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Exam (elaborations)

NCLEX-PN exam test questions and answers

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NCLEX-PN exam test questions and answers

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NCLEX-PN exam test questions and
answers
above knee amputation - ------correct answers---------elevate for first 24 hours on pillow, position prone
daily to provide for hip extension



Addisons - ------correct answers---------down, down, down, up, down



Addisons - ------correct answers---------hyponatremia, hypotension, decreased blood vol, hyperkalemia,
hypoglycemia



administration of enema - ------correct answers---------position patient in left side lying (sim's) with knew
flexed



after cataract surgery - ------correct answers---------patient will sleep on unaffected side with night shield
for 1-4 weeks



after infatentorial surgery (incision at nape of neck) - ------correct answers---------position pt flat and
lateral on eithe rside



After Lumbar Puncture - ------correct answers---------and also oil myelogram . . .patient lies flat supine (to
prevent headache and leaking of CSF)



after myringotomy - ------correct answers---------position on side of affected ear after surgery (allow for
drainage of secretions)



after supratentorial surgery (incision behind hairline) - ------correct answers---------elevate HOB 30-45
degrees



after thyroidectomy - ------correct answers---------low or semi fowlers, support head, neck and shoulders




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,after total hip replacement - ------correct answers---------don't sleep on operated side, don't flex hip
more than 45-60 degrees, don't elevate HOB more than 45 degrees. maintain hip abduction by
seperating thighs with pillows



afterload affects - ------correct answers---------is the resistance the blood has to overcome when leaving
the heart.



Air/Pulmonary Embolism - ------correct answers---------S&S;chest pain, difficulty breathing, tachycardia,
pale/cyanotic, sense of impending doom

turn patient to left side and lower the head of the bed



AIRBORNE - ------correct answers---------MY-Measles

Chicken-Chicken Pox/Varicella

Hez=Herpez Zoster/Shingles

TB

or remember . . .

MTV=Airborne

Measles

TB

Varicella-Chicken Pox/Herpes Zoster-Shingles

*Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB



alcohol withdrawl - ------correct answers---------librium



ammonia - ------correct answers---------lactulose



amphojel - ------correct answers---------tx of GERD and kidney stones . . . watch out for constipation



amynoglycosides (like vancomycin) - ------correct answers---------cause nephrotoxicity and ototoxicity




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angina - ------correct answers---------low oxygen to heart tissues=no dead heart tissues



APGAR - ------correct answers---------A=appearance (color all pinks, pink and blue, blue (pale)

P= pulse (>100, <100, absent)

G=grimace (cough, grimace, no response)

A=activity (flexed, flaccid, limp)

R=respirations (strong cry, weak cry, absent)



apresoline (hydralazine) - ------correct answers---------tx of HTN or CHF, report flu like symptoms, rise
slowly from sittin/lying position; take with meals



artane - ------correct answers---------tx of parkinson . . . sedative effect also



aspirin can cause which syndrome in kids? - ------correct answers---------Reye's Syndrome



Atropine overdose - ------correct answers---------Hot as a Hare(Temp), Mad as a Hatter (LOC, Red as a
Beet (flushed face), Dry as a Bone (Thirsty)



autonomic dysreflexia; potentially life threatening emergency - ------correct answers---------elevate head
of bed to 90 degrees

loosen constrictive clothing

assess for bladder distention and bowel impaction (triger)

adminster antihypertensive meds (may cause stroke, MI, seizure)



autonomic dysrelexia/hyperreflexia - ------correct answers---------S&S; pounding headache, profuse
sweating, nasal congestion, goose flesh, bradycardia, hypertension . . . place pt. in sitting position
(elevate HOB first before any other implentation)



babinski sign - ------correct answers---------toes curl=good




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