NCLEX Uworld - Study guides, Class notes & Summaries

NCLEX uworld Exam Questions and answers | Newest 2024/25

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117 pages

Written in 2023/2024

Grade A+

STUVEX

NCLEX UWORLD REVIEW CORRECT AND VERIFIED ANSWERS GRADED A+

5.0

(1)

20 pages

Written in 2023/2024

Grade A+

DrBellaPhD

When do *advanced directives* go into effect? - when person is *unable to speak for him/herself* due to either: 1. *Mental Incapacity* - *coma *(GCS score ≤ 7) 2. *Aphasia* (≠as soon as signed; directives can always be changed later by person) SBAR Communication Framekwork Components - 1. *S* = Situation - what *prompted* the communication (eg *what* changes occurred) 2. *B* = Background - *pertinent information, relevant history, vital signs* 3. *A* = Assessment - nurse's assessm...

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169 pages

Written in 2023/2024

Grade A+

STANFORDGENIUS

When do *advanced directives* go into effect? - ANSWER when person is *unable to speak for him/herself* due to either: 1. *Mental Incapacity* - *coma *(GCS score ≤ 7) 2. *Aphasia* (≠as soon as signed; directives can always be changed later by person) SBAR Communication Framekwork Components - ANSWER 1. *S* = Situation - what *prompted* the communication (eg *what* changes occurred) 2. *B* = Background - *pertinent information, relevant history, vital signs* 3. *A* = Assessment - nurs...

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207 pages

Written in 2023/2024

Grade A+

QUINTER

When do *advanced directives* go into effect? - ANSWER when person is *unable to speak for him/herself* due to either: 1. *Mental Incapacity* - *coma *(GCS score ≤ 7) 2. *Aphasia* (≠as soon as signed; directives can always be changed later by person) SBAR Communication Framekwork Components - ANSWER 1. *S* = Situation - what *prompted* the communication (eg *what* changes occurred) 2. *B* = Background - *pertinent information, relevant history, vital signs* 3. *A* = Assessment - nurs...

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207 pages

Written in 2023/2024

Grade A+

QUINTER

Lactulose - ANSWER Decrease intestinal ammonia absorption Will improve mental status by removing ammonia Used for: liver disease/damage Spironolactone - ANSWER Aldosterone Inhibitor/ K+ sparing diuretic Used for: liver damage Used to: promote diuresis, prevent fluid retention

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41 pages

Written in 2023/2024

Grade A+

QUINTER

The nurse is caring for a client with surgical complications who requires continuous total parenteral nutrition (TPN). The nurse assists the health care provider with the insertion of a subclavian triple lumen central venous access device. What is the priority action before initiating the TPN infusion? - Answer Check the results of the portable chest x-ray. Defense mechanisms - Answer Strategies or responses, usually unconscious, used by individuals to distance themselves from a full awar...

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8 pages

Written in 2023/2024

Grade A+

TestSolver9

The labor and delivery (L&D) nurse is floated to a medical-surgical floor for a shift. Which client is MOST APPROPRIATE for the charge nurse to assign to the L&D nurse? # (14) 1. Child with an occluded arteriovenous fistula receiving IV heparin infusion. 2. Client with cirrhosis and ascites who requires bedside paracentesis. 3. Client with diabetes who is one day postoperative below-the-knee amputation. 4. Client with pyelonephritis who is febrile and receiving IV antibiotics - Answer 4 ...

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8 pages

Written in 2023/2024

Grade A+

TestSolver9

PD dwell time immediate nurse - Answer crackles present in L & R lung PD monitor: RR compromise - difficulty breathing, rapid RR, crackles HyperK - Answer ECG change + hyperK 1st => give calcium gluconate = stabilize cardiac muscle Assign to LPN - Answer 2 days post op aortic valve surgery - needs urinary cath reinsert d/t unable to void RN - Answer -clinical assessment -initial client education -discharge education -clinical judgement -initiate blood transfusion ...

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23 pages

Written in 2023/2024

Grade A+

TestSolver9

When do *advanced directives* go into effect? - Answer when person is *unable to speak for him/herself* due to either: 1. *Mental Incapacity* - *coma *(GCS score ≤ 7) 2. *Aphasia* (≠as soon as signed; directives can always be changed later by person) SBAR Communication Framekwork Components - Answer 1. *S* = Situation - what *prompted* the communication (eg *what* changes occurred) 2. *B* = Background - *pertinent information, relevant history, vital signs* 3. *A* = Assessment...

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189 pages

Written in 2023/2024

Grade A+

TestSolver9

Nephrotoxic Meds - Answer -mycin antibiotics (aminoglycides) -keterolac (Toradol) -NSAIDs -digoxin Hepatotoxic Meds - Answer -tylenol -NSAIDs Naloxone (Narcan) - Answer -weans in 1-2 hours -IV or nasal spray -if unresponsive d/t anesthesia or opioids: administer oxygen, assess respiratory rate, notify HCP, prepare second dose Narcan, no need to call rapid response/code team NSAIDs - Answer NON-STEROIDAL ANTI-INFLAMMATORY DRUGS -ex: aspirin, ibuprofen, naproxen -use at...

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17 pages

Written in 2023/2024

Grade A+

TestSolver9

what medications interact with grapefruit? - Answer calcium channel blockers: diltiazem, nifedipine, verapamil, etc statins caffeine SSRIs be sure to practice math! - Answer stent placement using the femoral approach puts you at risk for retroperitoneal hemorrhage - Answer what are early signs of bleeding into the retroperitoneal space? - Answer hypotension, back pain, flank ecchymosis (grey turner sign), hematoma formation, diminshed distal pulses what is the grey-turne...

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169 pages

Written in 2023/2024

Grade A+

TestSolver9

When do *advanced directives* go into effect? - Answer when person is *unable to speak for him/herself* due to either: 1. *Mental Incapacity* - *coma *(GCS score ≤ 7) 2. *Aphasia* (≠as soon as signed; directives can always be changed later by person) SBAR Communication Framekwork Components - Answer 1. *S* = Situation - what *prompted* the communication (eg *what* changes occurred) 2. *B* = Background - *pertinent information, relevant history, vital signs* 3. *A* = Assessment...

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189 pages

Written in 2023/2024

Grade A+

TestSolver9

A nurse in the intensive care unit is caring for a client in the immediate postoperative period following abdominal surgery. The nurse receives several prescriptions. Which prescription should the nurse initiate first? Click on the exhibit button for additional information. - Answer Normal saline 2 L via rapid IV bolus. A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond? - Answer Refer employee to the employee health...

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14 pages

Written in 2023/2024

Grade A+

TestSolver9

The charge nurse overhears an AP yelling loudly to a patient who is hard of hearing, while transferring them from the bed to a chair. Upon entering the room, which response by the charge nurse is most appropriate? a. "Please speak more quietly so you don't disturb the other patients." b. "Let me help you with your transfer technique." c. "When you are finished, be sure to apologize for shouting." d. "When your patient is safe and comfortable, meet me at the desk." - Answer d. The ...

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47 pages

Written in 2023/2024

Grade A+

TestSolver9

BPH assessment? - Answer >50 voiding difficulty/urgency incomplete emptying straining to void nocturia urine retention Should never have burning with uriantion! this indicates a UTI Sexual intercourse does not have anything to do with this PAtient with altered level of consciousness positioning? - Answer side lying position septic shock symptoms - Answer Tachycardia, fever,hypotension (SYSTOLIC lower then 90), pallor, fatigued, cold, reduced urine output, SOB,...

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127 pages

Written in 2023/2024

Grade A+

TestSolver9

Diagnosis - genetic disorder with absent/malfunctioning LDL receptors leading to elevations in both total cholesterol and LDL cholesterol leading to atheromas and xanthomas - Answer Familial hypercholesterolemia Tumor - cells produce non-membrane-bound cytoplasmic lipid - Answer Liposarcoma Term - unequal size of pupils - Answer Anisorcoria Compressed in a Pancoast tumor causing Horner syndrome - Answer Sympathetic trunk (superior cervical ganglia) Mechanism - lithium induced...

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7 pages

Written in 2023/2024

Grade A+

TestSolver9

AD - Answer -A progressive neurodegenerative disease that causes dementia (reduced cognitive function) -There is a reduction in cognition -conversations become progressively more difficult and word-finding difficulties occur -the best way for the nurse to obtain information is to use simple sentences in a calm environment Hearing loss patients - Answer -touching the client before speaking to them -Speak loudly -Stand close to the person Clients with insomnia, you are teaching sle...

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23 pages

Written in 2023/2024

Grade A

TestSolver9

The nurse is caring for a client returning from the cardiac cauterization laboratory following stent placement through the femoral artery. The client immediately vomits when transferring from the stretcher to the bed. What action should the nurse perform FIRST? 1. Administer IV ondansetron PRN 2. Change the client's gown and linens 3. Check the dressing over the groin insertion site 4. Request a prescription for fluid replacement - Answer 3. Check the dressing over the groin insertion s...

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7 pages

Written in 2023/2024

Grade A+

TestSolver9

A nurse coworker is called into work from home to help care for an influx of clients being admitted after a bus accident. While assisting the coworker prepare for incoming clients, the nurse becomes concerned that the coworker may be under the influence of an impairing substance. Which action by the nurse is best? 1. Ask another coworker to observe the individual to confirm the suspicion 2. Confront the coworker about the concern and offer emotional support 3. Speak with the nursing superv...

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42 pages

Written in 2023/2024

Grade A+

TestSolver9