CAT exam NCLEX rationales
acetaminophen overdose - ANS-n-acetylcysteine therapy = binds to acetaminophen
metabolites
Appropriate play activities for a toddler - ANS-finger paints
chalk
puzzles made of large pieces made of wood burn patient who is tachycardic, tachypneic,
and hypoxic - ANS-needs intubation and mechanical ventilation to secure airway and
prevent rapid respiratory failure
Customers who have fecal impaction s/s - ANS frequently pass material or watery mucus
around the affected mass, mimicking diarrhea. desmopressin - ANS-can cause severe
hyponatremia because it increase antidiuretic hormone = decreased urinary output,
increasing serum water levels
monitor levels of hyponatremia; confusion, lethargy, muscle weakness
INR range - ANS-for warfarin
2-3
meds to be administered during status epilepticus - ANS-IV benzos (lorazepam, diazepam,
midazolam)
metabolic alkalosis - ANS-vomiting
gastric suctioning
antacids (lots of amounts)
hypokalemia (most common)
normal integumentary assessments in newborns - ANS-lanugo - short hair that covers body
milia - small white bumps on noses and cheeks
Mongolian spots - birthmarks on skin
vernix caseosa - cheese like coating immediately after birth
mottling - reddish / purpleish discoloration caused by changes in blood flow
primary prevention - ANS-education
immunizations
modifying risk behaviors
propylthiouracil medication - ANS-patient education on having liver enzymes monitored
while taking medication
may cause hepatic injury
relaxin - ANS-hormone that is released throughout pregnancy to help prepare for uterine
ligament growth
can lead to clumsiness because of increase flexibility and ligament relaxation. increased risk
for musculoskeletal injury
Rh factor - ANS-RH + can receive positive or neg blood
Rh can only take in blood that is negative. Rh - women should have a Coombs test to
determine whether they have sensitized (have developed antibodies) due to previous
exposure
s/s of hyperglycemia - ANS-blurred vision
increased urinary output (polyuria)
tachy
acetaminophen overdose - ANS-n-acetylcysteine therapy = binds to acetaminophen
metabolites
Appropriate play activities for a toddler - ANS-finger paints
chalk
puzzles made of large pieces made of wood burn patient who is tachycardic, tachypneic,
and hypoxic - ANS-needs intubation and mechanical ventilation to secure airway and
prevent rapid respiratory failure
Customers who have fecal impaction s/s - ANS frequently pass material or watery mucus
around the affected mass, mimicking diarrhea. desmopressin - ANS-can cause severe
hyponatremia because it increase antidiuretic hormone = decreased urinary output,
increasing serum water levels
monitor levels of hyponatremia; confusion, lethargy, muscle weakness
INR range - ANS-for warfarin
2-3
meds to be administered during status epilepticus - ANS-IV benzos (lorazepam, diazepam,
midazolam)
metabolic alkalosis - ANS-vomiting
gastric suctioning
antacids (lots of amounts)
hypokalemia (most common)
normal integumentary assessments in newborns - ANS-lanugo - short hair that covers body
milia - small white bumps on noses and cheeks
Mongolian spots - birthmarks on skin
vernix caseosa - cheese like coating immediately after birth
mottling - reddish / purpleish discoloration caused by changes in blood flow
primary prevention - ANS-education
immunizations
modifying risk behaviors
propylthiouracil medication - ANS-patient education on having liver enzymes monitored
while taking medication
may cause hepatic injury
relaxin - ANS-hormone that is released throughout pregnancy to help prepare for uterine
ligament growth
can lead to clumsiness because of increase flexibility and ligament relaxation. increased risk
for musculoskeletal injury
Rh factor - ANS-RH + can receive positive or neg blood
Rh can only take in blood that is negative. Rh - women should have a Coombs test to
determine whether they have sensitized (have developed antibodies) due to previous
exposure
s/s of hyperglycemia - ANS-blurred vision
increased urinary output (polyuria)
tachy
