NCLEX RN Exam Questions With Accurate Answers.
If pH & bicarb are in same direction - accurate answers--metabolic
-"bicarb both bolic"
if pH & bicarb are in different directions - accurate answers--respiratory
normal pH - accurate answers-7.35 to 7.45
normal bicarb - accurate answers-22 to 26
when pH increases... - accurate answers--"patient increases"
-become irritable, hyperexcitable
when pH decreases... - accurate answers--"patient decreases"
-shuts down
alkalosis will cause patient to - accurate answers--seize
-need suction at bed side
acidosis will cause patient to - accurate answers--respiratory arrest
-need ambu bag
what S/S only occurs with metabolic acidosis - accurate answers-kussmaul
respirations
overventilation = - accurate answers-alkalosis
underventilation = - accurate answers-acidosis
what would indicate the need for a PCA pump to be d/c - accurate answers-
respiratory acidosis
what is high pressure alarm on vent triggered by - accurate answers--
increased resistance to airflow
-machine has to push too hard to get air into lungs
-due to obstructions
obstructions that trigger high pressure alarm - accurate answers--kink in
tubing... unkink!
,-water condensation in tube... empty!
-mucus in airway... change position!
when should you suction - accurate answers-ONLY AS NEEDED
low pressure alarm on ventilator - accurate answers--decreased resistance to
airflow
disconnections that cause low pressure alarm on ventilator - accurate
answers--disconnection of main tubing... reconnect!
-disconnection in O2 sensing tubing
if ventilator settings are too high, what can occur - accurate answers-
respiratory alkalosis
what is the #1 psychological problem in all abuse - accurate answers--denial
-treat it by confronting it... not with agression
when confronting denial - accurate answers--NEVER attack the person
-address the problem only
when a question involves an issue with someone else... - accurate answers--
pick answer with "I"
-avoid answer with "you"
when is denial operative? - accurate answers--loss & grief
-support denial only in these situations
manipulation - accurate answers--abuser gets someone to do something that
is usually not good for them
how to treat manipulation - accurate answers--setting limits
-enforcing limits
Wernicke's syndrome - accurate answers--encephalopathy
-occurs in alcoholics
Korsokoff's syndrome - accurate answers--psychosis
-occurs in alcoholics
,what is psychosis due to r/t Wernicke's - accurate answers--vitamin B1 or
thiamine deficiency
-"patient goes insane"
#1 symptom of psychosis due to Wernicke's - accurate answers-amnesia with
confabulation (making up stories)
how to treat pt with psychosis r/t Wernicke's - accurate answers--do not
confront or present reality
-REDIRECT the patient
Wernicke's is... - accurate answers--preventable! take vitamin B1, pt can drink
if they comply
-arrestable! take vitamin B1
-irreversible! 70% of time (for boards go with majority)
antiabuse - accurate answers--disulfiram
-aversion therapy... if pt drinks they will become horribly sick
onset of antiabuse - accurate answers--2 weeks
-have to be off drug for 2 weeks in order to drink again
avoid ALL forms of alcohol while on antiabuse - accurate answers--
mouthwash
-aftershave
-perfume/cologne
-insect repellants
-any OTC with "elixer" in name
-alcohol-based hand sanitizer
-uncooked icing
upper - accurate answers--caffeine
-cocaine
-PCP/LSD
-methamphetamines
-adderol
if an abused drug is not an upper... - accurate answers-it is a downer
, S/S of uppers - accurate answers--euphoria
-tachycardia
-restlessness
-irritable
-diarrhea
-hyperreflexia
-spastic
-respiratory seize (suction needed)
S/S of downers - accurate answers--lethargy
-respiratory depression leading to arrest
-bradycardia
-obtunded
S/S of withdrawal of downer - accurate answers--seizure!!
-everything goes up!
S/S of withdrawal from upper - accurate answers--respiratory depression!!
-everything goes down!
upper overdose looks like - accurate answers-downer withdrawal
downer overdose look like - accurate answers-upper withdrawal
overdose/withdrawal in babies - accurate answers--always assume
intoxication at birth
-after 24 hours, assume baby is in withdrawal
alcohol withdrawal - accurate answers--every alcoholic goes through
withdrawal syndrome 24 hours after stop drinking
-this can lead to delirium tremens
-not life threatening
-patients are not a danger to self or others
delirium tremens - accurate answers--72 hours after stop drinking
-can kill you
-patients are dangerous to self and others
If pH & bicarb are in same direction - accurate answers--metabolic
-"bicarb both bolic"
if pH & bicarb are in different directions - accurate answers--respiratory
normal pH - accurate answers-7.35 to 7.45
normal bicarb - accurate answers-22 to 26
when pH increases... - accurate answers--"patient increases"
-become irritable, hyperexcitable
when pH decreases... - accurate answers--"patient decreases"
-shuts down
alkalosis will cause patient to - accurate answers--seize
-need suction at bed side
acidosis will cause patient to - accurate answers--respiratory arrest
-need ambu bag
what S/S only occurs with metabolic acidosis - accurate answers-kussmaul
respirations
overventilation = - accurate answers-alkalosis
underventilation = - accurate answers-acidosis
what would indicate the need for a PCA pump to be d/c - accurate answers-
respiratory acidosis
what is high pressure alarm on vent triggered by - accurate answers--
increased resistance to airflow
-machine has to push too hard to get air into lungs
-due to obstructions
obstructions that trigger high pressure alarm - accurate answers--kink in
tubing... unkink!
,-water condensation in tube... empty!
-mucus in airway... change position!
when should you suction - accurate answers-ONLY AS NEEDED
low pressure alarm on ventilator - accurate answers--decreased resistance to
airflow
disconnections that cause low pressure alarm on ventilator - accurate
answers--disconnection of main tubing... reconnect!
-disconnection in O2 sensing tubing
if ventilator settings are too high, what can occur - accurate answers-
respiratory alkalosis
what is the #1 psychological problem in all abuse - accurate answers--denial
-treat it by confronting it... not with agression
when confronting denial - accurate answers--NEVER attack the person
-address the problem only
when a question involves an issue with someone else... - accurate answers--
pick answer with "I"
-avoid answer with "you"
when is denial operative? - accurate answers--loss & grief
-support denial only in these situations
manipulation - accurate answers--abuser gets someone to do something that
is usually not good for them
how to treat manipulation - accurate answers--setting limits
-enforcing limits
Wernicke's syndrome - accurate answers--encephalopathy
-occurs in alcoholics
Korsokoff's syndrome - accurate answers--psychosis
-occurs in alcoholics
,what is psychosis due to r/t Wernicke's - accurate answers--vitamin B1 or
thiamine deficiency
-"patient goes insane"
#1 symptom of psychosis due to Wernicke's - accurate answers-amnesia with
confabulation (making up stories)
how to treat pt with psychosis r/t Wernicke's - accurate answers--do not
confront or present reality
-REDIRECT the patient
Wernicke's is... - accurate answers--preventable! take vitamin B1, pt can drink
if they comply
-arrestable! take vitamin B1
-irreversible! 70% of time (for boards go with majority)
antiabuse - accurate answers--disulfiram
-aversion therapy... if pt drinks they will become horribly sick
onset of antiabuse - accurate answers--2 weeks
-have to be off drug for 2 weeks in order to drink again
avoid ALL forms of alcohol while on antiabuse - accurate answers--
mouthwash
-aftershave
-perfume/cologne
-insect repellants
-any OTC with "elixer" in name
-alcohol-based hand sanitizer
-uncooked icing
upper - accurate answers--caffeine
-cocaine
-PCP/LSD
-methamphetamines
-adderol
if an abused drug is not an upper... - accurate answers-it is a downer
, S/S of uppers - accurate answers--euphoria
-tachycardia
-restlessness
-irritable
-diarrhea
-hyperreflexia
-spastic
-respiratory seize (suction needed)
S/S of downers - accurate answers--lethargy
-respiratory depression leading to arrest
-bradycardia
-obtunded
S/S of withdrawal of downer - accurate answers--seizure!!
-everything goes up!
S/S of withdrawal from upper - accurate answers--respiratory depression!!
-everything goes down!
upper overdose looks like - accurate answers-downer withdrawal
downer overdose look like - accurate answers-upper withdrawal
overdose/withdrawal in babies - accurate answers--always assume
intoxication at birth
-after 24 hours, assume baby is in withdrawal
alcohol withdrawal - accurate answers--every alcoholic goes through
withdrawal syndrome 24 hours after stop drinking
-this can lead to delirium tremens
-not life threatening
-patients are not a danger to self or others
delirium tremens - accurate answers--72 hours after stop drinking
-can kill you
-patients are dangerous to self and others
