PRACTICE EXAM QUESTIONS AND ANSWERAS

PRACTICE EXAM QUESTIONS AND ANSWERAS

SOLUTION NCLEX RN: 13

A pt w/ Buskittis lymphoma is diagnosed w/ a spinal cord compression & is being tx for a neurogenic bladder. Pt started on chemo & compression resolved plan is to retrain the bladder.Which med does the RN expect to be ordered?

1.) Diphenhydramine 2.) Lorazepam 3.) Dicyclomine 4.) Bethanechol - CORRECT ANSWER 3 => Dicyclomine is an anti-cholinergic med that promotes urinary retention -> helps train bladder

*urinary incontinence dripping => doesn't feel urine

Explanations:

• = anti-histamine
• = anti-anxiety

4 = mimics cholinergic effects: promotes urination

(Renal Disorder meds) The indication for this med is the Cholinergic effect is used to tx: => urinary retention => Neurogenic bladder => Gastric reflux - CORRECT ANSWER Bethanechol

(Renal Disorder meds) What are the 4 S&S for Bethanechol? - CORRECT ANSWER 1.) Orthostatic hypotension 2.) Flushing 3.) Asthmatic reaction 4.) GI distress

(Renal Disorder meds: Nursing care/ pt. teaching for Bethanechol) What is the nursing care/pt.teaching ? (3 things) - CORRECT ANSWER 1.) Do NOT give IV or IM => Might cause circulatory collapse

2.) Monitor vital signs

3.) Preferably give on an Empty stomach

(Renal Disorder meds: Nursing care/ pt. teaching for Bethanechol: 3 things) Do NOT give __a.)__ or __b.)__ b/c it might cause __c.)___ - CORRECT ANSWER a.) IV or b.) IM c.) Circulatory collapse

(Renal Disorder meds: Nursing care/ pt. teaching for Bethanechol: 3 things) Preferably give on an _______ - CORRECT ANSWER Empty stomach

(Renal Disorder meds) For this med, the indication is it is used for tx of:

1.) Irritable bowel syndrome (IBS) 2.) Urinary incontinence - CORRECT ANSWER Dicyclomine

(Renal Disorder meds: Dicyclomine: 8 side effects) What are the 8 Side effects for Dicyclomine?

• CORRECT ANSWER 1.) Drowsiness

2.) Blurred vision 3.) Dry mouth 4.) Dyspnea 5.) Rash

6.) Urinary hesitancy => hesitant to go to bathroom

7.) Tachycardia

8.) HA

(Renal Disorder meds: Dicyclomine: Nursing care/ pt. teaching) What is the nursing care for Dicyclomine? (3 things) - CORRECT ANSWER 1.) Take 30 mins BEFORE meals & @ hs

2.) Use caution w/:

=> potentially hazardous activities

3.) Report diarrhea => b/c might be an incomplete intestinal obstruction

(Renal Disorder meds: Dicyclomine: Nursing care/ pt. teaching: 3 things) The pt should take __a.)___ mins __b.)___ meals & @ hs - CORRECT ANSWER a.) 30 mins b.) BEFORE meals

(Renal Disorder meds: Dicyclomine: Nursing care/ pt. teaching: 3 things) The pt needs to use caution w/ potentially _______ activities - CORRECT ANSWER Hazardous activities

(Renal Disorder meds: Dicyclomine: Nursing care/ pt. teaching: 3 things) The RN should teach the pt to to report if the have ______ b/c it might mean that they have an incomplete intestinal obstruction - CORRECT ANSWER Diarrhea

The night shift psychiatric RN receives report on 4 pts. Which pt will the RN see 1st?

1.) A pt going through divorce & depression after she gave birth to a baby w/ growth retardation 2.) An ex-convict w/ a hx of PTSD AFTER having physical abuse in prison w/ agraphobia after someone called the cops on him.

3.) A business owner who is diagnosed w/ severe anxiety b/c he shut down his business & filed bankruptcy 4.) A dancer admitted for depression & anxiety AFTER her sister committed suicide & her mother was recently diagnosed w/ ovarian CA. - CORRECT ANSWER 2 => Agoraphobia pts have a tendency for violence to self & /or others

-> fear of open-spaces & crowds

=> could turn into a very aggressive/dangerous situation; assess pt; will he cause harm

This is an abnormal fear of being helpless in a situation from which escape may be difficult or embarrassing - CORRECT ANSWER Agoraphobia

Agoraphobia is often characterized initially by:

1.) ___a.)____ or __b,)___ anxiety, &

2.) finally by the Avoidance of ____c.)____ places - CORRECT ANSWER a.) Panic, OR b.) Anticipation anxiety c.) Avoidance of open or public places

The charge RN is rebooting @ midday & us coordinating care for pts on a med-surg unit. What activities can the RN delegate to the NAP (SATA)?

1.) Assign room placement for pts coming from the ED 2.) Deliver a pt to the radiology for an abd. ultrasound 3.) Remove a pt's peripheral IV 4.) Assist HCP w/ pt's vaginal exam 5.) Prepare the equipment needed for a peripheral IV insertion 6.) Explain to the pt that hus chest pain needs to be assessed immediately in the ED - CORRECT ANSWER 2,4 => True

• => Pt is stable; implementation
• => can provide assistance; give items to HCP; implementing tasks

*stable pt & predictable outcomes