Full review NCLEX Questions and Answers (100%
Correct Answers)
Donning PPE
Ans: Gown, Mask, Respirator, Goggles/shield, Gloves
Removing PPE
Ans: Gloves, Goggles/Shield, Gown, Mask
Hypothyroid, Increase fluids or fiber?
Ans: Fiber, to prevent constipation from hypothyroidism
Small pox
Ans: -Droplet and Contact
- Not all exposed will get it
-10-30% fatal
-Isolated for 18 days after exposure until scabs fall off
IRON IM injection best location
Ans: ventrogluteal using z-trach
UAP, Sterile urine sample from from foley or V/S 12 hours post partum?
Ans: V/S , Foley = invasive procedure
Hypermagnesemia can be caused?
Ans: renal insufficiency or iatrogenic overtreatment.
18 mo - 3 years needs
Ans: -Important to let child do tasks alone
-Finger foods
-provide emotional support when necessary
Conscious sedation goal
Ans: The goals and effects of conscious sedation include alteration of mood,
maintenance of consciousness, cooperation, elevation of pain threshold, minor
variation of vital signs, and some degree of amnesia.
Earliest EKG sign of hypokalemia
Ans: The earliest EKG change is often premature ventricular contractions (PVCs),
,2 Inquire through: | Professional | Confidential Support
which can deteriorate into ventricular tachycardia or fibrillation (VT/VF) without
appropriate potassium replacement.
Post THyroidectomy diet
Ans: Soft diet to prevent damage
Special car restraints need until?
Ans: Children should use special car restraints until 4 feet, 9 inches in height or 8-
12 years old.
plateletpheresis
Ans: Can donate every 14 days
Elderly receiving IV fluids check
Ans: Lung sounds frequently, high risk for FVE
Are verbal orders of antineoplastic agents allowed?
Ans: Verbal orders for antineoplastic agents should NOT be permitted under any
circumstances. These medications are not administered in emergency or urgent
situations, and they have a narrow margin of safety.
Indomethacin
Ans: For Pain, inflammation, fever
too much fludrocortisone replacement
Ans: Fludrocortisone is a mineralocorticoid which causes the client to retain sodium
and water. Retaining sodium and water will cause the client's weight to increase.
Remember any sudden gain of weight is due to water retention.
The platelet count is 10,000/mm3
Ans: The platelet level is at the "panic" level. The client is at risk for a cerebral
hemorrhage. Assessing the LOC takes priority because this is the answer that is most
life threatening.
Prior to taking necessary supplies into a surgical suite where the surgery case may
involve blood, the nurse will don which attire?
Ans: -A hair covering is donned first to prevent hair from falling on fresh surgical
scrubs.
-A mask is worn to prevent dispelling droplets into the sterile field.
-Surgical scrubs are worn to prevent shedding. Scrub pants and tops are preferred
over dresses to protect shedding from the perineum, which contaminates the sterile
field.
-Shoe covers are worn when there are cases that may involve blood.
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The nurse administers chemotherapeutic drugs to a client with breast cancer. Where
should the nurse dispose of the medication vials?
Ans: Empty vials and sharps such as needles and syringes used in delivering
chemotherapy agents should be disposed of in a chemotherapy sharps container.
These waste containers are designed to protect workers from injuries and are
disposed of by incineration at regulated medical waste facilities.
INH do not eat?
Ans: Foods high in tyramine
Can you use petroleum jelly with O2 therapy
Ans: Petroleum jelly is a combustible substance. It should not be used with oxygen
therapy.
Which ethical principle is involved in reporting a medication error to the primary
healthcare provider?
Ans: Nonmaleficence is best illustrated with the nurse's action, as the goal is to do
no harm to the client. With timely reporting of an error, further complications may
be prevented.
Inhalants do what to the heart?
Ans: Make it beat rapidly
Common side effect of SSRI
Ans: Sweating
Prozac 40 mg
Ans: if doses are greater than 20 mg it should be divided into two doses, not 40 mg
for one dose.
acid-fast bacilli (AFB) precautions?
Ans: Airborne precautions
The nurse is caring for a client diagnosed with major depression post
electroconvulsive therapy. What nursing interventions should be included in this
post treatment period?
Ans: - Positioning on the side will prevent aspiration. Stay with the client until
he/she is fully awake, oriented, and able to perform self-care activities without
assistance.
-Pulse, respirations, and blood pressure should be monitored every 15 minutes for
the first hour.
-Structured routine to prevent confusion
ºOn the third postoperative day a client develops a fever of 103.3ºF/39.6ºC and is
shivering. The primary healthcare provider writes these prscriptions. Which should