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FREE NURSING AND STUDY GAMES ABOUT NCLEX-RN
EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -38 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation
Question 1: Shock
Answer:
bed rest with extremities elevated 20 degrees to decrease intracranial pressure
Question 2: prolapsed cord
Answer:
knew chest position of trendelenburg
Question 3: Detached Retina
Answer:
area of detachment should be in the dependent position
Question 4: NO Pee
Answer:
NO K - do not give potassium without adequate urine output
Question 5: During continuous bladder irrigation
Answer:
Catheter is taped to thigh so leg should be kept straight. no other positions restrictions.
Question 6: after lumbar puncture (myelogram)
Answer:
pt lies in flat supine (to prevent headache and leaking of CSF)
Question 7: during epidural
Answer:
side lying
Question 8: AIRBORNE
Answer:
MTV Measles, TB, Varicells (chix pox, herpes, shingles). Private room, negative pressure with 6-12 air exchanges/hr Mask, N95 for TB
Question 9: Head Injury
Answer:
elevate HOB 30 degrees to decrease intracranial pressure
Question 10: EleVate Veins
Answer:
dAngle arteries for petter perfusion
Question 11: infant with cleft lip
Answer:
position on back or in infant seat to prevent trauma to suture line. While feeding, hold in upright position.
Question 12: Pt with heat stroke
Answer:
lie flat with legs evaluated
Question 13: Contact precaution
Answer:
Mrs. Wee Mulitdrug resistant organisms Respiratory infections skin infections wound infection enteric infection - clostridium difficile eye infection - conjunctivitis
Question 14: Below knee amputation
Answer:
foot of bed elevated for first 24 house, position prone daily to provide for hip extension.
Question 15: After Infratentorial Surgery
Answer:
(Incision at nape of neck) - position pt flat and lateral on either side
Question 16: Droplet precaution
Answer:
Superman Sepsis, Scarlet Fever, Streptococcal pharyngitis , parvovirus B19, Pneumonia, pertusis influenza diphtheria(pharyngeal), epiglottis rubella mumps, menngitis, mycoplasma, or meingeal pneumonia Advenovirus Private room or cohort mask
Question 17: Woman in labor w/ un-reassuring FHR
Answer:
late decals, decreased variability, fetal bradycardia) turn on left lise and give 02, stop piton, increase IV fluids
Question 18: Lumbar puncture
Answer:
after the procedure, the client should be placed in the supine position for 4-12 hours as prescribed
Question 19: APGAR
Answer:
appearance, pulse, grimace, activity, respirations
Question 20: Administration of Enema
Answer:
position pt in left side lying (sim's) with knee flexed
Question 21: Above knee amputation
Answer:
elevate for first 24 hours on pillow, position prone daily to provide for hip extension
Question 22: To prevent dumping syndrome
Answer:
(post operative ulcer/stomach surgeries) - eat in reclining position, lie down after meals for 20-3- minutes (also restrict fluids during meals, low CHO and Fiber diet, small frequent meals.
Question 23: Cushings
Answer:
up, up, up, down, up hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia
Question 24: after cataract surgery
Answer:
pt will sleep on unaffected side with a night shield for 1-4 weeks
Question 25: Autonomic dysreflexia/Hyperreflexia
Answer:
pounding headache, profuse sweating, nasal congestion, goose flesh, bradycardia, hypertension - pt in sitting position, (elevate HOB) first before any other implementation.