NCLEX PN Questions And Correct Answers

NCLEX PN Questions And Correct Answers

Reduce symptoms of Raynauds disease? - Wearing gloves when handling frozen food

What is Raynauds disease? - reduced blood flow due to spasm of arteries of the feet and hands

When removing a chest tube, what should you instruct the patient to do? - hold breathe and bear down

When you notice blanching, coldness and edema at the IV site, what should you do? - Remove the IV

What is considered a normal Blood Glucose level? - 70-100

What PPE to use for MRSA patient? - Gloves Gown Goggles Mask

What is an EARLY sign of digoxin toxicity, from the drug digoxin? - Anorexia

What are normal Magnesium levels? - 1.6 - 2.6 mg

What are signs of elevated magnesium levels? - Drowsiness Sedation Lethargy Muscle weakness Areflexia

What is Areflexia? - Absence of the reflexes

What position should you place a patient with acute epiglottitis? - Sit upright

What position to use for Soapsuds enema? - Left side SIMS position

What is the 1st step when looking into the NCLEX exam? - Step 1: Access the NCSBN website at www.ncsbn.org (Obtain info for international nurses)

For state licensing? - Contact the state in which you are taking the NCLEX in and determine specific requirements for that state

What is the process for sending the state official documents? - They must come from the "Licensing Authority"

Is the NCLEX exam administered in other languages? - No (ONLY in English)

What is your Initial response after a patients trach tube becomes dislodged? - Use a manual BVM/resuscitation device?

What is the "immediate" action to take after a heart failure patient presents with shortness of breath/dyspnea? - Raise the head of the bed

How soon after the administration of nitroglycerin should the patient see relief? - 5 mins (Burning sensation/vertigo are common side effects)

What is a concern when a patient is taking Warfarin? - Bleeding easily (Educate patient on straight razor use)

What is Dystocia? - Abnormal labor or childbirth

What is the 1st step in the Nursing process? - Data collection

What is the 2nd step in the Nursing process? - Planning

What is the 3rd step in the Nursing process? - Implementation

What is the 4th step in the Nursing Process? - Evaluation

What is the medication "Tigan" used for? - Nausea and Emesis

Iron supplements should be taken with what? - Vitamin C rich juices (Tomato juice, Orange juice)

When noticing that the fundus of a postpartum patient is soft and spongy, what should you do? - Massage the fundus gently until it is firm

Drugs that end in "lol" are normally used for what? - Beta Blocker (for hypertension) ("Lo" Lowers the BP)

What OTC tabs should patients not take with medication? - Antacids tabs (effects the absorption of the med)

Which tabs should not be crushed? - Enteric Coated/sustained release tabs

Can nurses adjust or change a patients medication? - NO (only the Doctor can do this)

T/F Patients should consult a doctor before taking OTC or any herbal preparations? - True

Can Abandonment charges be filed against nurses who walk out if staffing is inadequate? - Yes

Can nurses refuse to float? - No, unless their Union contract states they only work in a specific area

Do Nurses need to get their own Insurance against malpractice? - YES

Who issued the Patients Bill of Rights? - American Hospital Association

What is habeas Corpus, and can a mentally ill patient request it? - Requesting a release from care/Yes they can

T/F Catholics, Christians and Jehovah witness are the only religions that allow organ donations?

• True

T/F Orthodox Judaism may allow organ donation with the Rabbis approval? - True

What are Incident reports used for? - Identifying risk situations and Improving care

Do Incident reports get filed in the Patients record? - No

What are the components of a medication prescription? - Date/Time Med name Dosage Route Frequency Signature

How is a Telephone medication order abbreviated? - t.o

Can a nurse sign or be a witness to a signature for a "Living Will" for her patient? - No, must be signed by someone who isn't staff or be notarized

What is managed care? - Strategies used to reduce the cost of health care.

T/F Case management involves collaboration with an Interprofessional health care team? - TRUE

What are the 5 types of leaders? - 1) Autocratic-Dominates the group, maintains strong control and address problems with clearly defined tasks.2) Democratic-Participative style, all members of the team should have input.3) Laissez-faire-Passive, inactive and delegates responsibility to the group (Lazy) 4) Situational-Leads based on current circumstance/situation.5) Bureaucratic-Leader believes that the team is motivated by EXTERNAL forces, relies on policies/procedures for decision making.

What is Inter-personal and Intra-personal conflict? - Intra-within a person Inter-within the group

When does discharge planning begin? - When patient is admitted

What is Priority 1, 2, and 3 of the Emergency room triage? - Priority 1-Emergent (Chest pain, respiratory distress, major arterial bleed, chemical splashes to the eye) Priority 2-Urgent (Not life-threatening, unless not treated within 1-2 hours, eval every 30-60 mins) Priority 3-Minor issues, eval every 1-2 hours)

What is Phlebitis? - Inflammation of a vein

What id Third Spacing? - The accumulation of extracellular fluid in a body space due to disease or injury

What does Extracellular mean? - Fluid outside the cells

What does Interstitial mean? - Fluid between the cells and the blood vessels

Which population is at "higher" risk for fluid related problems? - infants and Elderly

Water lost through the skin and lungs (expired air) is called? - Insensible loss

What is Hypokalemia? - A potassium level lower than 3.5 mEq/L

Can potassium supplement be taken on an empty stomach? - No, causes nausea and emesis

What else should be performed when a patient is receiving potassium supplements through IV? - Cardiac monitoring

Can potassium be administer via IV push? - No, only IV or orally

What level is the sodium when a patient has hyponatremia? - Sodium level will be less than 135

What is the antidote for magnesium overdose? - Calcium gluconate

Why is a patient with a nasogastric suction at risk of potassium deficit? - Potassium rich fluids are lost through GI suctions

Patients with Addisons disease are at risk for what? - Hyperkalemia (High potassium)

When a patient has hyperkalemia, what can you expect to see on an EKG? - Narrow peaked T waves