NCLEX RN EXAM OVER 200 ANSWERED QUESTIONS

NCLEX RN EXAM OVER 200 ANSWERED QUESTIONS 2022/ 2023

The RN plans a diet teaching session to a CKD pt. The RN determines more teaching (wrong) is needed when the pt selects which option (SATA)?

1.) Grilled mozzarella sandwich, canned veggies, soup, diet cola 2.) Toast w/ PB, banana, & coffee 3.) Chicken sandwich w/ mustard, green salad, & lemonade 4.) Macaroni w/ salt sub., pudding w. raisins 5.) Spaghetti w/ meat balls, cabbage, & apple pie - CORRECT ANSWER 1,2,4

• = grilled mozzarella sandwich is HIGH in Phosphorous; canned veggies is high in Sodium;

soup is high in mag & salt; diet cola is high in phosphorous

• = Banana is high in Potassium; coffee is high in phosphorous

• = Macaroni w/ salt sub. is high in potassium

Explanations:

• = approp. lean protein
• = approp.

What is the diet needed for a pt w/ CKD? - CORRECT ANSWER HIGH CARB, Moderate FAT diet, RESTRICT sodium, potassium, & protein, & Low H2O intake

(Chronic Kidney Disease diet) What are the following foods apart of what vitamin group?

1.) Fruits: Apples, cranberries, grapes, pineapples, & strawberries

2.) Veggies: Califlower, onion, pepper, radishes, summer squash, & lettuce

3.) Carbs: Pita, tortillas, white breads, & white rice

4.) Meat: Beef & chicken - CORRECT ANSWER LOW-Potassium foods

(Chronic Kidney Disease diet) What foods are low PHOSPHOROUS foods? - CORRECT ANSWER 1.) Italian, french bread 2.) Corn or rice cereals & cream of wheat 3.) Unsalted popcorn 4.) Light-colored sodas & lemonades

What is the Pt. teaching for Chronic Kidney Disease diet? - CORRECT ANSWER 1.) Another challenge is H2O intake 2.) Limit sodium to help cut down on thirst @ times may still feel thirsty 3.) To help w/ their thirst

(Pt. teaching for CKD diet) Name the 4 things that helps pts w/ their thirst (them being thirsty) - CORRECT ANSWER 1.) Chew gum 2.) Rinse your mouth 3.) Such on a piece of ice, mints or hard candy 4.) Remember to change sugar-free candy if u have diabetes

A RN caring for a 40-yr-old woman w/ a hx of UTI. Which strategies prevent UTIs (SATA)?

1.) Always wipe from front to back 2.) Voiding Q3-4 hrs 3.) Stay hydrated w/ @ least 6 glass of H2O 4.) Take antibiotics until symptoms subside 5.) Refrain from taking bubble baths - CORRECT ANSWER 1,2,3(?),5

• = Decrease risk of infection

• = need @ least 8 glass of water
• = Increase irritation of urinary tract

Explanation:

• = Take ALL of the antibiotic

A pt diagnosed w/ asthma is prescribed long-term corticosteroid med therapy. When the RN assesses the pts which manifestations of Cushing Syndrome is noticed (SATA)?

1.) Na2+ = 154 mmHg 2.) BP = 84/42 mmHg 3.) Hyperglycemia 4.) K+ = 3mmol/L 5.) Metabolic alkalosis - CORRECT ANSWER 1,3,4,5

• = normal Na2+ is 135-145
• = normal K+ is 3.5-5.1/.3

Explanations:

• = Fluid retention, HTN

Metabolic alkalosis is associated with what syndrome? - CORRECT ANSWER Cushing Syndrome

The enhanced mineral corticoid effect in Cushing syndrome is caused by occupation of the a.) by the HIGH concentration of b.) - CORRECT ANSWER a.) MR b.) Cortisol

These 2 things are more common in Cushing syndrome - CORRECT ANSWER 1.) HYPOkalemia 2.) Metabolic alkalosis

Hypokalemia & Metabolic alkalosis are more common in in Cushing Syndrome caused by ectopic production (90%) than in other causes of Cushing Syndrome (10%) - CORRECT ANSWER Ectopic ACTH production

The hypersecretion of adrenal cortex, over-secretion of cortisol - CORRECT ANSWER Cushing Syndrome

(Cushing Syndrome) On the kidney the inside is called the a.) , the next layer is b.) , and the outside are the c.) called ontop of the kidneys - CORRECT ANSWER a.) Medulla b.) Cortex c.) Adrenal glands

The following S&S are for what Syndrome?

1.) Personality changes 2.) Moon face

3.) INCREASED susceptibility to infection => HIGH amount of protein to eat

4.) Males: Gynecomastia

5.) Fat deposits on face & back of shoulders 6.) Hyperglycemia 7.) CNS irritability 8.) NA2+ & fluid retention = Edema 9.) Thin extremities 10.) GI distress = INCREASED Acid 11.) Buffalo hump

12.) Females: amenorrhea (no flow), Hissurism (extra hair)

13.) Thin skin = easily cut 14.) Purple striae