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New Nclex blueprint - study materials for review

study materials for review
Course

Adult Med Surg 1 (NUR 316)

10 Documents
Students shared 10 documents in this course
Academic year: 2020/2021
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Fazz Rizan
The College of New Rochelle
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NCLEX - RN Topics Exam # 1

  1. Pre-eclampsia – what should the nurse report?
  2. Verapamil med – What potentiates hypotension while taking this drug? (Grapefruit)
  3. Digoxin toxicity – s/s Anorexia
  4. The nurse understanding of tonic neck reflex?
  5. Lithium – What should the nurse report when the client is on this med?
  6. A patient with acute kidney failure (AKF) and is hyperkalemic, which med should the nurse clarify with HCP? (ACE Inhibitors, Spironolactone)
  7. Selegine med- what should the patient avoid while taking this med? (Cheese)
  8. The purpose of tourniquet when starting an IV line?
  9. What should you monitor for a pt who has a t4 injury?
  10. Terbutaline and its purpose?
  11. How to do a sterile wound dressing? (Peripheral artery wound care skills)
  12. Understanding of what a negative PPD states?
  13. Different types of tractions – which one predisposes the patient to infections?
  14. Know the understanding of pressure alarms what’s normal vs malfunctioning?
  15. The purpose of Lactulose on Cirrhosis pt?
  16. Dietary teaching on cholecystitis pts
  17. Know about RVSP – Right Ventricular Systolic Pressure?
  18. Postop teaching after a vasectomy (what time should the pt resume sexual activities and know when pregnancy can’t occur?)
  19. When would the active phase of labor start? (4-7cm dilation)
  20. 24-hour urine clearance test – what would make the test invalid/ inaccurate?
  21. A pt asks HCP to differentiate Dementia from delirium?
  22. Autopsy done after the death of a pt- what are the nurses duties and responsibilities?
  23. A nurse has performed an act out of scope and the pt has been harmed what would she be charged for by law?
  24. Pregnancy stress test – what should the nurse do if the test was reactive vs non-reactive?
  25. What is the cause of late deceleration abs what should the nurse do? (REMEMBER Late = L = DO LION)
  26. Seasonal disorder- What should the nurse do?
  27. The nurse enters a pt’s room and discovers fire in the room. What should the nurse do first? (Remember acronym - RACE)
  28. The understanding of nurse about tetralogy of fallot?
  29. What is myacin used for?
  30. Know about pericarditis

Exam # 31. Signs of blood transfusion reactions (SATA) 32. Teaching for Lithium 33. Patients taking iron supplements what would you encourage to do? 34. Drag and Drop skills for collecting stool sample 35. ECG identification on first degree heart block 36. Atrial Fibrillation – what will you do? 37. Position for renal biopsy 38. How to use a metered dose Inhaler skills order 39. Teaching on Incentive spirometer’ 40. Mix of the insulins normal and regular order 41. Elastic compression stockings

  1. Types of oxygen therapy nasal cannula
  2. Anorexia Nervosa s/s and nursing interventions
  3. Bulimia s/s and interventions – SATA
  4. Pre-eclampsia s/s SATA question
  5. Rubella Measles what types of precautions? SATA
  6. Morgan lens irritation
  7. Prioritization and delegation
  8. Active TB - nurse to intervene when?
  9. Drag and Drop IV bottle replacement w/o taking the IV-line out
  10. Drag and Drop coming down the stairs with a cane
  11. Anthrax inhalation – Pt comes in with it does the nurse wear a mask N95 or not when providing care?
  12. Delusion of references – safety
  13. Prostate cancer – Prone if red meat lover
  14. Multiple Sclerosis – S/S SATA
  15. Newborns Signs of distress – SATA
  16. Atrial Fibrillation –
  17. Active TB nurse to intervene UAP
  18. Blood Transfusion- preparation and guidelines
  19. MRI of a 6-year-old Nurse per-op teaching for procedure
  20. Halo Vest - Priority Wrench at bedside
  21. Skin traction – NO PINS / PIN CARE so no need to check for pin site drainage
  22. Meds Fentanyl and Dormicum Side Effects to teach pts during endoscopy
  23. Bacterial meningitis – S/S SATA
  24. Substance abuse coworker
  25. Head Injury signs and symptoms SATA
  26. SBAR when u give SBAR do you include pt’s office number or not?
  27. HIPPA is facsimile allowed or not?

Exam Review # 3 69. NG suction the order of skill done 70. Infection Control order 71. Post-partum Care 72. Breastfeeding education for pts 73. Lithium drug questions 74. EKG strips and treatment 75. Schizophrenia positive and negative signs 76. Cancer of skin picture shown 77. Legal issues 78. Ethical dilemmas 79. Prostate cancer nursing intervention 80. Pt with stage 4 pressure ulcer the skin now looks pink – what do you do? Document it! 81. Study about mechanical ventilation 82. High and Low pressure alarms on mechanical ventilation 83. Incentive Spirometer 84. How to use a MDI 85. Different types of precautions 86. TB pt teachings 87. Antibiotic meds – Penicillin pt allergic to it which med would be a red flag – Cephalosporin 88. Know the colors of lochia

  1. Advance directives SATA but negative answers

  2. Leadership and management SATA

  3. Head Lice – SATA

  4. Heat Loss Prevention from a newborn baby – mother’s understanding SATA

  5. Cold stress S/S SATA

  6. Choose wrong statement about fundal height measurement (Eg: 20-22 weeks’ fundal height is at umbilicus) so work out which is the wrong answer

  7. Priority phone call to return (different scenarios)

  8. Bacterial Meningitis S/S SATA

  9. Somogyi Effects

  10. Type I Diabetes SATA different scenarios such as  Pt is on regular insulin, give insulin before meals  Check the foot daily not weekly  Take regular insulin first then NPH insulin or cloudy

  11. ECG – Atrial fibrillation and its management - cardioversion

  12. Involuntary admission - SATA

  13. Pre-Schooler’s understanding about death - Permanent

  14. COPD Complications

  15. 75 year old agitated and confused – SATA chose the correct responses

  16. Breast Cancer Risk Factors – Correct statements SATA

  17. Rotavirus (contact Precautions) – what should the CAN wear? Wear Gloves and Gown

  18. Droplet precautions – SATA Ans: Meningitis, Influenza, Epiglottitis

  19. Airborne Precautions – which action by the CAN would cause the nurse to intervene – Ans: Going into the pt’s room without a mask

  20. One hour after bronchoscopy – which priority action by the CAN should the nurse intervene? CAN giving clear fluids to pt

  21. After still birth baby is born procedures –SATA

  22. After threatened abortion – a client is saying different statements which one is concerning to the nurse?

  23. Anti-lipidemic drug all statements are correct – choose the priority from the correct options

  24. Same question again choose wrong answer with different scenarios

  25. Blood Transfusion Hemolytic reaction SATA

  26. Medications- Etanocept only given generic name given - choose wrong answer - they said give or teach to do own IM but the med should be given subcutaneously

  27. Pt taking enteral feeding 1 Kcal /day. Total daily calories needed is 2000 Kcal/day and orally taking 1550 calories. so How much is remaining to feed the pt? Ans: 2000-1550 = 450 calories

  28. End stage Renal failure (1 scenario) SATA

  29. 1 question on acute kidney injury

  30. Chronic renal failure – scenario which is correct fruit? You should choose low potassium levels so Pears was the answer

  31. Priority action – when a severely depressed pt is admitted? I took the answer – (Check the bag)

  32. Bulimia Nervosa –what is the sign noticed? In the answer choice, there was no Cheilosis

  33. Respiratory Acidosis / Alkalosis compensation question

  34. Pediatric child having Hib Vaccine in deltoid muscle by new nurse. Should the charge nurse intervene or not?

  35. Giving vaccines in vastus lateralis for infants procedure – SATA

  36. Student nursing doing tracheostomy suction – which action by the nurse needs immediate intervention? Applying water soluble lubricant in the catheter

  37. Chest Tube – suction bottle bubbling continuously good or not?

  38. After chest tube insertion – how to apply dressing

  39. Kawasaki Disease multidisciplinary team

  40. When transferring a pt from long term care facility to acute care - SATA

  41. Handing over shift report – SATA

  42. Picture of a squamous cell carcinoma – SATA – irregular in shape, new onset of itching

  43. Post contusion pt mild pain –

  44. Calcium Channel Blockers – Do NOT GIVE WITH GRAPEFRUIT

  45. Vasectomy pt – Not safe to resume sexual activities until the doctor says the sperm count is negative

  46. 3 day post-delivery which is the best advice for apt from nurse to prevent pregnancy? (Breast- feeding, birth control, coitus interruption, injections, use condoms by both parents)

  47. Cardiac Catheterization procedure – check shell fish /iodine allergies

  48. Coronary artery disease – with HTN SATA Ans: Give omega-3, weight reduction, quit smoking,

  49. Malignant Hyperthermia – Hereditary They asked family history

  50. Tertiary prevention - Occupational Therapy

  51. Priority action when giving magnesium sulfate - Respiratory Depression

  52. Which pt will you see first? Pt with DVT on Heparin

  53. Neutropenic Precautions – Pt says I will ask my wife to bring petunicas from my garden

  54. What should the nurse wear – MASK and GOWN

  55. Dumping Syndrome – SATA

  56. Cholecystitis Risk Factors – Obesity

Exam # 6: 185. Wrist restraint –  pt injured others,  was put in restraint,  need doctors others within 8 hrs?  Check & document every 30 mins?  Make sure pt is ok all the time? 186. Nurse being sued for negligence, which actions nurse charted is negligence? 187. Acetaminophen toxicity – SATA 188. Tracheostomy Care – order it is done 189. Neurovascular check SATA 190. Central Venous access dressing change skill order 191. MDI skill order 192. Buerger’s Disease 193. Cancer risk factors in male most at risk – undescended testis 194. Glucose tolerance test – GTT in pregnant women further teaching 195. Coumadin contraindications herbal med – Garlic 196. ADHD SATA signs and symptoms & treatment 197. The non-stress test SATA (whole process) 198. If a pt has a Dumping Syndrome, encourage liquids between meals instead of with meals 199. Position after a liver biopsy 200. VRE precautions SATA 201. Positive Mantoux Test (all 4 pts are positive, but which one of the out of the 4 should you put in a private room)? 202. Picture of a Mongolian Spot on baby 203. Breastfeeding SATA (how you know they’re swallowing, position, how to take nipple out of mouth) 204. Tetralogy of Fallot – SATA signs and symptoms in 4-year-old child

 Which nurses can be assigned  Meds used for RSV  How can you prevent RSV 244. Epipiotein med – what is correct to give with this med or med teaching for pt? 245. Chelation therapy 246. Neomycin – Side Effects SATA 247. 2 EKG strips 248. Lithium teaching – Ans: NO SALT should that order by nurse 249. ECT – what is wrong with pt taking med for osteoporosis 250. Abuse for elder pts – SATA 251. SSRI’s what herd would be contraindicated

Exam # 8: 252. Metabolic Syndrome SATA 253. Drag and Drop – Transdermal patch application 254. Non-Stress Test – what is it used for? 255. 2 EKG strips – Atropine used for what? MI 256. Cardiac Catheter- Interventions follow up? 257. Central venous Catheter –Pre- Op / Post op position 258. Liver biopsy position post procedure 259. Bulimia Nervosa – safety intervention 260. Hepatic Encephalopathy – What would you check to see? Characteristics 261. Anthrax Inhalation – Precautions – Droplet 262. Anti-psychotic Benzo’s drugs Side Effects 263. Selegiline med – contraindications / things to avoid 264. Autonomic Dysreflexia – causes 265. Stool sample collection 266. Seasonal Affective Disorder (SAD) 267. Rubella precautions 268. 2 question on act of neglect by nurse 269. Alzheimer’s Disease – Interventions for Safety 270. S0moygi effect in DM – Increase insulin because of hyperglycemia 271. Risk factors for Colorectal Cancer 272. Primary levels of prevention- Apply sunscreen 273. Breastfeeding SATA about stomatitis 274. Acute Pancreatitis 275. How would you know that the equipment is malfunctioning? Ans: Water seal chamber you see continuous bubbling 276. Pre / Post procedure teaching for ECT 277. How do you document a pt with ulcer –picture shows stage 4 pink color skin – Document it as an expected finding 278. Hypoaldosterone something wrong with hormone? Look up 279. Lymes Disease Treatment for an adult on the arm picture? – Ans: Doxycycline 280. ABG Disorder a) anxious pt b) hyperventilation with anxiety 281. Cystic Fibrosis – what are they missing? 282. Hyaditiform Moles in pregnancy 283. Diabetes Mellitus many questions 284. Central Venous Catheter – about infections/interventions/ installation 285. TPN – question about the substitute if no TPN Ans: Dextrose 10% in water 286. S/S of mild-moderate anxiety SATA

  1. Viral Conjunctivitis- what precautions would you put them on?
  2. Baby Rash – How to clear / clean for the rash?
  3. Scabies – Type of precautions
  4. Jewish Orthodox – SATA teachings
  5. TEE procedure – teachings
  6. Epidural Anesthesia – FHR checking a priority
  7. Cataracts – wear dark glasses
  8. Risk Factors for Peptic Ulcer Disease
  9. Bone Biopsy – Teaching points for procedure
  10. BKA what would you do post procedure?

Exam # 9: 297. Drag and drop Guiaic Stool test 298. Addison disease 299. Acute kidney Disease 300. How would you give to psyllium med 301. MRSA 302. HIV and TB 303. Gtt drop factor calculation 304. Potassium complications on cardiac pt 305. Scabies precautions 306. Active labor of first stage - 5cm 307. Hepatitis B 308. Calcium Channel Blockers 309. ACE inhibitors – for HTN 310. Warfarin med 311. St. John’s warts and Garlic in depression 312. Schizophrenia 313. Donning PPE order 314. Seizure Precautions 315. Lithium 316. Position for liver biopsy 317. Correct position for chest tube 318. Dehiscence and Evisceration 319. Third degree burns 320. Atrial Fibrillation - to identify 321. Ventricular Tachycardia Meds 322. Smoking and cancer 323. Dumping Syndrome 324. Autonomic Dysreflexia 325. Trigeminal Neuralgia 326. Still birth care

Exam # 10 327. Multiple Myeloma – Elevated serum calcium 328. COPD – Complication 329. INH – adverse reaction 330. Procardia – Adverse reaction/toxicity 331. Metered Dose Inhaler – Process how to use it 332. AIDS

  1. Measles

  2. Lab: How does Chemo drugs affect renal labs –nephrotoxic, causes gouty arthritis, hi BUN, creatinine, hemorrhagic cystitis

  3. Radiation Therapy-lead apron, long handled forceps, lalaki, 6meters away, min 30mins exposure

  4. Infectious Diseases: MRSA, TB

  5. Isolation precautions

  6. Mitral Valve Regurgitation

  7. Signs/Symptoms of Tuberculosis/Medications/Airborne

  8. Signs/Symptoms of Vulva Cancer

  9. Endometriosis medications – pills?

  10. Postoperative care for total knee patient

  11. Hepatitis A,B,D,C causation

  12. Lead Poisoning

  13. Antipsychotic medications side effects

  14. Thallium test

  15. Non-stress test

  16. End stage renal disease diet- low potassium diet, low sodium

  17. I've encountered a lot of infectious diseases try to study the isolation precautions of diseases like VRE,LYMES,AIDS,MRSA ETC.

  18. Sign & symptom of hemophilia

  19. Hemophilia With hemarthosis- increase fluid intake

  20. AIDS client – test for candida, mumps and PPD

  21. Fracture femur- Client had an accident

  22. TPN- How to prevent complications – check for glucose, patency of vein

  23. Newborn- What is your priority? – temperature

  24. CVA with Right sided hemiplegia

  25. CVA with Left sided hemiplegia

  26. Signs/Symptoms of Vulva Cancer- Endometriosis medications – pills?

  27. Postoperative care for total knee patient

  28. Hepatitis A,B,D,C causation

  29. Lead Poisoning

  30. Antipsychotic medications side effects

  31. Thallium test

  32. Non-stress test

  33. End stage renal disease diet- low potassium diet, low sodium

  34. Know abt the rotavirus

  35. Study too the stable and unstable pts. coz a lot of these questions came out like w/c pt would u discharge/transfer first.

  36. Know the normal Vital signs of diff group.

  37. Diet such as high in magnesium,potassium,sodium and others.

  38. specific toys/games for children

  39. study on alzheimer's ds.,post-op for total hip replacement,COPD.

  40. S/S of fibromyalgia,SLE,Acute pancreatitis,lymes ds.

  41. Nursing care for elderly pts. process

  42. Know the client's rights.

  43. Beta-adrenergic drugs,tricyclic anti-depressants.

  44. Normal growth and dev't of 1-12mos old

  45. Know abt the rotavirus

  46. Delegation on newly hired nurse

  47. So far i only got one question same w/ my 1st exam about the pneumocystis cariniipneumonia

  48. Advance Directive

Exam# 431. Colonoscopy procedure 432. Eye ointments and administration 433. Trousseau sign 434. Hypocalcemia S&S 435. TB-mantox 3mm in HIV PT 436. TB-questions to ask (assess) 437. Hep A 438. Hep C 439. Blood transfusion 440. Lyme disease-pt teaching 441. Gonorrhea tx= medications (look for 2 types) 442. Meningitis 443. Registered Dietician to see who (priority) 444. GERD-considerations/ teaching 445. Celiac Disease (brow)-foods to avoid 446. Fluid balance- daily weight 447. Hypovolemia 448. Chest tube-no water seal continuous 449. HIV 450. Holter monitor-pt teaching 451. Sickle cell anemia 452. Pancreatitis s&s 453. Appendicitis 454. Colostomy ( pt unable to change bag (re teach) 455. Glomerulonephritis 456. TURP-post op 457. DKA S&S 458. Diabetes-wearing shoes 459. Ear Surgery pt teaching 460. Open-angle Glaucoma-vision tunnel 461. assess right sided stroke- Abnormal right sided paralysis 462. M 463. Gout medications- not allopurinol 464. Osteoporosis –risk factors 465. Pulmonary embolism 466. DVT-Pt instructs for up 467. Burn -After 30 mins voice is horse (ready to intubate) 468. ROM-assess fetal heart rate 469. Birth outside of hospital-priority 470. Eclampsia 471. Birth prior to MD-documentation 472. Breastfeeding 473. Rubela immunization 474. Cleft lip- No nipples 475. Hydrocodone/Tylenol-pt teaching 476. Delusions example 477. Schizo refuse meds- SATA

Exam # 12: 528. A confused client for surgery. Client signed the consent for his surgery. What is the nurse initial action? A) Document and monitor later B) notify the anesthesiologist C) Determine when the patient became confused D) ask the relative about the patient’s status

NOTE; I personally experienced this situation if anybody know the answer pleased tell me.

52 A nurse-in-charge sent a maternity nurse to a surgical unit. Which client will the nurse in charge assign to the nurse from maternity ward? Which of the following client is appropriate for a nursing assistant?

  1. A client with rheumatoid arthritis tells “I having back pain with this bed, I like my bed at home. What is the immediate response of the nurse? A) I will massage your back to help you B) Ask the physician for opoid analgesia C) I will refer you to the occupational therapy D) Ask the husband how she sleeps at home

  2. Mild Alzheimer- sign and symptoms select all that apply

  3. Tuberculosis –instructions

  4. A client with myocardial infarction taking lasix and digoxin

  5. A client with ICP

  6. Chest tube inadvertently out – What is the nurse initial action?

  7. A newborn with white papule on face and trunk. What is the nurse discharge instruction?

  8. Phototherapy

  9. A client with nasogatric tube feeding at home.

  10. DKA- What is your initial action?

  11. Laenneac’s cirrhosis

  12. End stage renal failure –diet

  13. Transesophageal echocardiogram-

  14. Synthroid

  15. Cervical implant

  16. Autonomic dysreflexia sign and symptoms

  17. UTI- Which statement of the client needs essential follow up?

  18. Phones calls- which client needs to immediate follow up?

  19. Pre-op client- which laboratory result needs to notify the physician?

  20. Assessment of the new nurse in the unit- Which of the following action by the new nurse needs follow up?

  21. The nurse put the client in seclusion after being assaultive and hitting other client. Which of the following statement of the nurse is appropriate for the client?

A) We are very disappointed that you can not control yourself, you will be in seclusion until you calm down B) Hitting is not allowed here, you will be in seclusion C) You hit someone, you will be in seclusion call us if you need us, we are here to help you D) I forgot???

  1. A mother called the nurse from home stating that her child is having chicken pox. Which of the following statement by the mother needs immediate follow up? A) Father of the child with liver failure B) Sibling with anemia C) Child just had tonsillectomy D) Child has intermittent low grade fever

  2. A client with allergy to Sudafed. Which of the statement is correct? A) I will take valerian.... B) I will take ma huang.... C) I will take Echinacea for acute viral infection D) I will take black cohosh....

  3. A client with schizophrenia- How will the nurse assess the affect?

  4. A client with bipolar disorder- manic phase. What is your immediate response?

  5. A client with severe anxiety- What is the outcome of the nurse’s short term goal?

A 15 year old client- What do you expect? Antisocial behavior

  1. A client with diabetes mellitus (type I). NPH insulin given at 8:00 am- When do you expect the effect?

A) at noon B) late afternoon C) early afternoon D) early evening

  1. Expressive/receptive aphasia- What is your essential response when communicating with this client?

  2. A child 2 year old with a suspected diagnosis of hearing impairment. Which of the following action by the child contribute to the diagnosis?

A) Child talking few words B) Child plays alone with other children around C) Gesture and pointing what he wants D) I forgot????

b. leak in the cuff c. don't remember the rest

  1. Pt understands teaching about the care of his prostetic eyeball when he states? a. I will gently pull my lower eyelid down and press inward untill the eyeball comes out. (I chose this) b. I will store my eyeball in tap water overnight c. I will put drops in my eye continually throughout the day

  2. A young pt is most likely to get lead poisoning if? a. he is drinking from a ceramic pitcher b. Father refernishes old furniture at their home (I'm torn b/w these b/c I know a is correct but old furniture may contain lead in the paint and the child could eat the paint chips???)

  3. A TB pt understands that he can reduce the risk of spreading his disease if he states? a.) I won't sleep in the same room w/ my wife for 1-2 months b. )I will stay away from pregnant women and children c.) I will use plastic utensil when I eat (this answer was on 2 of my TB questions) d.) don't remember

  4. Pt in skeletal halo traction a. pt should use sterile technique when cleaning insicions b. pt should put lubricant on insicions

  5. Pregnant pt should seek info. from a registered dietitian if? a. on a vegan diet b. takes vitamin B every day c. eats at least 1 meal of fast food every day

  6. Pt w/ a T12 spinal injury would? a. urinate a little every 2 hrs b. urinate a lot every 4 hrs c. dribble unrine d. pt won't urinate on his own

  7. symptoms of another complication of atrial fib: Can't remember the answers except for the one I chose. I chose slurring speech and weakness (embolic stroke is a secondary compication of AFib)

  8. charge nurse to assign 10 week pregnant RN to which patient: Fifth's disease, chicken pox, RSV, thrush. I chose thrush because I know it doesn't harm preg and all other illnesses are airborne.

  9. question what meds for patient history of heart failure, kidney disease, high cholesterol, and potassium of 2: Digoxin, lol beta ?, zocor, lasix, and ace check all that apply: I chose digoxin and lasix(potassium level)

  10. alot of discharge instruction questions for various surgeries, sinus, etc.

  11. signs of autonomic dysreflexia: hypotension, tach, severe headache,?

  12. when would you stop a student nurse after seeing her do what? can't remember what exactly. one was taking a pulse ox with a sao2 machine from the nurses station on a pt with pc pneumonia, leaving old ties until new ties were put on during trach care.

  13. assigning a lpn: taking a pt with TB to the xray dept., etc.

  14. assigning a maternity nurse to which pt on a med-surg floor: rad mastectomy being discharged in next two hours, etc.

  15. check all that apply what would you expect to see in the aging process: shortness of breath, dry skin, loss of vision, etc.

  16. closed head injury receiving osmotic diuretic, expect to see showing it is working: increased pulse, increased pulse pressure, etc?

  17. taking iv chemo at home what is correct: flush remaining iv solution in toilet, put used iv bags in red biohazzard trash bag and put in reg. trash, leave pt alone while receiving meds, or do not let children go into bathroom or near toilet until after 48 hours.

  18. performing a mammography what would you question: using powder or perfumes in the last 2 days, do you have an internal pacemaker(answer), etc?

  19. tx for RA: apply cold packs(not answer), etc?

  20. discharge instr. for pt with scleraderma: ROM exercises, emollient to skin before going outside, dry off thoroughly after bath, keep a cool house.

  21. bipolar manic what to do: group therapy, keep in room, one on one therapy to reduce stimulation(answer), etc.

  22. how would nurse demonstrate concept of patient self determination act: this is advance dir and living will.

  23. what would you question at pt getting a thallium stress test: allergy to iodine was answer

  24. Pt with thyroidectomy and feeding: ground beef and cranberry juice, ground chicken and chocolate milk, vegetables and fruit, tuna fish with mayo. I chose tuna in mayo. Thought that the first 2 answers had liquid to hard to swallow without aspiration and tuna was only answer that was mushy and soft but not too thin.

  25. ABG's what would you do before taking: suction, check for ulnar pulse, etc.

  26. in labor getting pitocin. what demonstrates a complication of pit: contractions 2-3 min apart with 60 sec. duration, accelerations up to 160 with contraction, fetal hr drops to 105 during acme of contration, etc.

Exam #13- My Exam topics 529. HIV precaution type – Ans: standard precautions 530. Mastectomy of left arm with lymph node dissection – pt teaching –things to avoid post surgery 531. Alzheimer’s Disease – S/S teaching SATA 532. Meds I got – Alendronate (osteoporosis drug) teaching to follow up 533. Glipizide drug- oral glycemic teachings which statement is wrong? 534. Gout food selection 535. Causes of PUD in statements which snack is good for evening a. A can of carbonated diet cola b. A peppermint tea c. A chocolate truffle

c. Acupuncture d. IV pyelogram 556. Differentiate between PAD vs PVD client understanding of nurse teaching 557. Quality assurance team goal – correct understanding statement of nurse 558. A pt is a muslim what considerations should the nurse make? I took A beause I’m a muslim I don’t eat pork LOL... a. Check meal for pork / med with pork products b. No meat and milk at the same time 559. Rubella precautions to follow up? 560. Delirium SATA s/s and examples ( I picked bugs crawling all over my body) 561. Anorexia SATA teaching/ interventions 562. Hypothyroidism statements to follow up? 563. Hyperthyroidism - something about S/S given in statements like wt gain, so I thought exophthalmos so I took answer to apply artificial tears and use eye pat at night 564. Addison’s Disease S/S SATA – I took ACD a. Dark brown pigmentation b. Petechia and bruises c. Hyponatremia d. Hyperkalemia e. Truncal obesity 565. Colorectal causes SATA 566. TURP for BPH post procedure teaching to follow up- I took bladder spasms even after 2 days 567. Developmental stages especially for 3 year old - answer play side by side 568. Restraints correct statements SATA 569. Chest tube after a pneumothorax procedure placed an hour ago which need to be reported immediately? a. Tidaling seen when pt breaths in and out b. Continuous bubbling in suction chamber c. Drainage of 150 mL – I picked this because anything over 100 in 1 hr is a priority to report. 570. Cushings teaching SATA 571. Thoracotomy complication teaching to call HCP when? 572. Systemic Lupus Erythremia (SLE) what lab is a priority to call HCP? a. Serum Creatinine of 1 – I picked this because primarily damage kidneys b. Serum bun 24 c. Serum potassium 5. d. Serum sodium 142 573. Wilsons tumor follow up teachings 574. DNR SATA which is the correct understanding of the statements 575. Hep A precautions needs to intervene when? 576. Active stage labor prority 577. Advance directive correct understanding SATA 578. Incident reports SATA 579. A pt is prescribed furosemide what teachings should the nurse tell pt? So I picked A, C, a. You will be urinating a lot next 10 mins b. Take the medication in the morning c. Its better to take it bed time d. Take foods rich in potassium e. Cant remember

  1. I had a picture of skin with small dots all over the body of child like 8 years what would you tell the pt immediately? I think chicken pox

I took the answer To Place client separate all other siblings in a different room

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New Nclex blueprint - study materials for review

Course: Adult Med Surg 1 (NUR 316)

10 Documents
Students shared 10 documents in this course

University: The College of New Rochelle

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NCLEX - RN Topics Exam # 1
1. Pre-eclampsia – what should the nurse report?
2. Verapamil med – What potentiates hypotension while taking this drug? (Grapefruit)
3. Digoxin toxicity – s/s Anorexia
4. The nurse understanding of tonic neck reflex?
5. Lithium – What should the nurse report when the client is on this med?
6. A patient with acute kidney failure (AKF) and is hyperkalemic, which med should the nurse clarify
with HCP? (ACE Inhibitors, Spironolactone)
7. Selegine med- what should the patient avoid while taking this med? (Cheese)
8. The purpose of tourniquet when starting an IV line?
9. What should you monitor for a pt who has a t4 injury?
10. Terbutaline and its purpose?
11. How to do a sterile wound dressing? (Peripheral artery wound care skills)
12. Understanding of what a negative PPD states?
13. Different types of tractions – which one predisposes the patient to infections?
14. Know the understanding of pressure alarms what’s normal vs malfunctioning?
15. The purpose of Lactulose on Cirrhosis pt?
16. Dietary teaching on cholecystitis pts
17. Know about RVSP – Right Ventricular Systolic Pressure?
18. Postop teaching after a vasectomy (what time should the pt resume sexual activities and know when
pregnancy can’t occur?)
19. When would the active phase of labor start? (4-7cm dilation)
20. 24-hour urine clearance test – what would make the test invalid/ inaccurate?
21. A pt asks HCP to differentiate Dementia from delirium?
22. Autopsy done after the death of a pt- what are the nurses duties and responsibilities?
23. A nurse has performed an act out of scope and the pt has been harmed what would she be charged
for by law?
24. Pregnancy stress test – what should the nurse do if the test was reactive vs non-reactive?
25. What is the cause of late deceleration abs what should the nurse do? (REMEMBER Late = L = DO
LION)
26. Seasonal disorder- What should the nurse do?
27. The nurse enters a pt’s room and discovers fire in the room. What should the nurse do first?
(Remember acronym - RACE)
28. The understanding of nurse about tetralogy of fallot?
29. What is myacin used for?
30. Know about pericarditis
Exam #2
31. Signs of blood transfusion reactions (SATA)
32. Teaching for Lithium
33. Patients taking iron supplements what would you encourage to do?
34. Drag and Drop skills for collecting stool sample
35. ECG identification on first degree heart block
36. Atrial Fibrillation – what will you do?
37. Position for renal biopsy
38. How to use a metered dose Inhaler skills order
39. Teaching on Incentive spirometer’
40. Mix of the insulins normal and regular order
41. Elastic compression stockings

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