NCSBN NCLEX RN EXAM - stain teeth, not known to cause hearing loss Pr...

NCSBN NCLEX RN EXAM

1

NCSBN NCLEX RN

EXAM

Tetracycline - Answer Taken on empty stomach, not given to children < 8yo bcoz it can stain teeth, not known to cause hearing loss

Propranolol - Answer Can help control essential tremors

Potassium iodide - Answer Used preoperatively to reduce size & vascularity of thyroid gland

Clozapine (Clozaril) - Answer Common s/e is extreme salivation (sialorrhea), may increase risk of hyperglycemia

Serum albumin - Answer Most sensitive measure of nutritional status

Normal: 3.4-5.4 g/dl

Normal BUN - Answer 7-20 mg/dl

High risk for CT scan with contrast reaction - Answer - (+) pregnancy test

• hx of asthma
• past rxns to contrast
• hx of , kidney & thyroid dse.
• taking beta blockers & metformin
• poor renal fxn

Earliest s/s of poor oxygenation - Answer Increased pulse

Late signs of poor oxygenation - Answer Abnormal breath sounds & cyanosis Pulsus paradoxus - Answer Fall in systolic BP with inspiration > 10mmHg Dressler's syndrome - Answer Also called post MI syndrome Digoxin - Answer Take pulse for 1 full minute, withhold if < 60

Has had valve surgery? - Answer Monitor for arrhythmias & hypotension, long term anticoagulation therapy

Tx for pulmonary edema - Answer M - Morphine

NCSBN NCLEX RN EXAM

2

D - Diuretics (furosemide) O - Oxygen

NCSBN NCLEX RN EXAM

3

G - Gases (blood gases)

• classic findings of pulmonary stenosis & aortic stenosis - Answer Dyspnea, chest pain

& syncope

• 2nd most common congenital defect

Cardiac tamponade - Answer 3 classic triad of signs:

Hypotension Muffled sounds Marked jugular vein distention

S-T elevation on ECG - Answer MI

DIC - Answer Bleeding, blood clots, bruising and drop in blood pressure

Heart failure - Answer Dyspnea, fatigue and weakness, edema in legs, ankles, feet

Raynaud's phenomenon - Answer Sequence of color changes in skin in response to cold or stress

Occlusive arterial disease - Answer Pain, pallor, paresthesia, pulselessness, paralysis, poikilothermia

Sickle cell disease - Answer Anemia, episodes of pain, frequent infections A fib - Answer Fluttering or thumping sensation in the chest Cardiac tamponade - Answer Hypotension, tachycardia with muffled heart sounds and jugular vein distention

Hemophilia - Answer Excessive bruising, swollen and painful joints, lengthy bleeding

Cor pulmonale - Answer Cough, exertional dyspnea, fatigue, fainting, swelling of feet or ankles

Emphysema - Answer Barrel chest, chronic cough, SOB , wheezing & weight loss

Tension pneumothorax - Answer Chest pain, muffled & lung sounds, mediastinal shift, respiratory distress

Tonsillitis - Answer Difficulty swallowing, ear pain, fever & chills, headache & sore throat Myasthenia Gravis - Answer Drooping eyelids, mouth weakness, arm or leg weakness Severe acute respiratory syndrome (SARS) - Answer Cough, difficulty breathing, fatigue, fever > 100.4F (38C), headache, myalgia