NCLEX/RN/NCLEX RN TEST BANK ACTUAL
EXAM TESTS QUESTION AND ANSWERS
WITH RATIONALES VERIFIED 100%
CORRECT
Used as prophylactic treatment for ophthalmia neonatorum, which is caused by
bacterium Neisseria gonorrhoeae. Preventive treatment of gonorrhea is required by
law - ANSWER -Erythromycin ophthalmic ointment
Central nervous system depressant & relaxes smooth muscle, including uterus.
Used to halt preterm labor contractions & used for preeclamptic clients to prevent
seizures. Adverse effects include flushing, depressed respirations, depressed deep
tendon reflexes, hypotension, extreme muscle weakness, decreased urine output,
pulmonary edema, & elevated serum magnesium levels. - ANSWER -
MagnesiumSulfate
Glucocorticoid, given increase production of surfactant to stimulate fetal lung
maturation. Administered clients preterm labor at 28 to 32 weeks of gestation if
labor can be inhibited for 48 hours. - ANSWER -Betamethasone (Celestone)
Opioid analgesic. - ANSWER -Nalbuphine (Nubain)
Given to Rh-negative clients to prevent sensitization. - ANSWER -Rho(D)
immune globulin (RhoGAM)
Prostaglandin given ripen & soften cervix & stimulate uterine contraction -
ANSWER -Dinoprostone (Cervidil vaginal insert)
Respiratory Distress Syndrome serious lung disorder caused by immaturity &
inability to produce surfactant, resulting in hypoxia & acidosis. Common
premature infants & may be due to lung immaturity: result of surfactant deficiency.
Mainstay treatment administration exogenous surfactant, administered by
intratracheal route - ANSWER -Beractant (Survanta)
,Opioid antagonist, which reverses effects of opioids & given for respiratory
depression. - ANSWER -Naloxone
Appears burrows or fine, grayish red, threadlike lines. May be difficult to see if
they are obscured by excoriation & inflammation. Multiple straight or wavy,
threadlike lines beneath skin. Wear a gown & gloves for close contact. - ANSWER
-Scabies
Clusters of fluid-filled vesicles - ANSWER -Herpesvirus infection
Contagious bacterial infection skin. Common during hot, humid summer months.
May begin area broken skin, such as an insect bite or atopic dermatitis. Impetigo
very contagious. Lesions usually located around mouth & nose, but may be on
hands & extremities. Mupirocin(Bactroban) topical antibacterial agent active
against impetigo. - ANSWER -Impetigo
Group bleeding disorders resulting from deficiency specific coagulation proteins
Abnormal laboratory results indicate prolonged partial thromboplastin time.
Female offspring of affected male & carrier female are at risk for hemorrhage once
puberty is attained & menstrual cycles begin, depending on severity of hemophilia,
hysterectomy or ablation may be performed - ANSWER -Hemophilia
Classified as antidote for acute iron toxicity. - ANSWER -Deferoxamine
(Desferal)
Early sign slight change LOC, headache, nausea, vomiting, visual disturbances
(diplopia), seizures. Late sign ICP include significant decrease LOC, bradycardia,
decreased motor & sensory responses, alterations pupil size & reactivity, posturing,
Cheyne-Stokes respirations, & coma. - ANSWER -Symptom of increased ICP
Confirmatory test for leukemia is microscopic examination of bone marrow
obtained by bone marrow aspirate & biopsy. - ANSWER -Leukemia
Malignancy lymph nodes. Presence of giant, multinucleated cells (Reed-Sternberg
cells) is classic characteristic of this disease. - ANSWER -Hodgkin's disease
,Never be administered in the presence of oliguria or anuria. Checks amount urine
output before administration. - ANSWER -potassium chloride
Also known as congenital aganglionosis or megacolon. Pellet or ribbon-like
stools: foul-smelling is clinical manifestation of disorder. Delayed passage or
absence of meconium stool in neonatal period also a sign. Bowel obstruction in
neonatal period, abdominal pain & distention, & failure to thrive also clinical
manifestations. - ANSWER -Hirschsprung's disease
Projectile vomiting, irritability, hunger & crying, constipation, & signs
dehydration including decrease urine output. - ANSWER -Pyloric stenosis
Invagination of section of intestine into distal bowel. Most common cause of
bowel obstruction children aged 3 months to 6 years. Severe abdominal pain;
crampy & intermittent, child draw in knees to chest. Vomiting may be present, but
not projectile. Bright red blood & mucus passed through rectum & commonly
described as currant jelly-like stools - ANSWER -Intussusception
Preoperative period, child observed presence loose teeth to decrease risk
aspiration during surgery. Bleeding during surgery controlled via packing &
suction as needed. Frequent swallowing, restlessness, fast/thready pulse, &
vomiting bright red blood are signs of bleeding. Bad mouth odor normal after
tonsillectomy & may be relieved by drinking more liquids. - ANSWER -
Tonsillectomy (Surgical removal tonsils)
condition eyes not aligned because lack coordination of extraocular muscles. May
in child when complains frequent headaches, squints, tilts head to see. Other
manifestations include crossed eyes, closing one eye to see, diplopia, photophobia,
loss of binocular vision, or impairment of depth perception. - ANSWER -
Strabismus
Decreased wheezing in child with asthma may be interpreted incorrectly as
positive sign when may actually signal inability move air. "Silent chest" is an
ominous sign during an asthma episode. - ANSWER -Child with asthma
, Highly communicable disorder. Not transmitted airborne route. Usually
transferred by hands. Use contact & standard precaution during care (wearing
gloves & gown) reduce nosocomial transmission of RSV. Isolated private room or
room with another infant with RSV infection. Cool humidified oxygen delivered
relieve dyspnea, hypoxemia, & insensible water loss from tachypnea. - ANSWER -
Respiratory syncytial virus (RSV)
Acute stage: fever, conjunctival hyperemia, red throat, swollen hands, rash, &
enlargement cervical lymph nodes. Subacute stage, cracking lips & fissures,
desquamation skin on tips of fingers & toes, joint pain, cardiac manifestation, &
thrombocytosis. Convalescent stage, appear normal, but signs inflammation may
be present. - ANSWER -Kawasaki disease
Narrowing or stricture of aortic valve. Signs of exercise intolerance, chest pain, &
dizziness when standing for long periods. - ANSWER -Aortic stenosis
Failure fetal ductus arteriosus (artery connecting aorta & pulmonary artery) to
close. Characteristic machinery-like murmur is present, & infant may show signs
of heart failure - ANSWER -Patent ductus arteriosus
Abnormal opening between the atria - ANSWER -Atrial septal defect
Abnormal opening between the right and left ventricles. - ANSWER -Ventricular
septal defect
Gross hematuria & proteinuria: urine may be small in volume, specific gravity
elevated, & urine may appear dark & smoky; cola-colored/brown-colored. Foamy
urine from proteinuria. Hypertension common. Blood urea nitrogen levels may be
elevated. Moderately elevated high urinary specific gravity. Common experiences
excess fluid volume & fatigue. Intervention; fluid restriction, monitoring weight,
I&O. Diet high calorie but low protein. Placed bed rest, encouraged rest, because
direct correlation between proteinuria & hematuria & increased activity level. -
ANSWER -Glomerulonephritis
EXAM TESTS QUESTION AND ANSWERS
WITH RATIONALES VERIFIED 100%
CORRECT
Used as prophylactic treatment for ophthalmia neonatorum, which is caused by
bacterium Neisseria gonorrhoeae. Preventive treatment of gonorrhea is required by
law - ANSWER -Erythromycin ophthalmic ointment
Central nervous system depressant & relaxes smooth muscle, including uterus.
Used to halt preterm labor contractions & used for preeclamptic clients to prevent
seizures. Adverse effects include flushing, depressed respirations, depressed deep
tendon reflexes, hypotension, extreme muscle weakness, decreased urine output,
pulmonary edema, & elevated serum magnesium levels. - ANSWER -
MagnesiumSulfate
Glucocorticoid, given increase production of surfactant to stimulate fetal lung
maturation. Administered clients preterm labor at 28 to 32 weeks of gestation if
labor can be inhibited for 48 hours. - ANSWER -Betamethasone (Celestone)
Opioid analgesic. - ANSWER -Nalbuphine (Nubain)
Given to Rh-negative clients to prevent sensitization. - ANSWER -Rho(D)
immune globulin (RhoGAM)
Prostaglandin given ripen & soften cervix & stimulate uterine contraction -
ANSWER -Dinoprostone (Cervidil vaginal insert)
Respiratory Distress Syndrome serious lung disorder caused by immaturity &
inability to produce surfactant, resulting in hypoxia & acidosis. Common
premature infants & may be due to lung immaturity: result of surfactant deficiency.
Mainstay treatment administration exogenous surfactant, administered by
intratracheal route - ANSWER -Beractant (Survanta)
,Opioid antagonist, which reverses effects of opioids & given for respiratory
depression. - ANSWER -Naloxone
Appears burrows or fine, grayish red, threadlike lines. May be difficult to see if
they are obscured by excoriation & inflammation. Multiple straight or wavy,
threadlike lines beneath skin. Wear a gown & gloves for close contact. - ANSWER
-Scabies
Clusters of fluid-filled vesicles - ANSWER -Herpesvirus infection
Contagious bacterial infection skin. Common during hot, humid summer months.
May begin area broken skin, such as an insect bite or atopic dermatitis. Impetigo
very contagious. Lesions usually located around mouth & nose, but may be on
hands & extremities. Mupirocin(Bactroban) topical antibacterial agent active
against impetigo. - ANSWER -Impetigo
Group bleeding disorders resulting from deficiency specific coagulation proteins
Abnormal laboratory results indicate prolonged partial thromboplastin time.
Female offspring of affected male & carrier female are at risk for hemorrhage once
puberty is attained & menstrual cycles begin, depending on severity of hemophilia,
hysterectomy or ablation may be performed - ANSWER -Hemophilia
Classified as antidote for acute iron toxicity. - ANSWER -Deferoxamine
(Desferal)
Early sign slight change LOC, headache, nausea, vomiting, visual disturbances
(diplopia), seizures. Late sign ICP include significant decrease LOC, bradycardia,
decreased motor & sensory responses, alterations pupil size & reactivity, posturing,
Cheyne-Stokes respirations, & coma. - ANSWER -Symptom of increased ICP
Confirmatory test for leukemia is microscopic examination of bone marrow
obtained by bone marrow aspirate & biopsy. - ANSWER -Leukemia
Malignancy lymph nodes. Presence of giant, multinucleated cells (Reed-Sternberg
cells) is classic characteristic of this disease. - ANSWER -Hodgkin's disease
,Never be administered in the presence of oliguria or anuria. Checks amount urine
output before administration. - ANSWER -potassium chloride
Also known as congenital aganglionosis or megacolon. Pellet or ribbon-like
stools: foul-smelling is clinical manifestation of disorder. Delayed passage or
absence of meconium stool in neonatal period also a sign. Bowel obstruction in
neonatal period, abdominal pain & distention, & failure to thrive also clinical
manifestations. - ANSWER -Hirschsprung's disease
Projectile vomiting, irritability, hunger & crying, constipation, & signs
dehydration including decrease urine output. - ANSWER -Pyloric stenosis
Invagination of section of intestine into distal bowel. Most common cause of
bowel obstruction children aged 3 months to 6 years. Severe abdominal pain;
crampy & intermittent, child draw in knees to chest. Vomiting may be present, but
not projectile. Bright red blood & mucus passed through rectum & commonly
described as currant jelly-like stools - ANSWER -Intussusception
Preoperative period, child observed presence loose teeth to decrease risk
aspiration during surgery. Bleeding during surgery controlled via packing &
suction as needed. Frequent swallowing, restlessness, fast/thready pulse, &
vomiting bright red blood are signs of bleeding. Bad mouth odor normal after
tonsillectomy & may be relieved by drinking more liquids. - ANSWER -
Tonsillectomy (Surgical removal tonsils)
condition eyes not aligned because lack coordination of extraocular muscles. May
in child when complains frequent headaches, squints, tilts head to see. Other
manifestations include crossed eyes, closing one eye to see, diplopia, photophobia,
loss of binocular vision, or impairment of depth perception. - ANSWER -
Strabismus
Decreased wheezing in child with asthma may be interpreted incorrectly as
positive sign when may actually signal inability move air. "Silent chest" is an
ominous sign during an asthma episode. - ANSWER -Child with asthma
, Highly communicable disorder. Not transmitted airborne route. Usually
transferred by hands. Use contact & standard precaution during care (wearing
gloves & gown) reduce nosocomial transmission of RSV. Isolated private room or
room with another infant with RSV infection. Cool humidified oxygen delivered
relieve dyspnea, hypoxemia, & insensible water loss from tachypnea. - ANSWER -
Respiratory syncytial virus (RSV)
Acute stage: fever, conjunctival hyperemia, red throat, swollen hands, rash, &
enlargement cervical lymph nodes. Subacute stage, cracking lips & fissures,
desquamation skin on tips of fingers & toes, joint pain, cardiac manifestation, &
thrombocytosis. Convalescent stage, appear normal, but signs inflammation may
be present. - ANSWER -Kawasaki disease
Narrowing or stricture of aortic valve. Signs of exercise intolerance, chest pain, &
dizziness when standing for long periods. - ANSWER -Aortic stenosis
Failure fetal ductus arteriosus (artery connecting aorta & pulmonary artery) to
close. Characteristic machinery-like murmur is present, & infant may show signs
of heart failure - ANSWER -Patent ductus arteriosus
Abnormal opening between the atria - ANSWER -Atrial septal defect
Abnormal opening between the right and left ventricles. - ANSWER -Ventricular
septal defect
Gross hematuria & proteinuria: urine may be small in volume, specific gravity
elevated, & urine may appear dark & smoky; cola-colored/brown-colored. Foamy
urine from proteinuria. Hypertension common. Blood urea nitrogen levels may be
elevated. Moderately elevated high urinary specific gravity. Common experiences
excess fluid volume & fatigue. Intervention; fluid restriction, monitoring weight,
I&O. Diet high calorie but low protein. Placed bed rest, encouraged rest, because
direct correlation between proteinuria & hematuria & increased activity level. -
ANSWER -Glomerulonephritis
