminophen?.
Answer: acetylcysteine
◉ opioids should not be given if a client's respiratory rate is less
than ___________, or if _______________ develops..
Answer: 12 breaths per minute, bradycardia (hold med and notify
HCP)
◉ normal serum sodium value.
Answer: 135-145 mEq/L
◉ function of sodium.
Answer: maintains osmotic pressure and acid-base balance, and
assists in the transmission of nerve impulses
◉ normal potassium value.
Answer: 3.5-5 mEq/L
◉ function of potassium.
Answer: *regulates water balance, electrical conduction in muscle
cells, and acid-base balance
