NCLEX RN PEARSON ACTUAL TEST PAPER
ALL QUESTIONS AND WELL ELABORATED
ANSWERS WITH RATIONALES COMPLETE
TEST BANK STUDY GUIDE HIGHLY
VERIFIED
⩥ Anemias
Answer: **all have low Hbg and Hct
renal disease: low erythropoietin
iron deficiency: most common anemia
aplastic: low RBC, WBC, platelets
pernicious: B12 malabsorption, "shillings test"
hemolytic: premature RBC destruction
sickle cell: joint pain
,thalassemia: facial bone deformities
⩥ C-Reactive Protein
Answer: cardiac damage
⩥ B-type natriuretic peptide (BNP)
Answer: indicator for diagnosing HF
< 100 no HF
100-300 possible HF
> 300 mild HF
> 600 moderate HF
> 900 severe HF
⩥ Signs of impending MI
Answer: MALE:
mid sternal pain (crushing pain, elephant)
tachycardia
anxiety
pale, cold, clammy
FEMALE:
,mid-back or epigastric pain
sleep disturbance
fatigue
feel's "something is wrong"
BOTH:
pain radiates to should or arm
n/v
dizzy
dyspnea
heart burn
⩥ MI interventions
Answer: O.N.A.M.
Oxygen
Nitroglycerin
Aspirin (325mg)
Morphine (helps to breath easier and lessens pain)
⩥ HF
Answer: **too much fluid: "Pump it, Park it, Pee it"
, Left Side: LUNGS
dyspnea
frothy sputum
crackles
cough
Right Side: REST OF BODY
JVD
weight gain
edema
*too much fluid: "Pump it, Park it, Pee it"
⩥ Early signs of Shock
Answer: pallor
tachypnea
confusion
tachycardia
⩥ Late Signs of Shock
Answer: cold, moist skin
ALL QUESTIONS AND WELL ELABORATED
ANSWERS WITH RATIONALES COMPLETE
TEST BANK STUDY GUIDE HIGHLY
VERIFIED
⩥ Anemias
Answer: **all have low Hbg and Hct
renal disease: low erythropoietin
iron deficiency: most common anemia
aplastic: low RBC, WBC, platelets
pernicious: B12 malabsorption, "shillings test"
hemolytic: premature RBC destruction
sickle cell: joint pain
,thalassemia: facial bone deformities
⩥ C-Reactive Protein
Answer: cardiac damage
⩥ B-type natriuretic peptide (BNP)
Answer: indicator for diagnosing HF
< 100 no HF
100-300 possible HF
> 300 mild HF
> 600 moderate HF
> 900 severe HF
⩥ Signs of impending MI
Answer: MALE:
mid sternal pain (crushing pain, elephant)
tachycardia
anxiety
pale, cold, clammy
FEMALE:
,mid-back or epigastric pain
sleep disturbance
fatigue
feel's "something is wrong"
BOTH:
pain radiates to should or arm
n/v
dizzy
dyspnea
heart burn
⩥ MI interventions
Answer: O.N.A.M.
Oxygen
Nitroglycerin
Aspirin (325mg)
Morphine (helps to breath easier and lessens pain)
⩥ HF
Answer: **too much fluid: "Pump it, Park it, Pee it"
, Left Side: LUNGS
dyspnea
frothy sputum
crackles
cough
Right Side: REST OF BODY
JVD
weight gain
edema
*too much fluid: "Pump it, Park it, Pee it"
⩥ Early signs of Shock
Answer: pallor
tachypnea
confusion
tachycardia
⩥ Late Signs of Shock
Answer: cold, moist skin
