NCLEX-RN Exam With Questions And Answers

NCLEX-RN Exam With Questions And Answers

Isotonic IV fluids NS And lactated Ringers - AnswerAre used as fluid replacement for fluid volume deficit Serum phenytoin - Answer10-20 mcg/ml Normal glucose Infant - Answer40-60mg/dl Normal resp for infant - Answer30-60 Normal temp for infant - Answer97.7-99.7 What is the antidote for norepinephrine? - AnswerPhentolamine (Regitine) What is autonomic dysreflexia? - AnswerLife-threatening condition in a client with high spinal cord injury Classic symptoms of autonomic dysreflexia? - AnswerSevere hypotension, throbbing headache,diaphoresis,bradycardia,flushing and piloerection.Magnesium - Answer1.5-2.5 mEq What is the therapeutic magnesium level to prevent seizures in a preeclamptic client? - Answer4-7 mEq Absent or decreased deep-tendon reflexes - AnswerEarliest sign of magnesium toxicity Calcium gluconate (antidote) - AnswerMagnesium toxicity Magnesium sulfate IV antidote? - AnswerCalcium gluconate IV Acetaminophen - AnswerN-acetylcysteine Most effective if given w/in 8hrs of ingesting acetaminophen Anticholinergics - AnswerPhysostigmine

Arsenic - AnswerChelation therapy:

1.dimercarpol 2.penincillamine 3.calcium disodium edetate

• Succimer

Benzodiazepines - AnswerFlumazenil Beta blockers - Answer(High dose) glucagon Calcium channel blockers - AnswerGlucagon, calcium chloride, calcium gluconate Cholinergics - AnswerAtropine,pralidoxime Cyanide - AnswerAmyl nitrate Sodium thiosulfate Hyperbaric oxygen chamber Digitalis/digoxin - AnswerDigoxin antibodies: digoxin immune fab, digifab,digibind Dnoxaparin - AnswerProtamine sulfate Ethylene glycol - AnswerEthanol Fomepizole Pyridoxine hydrochloride(vitamin b6) Heparin - AnswerProtamine sulfate Hypoglycemic agents - AnswerGlucagon Octreotide Iron - AnswerDeferoxamine mesylate Lead - AnswerChelation therapy

• Dimercarpol
• Penincillamine
• Succimer

Mercury - AnswerChelation therapy Methanol - AnswerFolic acid and then folic acid fomepizole Mushrooms,muscarinic - AnswerAtropine sulfate Nerve gas( sarin, soman and VX) - AnswerAtropine sulfate Pralidoxime chloride Opiods(codeine,morphine) - AnswerNaloxone, nalmefene

Snakes( rattle snakes,copperheads, cottonmouth) - AnswerAntivenin(crotalidae) polyvalent(equine origin) crotalidae polyvalent immune fab(ovine) Spiders(black widow) - AnswerAntivenin( latrodectus Mactans) equine Tricyclic antidepressants - AnswerSodium bicarbonate Vasopressor infiltration and extravasation - AnswerPhentolamine mesylate Warfarin - AnswerPhytonadione( vitamin k) Normal neonate HR - Answer110-160 <60 compression are started Creatinine - Answer0.6-1.3 BUN - Answer6-20 Hematocrit - Answer39-50% Hemoglobin - Answer13.2 -17.3 Therapeutic INR Client with mechanical heart valve - Answer2.5-3.5 Normal INR - Answer0.75-1.25 Therapeutic INR to treat A-FIB - Answer2-3 Normal CVP - Answer2-8 Elevated CVP can indicate? - AnswerRight ventricular failure aka fluid volume over load

S/S fluid overload: - AnswerPeripheral edema

Increase urine output that is dilute Rapid weight gain S3 heart soundin adults Tachypnea,dyspnea,crackle in lungs Boundig peripheral pulses What is refeeding syndrome? - AnswerA potential lethal complication of nutritional replenishment in malnourished pt Key signs of refeeding syndrome? - AnswerRapid decline in phosphorus, potassium, and/or magnesium

What is a potential complication of acute pericarditis? - AnswerCardiac tamponade S/S of tamponade - AnswerJVD, distant heart sounds, and decreased bp

• stages of grief - Answerdenial, anger,bargain,depression,acceptance

what is wernickes (kortakoff's) syndrome? - AnswerPsychosis induced by Vitamin B1(thiamine) deficiency Primary symptoms of wernickes (kortakoof's) syndrome? - Answeramnesia with confabulation (making up stories) what is aversion therapy? - Answerwhen you try and make the patient hate something antabus/Revia onset and duration used for aversion therapy? - Answer2 weeks pt. teaching on antaeus /Revia: - Answeravoid all forms of alcohol to avoid nausea, vomiting, death the difference between alcohol withdrawals and delirium tremens? - Answeralcohol withdrawals is NOT life threating delirious tremens CAN kill you how to remember aminoglycoslides? - Answerthink " A MEAN OLD MACIN"

when are aminoglycolides given? - Answerused to treat serious, life threatening and resilienant infection

what most you remember about aminoglycolides? - Answerall aminoglycolides end in MYCIN but not all drugs that end in MYCIN are aminoglycolides

examples of wanna be mycin's? - Answerazythromycin, clarithromycin, arthromycin

toxic effect of aminoglycolides? - Answerototoxicity: monitor hearing, balance, and tints

neprotoxocoty: monitor creatine (kidney)

frequency of aminoglycolides adminstration? - Answerevery 8 hrs