NCLEX PN 2020 EXAM - (ANS- Antiarrhythmic used to treat supraventric...

NCLEX PN 2020 EXAM

What is adenosine used for?(ANS- Antiarrhythmic used to treat supraventricular tachycardia.

What is dopamine used for?(ANS- A vasopressor used to treat symptomatic hypotension.

What is metoprolol used for?(ANS- Metoprolol is a beta blocker used for heart rate control in tachyarrhythmias.

Torsades de pointes (ANS- "Twisting of the points" usually do to a prolonged QT interval which is the result of electrolyte imbalances especially hypomagnesemia.

Gastric lavage (ANS-

• Intubation and suction supplies should always be available at the bedside during

GL in case the client develops aspiration or respiratory distress

• Performed through large bore (36 to 42 french)
• Client should be placed on side with HOB elevated.
• Should be initiated within one hour of overdose.

Allens test (ANS- Done to detect the patency of ulnar artery.

CPR (cardiopulmonary resuscitation) (ANS-

• 3O compressions to two rescue breathes.
• Hand placement is in the center of chest on lower half of the sternum.
• Compression rate of 100 to 120/min

AED placement for ≤ 8 years old (ANS- One AED pad on chest and one on back. 1 / 4

Why is suprapubic pressure applied during pregnancy?(ANS- It helps dislodge an impacted anterior shoulder from under the client's pubic bone in the event of shoulder dystocia.

Leopold maneuvers (ANS- A systematic approach to palpating the pregnant abdomen to identify fetal presentation.

McRoberts maneuver (ANS- Consists of sharply flexing the thigh onto the maternal abdomen to straighten the sacrum. It is used for shoulder dystocia.

How does the palm of your hand appear during negative Allens test?(ANS- It does not turn pink and remains pale.

What food allergies increase the risk for latex allergies?(ANS- Avocado, Banana and tomato.

GTPAL (ANS- Gravida, Term, Preterm, Abortion, Living.

Gravida (GTPAL) (ANS- The number of times a woman has been pregnant regardless of outcome.

Term (GTPAL) (ANS- The number of pregnancies delivered at 37 w 0 d gestation & beyond.

Preterm (GTPAL) (ANS- The number of pregnancies delivered from 20 w 0 d gestation through 36 w

• d gestation.

Abortion (GTPAL) (ANS- The number of pregnancies ending before 20 w 0 d gestation; these may be spontaneous (miscarriage) or induced abortions. 2 / 4

Living (GTPAL) (ANS- The number of currently living children.

Acrocyanosis (ANS- Peripheral cyanosis that is considered normal during the first day of life or up to 7-10 days after birth if the infant becomes cold.

Bishop Score (ANS- A system for the assessment and rating of cervical favorability and readiness for induction of labor.A higher Bishop score indicates an increased likelihood of successful induction that results in vaginal birth.

What is the average newborn head circumference?(ANS- 13-14 inches (33-35cm)

S/S of pyelonephritis (ANS-

• N/V
• Fever and chills
• Flank pain
• Costovertebral tenderness

Important foods during pregnancy.(ANS- Foods containing folic acid, protein, whole grains, iron, and omega-3 fatty acids are especially important.

Supine hypotensive syndrome (ANS- Occurs when the weight of the abdominal contents compresses the vena cava, causing decreased venous return to the heart.

Preeclampsia (ANS- A systemic disease characterized by hypertension and proteinuria after the 20th gestational week with unknown etiology.

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Eclampsia (ANS- The onset of convulsions or seizures that cannot be attributed to other causes in a woman with preeclampsia. Delivery is the only cure for preeclampsia- eclampsia syndrome.

Magnesium sulfate (ANS- A central nervous system depressant used to prevent/control seizure activity in preeclampsia/eclampsia clients. Therapeutic level is 4-7 mEq/L.

Medication used to lower bp during preeclampsia

.(ANS-

• Hydralazine (Apresoline)
• methyldopa (Aldomet)
• labetalol (Trandate) is used to lower blood pressure (BP) if needed (usually

considered when BP is >160/110 mm Hg).

Tocolytic drugs

(ANS- Medications used to suppress contractions in preterm labor. Examples:

terbutaline, magnesium sulfate, indomethacin, nifedipine.

HELLP syndrome (ANS- A severe form of preeclampsia.Hemolysis ,Elevated Liver enzymes ,Low Platelet count.

s/s of HELLP syndrome (ANS- RUQ pain, nausea, vomiting, and malaise.

Mongolian spots (ANS- A benign skin discoloration most often seen in newborns of ethnicities with darker skin tones (eg, African American, Native American, Hispanic, Asian).*Fade over first 1-2 years of life.*Measure and document area.

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