NCLEX - PN EXAM QUESTIONS AND CORRECT ANSWERS 100%

NCLEX - PN EXAM QUESTIONS AND CORRECT ANSWERS 100% Acute glomerulonephritis that is associated with beta hemoloytic step - ANSWERS is an immunologic disorder that is caused by beta-hemolytic step occurs 21 days after respiratory or skin infection What is common after repeated vomiting - ANSWERS hypokalemia and hypomagesemia, it is important to check a pts electrolyte levels Peripheral edema, shortness of breath, and dizziness are - ANSWERS common with pacemakers failure. Decreased cardiac output Which of the following is a complication that occurs during the first 24 hours after a percutaneous liver biopsy? - ANSWERS Hemorrhage increased pulse, a decreased blood pressure, and increased respirations indicate shock. Shock is a result of an - ANSWERS Hemorrhage orthostatic hypotension due to autonomic dysfunction. - ANSWERS parkinsons disease One cup of fluid is equal to - ANSWERS 8 oz One oz is equal to - ANSWERS 30ml Why are diuretics given? - ANSWERS Promote excretion of sodium and water though the kidneys Hypotension and hypovolemic shock are complications of a paracentesis due to removal of a large volume of fluid. - ANSWERS paracentesis The specific gravity of urine - ANSWERS (1.010- 1.030) and the normal levels of hematocrit (male 42- 50%, female 40- 48%) normal range for a PTT is? - ANSWERS 20- 45 seconds; Autocratic leadership - ANSWERS is an approach in which the leader retains all authority and is primarily concerned with task accomplishment Situational leadership - ANSWERS is a comprehensive approach that incorporates the leader's style, the maturity of the work group, and the situation at hand. Democratic leadership - ANSWERS is a people-centered approach that is primarily concerned with human relations and teamwork. This leadership style facilitates goal accomplishment and contributes to the growth and development of the staff. Laissez-faire - ANSWERS leadership is a permissive style in which the leader gives up control and delegates all decision making to the work group. - ANSWERS Findings associated with fluid volume excess include cough, dyspnea, crackles, tachypnea, tachycardia, an elevated blood pressure, a bounding pulse, an elevated central venous pressure, weight gain, edema, neck and hand vein distention, an altered level of consciousness, and a decreased hematocrit level. Potassium-rich - ANSWERS gastrointestinal (GI) fluids are lost through GI suction, which places the client at risk for hypokalemia - ANSWERS Cushing's syndrome or diarrhea and the client who has been overusing laxatives are at risk for hypokalemia hyperkalemia - ANSWERS Clients who experience the cellular shifting of potassium, as in the early stages of massive cell destruction (i.e., with trauma, burns, sepsis, or metabolic or respiratory acidosis), are at risk for hyperkalemia Sensible - ANSWERS are those that the person is aware of, such as those that occur through wound drainage, GI tract losses, and urination. Insensible losses - ANSWERS may occur without the person's awareness. Insensible losses occur daily through the skin and the lungs. isotonic solutions - ANSWERS 0.9 sodium cholride this is normal saline lactated ringers solution hypotonic solutions (more dilute hypos love water) - ANSWERS treats edema and kidney disease and is 5% dextrose and water Hypertonic solutions (higher concentrations of particles) - ANSWERS 3% sodium chloride protein solutions comes in 10, 50, 70% dextrose Colloid solutions - ANSWERS contain solutes of higher molecular weight than the serum examples Plasmanate, dextra, hespan, salt poor albumin Hypertonic solutions are used to treat - ANSWERS severe hyponatremia and negative nitrogen balance. Hyperalmentation can lead to - ANSWERS hyperglycemia, *so if the client must be monitored for hyperglycemia and might have to have insulin added to the solution or give subcutaneously during therpy Sodium - ANSWERS 135-145 potassium - ANSWERS 3.5-5.5 calcium - ANSWERS 8.5 to 10.5 magnesium - ANSWERS 1.3-2.1 Phosphorus - ANSWERS 2.5-4.5 chloride - ANSWERS 95-108 carbon dioxide content - ANSWERS 35-45