- ANTIHYPERTENSIVES - Symptomatic bradycardia treatment? ✔✔ATROPINE

NCLEX REVIEW 2022 Already Graded A+

Symptomatic bradycardia treatment? ✔✔ATROPINE

Hypertensive crisis nursing priority assessment? ✔✔LOC

Hypertensive crisis treatment? ✔✔- IV NITRATES

- ANTIHYPERTENSIVES

Hypertensive crisis treatment medications? ✔✔- NITROPRUSSIDE, LABETALOL,

NICARDIPINE

Client with CAD; rhythm strip showing a second-degree AV block, type 1. What should the nurse do first? ✔✔- MEASURE VITAL SIGNS

AV block can be associated with what? ✔✔- MI

• MEDICATIONS (Beta blockers, Digoxin)

Acute aortic dissection; priority prior to surgery? ✔✔- ADMINISTER IV LABETALOL (to maintain BP within normal ranges)

Signs and symptoms of hypovolemia? ✔✔- TACHYCARDIA

- HYPOTENSION

Hypovolemic shock? ✔✔NARROWING PULSE PRESSURE

Signs of adequate rehydration? ✔✔- CAP REFILL LESS THAN 3 SECONDS

• URINE OUTPUT >30ML/HR

- NORMAL SPECIFIC GRAVITY (1.003-1.030)

What can occur 24-72 hours after extensive abdominal surgery? ✔✔THIRD SPACING OF

FLUIDS

What age group should be able to first eat with a spoon? ✔✔TODDLER (by 18 months)

Client with sepsis and AFR. The adverse effect of PPV? ✔✔HYPOTENSION

Neutrophil count ✔✔2200-7700 (< 500 indicates SEVERE NEUTROPENIA)

Black box warning contraindicated in pregnancy ✔✔ARBs and ACE INHIBITORS

Acute failure exacerbation; lab? ✔✔INCREASED BNP

Water intoxication (more susceptible in infants) results in what? ✔✔HYPONATREMIA

Tetralogy of Fallot 4 specific characteristics (*OPRV*) ✔✔1. Overriding aorta

• Pulmonary stenosis
• Right ventricular hypertrophy
• Ventricular septal defect

Tetralogy of Fallot patient should be placed in what position? ✔✔KNEE-TO-CHEST

POSITION

IV opiates safest for clients who will give birth when? ✔✔2-4 HOURS AFTER

ADMINISTRATION

Butorphanol tartrate IV safely given when and to who? ✔✔- NULLIPARA 7 cm DILATED

WITH CONTRACTIONS

Butorphanol crosses the placental barrier peaking when and for how long? ✔✔PEAKING at 30-

60 MINUTES

DURATION is 2-4 HOURS

Opioid administration may do what? ✔✔SLOW LABOR PROGRESSION IN THE LATENT PHASE

Latent stage of labor? ✔✔0-5 cm

Active stage of labor? ✔✔6-10 cm

Borborygmi sound ✔✔LOUD, GURGLING = INCREASED PERISTALSIS (Gastroenteritis, Diarrhea)

Bruit sound ✔✔SWISHING OR BUZZING SOUND

Bruit indicates what? ✔✔TURBULENT BLOOD FLOW

Narcissistic personality disorder helps to maintain what? ✔✔SELF-ESTEEM

How much should a child weigh by 30 months of age? ✔✔~4X GREATER THAN THE BIRTH

WEIGHT

Toddlers weight ✔✔SLOWS DURING TODDLER YEARS WITH AN AVERAGE Y EARLY

WEIGHT GAIN OF 4-6LBS

Purpura ✔✔REDDISH, PURPLE BLOTCHES ON THE SKIN THAT DO NOT BLANCH

WITH PRESSURE D/T BLEEDING UNDER THE SKIN

Abnormal finding of a boggy liver edge below the rib cage ✔✔HEPATOMEGALY