UWorld NCLEX 2023 exam with correct answers

UWorld |NCLEX |2023 |exam |with |correct |answers When |do |*advanced |directives* |go |into |effect? |- |ANSWER-when |person |is |*unable |to |speak |for

|him/herself* |due |to |either:

• |*Mental |Incapacity* |- |*coma |*(GCS |score |≤ |7)
• |*Aphasia*

|(≠as |soon |as |signed; |directives |can |always |be |changed |later |by |person) SBAR |Communication |Framekwork |Components |- |ANSWER-1. |*S* |= |Situation |- |what |*prompted* |the | communication |(eg |*what* |changes |occurred)

• |*B* |= |Background |- |*pertinent |information, |relevant |history, |vital |signs*
• |*A* |= |Assessment |- |nurse's |assessment |of |the |situation |(*when* |& |*what |changes* |occurred)
• |*R* |= |Recommendation |- |*request* |for |*prescription* |or |*action* |from |HCP

Appropriate |order |of |actions |when |client |found |on |floor |- |ANSWER-1. |*Assessment* |of |*physiological | stability* |(ABCs)

• |*Assessment* |of |*injuries*
• |*Moving |client*
• |*Notifications*
• |*Documentation*

Conditions |of |being |*ineligible |to |leave |AMA* |- |ANSWER-1 |*danger |to |self |or |others*

• |*lack |of |consciousness*
• |*Altered |consciousness*
• |*Mental |illness*
• |Being |under |*chemical |influence*
• |*Court |decision* 1 / 4

Effective |handoff |communication |components |- |ANSWER-Nurse |should:

• |Provide |*identifying |information* |(eg |client's |name |and |room |number)
• |Note |*care |priorities* |and |upcoming |or |outstanding |tasks |(eg |time |to |replace |medication |infusion |

bag, |need |to |perform |delayed |wound |care |and |cause |of |delay)

• |Provide |*exact, |pertinent |information* |(eg |medication |dose, |time, |measurable |outcomes)
• |Include |*multidisciplinary |plans* |(eg |radiology |examinations, |family |meetings, |physical |therapy)
• |Relay |significant |client |changes |in |a |clear |manner

*Risk |factors* |for |*cervical |cancer* |- |ANSWER-1. |Infection |with |high-risk |HPV |strains

• |History |of |sexually |transmitted |diseases
• |Early |onset |of |sexual |activity
• |Multiple |or |high-risk |sexual |partners
• |Immunosuppression
• |Oral |contraceptive |use
• |Low |SES
• |Tobacco |use

what |medications |interact |with |grapefruit? |- |ANSWER-1. |*calcium |channel |blockers* |(diltiazem, | nifedipine, |verapamil, |etc)

• |*statins*
• |*SSRIs*

Risk |associated |with |*stent |placement* |using |the |*femoral |approach* |- |ANSWER-*retroperitoneal | hemorrhage* what |are |early |signs |of |bleeding |into |the |retroperitoneal |space? |- |ANSWER-hypotension, |back |pain, | flank |ecchymosis |(grey |turner |sign), |hematoma |formation, |diminshed |distal |pulses 2 / 4

what |is |the |grey-turner |sign |and |what |is |it |a |sign |of? |- |ANSWER-bruising |of |the |flanks |and | retroperitoneal |hemorrhage |and |is |a |bluish |color what |are |some |physical |signs |of |peripheral |arterial |disease? |- |ANSWER-intermittent |calf |muscle |pain?, |rest |pain, |hair |loss, |decreased |peripheral |pulses, |cool, |dry, |shiny |skin, |thick |brittle |nails, |gangrene, | ulcers |(all |of |these |are |in |the |extremities) transplanted |hearts |are |expected |to |be |- |ANSWER-tachycardic |like |90-110 what |is |the |priority |intervention |for |pain |with |sickle |cell |crisis |and |why? |- |ANSWER-administer |IV | fluids |to |reduce |blood |viscosity |and |restore |perfusion |to |areas |affected |by |vasoocclusion what |is |the |purpose |of |continuous |bladder |irrigation? |- |ANSWER-it |is |perscribed |after |TURP |to | prevent |obstruction |of |urine |outflow |by |removing |clotted |blood |from |the |bladder what |is |the |nurses |care |of |monitoring |CBI? |- |ANSWER-monitor |quality |of |drainage, |titrate |the |inflow | rate, |and |manurally |irrigating |as |needed characteristics |of |a |basilar |skull |fracture |- |ANSWER-periorbital |hematomas |(raccoon |eyes), |csf |fluid | rhinorrhea, |and |battle |sign |(behind |the |ear |bruising) immediate |client |care |for |basilar |skull |fracture |- |ANSWER-cervical |spime |immobilization, |close | neurologic |monitoring, |and |support |of |ABCs vomiting |with |intake |may |mean |- |ANSWER-viral |or |bacterial |infection tympanosomty |tubes |are |placed |for |- |ANSWER-recurrent |otis |medias nurse |actions |during |a |seizure |- |ANSWER-assist |them |to |lie |down |is |standing/sitting, |put |them |on |side |for |patent |airway, |loosen |tight |clothing, |give |oxygen |as |needed, |remove |objects |from |immediate | area, |document |time |and |duration |of |seizure |(for |tests |are |done |later |to |see |which |type |of |seizure | and |maybe |what |exacerates |it) never |put |anything |in |mouth |or |restrain |them |since |musclec |ontractions |can |occur |during |a |seizure 3 / 4

what |are |some |early |symptoms |of |ICP? |- |ANSWER-altered |LOC, |headache, |abnormal |reathing, |rise |in | bp, |slow |pulse, |vomiting client |who |has |a |TIA |is |often |placed |on |- |ANSWER-prophylactic |antithrombotic |treatment |like |aspirin | or |clopidogrel glascow |coma |scale |ranges |from |- |ANSWER-3-15; |3 |being |worst |15 |being |best |condition |(8 |or |below | in |a |coma) what |are |the |3 |components? |- |ANSWER-eye |opening motor |response verbal |response what |is |a |primary |component |in |TPN? |- |ANSWER-*glucose,* |so |the |nurse |should |be |monitoring |blood |glucose |and |be |assessing |for |signs |of |hyperglycemia when |a |client |is |on |TPN, |the |nurse |must |assess |for |hyperglycemia |why? |- |ANSWER-bc |a |primary | component |is |glucose. |therefore |the |nurse |must |be |assessing |to |see |if |the |client |is |getting |too |much | glucose |(hoerglycemia). |and |with |a |large |urinary |output |like |4800, |this |could |indicate |symptoms |of | hyperglycemia signs |of |hyperglycemia |- |ANSWER-- |polydipsia, |

• |polyuria, |
• |restless, |
• |confused, |
• |bg |over |200, |
• |fatigue, |
• |headache
• |blurred |vision
• |kussmaul |resp
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