NCLEX PN Revision Study Questions

When noticing that the fundus of a postpartum patient is soft and spongy, what should you do? ️️ Massage the fundus gently until it is firm Drugs that end in "lol" are normally used for what? ️️ Beta Blocker (for hypertension) ("Lo" Lowers the BP) What OTC tabs should patients not take with medication? ️️ Antacids tabs (effects the absorption of the med) Which tabs should not be crushed? ️️ Enteric Coated/sustained release tabs Can nurses adjust or change a patients medication? ️️ NO (only the Doctor can do this) T/F Patients should consult a doctor before taking OTC or any herbal preparations? ️️ True Can Abandonment charges be filed against nurses who walk out if staffing is inadequate? ️️ Yes Can nurses refuse to float? ️️ No, unless their Union contract states they only work in a specific area Do Nurses need to get their own Insurance against malpractice? ️️ YES Who issued the Patients Bill of Rights? ️️ American Hospital Association What is habeas Corpus, and can a mentally ill patient request it? ️️ Requesting a release from care/Yes they can T/F Catholics, Christians and Jehovah witness are the only religions that allow organ donations? ️️ True T/F Orthodox Judaism may allow organ donation with the Rabbis approval? ️️ True What are Incident reports used for? ️️ Identifying risk situations and Improving care Do Incident reports get filed in the Patients record? ️️ No What are the components of a medication prescription? ️️ Date/Time Med name Dosage Route Frequency Signature How is a Telephone medication order abbreviated? ️️ t.o Can a nurse sign or be a witness to a signature for a "Living Will" for her patient? ️️ No, must be signed by someone who isn't staff or be notarized What is managed care? ️️ Strategies used to reduce the cost of health care. T/F Case management involves collaboration with an Interprofessional health care team? ️️ TRUE What are the 5 types of leaders? ️️ 1) Autocratic-Dominates the group, maintains strong control and address problems with clearly defined tasks. 2) Democratic-Participative style, all members of the team should have input. 3) Laissez-faire-Passive, inactive and delegates responsibility to the group (Lazy) 4) Situational-Leads based on current circumstance/situation. 5) Bureaucratic-Leader believes that the team is motivated by EXTERNAL forces, relies on policies/procedures for decision making. What is Inter-personal and Intra-personal conflict? ️️ Intra-within a person Inter-within the group When does discharge planning begin? ️️ When patient is admitted What is Priority 1, 2, and 3 of the Emergency room triage? ️️ Priority 1-Emergent (Chest pain, respiratory distress, major arterial bleed, chemical splashes to the eye) Priority 2-Urgent (Not life-threatening, unless not treated within 1-2 hours, eval every 30-60 mins) Priority 3-Minor issues, eval every 1-2 hours) What is Phlebitis? ️️ Inflammation of a vein What id Third Spacing? ️️ The accumulation of extracellular fluid in a body space due to disease or injury What does Extracellular mean? ️️ Fluid outside the cells What does Interstitial mean? ️️ Fluid between the cells and the blood vessels Which population is at "higher" risk for fluid related problems? ️️ infants and Elderly Water lost through the skin and lungs (expired air) is called? ️️ Insensible loss What is Hypokalemia? ️️ A potassium level lower than 3.5 mEq/L Can potassium supplement be taken on an empty stomach? ️️ No, causes nausea and emesis What else should be performed when a patient is receiving potassium supplements through IV? ️️ Cardiac monitoring Can potassium be administer via IV push? ️️ No, only IV or orally What level is the sodium when a patient has hyponatremia? ️️ Sodium level will be less than 135