NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
g g g g g g g
GI, Endocrine, Integumentary (Test Bank) Latest 2023/2024
g g g g g g
, A+ Rated Guide.
g g g
Acetaminopheng(Tylenol)gisgwhatgtypegofgdrug?
Whatgisgthegmaximumgrecommendedgdosage?
Whatgshouldgyougmonitor?g–gANSgNonopioidgAnalgesics.
Maxgdose:g4000gmgg(4gg)ging24ghrs
Monitorglivergfunction
Aldosteronegattractsgwhat?g–gANSgSodium
Aminoglycosidesg(mycins)g-gAMS
AngiotensingIIgingtheglungsgisgagpotent?g–gANSgvasodialator
AtgwhatgpainglevelgshouldgangOpioidgAnalgesicgbegconsidered?g–
gANSgPainglevelgofg6gorggreater.gOpioidsgaregusedgforgmoderategtogseveregpain.
Definegfluidgvolumegexcess:gHypervolemiag–gANSgtoogmuchgfluidgingthegvasculargspaceg(first).
Vasculargequalsgthegvesselsg-->gveins,garteries,gcapillaries,gheartgchambers,getc.
DOgNOTgdelegategwhatgyougcangEATg-gAMSEg=gevaluate
Ag=gassess
Tg=gteach
EPIgisgalwaysggivengingwhatgtypegofgsyringeg-gAMSTBgsyringe
HIVgNursinggandgCollaborativegManagementgincludes...g-gAMS-
gMonitorgdiseasegprogressiongandgimmunegfunction
-Initiategandgmonitorg(ART)gantiretroviralgtherapy:gtogdecreasegviralgloadgandgincreasegTgcellgcount
-preventgdevelopmentgofgopportunisticgdiseases
-detectgandgtreatgopportunisticgdiseases
-managegsymptoms
-preventgorgdecreasegcomplicationsgofgtreatment
-preventgtransmissiongofgHIV
HowgdogyougconvertgCentigradegtogFahrenheitg-gAMSC+40,gmultiplyg9/5gandgsubtractg40
HowgdogyougconvertgFahrenheitgtogCentigradeg-gAMSF+40,gmultiplyg5/9gandgsubtractg40
HowgdogyougtestgforgthegChvostekgsigngandgwhatghappensgifgtheregisgagpositivegresponse?g–
gANSgElicitation:gTappinggongthegfacegatgagpointgjustganterior
togthegeargandgjustgbelowgthegzygomaticgbone
Positivegresponse:gTwitchinggofgthegipsilateralgfacial
Muscles,gsuggestivegofgneuromusculargexcitability
Causedgbyghypocalcemia
HowgdogyougtestgforgthegTrousseau'sgsigngandgwhatghappensgifgtheregisgagpositivegresponse?g–
gANSgElicitation:gInflatinggagsphygmomanometergcuffgabove
Systolicgbloodgpressuregforgseveralgminutes
Positivegresponse:gMusculargcontractiongincludinggflexiongofgthegwristgandgmetacarpophalangealgjoints,
Hyperextensiongofgthegfingers,gandgflexiongofgthegthumb
ongthegpalm,gsuggestivegofgneuromusculargexcitability
,NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
g g g g g g g
GI, Endocrine, Integumentary (Test Bank) Latest 2023/2024
g g g g g g
, A+ Rated Guide.
g g g
Causedgbyghypocalcemia
Howgdogyougtreatgfluidgvolumegdeficits?g–gANSgStrictgI&O
Replacegwithgisotonicgfluids
MonitorgBp
Weightgdaily
Howgdoesgatrialgnatriureticgpeptideg(ANP)gwork?g–
gANSgItgisgthegoppositegofgaldosterone,gsogitgcausesgexcretiongofgNasgandgH2O
Howgoftengisgnitroglycerinegadministeredgandgwhengshouldgyougnotggivegit?g–
gANSgupgtog3gtimesg(everyg5gminutes)gdognotggivegwhengBOgisglessgthang90/60
HowgshouldgyougaddressgquestionsgrelatedgtogMaslow'sgHierarchygofgNeedsg–
gANSgAddressgphysiologicalgneedsgfirst,gfollowedgbygsafetygandgsecuritygneeds,glovegandgbelonginggne
eds,gself-esteemgneedsgandgfinallygself-
actualizationgneeds.g*Whengagphysiologicalgneedgisgnotgaddressedgingthegquestion,glookgforgthegoptiongt
hatgaddressesgsafety.
Howgwouldgyougtreatgfluidgvolumegexcess?g–
gANSgGivegDiureticsg(Lasix),gfluidgrestrictions,gweighgdaily,gmonitorgK+
Ifgagquestiongisgrelatedgtogthegnursinggprocess,greadgthegquestiongtogdeterminegthegstepgofgthegnursingg
process.gWhatgaregthegstepsgingthegnursinggprocessgandgwhatgkindgofgquestiongmightgbegrelatedgtogthat
gstep?g–gANSgAssessmentgquestiongaddressgtheggatheringgandgverificationgofgdata.
Analysisgquestionsgrequiregthegnursegto:ginterpretgdata,gcollectgadditionalginformation,gidentifygandgcom
municategnursinggdiagnosesgandgdeterminegtheghealthgteam'sgabilitygtogmeetgthegptsgneeds.
Planninggquestionsgaskgaboutgdetermining,gprioritizing,gandgmodifyinggoutcomesgofgcare.
Implementationgquestionsgreflectgthegmanagementgandgorganizationgofgcaregandgthegassignmentgandgd
elegationgofgtasks.gBegpreparedgforgquestionsgongclientgteaching.
Evaluationgquestionsgfocusgongcomparinggthegactualgoutcomesgofgcaregwithgthegexpectedgoutcomesgan
dgongcommunicatinggandgdocumentinggfindings.
IfgPVC'sgaregleftguntreatedgwhatgcangitgleadgto?g-gAMSVentriculargfibrillation
Nameg3gInvasivegnon-pharmacologicalgpaingreliefgtechniques.g-gAMSNervegblocks
Interruptiongofgneuralgpathways
Acupuncture
Nameg3gtypesgofgIVgfluidsg-gAMSIsotonic:g0.9%gNS,gLR,gandgD5w
Hypotonic:g0.5%gNS,g0.45%gNS
Hypertonic:gd5g0.45%gNS,gD5LR,gD5NS
Nameg4gtypesgofgNonopioidgAnalgesicsg-gAMS1.gAcetaminophen:gTylenol
2.gSalicylates:gAspirin,gTrilisate
3.gNSAIDS:gibuprofen,gIndomethacin,gKetorolac,gDiclofenac
4.gCOX-2ginhibitors:gCelebrex
,NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
g g g g g g g
GI, Endocrine, Integumentary (Test Bank) Latest 2023/2024
g g g g g g
, A+ Rated Guide.
g g g
Nameg5gnon-invasivegnon-pharmacologicalgpaingreliefgtechniquesg(1stgchoicegofgpaingrelief)g-gAMSTen's
heatgandgcoldgapplication
messagegtherapy
relaxationgtechniques
guidedgimagery
biofeedbackgtechniques
NevergIVgpushgwhatgelectroylteg-gAMSK+
Nursinggassessmentgr/tgHIVg-gAMS-Positivegresultgongenzyme-linkedgimmunosorbedgassayg(ELISA)
-gCONFIRMEDgWITHgWESTERNgBLOTgTEST
-Polymerasegchaingreactiong(PCR)g-gusedgwithgneonate
-gOraQuickgIn-
HomegHIVgTest:gpositivegresultgisgonlygpreliminary;gitgmustgbegconfirmedgbygaghealthcaregprofessional.
**Ongoinggassessment,ginteractiongwithgthegclient,gandgclientgeducationgandgsupportgaregrequired.***
-gNCLEXgtestingg-gnevergchoosegabstinence,gchoosegeducate!
RelatedgtogmentalgHealth,ghowglonggcanganginvoluntarygadmissionglast?g-gAMS72ghours
TogmuchgCO2gcausesgwhat?g-gAMSvasoconstriction
Whatgareglowgriskgtherapiesg-gAMSLow-
riskgtherapiesgaregtherapiesgthatghavegnogadversegeffectsgand,gwhengimplementinggcare,gcangbegusedg
bygthegnursegwhoghasgtraininggandgexperiencegingtheirguse.gLow-
riskgtherapiesgincludegmeditation,grelaxationgtechniques,gimagery,gmusicgtherapy,gmassage,gtouch,glaug
htergandghumor,gandgspiritualgmeasures,gsuchgasgprayer.
Whatgaregnosocomialginfectionsg-
gAMSInfectionsgacquiredgasgagresultgofgexposuregtogagmicroorganismgingtheghospitalgsetting
Whatgaregnursesgresponsiblegforgrelatedgtogthegstandardsgofgcare?g-
gAMSNursesgaregresponsiblegforgperforminggproceduresgcorrectlygandgexercisinggprofessionalgjudgment
gwhengimplementingghealthcaregprovidersgprescriptions.
WhatgaregsomegexamplesgofgNon-opioidgAnalgesicgpaingmedicationsg-gAMSAcetaminopheng(Tylenol)
Salicylates:g
-gAspirin
-gCholinegmagnesiumgtrisalcylateg(Trilisate)
NSAIDs:g
-gIbuprofen
-gIndomethacin
-gKetorolac
-gDiclofenacgKg
Cyclooxygenase-2g(COX-2)ginhibitors
-gCelecoxib
WhatgaregsomegHIVgMedicationsg-gAMSNucleosidegreversegtranscriptaseginhibitorsg(NRTIs)
-zidovudineg(AZT,gZDV,gRetrovir)
-lamivudine
-abacavir
, NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
g g g g g g g
GI, Endocrine, Integumentary (Test Bank) Latest 2023/2024
g g g g g g
, A+ Rated Guide.
g g g
-emtricitabine
Nucleotidegreversegtranscriptaseginhibitorg(NtRTI)
-gTenofovirgDFg(Viread)
Whatgaregsomegsymptomsgofgfluidgvolumegdeficitg-gAMSweightgloss
oliguriag(notgenoughgurine)
posturalghypotension
WhatgaregsomegtypesgofgAnalgesicsg(usedgforgmoderategtogseveregpain)?g-gAMSMugagonists
-gMorphine
-gHydromorphone
-gMethadone
-gLevorphanolg
-gFentanyl
-gOxycodoneg
-gCodeineg(TylenolgNo.3)
Mixedgagonist-antagonists
-gPentazocineg
-Butorphanolg
Partialgagonists
-gNuprenorphine
-Buprenorphinegplusgnaloxone
Adjuvantgdrugs
-gusedgforgneuropathicgpain
-
gAntiepilepticgdrugs,gantidepressants,gandganestheticsgaregprescribedgalonegorgingcombinationgwithgopio
idsgforgneuropathicgpain,
-gCorticosteroids
Whatgaregtheg3gcategoriesgofgpaingmedicationsg-gAMS1.gnon-
opioids:gforgmildgpaingorgingcombinationgforgmoderategpain
2.gOpioids:gforgmoderategtogseveregpain
3.gCo-analgesicgorgadjuvantgdrugsg(i.e.ganticonvulsants,gantidepressants)gforgneuropathicgpain
Whatgaregtheg5gstagesgofggriefg-gAMSDenial,ganger,gbargaining,gdepression,gandgacceptance
Whatgaregtheg7gRightsgofgmedicationgadministration?g-gAMS1.gRightgdrug
2.grightgdose
3.gRightgroute
4.gRightgtime
5.gRightgpatient
6.gRightgdocumentation
7.gRightgtogrefuse
Whatgaregthegfivegrightsgofgdelegation?g-gAMS1.grightgtask
2.grightgcircumstance
3.grightgperson
4.grightgdirection/communication
5.grightgsupervision
WhatgaregtheggoalsgofgHIVgdruggtherapy?g-gAMS-Reducegthegviralgload
-maintaingorgraisegthegCD4+gTgcellgcounts.gTgcellgcountsg=g
g g g g g g g
GI, Endocrine, Integumentary (Test Bank) Latest 2023/2024
g g g g g g
, A+ Rated Guide.
g g g
Acetaminopheng(Tylenol)gisgwhatgtypegofgdrug?
Whatgisgthegmaximumgrecommendedgdosage?
Whatgshouldgyougmonitor?g–gANSgNonopioidgAnalgesics.
Maxgdose:g4000gmgg(4gg)ging24ghrs
Monitorglivergfunction
Aldosteronegattractsgwhat?g–gANSgSodium
Aminoglycosidesg(mycins)g-gAMS
AngiotensingIIgingtheglungsgisgagpotent?g–gANSgvasodialator
AtgwhatgpainglevelgshouldgangOpioidgAnalgesicgbegconsidered?g–
gANSgPainglevelgofg6gorggreater.gOpioidsgaregusedgforgmoderategtogseveregpain.
Definegfluidgvolumegexcess:gHypervolemiag–gANSgtoogmuchgfluidgingthegvasculargspaceg(first).
Vasculargequalsgthegvesselsg-->gveins,garteries,gcapillaries,gheartgchambers,getc.
DOgNOTgdelegategwhatgyougcangEATg-gAMSEg=gevaluate
Ag=gassess
Tg=gteach
EPIgisgalwaysggivengingwhatgtypegofgsyringeg-gAMSTBgsyringe
HIVgNursinggandgCollaborativegManagementgincludes...g-gAMS-
gMonitorgdiseasegprogressiongandgimmunegfunction
-Initiategandgmonitorg(ART)gantiretroviralgtherapy:gtogdecreasegviralgloadgandgincreasegTgcellgcount
-preventgdevelopmentgofgopportunisticgdiseases
-detectgandgtreatgopportunisticgdiseases
-managegsymptoms
-preventgorgdecreasegcomplicationsgofgtreatment
-preventgtransmissiongofgHIV
HowgdogyougconvertgCentigradegtogFahrenheitg-gAMSC+40,gmultiplyg9/5gandgsubtractg40
HowgdogyougconvertgFahrenheitgtogCentigradeg-gAMSF+40,gmultiplyg5/9gandgsubtractg40
HowgdogyougtestgforgthegChvostekgsigngandgwhatghappensgifgtheregisgagpositivegresponse?g–
gANSgElicitation:gTappinggongthegfacegatgagpointgjustganterior
togthegeargandgjustgbelowgthegzygomaticgbone
Positivegresponse:gTwitchinggofgthegipsilateralgfacial
Muscles,gsuggestivegofgneuromusculargexcitability
Causedgbyghypocalcemia
HowgdogyougtestgforgthegTrousseau'sgsigngandgwhatghappensgifgtheregisgagpositivegresponse?g–
gANSgElicitation:gInflatinggagsphygmomanometergcuffgabove
Systolicgbloodgpressuregforgseveralgminutes
Positivegresponse:gMusculargcontractiongincludinggflexiongofgthegwristgandgmetacarpophalangealgjoints,
Hyperextensiongofgthegfingers,gandgflexiongofgthegthumb
ongthegpalm,gsuggestivegofgneuromusculargexcitability
,NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
g g g g g g g
GI, Endocrine, Integumentary (Test Bank) Latest 2023/2024
g g g g g g
, A+ Rated Guide.
g g g
Causedgbyghypocalcemia
Howgdogyougtreatgfluidgvolumegdeficits?g–gANSgStrictgI&O
Replacegwithgisotonicgfluids
MonitorgBp
Weightgdaily
Howgdoesgatrialgnatriureticgpeptideg(ANP)gwork?g–
gANSgItgisgthegoppositegofgaldosterone,gsogitgcausesgexcretiongofgNasgandgH2O
Howgoftengisgnitroglycerinegadministeredgandgwhengshouldgyougnotggivegit?g–
gANSgupgtog3gtimesg(everyg5gminutes)gdognotggivegwhengBOgisglessgthang90/60
HowgshouldgyougaddressgquestionsgrelatedgtogMaslow'sgHierarchygofgNeedsg–
gANSgAddressgphysiologicalgneedsgfirst,gfollowedgbygsafetygandgsecuritygneeds,glovegandgbelonginggne
eds,gself-esteemgneedsgandgfinallygself-
actualizationgneeds.g*Whengagphysiologicalgneedgisgnotgaddressedgingthegquestion,glookgforgthegoptiongt
hatgaddressesgsafety.
Howgwouldgyougtreatgfluidgvolumegexcess?g–
gANSgGivegDiureticsg(Lasix),gfluidgrestrictions,gweighgdaily,gmonitorgK+
Ifgagquestiongisgrelatedgtogthegnursinggprocess,greadgthegquestiongtogdeterminegthegstepgofgthegnursingg
process.gWhatgaregthegstepsgingthegnursinggprocessgandgwhatgkindgofgquestiongmightgbegrelatedgtogthat
gstep?g–gANSgAssessmentgquestiongaddressgtheggatheringgandgverificationgofgdata.
Analysisgquestionsgrequiregthegnursegto:ginterpretgdata,gcollectgadditionalginformation,gidentifygandgcom
municategnursinggdiagnosesgandgdeterminegtheghealthgteam'sgabilitygtogmeetgthegptsgneeds.
Planninggquestionsgaskgaboutgdetermining,gprioritizing,gandgmodifyinggoutcomesgofgcare.
Implementationgquestionsgreflectgthegmanagementgandgorganizationgofgcaregandgthegassignmentgandgd
elegationgofgtasks.gBegpreparedgforgquestionsgongclientgteaching.
Evaluationgquestionsgfocusgongcomparinggthegactualgoutcomesgofgcaregwithgthegexpectedgoutcomesgan
dgongcommunicatinggandgdocumentinggfindings.
IfgPVC'sgaregleftguntreatedgwhatgcangitgleadgto?g-gAMSVentriculargfibrillation
Nameg3gInvasivegnon-pharmacologicalgpaingreliefgtechniques.g-gAMSNervegblocks
Interruptiongofgneuralgpathways
Acupuncture
Nameg3gtypesgofgIVgfluidsg-gAMSIsotonic:g0.9%gNS,gLR,gandgD5w
Hypotonic:g0.5%gNS,g0.45%gNS
Hypertonic:gd5g0.45%gNS,gD5LR,gD5NS
Nameg4gtypesgofgNonopioidgAnalgesicsg-gAMS1.gAcetaminophen:gTylenol
2.gSalicylates:gAspirin,gTrilisate
3.gNSAIDS:gibuprofen,gIndomethacin,gKetorolac,gDiclofenac
4.gCOX-2ginhibitors:gCelebrex
,NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
g g g g g g g
GI, Endocrine, Integumentary (Test Bank) Latest 2023/2024
g g g g g g
, A+ Rated Guide.
g g g
Nameg5gnon-invasivegnon-pharmacologicalgpaingreliefgtechniquesg(1stgchoicegofgpaingrelief)g-gAMSTen's
heatgandgcoldgapplication
messagegtherapy
relaxationgtechniques
guidedgimagery
biofeedbackgtechniques
NevergIVgpushgwhatgelectroylteg-gAMSK+
Nursinggassessmentgr/tgHIVg-gAMS-Positivegresultgongenzyme-linkedgimmunosorbedgassayg(ELISA)
-gCONFIRMEDgWITHgWESTERNgBLOTgTEST
-Polymerasegchaingreactiong(PCR)g-gusedgwithgneonate
-gOraQuickgIn-
HomegHIVgTest:gpositivegresultgisgonlygpreliminary;gitgmustgbegconfirmedgbygaghealthcaregprofessional.
**Ongoinggassessment,ginteractiongwithgthegclient,gandgclientgeducationgandgsupportgaregrequired.***
-gNCLEXgtestingg-gnevergchoosegabstinence,gchoosegeducate!
RelatedgtogmentalgHealth,ghowglonggcanganginvoluntarygadmissionglast?g-gAMS72ghours
TogmuchgCO2gcausesgwhat?g-gAMSvasoconstriction
Whatgareglowgriskgtherapiesg-gAMSLow-
riskgtherapiesgaregtherapiesgthatghavegnogadversegeffectsgand,gwhengimplementinggcare,gcangbegusedg
bygthegnursegwhoghasgtraininggandgexperiencegingtheirguse.gLow-
riskgtherapiesgincludegmeditation,grelaxationgtechniques,gimagery,gmusicgtherapy,gmassage,gtouch,glaug
htergandghumor,gandgspiritualgmeasures,gsuchgasgprayer.
Whatgaregnosocomialginfectionsg-
gAMSInfectionsgacquiredgasgagresultgofgexposuregtogagmicroorganismgingtheghospitalgsetting
Whatgaregnursesgresponsiblegforgrelatedgtogthegstandardsgofgcare?g-
gAMSNursesgaregresponsiblegforgperforminggproceduresgcorrectlygandgexercisinggprofessionalgjudgment
gwhengimplementingghealthcaregprovidersgprescriptions.
WhatgaregsomegexamplesgofgNon-opioidgAnalgesicgpaingmedicationsg-gAMSAcetaminopheng(Tylenol)
Salicylates:g
-gAspirin
-gCholinegmagnesiumgtrisalcylateg(Trilisate)
NSAIDs:g
-gIbuprofen
-gIndomethacin
-gKetorolac
-gDiclofenacgKg
Cyclooxygenase-2g(COX-2)ginhibitors
-gCelecoxib
WhatgaregsomegHIVgMedicationsg-gAMSNucleosidegreversegtranscriptaseginhibitorsg(NRTIs)
-zidovudineg(AZT,gZDV,gRetrovir)
-lamivudine
-abacavir
, NURSING NCLEX: Respiratory, Neuro, GI, Ortho Cardio
g g g g g g g
GI, Endocrine, Integumentary (Test Bank) Latest 2023/2024
g g g g g g
, A+ Rated Guide.
g g g
-emtricitabine
Nucleotidegreversegtranscriptaseginhibitorg(NtRTI)
-gTenofovirgDFg(Viread)
Whatgaregsomegsymptomsgofgfluidgvolumegdeficitg-gAMSweightgloss
oliguriag(notgenoughgurine)
posturalghypotension
WhatgaregsomegtypesgofgAnalgesicsg(usedgforgmoderategtogseveregpain)?g-gAMSMugagonists
-gMorphine
-gHydromorphone
-gMethadone
-gLevorphanolg
-gFentanyl
-gOxycodoneg
-gCodeineg(TylenolgNo.3)
Mixedgagonist-antagonists
-gPentazocineg
-Butorphanolg
Partialgagonists
-gNuprenorphine
-Buprenorphinegplusgnaloxone
Adjuvantgdrugs
-gusedgforgneuropathicgpain
-
gAntiepilepticgdrugs,gantidepressants,gandganestheticsgaregprescribedgalonegorgingcombinationgwithgopio
idsgforgneuropathicgpain,
-gCorticosteroids
Whatgaregtheg3gcategoriesgofgpaingmedicationsg-gAMS1.gnon-
opioids:gforgmildgpaingorgingcombinationgforgmoderategpain
2.gOpioids:gforgmoderategtogseveregpain
3.gCo-analgesicgorgadjuvantgdrugsg(i.e.ganticonvulsants,gantidepressants)gforgneuropathicgpain
Whatgaregtheg5gstagesgofggriefg-gAMSDenial,ganger,gbargaining,gdepression,gandgacceptance
Whatgaregtheg7gRightsgofgmedicationgadministration?g-gAMS1.gRightgdrug
2.grightgdose
3.gRightgroute
4.gRightgtime
5.gRightgpatient
6.gRightgdocumentation
7.gRightgtogrefuse
Whatgaregthegfivegrightsgofgdelegation?g-gAMS1.grightgtask
2.grightgcircumstance
3.grightgperson
4.grightgdirection/communication
5.grightgsupervision
WhatgaregtheggoalsgofgHIVgdruggtherapy?g-gAMS-Reducegthegviralgload
-maintaingorgraisegthegCD4+gTgcellgcounts.gTgcellgcountsg=g