NCLEX RN EXAM WITH COMPLETE SOLUTION

NCLEX RN EXAM WITH COMPLETE SOLUTION

when fusing packed red blood cells, which solution is hung with the Y tubing? - answer0.9% sodium in water (NS)

Severe Preeclampsia, what are expected findings? - answerproteinuria, facial edema, blurred vision

DM and glucose monitoring, what will increase blood flow and decrease risk of infection, before taking the sample? - answerwashing clients hands with soap and warm water

What is an expecting finding of Hyperthyroidism? - answerTremors

What is an expected finding of Hypothyroidism? - answerPeriorbital Edema

Coping Strategies - answer

Verapamil - answerCCB, treats hypertension, angina, arrhythmia. Do not take with Grapefruit (may cause hypotension).

what should be administered for a Benzodiazepine overdose? - answerFlumazenil

Which side does a cane go on? Weak side or Strong side? - answerStrong side

Na+ - answerElectrolytes, Sodium 136-145

K+ - answerElectrolytes, Potassium 3.5-5

Ca++ - answerElectrolytes, Calcium 9-10.5

pH - answerABG, 7.35-7.45

PaCO2 - answerABG, 35-45

HCO3 - answerABG, bicarbonate, 21-28

PaO2 - answerABG, oxygen, 80-100

SaO2 - answerABG, Oxygen Saturation, 95%-100%

Hgb - answerCBC, Hemoglobin, 12-16 (F) 14-18 (M)

Hct - answerCBC, Hematocrit, 42-52% (M) 37-47% (F)

RBC - answer4.7 (M) 6.1 (F)

WBC - answerCBC, White Blood Cell, 5000-10,000

ESR - answererythrocyte sedimentation rate, < 20 mm/hr

Cholesterol, Total - answer< 200 (risk for cardiac or stroke > 150)

Platelets - answer150,000-400,000

PT - answer11-12.5 seconds

therapeutic range is 1.5 - 2 times the normal

aPTT - answerpartial thromboplastin time, 30-40 seconds

therapeutic range is 1.5 - 2 times the normal

INR - answer0.7-1.8 (unless on drug, therapeutic range 2-3)

Glucose, Fasting - answerEndocrine, 70-105

HbA1c, glycosylated hemoglobin - answerEndocrine, Hemoglobin A1c, 4-6%

under 6% for normal

under 7% for Diabetes Control

BUN - answerGU, 10-20

Creatinine - answerGU, 0.6-1.2 (M) 0.5-1.1 (F)

Creatinine Clearance Test - answer90 - 139 (M) 80 -125 (F)

calculation of GFR best indicator of overall renal function

What type of solution is TPN? - answerhypertonic

How can TPN be given and when is it prepared? - answerThrough a PICC line or tunneled catheter and prepared daily

Which lab value is checked and how often, when TPN is initiated? - answerblood glucose, every 4-6 hours

Every 24 hours a new TPN bag is hung with a new filter. True or False? - answerTrue

Non-Pharmocological Interventions: HOT - answeron for 15min, off for 20min

acts as an analgesia (pain relief) increase blood flow relaxes muscles diminishes muscles spasms eases muscles & joint stiffness

Non-Pharmacological Interventions: COLD - answeron for 15min, off for 20min

acts as an analgesia (pain relief) decreases/prevents swelling diminishes muscles spasms

Diseases that need Private rooms? - answervaricella (chicken pox) herpes zoster (shingles) rubeola virus (measles) meningococcal disease