NCLEX/RN Exam Questions With Accurate Answers.
Is a process of learning a different culture to adapt to a new or changing
environment. - accurate answers-Acculturation.
It is a subjective perspective of the person's heritage and a sense of belonging
to a group - accurate answers-Ethnic identity
Include meditation, relaxation techniques, imagery, music therapy, massage,
touch, laughter, humor, & spiritual measures (prayer). - accurate answers-
Low-risk therapies:
Because of their health & dietary practices, Native Americans, Latino
Americans, Hispanic Americans, & African Americans. - accurate answers-
High risk of obesity & diabetes mellitus
Surgery is not prohibited, but the administration of blood and blood products
is forbidden. This religious group believes the soul cannot live after death.
Administration of medication is an acceptable practice except if the
medication is derived from blood products. - accurate answers-Jehovah's
Witnesses
Believers adhere to dietary kosher laws. In this religion, the dairy-meat
combination is unacceptable. Only fish that have scales and fins are allowed;
meats that are allowed include animals that are vegetable eaters, cloven-
hoofed, and ritually slaughtered. - accurate answers-Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based
practices, manipulative & body-based practices, & energy medicine. - accurate
answers-Five categories of complementary and alternative medicine (CAM):
Focused, maintains strong control, makes decisions, & addresses all problems.
Dominates group & commands, rather than seeks suggestions or input.
Manager addresses problem (quality improvement) with taff, designs a plan
without input, & wants all problems reported directly back to her - accurate
answers-Autocratic leader
Participative & would likely meet with each staff person individually to
determine staff member's perception of problem. Would also speak with the
,staff about any issues & ask the staff for input with developing a plan. -
accurate answers-Democratic leader
Passive and nondirective. Would state what the problem was & inform staff
that the staff needed to come up with a plan to "fix it." - accurate answers-
Laissez-faire leader
Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia,
elevated blood pressure, bounding pulse, elevated CVP, weight gain, edema,
neck & hand vein distention, altered LOC, & decreased hematocrit. - accurate
answers-Overhydration or fluid overload & occurs when fluid intake or fluid
retention
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes,
pork, beef, veal, raisins, spinach, strawberries, & tomatoes - accurate answers-
Common food sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of
the urine would be noted - accurate answers-Hyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum
hydroxide-based or magnesium-based antacids. Malnutrition is associated
with alcoholism. - accurate answers-Hypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative
factors. Should avoid foods high in phosphates; fish, eggs, milk products,
vegetables, whole grains, & carbonated beverages. - accurate answers-
Hyperphosphatemia
Vomiting, diarrhea, conditions that increased respiration's or increased
urinary output, insufficient intravenous fluid replacement, draining fistulas,
presence of ileostomy or colostomy. Diuretics, & gastrointestinal suctioning. -
accurate answers-Causes of a fluid volume deficit
Decreased kidney function, heart failure, hypotonic fluids to replace isotonic
fluid losses, excessive irrigation of wounds & body cavities, & excessive
ingestion of sodium. - accurate answers-Causes of overhydration or fluid
overload:
,Trauma, burns, sepsis, or metabolic or respiratory acidosis. - accurate
answers-Hyperkalemia causes:
Cushing's syndrome or colitis & over use of laxatives. - accurate answers-
Hypokalemia causes:
Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic
ketoacidosis; high fat diet; insufficient metabolism of carbohydrates;
malnutrition; ingestion of toxins, such as acetylsalicylic acid (aspirin);
malnutrition; severe diarrhea. Intestinal secretion high in bicarbonate & may
be lost through enteric drainage tubes, an ileostomy, or diarrhea. - accurate
answers-Metabolic acidotic
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase.
Symptoms experienced would include hypoventilation & tachycardia. -
accurate answers-Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - accurate
answers-Respiratory acidotic
Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness,
confusion, tachycardia, dysrhythmias related to hypokalemia, nausea,
vomiting, epigastric pain, numbness & tingling of extremities.
Hyperventilation (tachypnea) occurs. - accurate answers-Respiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for
bleeding - accurate answers-Warfarin (Coumadin)
aPTT monitors the effects. Anticoagulant used most often during
hemodialysis. Monitors extent of anticoagulation checking PTT, which is
appropriate measure heparin effect. Protamine sulfate is antidote. - accurate
answers-Heparin
Dark green leafy vegetables good source iron, oranges are a good source of
vitamin C, which enhances iron absorption. - accurate answers-Iron deficiency
anemia foods in diet:
May lack B12 in diet. - accurate answers-Vegans
, Include fruits & vegetables - accurate answers-Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater
fish & shellfish. Smoked foods, - accurate answers-High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy,
lemonade, ice pops, and regular or decaffeinated coffee or tea. - accurate
answers-Clear liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet, breakfast
drinks, milk, pudding & custard, soups that are strained, refined cooked
cereals, & strained vegetable juices. - accurate answers-Full liquid diet:
Pork products rich in this vitamin. Other good food sources include nuts,
whole grain cereals, & legumes. - accurate answers-High Thiamine foods
On the left side, with the head lower than the feet. This position used to
minimize effect of air traveling as a bolus to lungs by trapping it in right side
of heart. - accurate answers-Suspects air embolism. Should immediately place
client in which position?
Assess for known allergies to eggs to prevent anaphylaxis. - accurate answers-
Fat emulsion (lipids)
Signs include excessive thirst, fatigue, restlessness, confusion, weakness,
Kussmaul's respirations, diuresis, & coma when severe. If has these
symptoms, blood glucose level should be checked immediately. - accurate
answers-Hyperglycemia:
Temperature and weight: Temperature monitored to detect infection,
potential complication of therapy. Infection also could result in sepsis because
catheter in blood vessel. Weight monitored for effectiveness nutritional
therapy & detect hypervolemia. - accurate answers-Parenteral nutrition; PN
monitor
Burns, exacerbation Crohn's disease, persistent nausea & vomiting due to
chemotherapy. Had extensive surgery, multiple fractures, are septic, have
advanced cancer or AIDS. (Electronic infusion pump used to administer) -
accurate answers-Parenteral nutrition; Patients needing
Is a process of learning a different culture to adapt to a new or changing
environment. - accurate answers-Acculturation.
It is a subjective perspective of the person's heritage and a sense of belonging
to a group - accurate answers-Ethnic identity
Include meditation, relaxation techniques, imagery, music therapy, massage,
touch, laughter, humor, & spiritual measures (prayer). - accurate answers-
Low-risk therapies:
Because of their health & dietary practices, Native Americans, Latino
Americans, Hispanic Americans, & African Americans. - accurate answers-
High risk of obesity & diabetes mellitus
Surgery is not prohibited, but the administration of blood and blood products
is forbidden. This religious group believes the soul cannot live after death.
Administration of medication is an acceptable practice except if the
medication is derived from blood products. - accurate answers-Jehovah's
Witnesses
Believers adhere to dietary kosher laws. In this religion, the dairy-meat
combination is unacceptable. Only fish that have scales and fins are allowed;
meats that are allowed include animals that are vegetable eaters, cloven-
hoofed, and ritually slaughtered. - accurate answers-Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based
practices, manipulative & body-based practices, & energy medicine. - accurate
answers-Five categories of complementary and alternative medicine (CAM):
Focused, maintains strong control, makes decisions, & addresses all problems.
Dominates group & commands, rather than seeks suggestions or input.
Manager addresses problem (quality improvement) with taff, designs a plan
without input, & wants all problems reported directly back to her - accurate
answers-Autocratic leader
Participative & would likely meet with each staff person individually to
determine staff member's perception of problem. Would also speak with the
,staff about any issues & ask the staff for input with developing a plan. -
accurate answers-Democratic leader
Passive and nondirective. Would state what the problem was & inform staff
that the staff needed to come up with a plan to "fix it." - accurate answers-
Laissez-faire leader
Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia,
elevated blood pressure, bounding pulse, elevated CVP, weight gain, edema,
neck & hand vein distention, altered LOC, & decreased hematocrit. - accurate
answers-Overhydration or fluid overload & occurs when fluid intake or fluid
retention
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes,
pork, beef, veal, raisins, spinach, strawberries, & tomatoes - accurate answers-
Common food sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of
the urine would be noted - accurate answers-Hyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum
hydroxide-based or magnesium-based antacids. Malnutrition is associated
with alcoholism. - accurate answers-Hypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative
factors. Should avoid foods high in phosphates; fish, eggs, milk products,
vegetables, whole grains, & carbonated beverages. - accurate answers-
Hyperphosphatemia
Vomiting, diarrhea, conditions that increased respiration's or increased
urinary output, insufficient intravenous fluid replacement, draining fistulas,
presence of ileostomy or colostomy. Diuretics, & gastrointestinal suctioning. -
accurate answers-Causes of a fluid volume deficit
Decreased kidney function, heart failure, hypotonic fluids to replace isotonic
fluid losses, excessive irrigation of wounds & body cavities, & excessive
ingestion of sodium. - accurate answers-Causes of overhydration or fluid
overload:
,Trauma, burns, sepsis, or metabolic or respiratory acidosis. - accurate
answers-Hyperkalemia causes:
Cushing's syndrome or colitis & over use of laxatives. - accurate answers-
Hypokalemia causes:
Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic
ketoacidosis; high fat diet; insufficient metabolism of carbohydrates;
malnutrition; ingestion of toxins, such as acetylsalicylic acid (aspirin);
malnutrition; severe diarrhea. Intestinal secretion high in bicarbonate & may
be lost through enteric drainage tubes, an ileostomy, or diarrhea. - accurate
answers-Metabolic acidotic
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase.
Symptoms experienced would include hypoventilation & tachycardia. -
accurate answers-Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - accurate
answers-Respiratory acidotic
Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness,
confusion, tachycardia, dysrhythmias related to hypokalemia, nausea,
vomiting, epigastric pain, numbness & tingling of extremities.
Hyperventilation (tachypnea) occurs. - accurate answers-Respiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for
bleeding - accurate answers-Warfarin (Coumadin)
aPTT monitors the effects. Anticoagulant used most often during
hemodialysis. Monitors extent of anticoagulation checking PTT, which is
appropriate measure heparin effect. Protamine sulfate is antidote. - accurate
answers-Heparin
Dark green leafy vegetables good source iron, oranges are a good source of
vitamin C, which enhances iron absorption. - accurate answers-Iron deficiency
anemia foods in diet:
May lack B12 in diet. - accurate answers-Vegans
, Include fruits & vegetables - accurate answers-Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater
fish & shellfish. Smoked foods, - accurate answers-High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy,
lemonade, ice pops, and regular or decaffeinated coffee or tea. - accurate
answers-Clear liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet, breakfast
drinks, milk, pudding & custard, soups that are strained, refined cooked
cereals, & strained vegetable juices. - accurate answers-Full liquid diet:
Pork products rich in this vitamin. Other good food sources include nuts,
whole grain cereals, & legumes. - accurate answers-High Thiamine foods
On the left side, with the head lower than the feet. This position used to
minimize effect of air traveling as a bolus to lungs by trapping it in right side
of heart. - accurate answers-Suspects air embolism. Should immediately place
client in which position?
Assess for known allergies to eggs to prevent anaphylaxis. - accurate answers-
Fat emulsion (lipids)
Signs include excessive thirst, fatigue, restlessness, confusion, weakness,
Kussmaul's respirations, diuresis, & coma when severe. If has these
symptoms, blood glucose level should be checked immediately. - accurate
answers-Hyperglycemia:
Temperature and weight: Temperature monitored to detect infection,
potential complication of therapy. Infection also could result in sepsis because
catheter in blood vessel. Weight monitored for effectiveness nutritional
therapy & detect hypervolemia. - accurate answers-Parenteral nutrition; PN
monitor
Burns, exacerbation Crohn's disease, persistent nausea & vomiting due to
chemotherapy. Had extensive surgery, multiple fractures, are septic, have
advanced cancer or AIDS. (Electronic infusion pump used to administer) -
accurate answers-Parenteral nutrition; Patients needing
