NCLEX UWORLD FINAL EXAM
Complete Questions with Correct
Solutions||A+ GRADED
1. what is the priority when giving 2 neds at the smae time? - ANSWER ✔
checking for drug compatibility
2. what is the pavlik harness used to treat - ANSWER ✔ DDH in kids. it
keeps kids legs bent and spread apart
3. care of infant wearing pavlik hanress - ANSWER ✔ assess skin 2-3 times
daily
put shirt and socks under harness
put diapers underneath straps
leave harness on at all times
adjusting of straps should onlt be done by HCP, not nurse or parent
4. since a client post op is coming off anesthesia, they are at risk for aspiration
due to their altered LOC. nausea post op should be a priority - ANSWER ✔
5. whyi s vfib more lethal than vtach? - ANSWER ✔ becuase there is no pulse
with vfib. no pulse calls for immediate CPR and defibrillation
6. it is possible to have a pulse in vtach - ANSWER ✔
7. amoxicillan can cause what super infection? - ANSWER ✔ c diff. watch
out for a fever and abdominal pain that develops with diarrhea
,8. amoxicillan is the standard treatment for acute otis media. if symptoms dont
mprove within 48-72 hours, the client shoudl return for further assessment, -
ANSWER ✔ basically if antibiotics arent treating the infection, this may
mean your body is resistant to the antibiotic and you need a different one in
order to treat.
9. what is NTG? - ANSWER ✔ vasodilator usd to treat stable angina.
sunblignual tablet or spray under tongue.
relives pain in about 3 m ins and lasts 30-40 mins
recommended dose:
1 tab or 1 spray every 5 minutes for a max of 3 doses.
if chest pain continues after 5 mins after first dose, call 911.
10.chest pain that occurs at rest is not considered stable like for example
waking up at night with chest pain - ANSWER ✔
11.where should NTG tabs be stores? - ANSWER ✔ keep in original container
stored away from light and heat sources but easily accessible
12.what is the purpose of hemoglobin? - ANSWER ✔ to pick up oxygen in the
lungs and carry it to the tissues
13.with CO poisoning, what should be the nurses primary action? - ANSWER
✔ 100% oxygen at 15ml via nonrebreather mask
14.what happend when carbon monoxide enters the body relating to
hemoglobin? - ANSWER ✔ CO displaces oxygen from HGb causing
hypoxia that is NOT REFLECTED BY A PULSE OX.
15.the pulse ox cant differentiate btwn carbohemoglobin and oxyhemoglobin.
, so, their pulse ox may relfect normal findings, yet severe hypoxia may be
present heart failure patinets must take which very important 2 actions? -
ANSWER ✔ low sodium diet and take medications
16.why should a patient take diuretic in the morning and not at bedtime> -
ANSWER ✔ so they wont have to pee a lot at night
17.hyperkalemia is a side effect of ACE inhibitors - ANSWER ✔
18.high in sodium foods examples - ANSWER ✔ processed meat, cheese,
brea, canned soup/veggies, frozen dinners
19.teaching for an electroencephalogram - ANSWER ✔ -wash hair before to
remove oils
-avoid caffeine, stimlants, and cns depressants before the test
-test is not painful, as electrodes are just placed on the head
20.oral isoniazid (INH) interferes with what vitamin? - ANSWER ✔ vitamin
B6 resulting in peripheral neuropathy.
if taking thise you should take a vit B supplement
21.what lab is monitored when receiving warfarin? - ANSWER ✔ INR
22.what lab is monitored when receiving unfractioned heparin? - ANSWER ✔
aPTT
23.glucose levels should be watched when receiving a steroid (glucocorticoid) -
ANSWER ✔
, 24.when a patient is on prednisone, check glucose levels - ANSWER ✔
25.if a patient is on dig, monitor dig levels and also potassium levels -
ANSWER ✔
26.Loperamide (Imodium) - ANSWER ✔ antidiarrheal
27.opiate withdrawal - ANSWER ✔ everything is increased
28.if there is a radiation contamination, see the victims farthest away from the
source first - ANSWER ✔
29.in postmortem care, it is ok to let family members assist with care -
ANSWER ✔
30.chlorhexidine gives antimicrobial effect really quick (like 30 scds) -
ANSWER ✔
31.excessive hari may be clipped but not shaved when trying to start an IV.
sjaving can cause abrasions which can introduce pathogens - ANSWER ✔
32.elbow sling placement - ANSWER ✔ 90 deg
hand abve elbow
bottom of sling ends in middle of palm with fingers visible
33.do not take ace inhibitors if pregnant or planning to become - ANSWER ✔
Complete Questions with Correct
Solutions||A+ GRADED
1. what is the priority when giving 2 neds at the smae time? - ANSWER ✔
checking for drug compatibility
2. what is the pavlik harness used to treat - ANSWER ✔ DDH in kids. it
keeps kids legs bent and spread apart
3. care of infant wearing pavlik hanress - ANSWER ✔ assess skin 2-3 times
daily
put shirt and socks under harness
put diapers underneath straps
leave harness on at all times
adjusting of straps should onlt be done by HCP, not nurse or parent
4. since a client post op is coming off anesthesia, they are at risk for aspiration
due to their altered LOC. nausea post op should be a priority - ANSWER ✔
5. whyi s vfib more lethal than vtach? - ANSWER ✔ becuase there is no pulse
with vfib. no pulse calls for immediate CPR and defibrillation
6. it is possible to have a pulse in vtach - ANSWER ✔
7. amoxicillan can cause what super infection? - ANSWER ✔ c diff. watch
out for a fever and abdominal pain that develops with diarrhea
,8. amoxicillan is the standard treatment for acute otis media. if symptoms dont
mprove within 48-72 hours, the client shoudl return for further assessment, -
ANSWER ✔ basically if antibiotics arent treating the infection, this may
mean your body is resistant to the antibiotic and you need a different one in
order to treat.
9. what is NTG? - ANSWER ✔ vasodilator usd to treat stable angina.
sunblignual tablet or spray under tongue.
relives pain in about 3 m ins and lasts 30-40 mins
recommended dose:
1 tab or 1 spray every 5 minutes for a max of 3 doses.
if chest pain continues after 5 mins after first dose, call 911.
10.chest pain that occurs at rest is not considered stable like for example
waking up at night with chest pain - ANSWER ✔
11.where should NTG tabs be stores? - ANSWER ✔ keep in original container
stored away from light and heat sources but easily accessible
12.what is the purpose of hemoglobin? - ANSWER ✔ to pick up oxygen in the
lungs and carry it to the tissues
13.with CO poisoning, what should be the nurses primary action? - ANSWER
✔ 100% oxygen at 15ml via nonrebreather mask
14.what happend when carbon monoxide enters the body relating to
hemoglobin? - ANSWER ✔ CO displaces oxygen from HGb causing
hypoxia that is NOT REFLECTED BY A PULSE OX.
15.the pulse ox cant differentiate btwn carbohemoglobin and oxyhemoglobin.
, so, their pulse ox may relfect normal findings, yet severe hypoxia may be
present heart failure patinets must take which very important 2 actions? -
ANSWER ✔ low sodium diet and take medications
16.why should a patient take diuretic in the morning and not at bedtime> -
ANSWER ✔ so they wont have to pee a lot at night
17.hyperkalemia is a side effect of ACE inhibitors - ANSWER ✔
18.high in sodium foods examples - ANSWER ✔ processed meat, cheese,
brea, canned soup/veggies, frozen dinners
19.teaching for an electroencephalogram - ANSWER ✔ -wash hair before to
remove oils
-avoid caffeine, stimlants, and cns depressants before the test
-test is not painful, as electrodes are just placed on the head
20.oral isoniazid (INH) interferes with what vitamin? - ANSWER ✔ vitamin
B6 resulting in peripheral neuropathy.
if taking thise you should take a vit B supplement
21.what lab is monitored when receiving warfarin? - ANSWER ✔ INR
22.what lab is monitored when receiving unfractioned heparin? - ANSWER ✔
aPTT
23.glucose levels should be watched when receiving a steroid (glucocorticoid) -
ANSWER ✔
, 24.when a patient is on prednisone, check glucose levels - ANSWER ✔
25.if a patient is on dig, monitor dig levels and also potassium levels -
ANSWER ✔
26.Loperamide (Imodium) - ANSWER ✔ antidiarrheal
27.opiate withdrawal - ANSWER ✔ everything is increased
28.if there is a radiation contamination, see the victims farthest away from the
source first - ANSWER ✔
29.in postmortem care, it is ok to let family members assist with care -
ANSWER ✔
30.chlorhexidine gives antimicrobial effect really quick (like 30 scds) -
ANSWER ✔
31.excessive hari may be clipped but not shaved when trying to start an IV.
sjaving can cause abrasions which can introduce pathogens - ANSWER ✔
32.elbow sling placement - ANSWER ✔ 90 deg
hand abve elbow
bottom of sling ends in middle of palm with fingers visible
33.do not take ace inhibitors if pregnant or planning to become - ANSWER ✔
