NCLEX PN 2022 NEW UPDATE WITH QUESTIONS

NCLEX PN 2022 NEW UPDATE WITH QUESTIONS

AND ANSWERS

Acute glomerulonephritis that is associated with beta hemoloytic step - answeris an immunologic disorder that is caused by beta-hemolytic step occurs 21 days after respiratory or skin infection

What is common after repeated vomiting - answerhypokalemia and hypomagesemia, it is important to check a pts electrolyte levels

Peripheral edema, shortness of breath, and dizziness are - answercommon with pacemakers failure. Decreased cardiac output

Which of the following is a complication that occurs during the first 24 hours after a percutaneous liver biopsy? - answerHemorrhage

increased pulse, a decreased blood pressure, and increased respirations indicate shock. Shock is a result of an - answerHemorrhage

orthostatic hypotension due to autonomic dysfunction. - answerparkinsons disease

One cup of fluid is equal to - answer8 oz

One oz is equal to - answer30ml

Why are diuretics given? - answerPromote excretion of sodium and water though the kidneys

Hypotension and hypovolemic shock are complications of a paracentesis due to removal of a large volume of fluid. - answerparacentesis

The specific gravity of urine - answer(1.010- 1.030) and the normal levels of hematocrit (male 42- 50%, female 40- 48%)

normal range for a PTT is? - answer20- 45 seconds;

Autocratic leadership - answeris an approach in which the leader retains all authority and is primarily concerned with task accomplishment

Situational leadership - answeris a comprehensive approach that incorporates the leader's style, the maturity of the work group, and the situation at hand.

Democratic leadership - answeris a people-centered approach that is primarily concerned with human relations and teamwork. This leadership style facilitates goal accomplishment and contributes to the growth and development of the staff.

Laissez-faire - answerleadership is a permissive style in which the leader gives up control and delegates all decision making to the work group.

• answerFindings associated with fluid volume excess include cough, dyspnea, crackles,

tachypnea, tachycardia, an elevated blood pressure, a bounding pulse, an elevated central venous pressure, weight gain, edema, neck and hand vein distention, an altered level of consciousness, and a decreased hematocrit level.

Potassium-rich - answergastrointestinal (GI) fluids are lost through GI suction, which places the client at risk for hypokalemia

• answerCushing's syndrome or diarrhea and the client who has been overusing laxatives are at

risk for hypokalemia

hyperkalemia - answerClients who experience the cellular shifting of potassium, as in the early stages of massive cell destruction (i.e., with trauma, burns, sepsis, or metabolic or respiratory acidosis), are at risk for hyperkalemia

Sensible - answerare those that the person is aware of, such as those that occur through wound drainage, GI tract losses, and urination.

Insensible losses - answermay occur without the person's awareness. Insensible losses occur daily through the skin and the lungs.

isotonic solutions - answer0.9 sodium cholride this is normal saline lactated ringers solution

hypotonic solutions (more dilute hypos love water) - answertreats edema and kidney disease and is 5% dextrose and water

Hypertonic solutions (higher concentrations of particles) - answer3% sodium chloride protein solutions comes in 10, 50, 70% dextrose

Colloid solutions - answercontain solutes of higher molecular weight than the serum

examples Plasmanate, dextra, hespan, salt poor albumin

Hypertonic solutions are used to treat - answersevere hyponatremia and negative nitrogen balance.

Hyperalmentation can lead to - answerhyperglycemia, *so if the client must be monitored for hyperglycemia and might have to have insulin added to the solution or give subcutaneously during therpy

Sodium - answer135-145

potassium - answer3.5-5.5

calcium - answer8.5 to 10.5

magnesium - answer1.3-2.1

Phosphorus - answer2.5-4.5

chloride - answer95-108

carbon dioxide content - answer35-45

osmolality - answer280-295

BUN - answer7-22

creatinine - answer6-1.35

Hematocrit - answermales 44-52 females 39-47

glucose - answer70-110

albumin - answer3.5-5.5