NCLEX UWORLD Review Questions

NCLEX UWORLD Review Questions

What medications are used once adverse effects occur with ACE inhibitor use? ✔✔ARBs (sartans)

What are the adverse effects of ACE inhibitors? ✔✔symptomatic hypotension intractable cough hyperkalemia angioedema temporary increase in creatinine

What is dextromethorphan used for? ✔✔cough suppressant

what causes phenylketonuria in newborns? ✔✔genetic problem lacking phenylalanine hydroxylase

What is the tx for phenylketonuria? ✔✔low phenlylalanine diet for life monitor serum phenylalanine levels

use synthetic special formulas encourage consumption of fruit & veggies avoid eggs, meats, milk & replace w/ protein substitutes

can LPN assess the quality of pt problems? ✔✔no

should you remove ADHD child from room to sit in time out? ✔✔no, puntitive & not therapeutic (move away from source of anger)

What is the best action for child with ADHD in situation where child had difficulty controlling anger? ✔✔requesting child to relax & take deep breaths (will distract client & calm them)

when is methylphenidate administered? ✔✔2-3 divided doses or sustained release 30-45 mins before meals

what has most likely happened if pt's PTT is control value? ✔✔pt is not getting the ordered heparin (check IV tubing, IV patency, etc.)

How long is heparin effective? ✔✔2-6h

can pts develop tolerance to heparin? ✔✔no

does vitamin k effect heparin? ✔✔no

low platelets while pt is receiving heparin places them at risk for? ✔✔heparin-induced thrombocytopenia

(results in clot formation, not bleeding & has NO EFFECT on PTT)

What is the priority tx for client with hemophilia A & suspected head injury? ✔✔IV factor VIII then head CT

teaching about injury prevention

s/sx of intracranial bleed are? ✔✔lethargy HA irritability

vomiting

Why would you administer factor VIII before head CT in pt with hemophilia A who has suspected head trauma? ✔✔can't perform surgery to fix head bleed without the factor & head bleed cannot clot w/o factor .

can you give blood through a 20g needle? ✔✔yes

can you run blood as IV piggyback through infusion pump? ✔✔NO! (blood must be on it's own line w/ filtered tubing)

what should you do before administering blood if client had anything going through IV other than saline? ✔✔flush IV catheter first

What medications do elderly most commonly have a negative effect with? ✔✔benzos diuretics opioids antihistamines antihypertensives