NGN NCLEX /NCLEX NGN RN (2024/2025)
ACTUAL EXAM TEST BANK 300+
QUESTIONS AND CORRECT DETAILED
ANSWERS || ALREADY GRADED A+
<LATEST VERSION>
Single dose at bedtime, because of side effects. Avoid alcohol or other CNS
depressants during therapy. Effects may not be noticed 2 weeks. Dose missed, take
as soon as possible unless almost time for another dose. - ANSWER ✔ Imipramine
(Tofranil)
Antipsychotic medication targets both positive & negative symptoms of
schizophrenia - ANSWER ✔ Olanzapine (Zyprexa)
Take bedtime & with full glass water. For faster onset of sleep, not take
medication with food or immediately after meal. Antacids affect absorption of
medication. - ANSWER ✔ Zolpidem (Ambien)
Potassium-losing diuretic monitored for electrolyte imbalances that occur;
Hypokalemia, hypercalcemia, hyponatremia, hypophosphatemia, &
hypomagnesemia. - ANSWER ✔ Chlorothiazide (HydroDIURIL)
Potassium-retaining diuretic treat edema or hypertension. Taken in morning avoid
nocturia, & medication with food to increase bioavailability. Sodium restricted or
limited as prescribed. - ANSWER ✔ Amiloride (Midamor)
, Sedative hypnotic; anticonvulsant & skeletal muscle relaxant properties. Institute
safety measures before leaving room prevent injury as result medication side
effects: dizziness, drowsiness, lethargy. Recommended rate of infusion of
diazepam is to give each 5 mg of medication over at least 1 minute. - ANSWER ✔
Diazepam (Valium)
Normal diet, salt & fluid intake (1500-3000 mL per day) maintained,lithium
decreases sodium reabsorption renal tubules, leading to sodium depletion. Low
sodium intake causes relative increase lithium retention & could lead to toxicity.
Lithium irritating to gastric mucosa, taken with meals. Therapeutic & toxic dosage
ranges narrow, lithium blood level monitored closely. More frequently when
begins medication & once every several months after levels stabilize. Stop taking
med, call HCP if excessive diarrhea, vomiting, diaphoresis occur. - ANSWER ✔
Lithium carbonate (Lithobid)
Antipsychotic. Toxic effects include drowsiness & lethargy, excessive salivation,
fixed stare, akathisia, acute dystonia, & tardive dyskinesia. Nausea, hypotension, &
blurred vision occasional side effects. - ANSWER ✔ Haloperidol (Haldol)
what is the post op risk for TOTAL/SUBTOTAL/ PARTIAL
THYROIDECTOMY? - ANSWER ✔ in first 12 hrs for both types of surgery is
airway and bleeding
what is the post op risk for TOTAL thyroidectomy - ANSWER ✔ 12 - 48 hrs after
surgery tetany-due to low calcium
tetany- closes airway in a spasm
what is the post op risk for subtotal/partial thyroidectomy? - ANSWER ✔ 12-48
hrs after surgery is thyroid storm
, what is the big risk after 48 hrs? - ANSWER ✔ Infection BUT NEVER PICK
INFECTION IN THE FIRST 72 HRS ONLY AFTER 72 HRS
What is hypothyroidism? - ANSWER ✔ slow metabolism
S/S of hypothryoidism - ANSWER ✔ gain weight, slow HR, sluggish, cold into
renace, constipation, lethargic, low Bp
what is hypothyroidism also know as? - ANSWER ✔ Myxedema
what is the reason for hypothyroidism? - ANSWER ✔ not enough hormones
therefore give them some such as levothrine
what are the 3 reasons you check blood sugars? - ANSWER ✔ steroids, TPN,
diabetes
TX for hypothyroidism? - ANSWER ✔ thyroid replacement
what precautions most you take with patients with hypothyroidism? - ANSWER
✔ DO NOT SEDATE. DO NOT HOLD thyroid med if pt is NPO for surgery
what is addisons Disease? - ANSWER ✔ under secreation of the adrenal cortex
S/S of Addisons Disease - ANSWER ✔ hyperpigmented (dark tone) and do not
adapt to stress well
, most wear medical ID bracelet
what happens if pt with Addisons Disease are under stress? - ANSWER ✔ blood
pressure and glucose decreases
how to remember steroids? - ANSWER ✔ they all end in sone
what do you to TX addisons Disease? - ANSWER ✔ ADD-A-SONE
What is Cushings Syndrome? - ANSWER ✔ oversecreation of the adrenal cortex
S/S of Cushing's Syndrome - ANSWER ✔ it the same as side effects of steroid
medications
moon face, hirsutism(lots of hair),gynecomastia(breast in men) buffalo hump,
central/trunk obesity, hyperglycemia, easy bruising, immunosuppresed
what are the 3 principles when selecting toys for kids? - ANSWER ✔ is it safe, is
it age appropriate, is it feasible( can you do it)
what are some safety considerations when it comes to kids toys? - ANSWER ✔
size of toys- no small toys (parts) for kid under 4 yrs
no metal toys if oxygen in use- why? can cause spark
beware of fomites( non living object that harbors microorganisms
what are the worst fomites toys? - ANSWER ✔ stuffed or flushed toys
