GRADED A+ /NCLEX-RN EXAM REVIEW QUESTIONS WITH 100% HIGHLIGHTED
CORRECT ANSWERS
What Nationalities have a high risk r/t the development of obesity and diabetes
mellitus? - ANSWER-Because of their health and dietary practices, Native
Americans, Latino Americans, Hispanic Americans, and African Americans have a
high risk of obesity and diabetes mellitus.
Asian Americans have a lower risk for obesity and diabetes mellitus.
Define fluid volume excess: Hypervolemia - ANSWER-too much fluid in the vascular
space (first).
Vascular equals the vessels --> veins, arteries, capillaries, heart chambers, etc.
What can cause fluid volume excess: Hypervolemia - ANSWER-Heart Failure (HF)
where the heart is weak, CO is decreased, the kidneys have decreased perfusion
and urinary output is decreased. **The volume stays in the vascular space!
Renal Failure (RF) When the kidneys are not working.
,Medications: alka-seltzer, fleet enema's and IVF with Na. These medications have a
lot of sodium causing water retention in the vascular space.
What are the two main hormonal regulations related to fluid volume - ANSWER-
Aldosterone (steroid, mineralocorticoid)
Atrial Natriuretic Peptide (ANP)
Where is aldosterone found - ANSWER-in the adrenal glands
When blood volume gets low (vomiting, blood loss, etc.) what happens to the
secretion of aldosterone and what happens because of it? - ANSWER-Aldosterone
secretion increases which causes a retention of sodium and water which will
make blood volume go up or increase.
What diseases are related to too much aldosterone? - ANSWER-Cushings and
Hyperaldosteronism (Conn's)
Which disease is related to not enough aldosterone? - ANSWER-Addisons: fluid
volume is decreased
Where is Atrial Natriuretic Peptide (ANP) found? - ANSWER-In the atria of the
heart
,How does atrial natriuretic peptide (ANP) work? - ANSWER-It is the opposite of
aldosterone, so it causes excretion of Nas and H2O
aminoglycosides (mycins) - ANSWER-
When selecting an NCLEX answer or determining the order of priority what should
you remember or use and what is the exception? - ANSWER-Use the ABC rule:
Airway breathing, and circulation. The exception to the rule is with actual CPR, use
C-A-B for CPR. Also remember safety first and acute before chronic. If the pt. is
not in distress then you assess. If the pt is in distress then you should do
something. If the pt has diaphorisis you should always do something.
How should you address questions related to Maslow's Hierarchy of Needs -
ANSWER-Address physiological needs first, followed by safety and security needs,
love and belonging needs, self esteem needs and finally self actualization needs.
*When a physiological need is not addressed in the question, look for the option
that addresses safety.
If a question is related to the nursing process, read the question to determine the
step of the nursing process. What are the steps in the nursing process and what
kind of question might be related to that step. - ANSWER-Assessment question
address the gathering and verification of data.
, Analysis questions require the nurse to: interpret data, collect additional
information, identify and communicate nursing diagnoses and determine the
health team's ability to meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying outcomes of
care.
Implementation questions reflect the management and organization of care and
the assignment and delegation of tasks. Be prepared for questions on client
teaching.
Evaluation questions focus on comparing the actual outcomes of care with the
expected outcomes and on communicating and documenting findings.
What are the normal ranges for H&H? What are the nursing implications -
ANSWER-Hemoglobin - Male 14-18 Female 12-16 Newborn 14-24
High altitude living increases value, slight decrease during pregnancy. Drug
therapy can alter values.
Hematocrit - Male 42-52 Female 37-47 Newborn 44-64