NCLEX uworld TEST BANK 2022 questions and answers | GRADED A
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NCLEX Uworld
NCLEX uworld TEST BANK 2022 questions and answers | GRADED ANCLEX uworld TEST BANK 2022 questions and answers | GRADED A
what medications interact with grapefruit? Correct Answer: calcium channel blockers: diltiazem, nifedipine, verapamil, etc
statins
caffeine
SSRIs
be sure to practice ma...
nclex uworld test bank 2022 questions and answers | graded a
nclex uworld test bank 2022
what medications interact with grapefruit
stent placement using the femoral approach puts you at r
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NCLEX uworld TEST BANK 2022 questions
and answers | GRADED A
what medications interact with grapefruit? Correct Answer: calcium channel blockers: diltiazem,
nifedipine, verapamil, etc
statins
caffeine
SSRIs
be sure to practice math! Correct Answer:
stent placement using the femoral approach puts you at risk for retroperitoneal hemorrhage Correct
Answer:
what are early signs of bleeding into the retroperitoneal space? Correct Answer: hypotension, back
pain, flank ecchymosis (grey turner sign), hematoma formation, diminshed distal pulses
what is the grey-turner sign and what is it a sign of? Correct Answer: bruising of the flanks and
retroperitoneal hemorrhage and is a bluish color
what are some physical signs of peripheral arterial disease? Correct Answer: intermittent calf muscle
pain?, rest pain, hair loss, decreased peripheral pulses, cool, dry, shiny skin, thick brittle nails, gangrene,
ulcers (all of these are in the extremities)
transplanted hearts are expected to be Correct Answer: tachycardic like 90-110
what is the priority intervention for pain with sickle cell crisis and why? Correct Answer: administer IV
fluids to reduce blood viscosity and restore perfusion to areas affected by vasoocclusion
what is the purpose of continuous bladder irrigation? Correct Answer: it is perscribed after TURP to
prevent obstruction of urine outflow by removing clotted blood from the bladder
what is the nurses care of monitoring CBI? Correct Answer: monitor quality of drainage, titrate the
inflow rate, and manurally irrigating as needed
characteristics of a basilar skull fracture Correct Answer: periorbital hematomas (raccoon eyes), csf fluid
rhinorrhea, and battle sign (behind the ear bruising)
immediate client care for basilar skull fracture Correct Answer: cervical spime immobilization, close
neurologic monitoring, and support of ABCs
vomiting with intake may mean Correct Answer: viral or bacterial infection
tympanosomty tubes are placed for Correct Answer: recurrent otis medias
,nurse actions during a seizure Correct Answer: assist them to lie down is standing/sitting, put them on
side for patent airway, loosen tight clothing, give oxygen as needed, remove objects from immediate
area, document time and duration of seizure (for tests are done later to see which type of seizure and
maybe what exacerates it)
never put anything in mouth or restrain them since musclec ontractions can occur during a seizure
what are some early symptoms of ICP? Correct Answer: altered LOC, headache, abnormal reathing, rise
in bp, slow pulse, vomiting
client who has a TIA is often placed on Correct Answer: prophylactic antithrombotic treatment like
aspirin or clopidogrel
glascow coma scale ranges from Correct Answer: 3-15; 3 being worst 15 being best condition (8 or
below in a coma)
what are the 3 components? Correct Answer: eye opening
motor response
verbal response
what is a primary component in TPN? Correct Answer: glucose, so the nurse should be monitoring blood
glucose and be assessing for signs of hyperglycemia
when a client is on TPN, the nurse must assess for hyperglycemia why? Correct Answer: bc a primary
component is glucose. therefore the nurse must be assessing to see if the client is getting too much
glucose (hoerglycemia). and with a large urinary output like 4800, this could indicate symptoms of
hyperglycemia
signs og hyperglycemia Correct Answer: polydipsia, polyuria, restless, confused, bg over 200, fatigue,
kussmaul resp
what is the goal for mass casualty events? Correct Answer: do the greatest good for the greatest
number of people
keep in mind that disaster triage ranks the likelihood of survival with treatment, not necessarily the
severity of the injury Correct Answer:
what are the 4 categories for triaging? Correct Answer: immediate (red tag)- life threatening injuries
with good prognosis once treated
delayed (yellow)- injuries requiring treatment within hours
minimal (green tag)- injuries requiring treatment within a few days
expectant (black tag)- extensive injuries, poor prognosis regardless of treatment
rule of nines Correct Answer: head: 4.5 front 4.5 back
torso: 18 front 18 back
each arm: 4.5 front 4.5 back (each arm is 9 total)
each leg: 9 front 8 back (each is 18 total)
genitals: 1
,extrapyramidal side effects Correct Answer: ACUTE DYSTONIC REACTION: sudden onset sustained
muscle contractions
AKATHISIA: restlessness with inability to sit still
drug induce PARKINSONISM: tremor, rigidity, bradykinies, masked like faces
AKINISIA: loss of involuntary movement
TARDIVE DYSKININIA
NEUROLEPTIC MALIGNANT SYNDROME
dont give morphine if RR under 12 bc it can cause Correct Answer: respiratory depression
airborne precautions Correct Answer: tuberculosis, varicella, and rubeola (measles)
wear N95 respirator (and other as needed like for splashes)
ALSO (neg pressure room and HEPA)
clients suspected are to wear a surgical mask after triage
UAP soft wrist restraints can: Correct Answer: do ROM exercises
reapply wrist restraints
report changes in skin to nurse
turn/reposition client in bed
a client with major depression and severe weight loss needs what type of diet? Correct Answer: high in
calories and protein, also foods that are easy to chew and dont require a lot of energy bc they may have
a low energy level
examples: while milk/dairy, granola muffins, pottoes, meat fish eggs, pasta
also small frequent meals
memorize MAOIs and remember Correct Answer: they cant eat foods high in tyramine like aged cheese,
yogurt, fermented foods, beer, red wine, cocolate, avocados
do not give lasix to a pneumonia patient with fine crackles bc they dont result from heart failure or
edema Correct Answer:
you can give pneumonia patient exportants, antibiotics, mucolytics, antipyretics, analgesics, and
antinflammatories
examples are Correct Answer: Mucinex, Ibuprofin,
decerebrate posturing (toes point down and amrs/legs straight out) is a sign of Correct Answer: severe
brain damage
near drowning hypothermia Correct Answer: warm iv fluids, blankets, and air
also will find weak and thready pulse
a client is not dead until warm and dead!!! Correct Answer: nc sometimes a pt is so cold that a pulse
cannot be felt
signs of intussusceotion Correct Answer: inital periodic pain with legs drawn up to abdomen, pain is
severe and progressive though, inconsolable crying, blood/mucousy stools "current jelly"
how is it treated? Correct Answer: an air enema
guaifenesin (Mucinex) Correct Answer: expecorant med that inc resp fluids and thins secretions to
facilitate expectoration
erythropoeitin Epogen Correct Answer: stimulates bone marrow to make RBCs and combats the effects
of chemo and used for kidney disease
when is hemoccult done? Correct Answer: when hidden (occult) blood is suspected due to dark and
tarry stool
treat intussusception with Correct Answer: AIR ENEMA
tetraology of fallot Correct Answer: exacerbation can happen when infant or child cries, becomes upset,
or is feeding
you immediately place them in KNEE CHEST position
hemolytic uremic syndrome Correct Answer: life threatening complication of e. coli diarhea
what are the signs? Correct Answer: anemia (pallor), low platelets (petechiae and purpura, and acute
kidney injury (low UO)
speicen collection from a foley is considered sterile and should not be delegated to uap Correct Answer:
a clients first and last name is not PHI privileged health info Correct Answer: it is not a violation to cal
them by their first and last names or have info heard inadvertently
what happens if a client does not full undersnad infromed consent?q Correct Answer: the nurse must
contact the doctor. the nurse is not responsible for verifiying that the client understands
how to stop epistaxis Correct Answer: tilt the head forward and apply direct continuous pressure on the
alaes (sides) for about 5-20 mins
can also hold a cold washcloth to the bridge of nose for vasoconstriction
keep child calm and quiet
IV iodinated contrast used for ct scan can cause Correct Answer: kidney injury
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