Latest NCLEX-PN Study Guide
1 . Acute glomerulonephritis that is associated with beta-hemolytic strep is an
immunologic disorder that is caused by beta-hemolytic strep. When does this
typically occur?It occurs 21 days after a respiratory or skin infection.
. What are the common electrolyte imbalances after repeated vomiting?
2
Hypokalemia and hypomagnesemia. It is important to check a patient's electrolyte
levels.
. What do peripheral edema, shortness of breath, and dizziness commonly
3
indicate in a patient with a pacemaker?Pacemaker failure due to decreased
cardiac output.
. Which of the following is a complication that occurs during the first 24 hours
4
after a percutaneous liver biopsy?Hemorrhage.
5. Increased pulse, decreased blood pressure, and increased respirations
,indicate shock. Shock is a result of a(n):Hemorrhage.
. What disease is characterized by orthostatic hypotension due to autonomic
6
dysfunction?Parkinson's disease.
7. One cup of fluid is equal to:8 oz.
8. One ounce is equal to:30 mL.
. Why are diuretics given?To promote the excretion of sodium and water through
9
the kidneys.
1 0. Hypotension and hypovolemic shock are complications of what procedure,
due to the removal of a large volume of fluid?Paracentesis.
1 1. What is the normal specific gravity of urine and the normal levels of
hematocrit (male and female)?Urine specific gravity:1.010-1.030. Hematocrit:
Male: 42-50%,Female: 40-48%.
12. What is the normal range for a PTT?20-45 seconds.
1 3. What is Autocratic leadership?An approach in which the leader retains all
authority and is primarily concerned with task accomplishment.
14. What is Situational leadership?A comprehensive approach that incorporates
, the leader's style, the maturity of the work group, and the situation at hand.
1 5. What is Democratic leadership?A people-centered approach that is primarily
concerned with human relations and teamwork. This leadership style facilitates goal
accomplishment and contributes to the growth and development of the staff.
1 6. What is Laissez-faire leadership?A permissive style in which the leader gives up
control and delegates all decision-making to the work group.
1 7. What are the findings associated with fluid volume excess?Cough, dyspnea,
crackles, tachypnea, tachycardia, an elevated blood pressure, a bounding pulse, an
elevated central venous pressure, weight gain, edema, neck and hand vein distention,
an altered level of consciousness, and a decreased hematocrit level.
1 8. What are common causes of hypokalemia due to fluid loss?Gastrointestinal
(GI) fluids are rich in potassium and are lost through GI suction, placing the client at
risk for hypokalemia.
1 9. What conditions or habits place a client at risk for hypokalemia?Cushing's
syndrome, diarrhea, and the overuse of laxatives.
0. What clients are at risk for hyperkalemia?Clients who experience the cellular
2
shifting of potassium, as in the early stages of massive cell destruction (e.g., with
trauma, burns, sepsis, or metabolic or respiratory acidosis).
1. What are Sensible fluid losses?Losses that the person is aware of, such as
2
those that occur through wound drainage, GI tract losses, and urination.
1 . Acute glomerulonephritis that is associated with beta-hemolytic strep is an
immunologic disorder that is caused by beta-hemolytic strep. When does this
typically occur?It occurs 21 days after a respiratory or skin infection.
. What are the common electrolyte imbalances after repeated vomiting?
2
Hypokalemia and hypomagnesemia. It is important to check a patient's electrolyte
levels.
. What do peripheral edema, shortness of breath, and dizziness commonly
3
indicate in a patient with a pacemaker?Pacemaker failure due to decreased
cardiac output.
. Which of the following is a complication that occurs during the first 24 hours
4
after a percutaneous liver biopsy?Hemorrhage.
5. Increased pulse, decreased blood pressure, and increased respirations
,indicate shock. Shock is a result of a(n):Hemorrhage.
. What disease is characterized by orthostatic hypotension due to autonomic
6
dysfunction?Parkinson's disease.
7. One cup of fluid is equal to:8 oz.
8. One ounce is equal to:30 mL.
. Why are diuretics given?To promote the excretion of sodium and water through
9
the kidneys.
1 0. Hypotension and hypovolemic shock are complications of what procedure,
due to the removal of a large volume of fluid?Paracentesis.
1 1. What is the normal specific gravity of urine and the normal levels of
hematocrit (male and female)?Urine specific gravity:1.010-1.030. Hematocrit:
Male: 42-50%,Female: 40-48%.
12. What is the normal range for a PTT?20-45 seconds.
1 3. What is Autocratic leadership?An approach in which the leader retains all
authority and is primarily concerned with task accomplishment.
14. What is Situational leadership?A comprehensive approach that incorporates
, the leader's style, the maturity of the work group, and the situation at hand.
1 5. What is Democratic leadership?A people-centered approach that is primarily
concerned with human relations and teamwork. This leadership style facilitates goal
accomplishment and contributes to the growth and development of the staff.
1 6. What is Laissez-faire leadership?A permissive style in which the leader gives up
control and delegates all decision-making to the work group.
1 7. What are the findings associated with fluid volume excess?Cough, dyspnea,
crackles, tachypnea, tachycardia, an elevated blood pressure, a bounding pulse, an
elevated central venous pressure, weight gain, edema, neck and hand vein distention,
an altered level of consciousness, and a decreased hematocrit level.
1 8. What are common causes of hypokalemia due to fluid loss?Gastrointestinal
(GI) fluids are rich in potassium and are lost through GI suction, placing the client at
risk for hypokalemia.
1 9. What conditions or habits place a client at risk for hypokalemia?Cushing's
syndrome, diarrhea, and the overuse of laxatives.
0. What clients are at risk for hyperkalemia?Clients who experience the cellular
2
shifting of potassium, as in the early stages of massive cell destruction (e.g., with
trauma, burns, sepsis, or metabolic or respiratory acidosis).
1. What are Sensible fluid losses?Losses that the person is aware of, such as
2
those that occur through wound drainage, GI tract losses, and urination.
