UWorld NCLEX-RN Adult Health
UPDATED ACTUAL Questions and
CORRECT Answers
Pheochromocytoma - CORRECT ANSWER✔✔- -a benign tumor of the adrenal medulla
that causes the gland to release catecholamine hormones (epinephrine and norepinephrine)
-Result: HTN
-Administer nitroprusside (vasodilator)
Pts with peripheral neuropathy should avoid - CORRECT ANSWER✔✔- hot water, walking
bare foot, high heels
(peripheral nerve damage = altered sensation)
Peripheral neuropathy pts should use - CORRECT ANSWER✔✔- lanolin lotion
hyperthyroidism diet - CORRECT ANSWER✔✔- -high calorie (4,000-5,000)
-high protein snacks (1-2 g/kg)
-avoid foods/ drinks that may worsen diarrhea such as stimulating substances (coffee, tea),
spicy foods, and foods high in fiber
Acromegaly - CORRECT ANSWER✔✔- -overproduction of growth hormone
(abnormal enlargement of face, hands, feet)
-monitor for S3, S4 heart sounds & HF
Post thyroidectomy, the nurse should monitor for _______ - CORRECT ANSWER✔✔- 1.
fever (infection)
2. stridor (laryngeal edema--> dyspnea)
3. hypocalcemia (damage to parathyroid gland)
,a normal or healthy weight BMI is anywhere between ________ and _______; anything
under _______ is underweight and anything over ________ is overweight; a BMI at or above
_______ is considered obese - CORRECT ANSWER✔✔- 18.5, 25, 18.5, 25, 30
carbamazepine can cause an increase in ________, this can result in _______ and the
potential development of ___________; the chances of this occurring increase if the pt has
________ - CORRECT ANSWER✔✔- antidiuretic hormone (ADH), fluid retention,
syndrome of inappropriate antidiuretic hormone (SIADH), lung cancer
Diabetic Diet - CORRECT ANSWER✔✔- -Low fat diet (unsaturated only)
-No saturated fat or sodium
-Low glycemic index foods
(glycemic index rates foods 1-100 based on their effect on blood sugar)
-High fiber diet
ex/ meal: black beans, brown rice, and mixed green salad
high fiber foods - CORRECT ANSWER✔✔- beans, nuts, barely, oatmeal, brown rice,
carrots, apples, pears
Acanthosis nigricans - CORRECT ANSWER✔✔- -thickening, darkening skin in skin
creases (usually axilla or neck)
-indicates insulin resistance or diabetic dermopathy
-must be reported to HCP
An HA1C test or _________ A1C test measures glycosated hemoglobin, a form of
hemoglobin that attaches to glucose, for over this time frame: - CORRECT ANSWER✔✔-
hemoglobin, 2-3 months
Insulin doses should be held when a pt's blood glucose is below _________ - CORRECT
ANSWER✔✔- 70
,DKA Electrolyte Imbalance: DKA can cause life-threatening ________; ________ is
administered in pts w/ DKA even if levels are w/in the normal range - CORRECT
ANSWER✔✔- hypokalemia, potassium
(osmotic diureses- K lost in urine)
Kussmaul respirations in DKA, which manifest as_______,_____ breathing, are a
compensatory mechanism and should NOT be _________ - CORRECT ANSWER✔✔-
deep, rapid, reversed w/ a paper bag
(acidosis (too much CO2)--> rapid breathing (blows off CO2))
Prevention of foot damage in pt w/ DM: NO _______ products should be used on the feet;
________ is okay to use on perspiring feet; the feet should be kept __________; separate the
toes with________; cut the toenails ________ and file along the ________ - CORRECT
ANSWER✔✔- OTC, mild foot powder, clean and dry, wool, straight across, curves
A Radioactive Iodine Uptake Test (RAIU) measures how much iodine is taken up by the
thyroid after being ingested; it is used to diagnose thyroid disorders, particularly
hyperthyroidism; the nurse should instruct the pt on what needs to be done prior to this test
including: - CORRECT ANSWER✔✔- -NPO status for 4 h
-anti-thryroid medications held for 7 days
-pregnancy test
-removal of jewelry, any metal around neck
-remove dentures (dentures have metal base)
Aerobic exercise _______ blood glucose levels and can put pts at risk for ________ -
CORRECT ANSWER✔✔- decreases, hypoglycemia
(body is utilizing glucose for energy)
Exopthalmos Pt Teaching - CORRECT ANSWER✔✔- -restrict salt intake (periorbital fluid
retention)
-no smoking
, -wear dark eye glasses
-use artificial tears
-lightly tape eyes shut at night for sleeping if eyelids don't close all the way
Pts with DM are at risk for diabetic nephropathy, which includes kidney damage; An elevated
lab value of _______ should be reported to the HCP - CORRECT ANSWER✔✔- creatinine
Pts on vegan diets are at a high risk for developing vitamin ________ deficiency which can
result in _________; this occurs because you need vitamin ________ to make ________ -
CORRECT ANSWER✔✔- B12, macrocytic anemia, B12, RBCs
(macrocytic anemia = too many large RBCs and not enough normal RBCs)
Scleroderma is characterized by the overproduction of ________ and ________ of the skin; a
life-threatening complication of scleroderma is ________ which causes severe ________ -
CORRECT ANSWER✔✔- collagen, hardening, renal crisis, HTN
Purpura can indicate _______ and requires further assessment - CORRECT ANSWER✔✔-
blood dyscrasia (disease)
Polycythemia Vera is a type of blood cancer that causes the bone marrow to __________; this
poses a very high risk for ________ formation and the nurse should assess for ________ in
the extremities - CORRECT ANSWER✔✔- produce to many RBCs, thrombus, swelling,
tenderness, redness
Systemic Lupus Erythematosus is an _________ disorder where the body attacks it's own
tissues and cells; hallmark signs are a _________ and _________ - CORRECT
ANSWER✔✔- autoimmune, butterfly-shaped rash, recurrent oral ulcers
Neutropenic precautions are initiated when a pt's neutrophil count is less than _______; these
precautions require: - CORRECT ANSWER✔✔- 1000, a mask to be placed on pt and strict
avoidance of raw fruits, vegetables, undercooked meat, and standing water
