NCLEX Archer UPDATED Exam
Questions and CORRECT Answers
febrile temp for an infant in celsius - CORRECT ANSWER- 38 degrees celsius
what untreated illness leads to rheumatic fever? - CORRECT ANSWER- streptococal
infection specifically strep B
what is the stool like in cystic fibrosis? - CORRECT ANSWER- there is malabsorption so
they have large bulky stools that are foul smelling and greasy
what is wilms tumor? - CORRECT ANSWER- it is a tumor located on the kidneys and
causes increased amount of renin which leads to hypertension through sodium and water
retention, the have a average heart rate, regular respiratory rate
What is Rocky Mountain Spotted Fever? - CORRECT ANSWER- they experience fever,
chills, headache, and a macular rash that appears on the palms of the hands, wrists, soles of
feet, and ankles within ten days of exposure. This is due to the rickettsia rickettsii bacteria
that can be transfered to humans by deer ticks it is hard to diagnose in the early stages but
could be fatal if untreated
what is hand foot and mouth disease? - CORRECT ANSWER- is a common childhood virus
that may be transmitted to adults it results in a blistering rash it is not a medical emergency
and usually resolves on it's own with only supportive treatment
what is Colfosceril palmitate used for? - CORRECT ANSWER- it is a medication used as a
surfactant to treat and prevent respiratory distress syndrome
this may be given through an endotracheal tube in two to four doses during the first 24-48 hrs
when do fetus lungs make surfactant? - CORRECT ANSWER- during the third trimester or
around 26 weeks gestation through labor and delivery
,what is respiratory distress syndrome? - CORRECT ANSWER- its a type if neonatal
respiratory disease that is most often caused by a lack of surfactant in the lungs. prevention is
generally desired in babies born at gestational age less than 32 weeks
when are corticosteroids given during pregnancy? - CORRECT ANSWER- they are typically
given to women below 34 weeks gestation who are at high risk of preterm delivery it is given
antenatally to those women that are at risk of preterm delivery
dextamethosone reduces the incidence and severity of RDS in infants
surfactant administration is the mainstay of testing RDS
how do you know pancreatic damage is worsening - CORRECT ANSWER- steatorrhea
infection and diabetes
what symptom is seen in most malabsorption disorders but not in lactose intolerence -
CORRECT ANSWER- steatorrhea
what is the most common symptoms of celiac disease? - CORRECT ANSWER- diarrhea,
flatulence, abdominal distention, and malnutrition symptoms such as weight loss and
steatorrhea
what is cisplatin used for - CORRECT ANSWER- it is a alkalyting agent, blood cells are
particulary sensitive to alkylaing agents. bone marrow suppresion is the most important
adverse effect of this class
pre eclampsia - CORRECT ANSWER- pregnant women are at risk for this anytime through
pregnancy as well as 6-10 weeks post partum, post partum pre eclampsia usually develops in
48 hrs.
symptoms: headache, blurred vision, proteinuria, swelling in the hands/face, high blood
pressure, hyperreflexia, epigastric pain
it could damage the liver or kidney
,it usually begins after 20 weeks of pregnancy in women who used to have normal blood
pressure
if treatment is started can be controlled
what is the regular blood sugar after a meal? - CORRECT ANSWER- it can be up to 140
what can hypoalbuminemia lead to? - CORRECT ANSWER- it can lead to loss of muscle
mass, poor wound healing
what is the hyperdynamic phase of septic schock? - CORRECT ANSWER- this is the first
phase in the early stage of septic schock in this phase the blood pressure may still be within
normal limits but heart rate and temperature increase due to increase cardiac output and
systemic vasodilation.
nursing interventions: intravenous fluids to increase the peripheral vascular resistance and
administration of prescribed antibiotics as soon as possible
What is the progressive stage in all types of shock - CORRECT ANSWER- Is characterized
by decrease cardiac output, hypotension, and anasarca ( generalized edema)
Schizophrenia - CORRECT ANSWER- It is a psychotic disorder characterized by positive
hallucinations and negative symptoms like lack of motivation. Most cases of schizophrenia
have an answer in adolescence. Acute stabilization of maintenance treatment is accomplished
by prescribed antipsychotic medication such as risperidone, haloperidol, fluphenazine
Examples of atypical antipsychotics - CORRECT ANSWER- quetiapine, ziprasidone,
risperidone
What position is pt placed in during central venous cannulation - CORRECT ANSWER-
Trendelenburg this position is used to prevent air embolism, when placing and removing
central venous catheters the CVP should be raised by placing the patient in trendelnburg
position , it should be assured that the patients are adequately hydrated to prevent
hypovolemia and to increase CVP
, Trendelenburg position is also used to increase the Venus blood returns to the heart when a
client is affective hypotension, hypovolemia, or shock
What are severe adverse effects of morphine sulfate - CORRECT ANSWER- Increased
intracranial pressure which could be life-threatening, respiratory depression, hypotension, and
seizures
What medications can be taken during an ECT - CORRECT ANSWER- Antidepressants and
antipsychotics may be given concurrently with the ECT. they may enhance the efficacy of the
treatment
PPI are typically given the day of treatment to prevent gastric reflux and aspiration
ECT - CORRECT ANSWER- This is an effective treatment for major depressive disorder,
psychosis, and postpartum disorders
Nursing care: witnessing informed consent
Ensuring that the client is NPO prior to the procedure
Pre-procedural laboratory work including a 12 lead ECG has been completed
Frequently reorient them because they will have temporary memory loss after the procedure
medications that should be withheld prior to ECT: anticonvulsants and benzodiazipines
when should you suspect ectopic pregnancy - CORRECT ANSWER- if they have an
abdominal pain, vaginal bleeding, and adnexal mass
what is a normal progesterone level - CORRECT ANSWER- it is >15
a lower than normal progesterone level is uncommon in normal pregnancy but is very
common in ectopic pregnancies
what is stuporous? - CORRECT ANSWER- it s a level of consciousness is characterized by
only a simple, necessary response to vigorous stimulation
Questions and CORRECT Answers
febrile temp for an infant in celsius - CORRECT ANSWER- 38 degrees celsius
what untreated illness leads to rheumatic fever? - CORRECT ANSWER- streptococal
infection specifically strep B
what is the stool like in cystic fibrosis? - CORRECT ANSWER- there is malabsorption so
they have large bulky stools that are foul smelling and greasy
what is wilms tumor? - CORRECT ANSWER- it is a tumor located on the kidneys and
causes increased amount of renin which leads to hypertension through sodium and water
retention, the have a average heart rate, regular respiratory rate
What is Rocky Mountain Spotted Fever? - CORRECT ANSWER- they experience fever,
chills, headache, and a macular rash that appears on the palms of the hands, wrists, soles of
feet, and ankles within ten days of exposure. This is due to the rickettsia rickettsii bacteria
that can be transfered to humans by deer ticks it is hard to diagnose in the early stages but
could be fatal if untreated
what is hand foot and mouth disease? - CORRECT ANSWER- is a common childhood virus
that may be transmitted to adults it results in a blistering rash it is not a medical emergency
and usually resolves on it's own with only supportive treatment
what is Colfosceril palmitate used for? - CORRECT ANSWER- it is a medication used as a
surfactant to treat and prevent respiratory distress syndrome
this may be given through an endotracheal tube in two to four doses during the first 24-48 hrs
when do fetus lungs make surfactant? - CORRECT ANSWER- during the third trimester or
around 26 weeks gestation through labor and delivery
,what is respiratory distress syndrome? - CORRECT ANSWER- its a type if neonatal
respiratory disease that is most often caused by a lack of surfactant in the lungs. prevention is
generally desired in babies born at gestational age less than 32 weeks
when are corticosteroids given during pregnancy? - CORRECT ANSWER- they are typically
given to women below 34 weeks gestation who are at high risk of preterm delivery it is given
antenatally to those women that are at risk of preterm delivery
dextamethosone reduces the incidence and severity of RDS in infants
surfactant administration is the mainstay of testing RDS
how do you know pancreatic damage is worsening - CORRECT ANSWER- steatorrhea
infection and diabetes
what symptom is seen in most malabsorption disorders but not in lactose intolerence -
CORRECT ANSWER- steatorrhea
what is the most common symptoms of celiac disease? - CORRECT ANSWER- diarrhea,
flatulence, abdominal distention, and malnutrition symptoms such as weight loss and
steatorrhea
what is cisplatin used for - CORRECT ANSWER- it is a alkalyting agent, blood cells are
particulary sensitive to alkylaing agents. bone marrow suppresion is the most important
adverse effect of this class
pre eclampsia - CORRECT ANSWER- pregnant women are at risk for this anytime through
pregnancy as well as 6-10 weeks post partum, post partum pre eclampsia usually develops in
48 hrs.
symptoms: headache, blurred vision, proteinuria, swelling in the hands/face, high blood
pressure, hyperreflexia, epigastric pain
it could damage the liver or kidney
,it usually begins after 20 weeks of pregnancy in women who used to have normal blood
pressure
if treatment is started can be controlled
what is the regular blood sugar after a meal? - CORRECT ANSWER- it can be up to 140
what can hypoalbuminemia lead to? - CORRECT ANSWER- it can lead to loss of muscle
mass, poor wound healing
what is the hyperdynamic phase of septic schock? - CORRECT ANSWER- this is the first
phase in the early stage of septic schock in this phase the blood pressure may still be within
normal limits but heart rate and temperature increase due to increase cardiac output and
systemic vasodilation.
nursing interventions: intravenous fluids to increase the peripheral vascular resistance and
administration of prescribed antibiotics as soon as possible
What is the progressive stage in all types of shock - CORRECT ANSWER- Is characterized
by decrease cardiac output, hypotension, and anasarca ( generalized edema)
Schizophrenia - CORRECT ANSWER- It is a psychotic disorder characterized by positive
hallucinations and negative symptoms like lack of motivation. Most cases of schizophrenia
have an answer in adolescence. Acute stabilization of maintenance treatment is accomplished
by prescribed antipsychotic medication such as risperidone, haloperidol, fluphenazine
Examples of atypical antipsychotics - CORRECT ANSWER- quetiapine, ziprasidone,
risperidone
What position is pt placed in during central venous cannulation - CORRECT ANSWER-
Trendelenburg this position is used to prevent air embolism, when placing and removing
central venous catheters the CVP should be raised by placing the patient in trendelnburg
position , it should be assured that the patients are adequately hydrated to prevent
hypovolemia and to increase CVP
, Trendelenburg position is also used to increase the Venus blood returns to the heart when a
client is affective hypotension, hypovolemia, or shock
What are severe adverse effects of morphine sulfate - CORRECT ANSWER- Increased
intracranial pressure which could be life-threatening, respiratory depression, hypotension, and
seizures
What medications can be taken during an ECT - CORRECT ANSWER- Antidepressants and
antipsychotics may be given concurrently with the ECT. they may enhance the efficacy of the
treatment
PPI are typically given the day of treatment to prevent gastric reflux and aspiration
ECT - CORRECT ANSWER- This is an effective treatment for major depressive disorder,
psychosis, and postpartum disorders
Nursing care: witnessing informed consent
Ensuring that the client is NPO prior to the procedure
Pre-procedural laboratory work including a 12 lead ECG has been completed
Frequently reorient them because they will have temporary memory loss after the procedure
medications that should be withheld prior to ECT: anticonvulsants and benzodiazipines
when should you suspect ectopic pregnancy - CORRECT ANSWER- if they have an
abdominal pain, vaginal bleeding, and adnexal mass
what is a normal progesterone level - CORRECT ANSWER- it is >15
a lower than normal progesterone level is uncommon in normal pregnancy but is very
common in ectopic pregnancies
what is stuporous? - CORRECT ANSWER- it s a level of consciousness is characterized by
only a simple, necessary response to vigorous stimulation
