NCLEX -PN FINAL EXAM QUESTIONS WITH ANSWERS 2024

NCLEX -PN FINAL EXAM QUESTIONS WITH ANSWERS 2024 Fifth Disease - ANSWERS "slapped face" - viral illness mainly affects school children Spread through secretions Will recover in 7-10 days Give ibuprofen for join pain Cover mouth during coughing or sneezing Naproxen -NSAID - ANSWERS Take with food Notify Dr of tarry stools Increased bleeding risk GTPAL - ANSWERS Gravida - # of pregnancies Term - # of term (37 weeks) Preterm - #of 20 - 36 weeks Abortion - # of abortion Living - # living Teens with illness.. - ANSWERS engage in risk taking behavrios and want to be like their peers. They may have difficulty managing their illness or have a false sense ofsecurity Pseudomenstration - ANSWERS Small amount of bleeding that may happen in newborns; this is normal and just continue to monitor Nocturnal Enuresis teaching - ANSWERS Enuresis alarm attached to underwear Encourage fluids during the day but restrict at night void before bed positive reinforcement (calendar) avoid diapers awaken at night to void Anorexia Nervosa s/s - ANSWERS Amenorrhea Fluid Electrolyte imbalance Lanugo weight loss of 25% below normal excessive exercise cold intolerance Cyclobenzaprine - ANSWERS muscle relaxant metabolized by the liver, avoid with pts with liver disease Acetylcystein - ANSWERS loosen and liquefy respiratory secretions could worsen bronchospasms school phobia - ANSWERS return to school immediately starting with only a few hours a day and gradually increasing preparation to remove a chest tube - ANSWERS 1. Premedicate patient with analgesic 2. Provide PCP w/ sterile sutur removal tools 3. Instruct pt to breath in, hold it, and bear down 4. Apply sterile airtight gauze 5. Perform x-ray note: pt should be in semi-fowlers or on the unaffected side Prevention of CAUTI - ANSWERS -Perform routine peri care with soap & water at each shift & after bowel movements - keep drainage system off the floor - sterile technique -enourage fluids -avoid kinks -Ensure pt has a separate clean container to empty collection bag Carotid Andarterectomy - ANSWERS removal of atherosclerotic plaque from the carotid artery at risk for hematoma - htn may cause hemorrhage When assesing toddlers and children assess what last - ANSWERS most invasive procedures never have caregiver restrain, make another person do it check years, down and back <3 Methylphenidate - ANSWERS ADHD med very important to check weight/height measurements of kids also BP! it can cause increased BP approritate distractions for school age children - ANSWERS (6-12) puzzles appropriate distractions for toddler - ANSWERS (1-3) stacking blocks what to monitor for during a thorocentesis - ANSWERS worried about oxygen -level of alertness (no oxygen to the brain -RR -o2 sat -lung sounds Hirschsprung Disease - ANSWERS no peristalsis and stool is not passed. -distended abdomen -difficulty feeding -vomiting green bile -do not pass meconium w/in 24-28 hours Ectopic Pregnancy - ANSWERS emergency if ruptured - sudden onset of abdominal or pelvic pain. May also have shoulder pain. Molar Pregnancy - ANSWERS not a viable pregnancy -dark brown discharge -cannot become pregnant within one year and have frequent checks f