NCLEX RN NGN Practice Questions NGN NCLEX

NCLEX RN NGN Practice Questions/ NGN NCLEX RN Practice Questions Updated 2023-2024 Latest Version Test Bank 1000+ Questions and Ans

Loss of urine is unpredictable & continuous --------- Correct Answer ---------- Total incontinence

Voids in increments of less than 50 mL under conditions of increased abdominal pressure. --------- Correct Answer ---------- Stress incontinence

Occurs rather predictable times that correspond when certain bladder volume is attained. --------- Correct Answer ---------- Reflex incontinence

Earliest symptom is paresthesia (numbness & tingling in fingers). Other symptoms include pain unrelieved by opioids, pain that increases with limb elevation, pallor & coolness to distal limb. Cyanosis is a late sign. --------- Correct Answer ---------- Compartment syndrome

Skin traction often applied after hip fracture before fracture is reduced in surgery.Traction reduces muscle spasms & helps immobilize fracture. --------- Correct Answer --- ------- Buck's (extension) traction

Infection & pancytopenia are side/adverse effects. Assess white blood cell counts & platelet counts --------- Correct Answer ---------- Etanercept for treatment of rheumatoid arthritis

Encourage drink 3000 mL fluid day. Full effect may take 1 week or longer. Given with, or immediately after, meals or milk. Develops rash, irritation eyes, swelling of lips or mouth;contact HCP because may indicate hypersensitivity. Medication prevents, treats hyperuricemia caused by chemotherapy. May increase effect of Warfarin sodium if this medication was prescribed for client, should verify prescription with HCP --------- Correct Answer ---------- Allopurinol (Zyloprim)

Prescribed for gout. Used with caution older adults, debilitated clients, & clients with cardiac, kidney, or GI disease. --------- Correct Answer ---------- Colchicine (Colcrys)

Take medication with full glass of water after rising in morning. Not eat or drink anything for 30 minutes following administration --------- Correct Answer ---------- Alendronate (Fosamax) prescribed for osteoporosis

Liver damage most serious adverse effect. To reduce risk of liver damage, liver function tests should be performed before treatment & throughout treatment. Administered lowest effective dosage for shortest time necessary. --------- Correct Answer ---------- Dantrolene sodium (Dantrium)

Used with caution history of urinary retention, glaucoma, & increased intraocular pressure. --------- Correct Answer ---------- Cyclobenzaprine hydrochloride (Flexeril)

Skeletal muscle relaxant. May cause urine to turn brown, black, dark green color. Needs to be told; harmless effect. Medication can cause hypotension & bradycardia.Drowsiness & dizziness can also occur. --------- Correct Answer ---------- Methocarbamol (Robaxin)

Autoimmune disease causes blistering in epidermis. Large flaccid blisters (bullae).Blisters are in epidermis, have thin covering of skin & break easily, leaving large denuded areas of skin. On initial examination, clients may have crusting areas instead of intact blisters. --------- Correct Answer ---------- Pemphigus

Health care worker, people who work in rubber industry, or have had multiple surgeries, have spina bifida, wear gloves frequently; food handlers, hairdressers, & auto mechanics, or are allergic to kiwis, bananas, pineapples, tropical fruits, grapes, avocados, potatoes, hazelnuts, or water chestnuts. --------- Correct Answer ---------- Individuals at risk for developing a latex allergy

Multisystem infection that results from bite by tick carried by several species of deer.Blood to detect performed 4 to 6 weeks following tick bite. Antibody formation takes place in the following manner. Ticks should be removed with tweezers & area washed with an antiseptic. --------- Correct Answer ---------- Lyme disease

Prevention; insect repellent on skin & clothes in an area where ticks likely found. Long- sleeved tops & long pants, closed shoes, & hat or cap should be worn. If possible, heavily wooded areas or areas with thick underbrush should be avoided. Socks can be pulled up & over pant legs to prevent ticks from entering under clothing. --------- Correct Answer ---------- Lyme disease

Avoid uncooked eggs & unpasteurized milk. Fruits & vegetables washed before eating.Contact materials possibly contaminated with cat feces; litter boxes, sand boxes, garden soil avoided. Avoid touching mucous membranes mouth or eyes while handling raw meat, wash all kitchen surfaces that come contact with uncooked meat, wash hands after handling raw meat. Symptoms; altered mental status, headache, & cognitive impairment. --------- Correct Answer ---------- Toxoplasmosis

Caused by inhalation of spores from bat or bird droppings. An opportunistic infection that affects lungs & can occur in client with HIV infection. Diagnostic tests include chest x-ray, sputum culture, lung biopsy, & bronchoscopy --------- Correct Answer ---------- Histoplasmosis

Chronic connective tissue disease. Corticosteroids prescribed treat inflammation.Topical agents may provide some relief from joint pain. Activity encouraged as tolerated

& room temperature constant. Clients need sit up for 1-2 hours after meal if esophageal involvement present --------- Correct Answer ---------- Scleroderma

Nephrotoxicity, bone marrow depression, GI effects, hepatotoxicity, dermatological effects, & neurological symptoms; headache, dizziness, vertigo, ataxia, depression, & seizures. --------- Correct Answer ---------- sulfonamide monitor for signs/symptoms of which side/adverse effects

Can cause pancreatitis. Serum amylase level that is increased 1.5 to 2 times normal may signify pancreatitis. Medication is also hepatotoxic & can result in liver failure --------

• Correct Answer ---------- Didanosine (Videx)

Used manage HIV in clients who do not respond to or who cannot tolerate conventional therapy. Can cause peripheral neuropathy. Should monitor gait closely & ask about paresthesia. --------- Correct Answer ---------- stavudine (d4T, Zerit)

Emphasizes self-expression, self-exploration, & self-awareness in present. Client & therapist focus on everyday problems & try to solve them. --------- Correct Answer -------- -- Gestalt therapy

Promotes individual's comfort in group, which then transfers to other relationships.Based on one-to-one or group therapy approach in which therapist-client relationship often used as way for client to examine other relationships in his/her life. --------- Correct Answer ---------- Interpersonal group therapy

Focuses on how irrational beliefs and thoughts contribute to psychological distress.Correction distorted thinking. --------- Correct Answer ---------- Rational emotive therapy

Help others express their feelings toward one another during group sessions. --------- Correct Answer ---------- Rogerian therapy

"Therapeutic community," has as its focus living, learning, or working environment.Provide safe, therapeutic environment. All treatment team members are viewed significant & valuable to client's successful treatment outcomes. --------- Correct Answer ---------- Milieu therapy

Based on rewards & punishment --------- Correct Answer ---------- Behavior modification

Consistent daily routine & low stimulating environment important when disoriented. Use an indirect light source & turn off TV. --------- Correct Answer ---------- Delirium becomes disoriented & confused at night

Often withdrawn, experience difficulty concentrating, loss of interest or pleasure, low energy, fatigue, feelings worthlessness & poor self-esteem. Plan of care provide successful experiences in stimulating yet structured environment. --------- Correct Answer ---------- Depression

Fear situations which one might be embarrassed, criticized; fear of speaking, performing, eating in public. Fears making fool of oneself. --------- Correct Answer -------- -- Social phobia

Fear open spaces & fear of being trapped in situation from which there may not be escape. --------- Correct Answer ---------- Agoraphobia

Alteration loss of physical function cannot be explained by any known pathophysiological mechanism. Thought to be an expression of psychological need or conflict. --------- Correct Answer ---------- Conversion disorder

Disturbance or alteration in normally integrative function identity, memory, consciousness --------- Correct Answer ---------- Dissociative disorder

Facilitates communication by sitting silence, ask open-ended questions rather than direct questions, pausing provide opportunities to respond. --------- Correct Answer ------- --- Catatonic stupor

Prevent from harming self or others. Low-stimulation environment maintain client in calm state. Monitor vital signs closely & report abnormal findings. Reorient to reality frequently & would address hallucinations therapeutically. Adequate nutritional & fluid intake maintained. --------- Correct Answer ---------- Withdrawal from alcohol

Delirium typically include anxiety, insomnia, anorexia, hypertension, disorientation, hallucinations, changes LOC, agitation, fever, & delusions. --------- Correct Answer ------- --- Alcohol withdrawl

Include loss of or change of job, death of loved one, abortion, change financial status, divorce, addition new family members, pregnancy, & severe illness --------- Correct Answer ---------- Situational crisis

Crisis of disaster; it is unplanned or accidental; Witnessing a murder, fire destroyed home, recent rape episode experienced --------- Correct Answer ---------- adventitious crisis

Administered once every 24 hours. Administered morning or evening, but evening administration may be preferable because drowsiness is side effect. --------- Correct Answer ---------- Sertraline (Zoloft); antidepressant

Anticonvulsant & hypnotic agent. Avoid taking any other central nervous system depressants such as alcohol while taking medication. --------- Correct Answer ---------- Phenobarbital sodium (Luminal)