.png){kind=logo}
PDF Download
NCLEX-RN EXAM REVIEW EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: what type of communication and leadership is it if the person says "do it my way"?
Answer:
Aggressive communication/authoritarian leader
Question 2: At what pain level should an Opioid Analgesic be considered?
Answer:
Pain level of 6 or greater. Opioids are used for moderate to severe pain.
Question 3: When should you draw a peak level?
Answer:
30-60 minutes after medication administration Question 4: What are the normal ranges for PT? What is PT used to help regulate? What is the therapeutic range?
Answer:
11-12.5 is a normal PT range PT is used to help regulate Coumadin dosages. The therapeutic range: 1.5 to 2 times normal or control
Question 5: Name 5 non-invasive non-pharmacological pain relief techniques (1st choice of pain relief)
Answer:
Ten's heat and cold application message therapy relaxation techniques guided imagery biofeedback techniques Question 6: How do you test for the Trousseau's sign and what happens if there is a positive response?
Answer:
Elicitation: Inflating a sphygmomanometer cuff above
systolic blood pressure for several minutes Positive response: Muscular contraction including flexion of the wrist and metacarpophalangeal joints, hyperextension of the fingers, and flexion of the thumb on the palm, suggestive of neuromuscular excitability caused by hypocalcemia Question 7: How often is nitroglycerine administered and when should you not give it?
Answer:
up to 3 times (every 5 minutes) do not give when BO is less than 90/60
Question 8: What are some symptoms of fluid volume deficit
Answer:
weight loss oliguria (not enough urine) postural hypotension Question 9: When can the nurse NOT follow the healthcare provider's prescription and what must they do about it?
Answer:
Nurses MUST follow the healthcare provider's prescription unless the nurse believes that it is in error; that it violates hospital policy; or that it is harmful to the patient. The nurse makes a formal report explaining the refusal. The nurse should file an incident (occurrence) report for any situation that may result in harm to the patient.
Question 10: Name 3 Invasive non-pharmacological pain relief techniques.
Answer:
Nerve blocks Interruption of neural pathways Acupuncture Question 11: When can restraints be used? What must the nurse do if restraints are used?
Answer:
Restraints can be used only: to ensure the physcial safety of the patient or other residents, when less restrictive interventions are not successful, and must have a written order of a HCP. The nurse must follow agency policy and procedure to retrain any client, Documentation of the use of restraints and of follow-up assessments must detail the attempts to use less restrictive interventions. Liability for improper or unlawful restraint lies with the nurse and the healthcare facility. 30 min pulse checks, 2 hr ROM, one on one, Question 12: What is Hypercalcemia? What signs and symptoms may be present? and how do you treat it?
Answer:
Hypercalcemia is a calcium level above 10.5 mEq/L Calcium affects the muscles, you may see muscle weakness, constipation, n/v, dysrhythmias, and behavioral changes.Limit vitamin D intake but push fluids. Avoid calcium-based antacids.Administer calcitonin to reduce calcium Renal dialysis may be required
Question 13: DO NOT delegate what you can EAT
Answer:
E = evaluate A = assess T = teach
Question 14: What is documented in a living will?
Answer:
A person documents his or her wishes regarding future care in the event of terminal illness
Question 15: What are the normal ranges for Na+? What should you consider when collecting a specimen?
Answer:
136-145 is a normal sodium range Do Not collect from an arm with an infusing IV solution
Question 16: Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?What should you monitor?
Answer:
Nonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
Question 17: Name 3 types of IV fluids
Answer:
Isotonic: 0.9% NS, LR, and D5w
Hypotonic: 0.5% NS, 0.45% NS
Hypertonic: d5 0.45% NS, D5LR, D5NS
Question 18: What are the normal ranges for BUN?
What does BUN stand for?What is the ratio of BUN-creatinine?What does it indicate?
Answer:
10-20 blood urea nitrogen
BUN-creatinine ratio of 20:1 indicates adequate kidney functioning
Question 19: What are the normal ranges for WBC?
What can increase values?What can decrease values?How long does the postpartum period of pregnancy affect normal ranges? What range is normal during the postpartum period?
Answer:
Both genders 5000-10000 Newborn 9000-30000 Anesthetics, stress, exercise, and convulsions can increased values.Drug therapy can decrease values.
.png)