NCLEX-PN 2022 EXAM GRADED A

NCLEX-PN 2022 EXAM GRADED A+

DO NOT delegate what you can EAT! - answerE-evaluate A-assess T-teach

Addisons - answerdown, down, down, up, down

Cushings - answerup, up, up, down, up

Addisons - answerhyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia

Cushings - answerhypernatremia, hypertension, increased blood vol, hypokalemia, hyperglycemia

No Pee - answerNo K do not give POTASSIUM without adequate urine output

APGAR - answerA=appearance (color all pinks, pink and blue, blue (pale) P= pulse (>100, <100, absent) G=grimace (cough, grimace, no response) A=activity (flexed, flaccid, limp) R=respirations (strong cry, weak cry, absent)

AIRBORNE - answerMY-Measles Chicken-Chicken Pox/Varicella Hez=Herpez Zoster/Shingles

TB or remember . . .MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles *Private Room-negative pressure with 6-12 air exchanges/hr mask, N95 for TB

DROPLET - answerthink of SPIDERMAN S-sepsis S-scarlet fever S-streptococcal pharyngitis P-parvovirus B19 P=pneumonia P-pertussis I-influenza D-diptheria (pharyngeal) E=epiglottitis R-rubella M-mumps M-meningitis M-mycoplasma An-adenovirus *Private Room or cohort* *Mask*

CONTACT PRECAUTION - answerMrs. Wee M-multidrug resistant organism R-respiratory infection S-skin infections W-wound infxn E-enteric infxn - clostridum difficile E- eye infxn - conjunctivitis

SKIN INFECTIONS - answerVCHIPS V-varicella zoster C-cutaneous diptheria H-herpez simplex I-impetigo P-pediculosis S-scabies

Air/Pulmonary Embolism - answerS&S;chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom turn patient to left side and lower the head of the bed

Woman in Labor w/un-reassuring FHR - answerlate decels, decreased variability, fetal bradycardia, etc.turn patient to the left side (and give O2, stop pitocin, increase IV fluids

Tube feeding w/decreased LOC - answerposition patient on the right side (promote emptying of the stomach) with HOB elevated (to prevent aspiration)

During Epidural Puncture - answerside lying

After Lumbar Puncture - answerand also oil myelogram . . .patient lies flat supine (to prevent headache and leaking of CSF)

patient with heat stroke - answerlie flat w/legs elevated

during continuous bladder irrigation (CBI) - answercatheter is taped to thigh so leg should be straight. no other position restrictions

after myringotomy - answerposition on side of affected ear after surgery (allow for drainage of secretions)

after cataract surgery - answerpatient will sleep on unaffected side with night shield for 1-4 weeks

after thyroidectomy - answerlow or semi fowlers, support head, neck and shoulders

infant with spina bifida - answerposition prone (on abdomen) so that sac doesn't rupture

bucks traction (skin traction) - answerelevate foot of bed for counter-traction

after total hip replacement - answerdon't sleep on operated side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees. maintain hip abduction by seperating thighs with pillows

prolapsed cord - answerknee chest position or trendelenburg

infant with cleft lip - answerposition on back or in infant seat to prevent trauma to suture line.