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NCLEX UWORLD Review Questions and Answers 100% CORRECT $13.99   Add to cart

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NCLEX UWORLD Review Questions and Answers 100% CORRECT

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NCLEX UWORLD Review Questions and Answers 100% CORRECT

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  • August 24, 2022
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  • 2022/2023
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NCLEX UWORLD Review Questions and Answers 100% CORRECT

What medications are used once adverse effects occur with ACE inhibitor use? Correct Answer: ARBs
(sartans)

What are the adverse effects of ACE inhibitors? Correct Answer: symptomatic hypotension
intractable cough
hyperkalemia
angioedema
temporary increase in creatinine

What is dextromethorphan used for? Correct Answer: cough suppressant

what causes phenylketonuria in newborns? Correct Answer: genetic problem lacking phenylalanine
hydroxylase

What is the tx for phenylketonuria? Correct Answer: low 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? Correct Answer: no

should you remove ADHD child from room to sit in time out? Correct Answer: no, 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?
Correct Answer: requesting child to relax & take deep breaths (will distract client & calm them)

when is methylphenidate administered? Correct Answer: 2-3 divided doses or sustained release 30-45
mins before meals

what has most likely happened if pt's PTT is control value? Correct Answer: pt is not getting the ordered
heparin (check IV tubing, IV patency, etc.)

How long is heparin effective? Correct Answer: 2-6h

can pts develop tolerance to heparin? Correct Answer: no

does vitamin k effect heparin? Correct Answer: no

low platelets while pt is receiving heparin places them at risk for? Correct Answer: heparin-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? Correct Answer: IV factor
VIII then head CT

teaching about injury prevention

s/sx of intracranial bleed are? Correct Answer: lethargy
HA
irritability
vomiting

Why would you administer factor VIII before head CT in pt with hemophilia A who has suspected head
trauma? Correct Answer: can'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? Correct Answer: yes

can you run blood as IV piggyback through infusion pump? Correct Answer: NO! (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? Correct Answer: flush IV catheter first

What medications do elderly most commonly have a negative effect with? Correct Answer: benzos
diuretics
opioids
antihistamines
antihypertensives
antipsychotics
antichollinergics
insulin

(DOBI's 4A's)

what is the recommended glucose range for pt. receiving parenteral/enteral support? Correct Answer:
140-180

what is a normal CD4+ count? Correct Answer: 500-1200

an infection causes increased serum glucose, requiring more insulin, but does it affect HbA1c? Correct
Answer: no

what does A1c reflect? Correct Answer: serum glucose level for 2-3 month period

what is the normal platelet range? Correct Answer: 150K-400K

mature minors (14-18) are allowed to give consent for tx of? Correct Answer: STIs
family planning

, drug & alcohol abuse
blood donation
mental health care

what is hirschsprung disease? Correct Answer: child born w/o distal large intestine cells causing anal
sphincter to remain closed & no peristalsis/excretion can occur.

Who will most likely present with distended abdomen, difficulty feeding, vomiting green bile, & no
bowel movement in first 24-48h after birth? Correct Answer: Hirschsprung disease infant

Will pt with Hirschsprung disease have bright red bleeding from anus present? Correct Answer: no

what are 3 possible interventions to reduce aspiration risk in client with feeding tube? Correct Answer:
assess gastric residuals Q4h
administer continual feeds
check feed tube placement

What is theophylline's therapeutic range? Correct Answer: 10-20

What is theophylline used for? Correct Answer: relaxing bronchial muscles

how often is theophylline levels drawn? Correct Answer: Q6 months

T/F: pt with knee arthroplasty should be fully weight-bearing by d/c? Correct Answer: TRUE

do pts with gestational HTN have proteinuria? Correct Answer: no (that's a sign of preeclampsia)

What causes addisons? Correct Answer: adrenal insufficiency

What are the symptoms of addison's disease? Correct Answer: weight loss
muscle weakness
low BP
hypoglycemia
hyperpigmented skin

African american women are at highest risk for which diseases? Correct Answer: cervical cancer
HTN
ischemic stroke

When drawing blood specimen off central line, what should you do to prevent transmission of infection?
Correct Answer: wash hands
scrub hub prior to use
place in biohazard bag
immediate transport to lab

Why should pt report prosthetic heart valves to dentist? Correct Answer: they re at risk for infective
endocarditis & should receive prophylactic antibiotic therapy

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