Study guides, Class notes & Summaries

NCLEX RN & PN QBANK ACTUAL EXAM PRACTICE TESTBANK 2024

Your pt has respiratory acidosis your pt has: (select all that apply) a) +1 reflexes b) diarrhea c) a dynamic ileus d) spasm e) urinary retention f) paraxysmol atrial tachycardia e) 2nd degree, mobitz, type 2 heart block g) hypokalemia : a) +1 reflexes c) a dynamic ileus e) urinary retention g) 2nd degree, mobitz, type 2 heart block A pt has pneumonia present in 4 lobes, they have a RR of 52, and a SpO2 of 78. What acid-base imbalance is the patient exhibiting? a) respiratory a...

Decide Sickest v.s. Healthiest" With prioritization, answers will always have these 4 parts: : Age- Irrelevant because all humans are important Gender- Irrelevant because all humans are important Diagnosis Modifying Phrase (*Most important*) Ex: Of prioritization Ex: Angina pectoris with unstable BP v.s stable vitals with a myocardial infarction (Angina pectoris is the highest priority at this time because they have unstable vitals due to the "modifying phrase". : Prioritization ...

Hyperthyroidism is also called : Grave's disease or hypermetabolism Tip to remember Grave's disease s/s's : "Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave's disease : Radioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy ... totals get : tetany, need lifelong hormone replacement After thyroidectomy patients are at risk for : hypocalcemia, remember hypocal...

Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____ : pH, Bicarb, Both, Bolic pH 7.30_______ HCO3 20_______ : ↓= acidosis; ↓= metabolic pH 7.58_______ HCO3 32_______ : ↑= alkalosis; ↑= metabolic pH 7.22_______ HCO3 30_______ : ↓= acidosis; ↑= respiratory You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: :...

As the pH goes, : so goes my patient, EXCEPT for potassium (Mac) Kussmaul's is only seen in... : Metabolic Acidosis In respiratory, if the patient is OVERventilating, : Respiratory Alkalosis In respiratory, if the patient is UNDERventilating, : Respiratory Acidosis The only cause for metabolic alkalosis is... : prolonged vomiting or suctioning A HIGH pressure alarm is due to... : obstructions (kinks in tubing, mucus secretions) A LOW pressure alarm is due to... 2 | P a g e : disco...

The increase in pressure is d/t an imbalance in the formation and drainage of ____ humor from the anterior chamber : Aqueous Glaucoma affects (one/both) eyes, usually : Both (it is a bilateral disease) The most common visual field defect in glaucoma is ___ : Central vision (loss of peripheral vision - also called tunnel vision) What are 2 types of glaucoma? : Open-angle, closed angle Open-angle glaucoma is seen most commonly in ___ life : Later Open-angle glaucoma is (painless/painfu...

Never hold the hormone for what patient? : patient who is NPO with mydexema Addison's disease easy way to remember : Add a Sone (sone = steroid) Best default order for click and drag order questions? : Hold ..... med Assess ..... what med does Prepare ...... the correction Call ..... or notify Rarely if ever answer ... : call Doctor, NCLEX wants you to think critically INR lab values 2 | P a g e : 2-3, critical value if off, potential for patient to bleed. Use default order for ord...

What are the unexpected H's in patients? : hemorrhage high fever of 105 hypoglycemia has no pulse, breathless What are neutropenic precautions? : <1000 WBC, <400 Neutrophils Strict hand washing No visitors who are sick No children No raw food, no live plants No free standing water What are the most concerning labs? : "6"s 2 | P a g e PH: 6 K: 6 Co2: 60 O2: 60 platelet: <40,000 What is the difference between PAD vs PVD? : Arterial: claudication, hair loss, gangre...

What body system is attacked by mononucleosis? : Lymphatic What blood count will be elevated in mononucleosis? : Lymphocytes increase, monocytes increase, granulocytes decrease How long is the average recovery from mononucleosis? : Three weeks What two medications are given to clients with mononucleosis? : ASA; steroids if a bad case