NCLEX UWORLD EXAM REVIEW WITH 100% CORRECT ANSWERS 2024

NCLEX UWORLD EXAM REVIEW WITH 100% CORRECT ANSWERS 2024 What medications are used once adverse effects occur with ACE inhibitor use? - answerARBs (sartans) What are the adverse effects of ACE inhibitors? - answersymptomatic hypotension intractable cough hyperkalemia angioedema temporary increase in creatinine What is dextromethorphan used for? - answercough suppressant what causes phenylketonuria in newborns? - answergenetic problem lacking phenylalanine hydroxylase What is the tx for phenylketonuria? - answerlow phenlylalanine diet for life monitor serum phenylalanine levels use synthetic special formulas encourage consumption of fruit & veggies avoid eggs, meats, milk & replace w/ protein substitutes can LPN assess the quality of pt problems? - answerno should you remove ADHD child from room to sit in time out? - answerno, puntitive & not therapeutic (move away from source of anger) What is the best action for child with ADHD in situation where child had difficulty controlling anger? - answerrequesting child to relax & take deep breaths (will distract client & calm them) when is methylphenidate administered? - answer2-3 divided doses or sustained release 30-45 mins before meals what has most likely happened if pt's PTT is control value? - answerpt is not getting the ordered heparin (check IV tubing, IV patency, etc.) How long is heparin effective? - answer2-6h can pts develop tolerance to heparin? - answerno does vitamin k effect heparin? - answerno low platelets while pt is receiving heparin places them at risk for? - answerheparin-induced thrombocytopenia (results in clot formation, not bleeding & has NO EFFECT on PTT) What is the priority tx for client with hemophilia A & suspected head injury? - answerIV factor VIII then head CT teaching about injury prevention s/sx of intracranial bleed are? - answerlethargy HA irritability vomiting Why would you administer factor VIII before head CT in pt with hemophilia A who has suspected head trauma? - answercan't perform surgery to fix head bleed without the factor & head bleed cannot clot w/o factor . can you give blood through a 20g needle? - answeryes can you run blood as IV piggyback through infusion pump? - answerNO! (blood must be on it's own line w/ filtered tubing) what should you do before administering blood if client had anything going through IV other than saline? - answerflush IV catheter first What medications do elderly most com