NUR 280COMP 1 Review.
COMP 1 Review
UNIT 1 Intro
Hi Rebecca,
Thanks for your response. For the question: Why did the nurses identify different
areas of focus for their tests? The correct answer for this is because each nurse
did have different questions. The NCLEX® test blueprint describes the
percentage of questions in each area to give a general guideline. Multiple
test banks are used. Each test bank contains questions that reflect the
content as outlined on the NCLEX® test plan. Based on the answer to the
previous question, the computer selects another question based on the
blueprint from test plan.
Try this practice question on a cardiac medication:
The nurse is providing teaching on home monitoring for an adult patient
prescribed digoxin. What are the most important points the nurse needs
to include in patient education?
See pages 535-537 in your Kee Pharmacology book (also covered in other
Pharm books such as ATI Pharmacology ebook). I recommend you know
teaching for patients prescribed digoxin. Checking apical pulse rate for a full
minute is important. Withhold dose and notify health care professional if
pulse rate is <60 bpm in an adult, <70 bpm in a child, or <90 bpm in an
infant.
Digoxin has a narrow therapeutic range and side effects are seen in 10–
20% of all cases. Teach patient the importance of monitoring for s/s of dig
toxicity (anorexia, n/v, visual disturbances, brady) and to report. Children
should have levels drawn monthly.
Low serum K levels increase the risk of dig toxicity, monitor for hypokalemia.
As noted in the nursing process box of the Kee textbook advise patients to
eat foods high in potassium. These include fruits (fresh, dried, juices) and
vegetables including potatoes.
Thanks for your response. For question #3: Why did some students have to
answer only 75 questions, whereas others had 265?
Computer-adaptive testing (CAT) determines the competency level of the
individual. Some achieve the desired competency outcome in 75 questions.
Most candidates take longer to achieve or fail to achieve the required
competency. As the candidate answers a question correctly, the next
question may become more difficult. When a question is answered
incorrectly, the next question becomes easier. The test proceeds in this
fashion until the necessary competency level is achieved or missed.
You learned about COPD in NUR242. Chronic obstructive pulmonary disease
(COPD) encompasses two diseases: emphysema and chronic bronchitis.
Most clients who have emphysema also have chronic bronchitis. COPD is
irreversible.
,NUR 280COMP 1 Review.
Emphysema is characterized by the loss of lung elasticity and
hyperinflation of lung tissue. Emphysema causes destruction of the
alveoli, leading to a decreased surface area for gas exchange, carbon
dioxide retention, and respiratory acidosis.
,NUR 280COMP 1 Review.
Chronic bronchitis is an inflammation of the bronchi and bronchioles due
to chronic exposure to irritants. COPD typically affects middle-age to
older adults.
Patients with COPD often become exhausted when completing ADLs. What
are specific interventions and teaching points to help patients with COPD
conserve energy after discharge?
COPD is debilitating for older adult clients. Referrals to assistance
programs, such as food delivery services, can be indicated. Set up referral
services, including home care services such as portable oxygen.
Interventions and teaching points for patients with COPD:
• High-Fowler’s position maximizes ventilation.
• Encourage the client to eat high-calorie foods to promote energy.
Increased work of breathing increases caloric demands. Dyspnea
decreases energy available for
eating, so soft, high-calorie foods should be encouraged.
• Encourage rest periods as needed. It is also helpful for conserving
energy if patients with COPD do not talk while performing physical
activities.
• Promote hand hygiene to prevent infection.
• Reinforce the importance of taking medications (inhalers, oral
medications) as prescribed.
• Promote smoking cessation if needed.
• Encourage immunizations, such as influenza and pneumonia, to
decrease the risk of infection.
• Clients should use oxygen as prescribed. Inform other caregivers not
to smoke around the oxygen due to flammability.
• Clients who have COPD can need 2 to 4 L/min of oxygen via nasal
cannula or up to 40% via Venturi mask. Clients who have chronically
increased PaCO2 levels usually require 1 to 2 L/min of oxygen via nasal
cannula.
Thanks for your response. If the recruiter asked Mitch about his
weaknesses here are some possible responses:
• I have not had much nursing experience but, given the right
opportunity, I think this weakness would quickly disappear.
• I spend a lot of free time researching information on experiences in
the clinical setting that are new to me.
• I spend a lot of time interacting with my patients.
Weaknesses are a perception of the person. Although each is stated as a
weakness, it can be perceived as a strength by the recruiter.
Try this practice question:
Which statement indicates the graduate nurse’s understanding of the
process at the NCLEX testing site?
1. “I will be photographed and have a palm vein scan.”
, NUR 280COMP 1 Review.
2. “I will be placed in a locked testing cubicle.”
3. “I will answer 300 test questions.”
4. “I will be given some questions as a paper-and-pencil test.”
NCSBN is using palm vein recognition because it offers a form
of positive identification that is much more accurate than older
identity verification technologies, such as digital fingerprinting.
Palm vein recognition allows NCSBN to accurately identify people
trying to take the NCLEX under assumed testers identities. By
preventing proxy testers, the technology helps NCSBN maintain the
integrity of the NCLEX examination.
Thanks for your response. For the last question: Participation in the
compact licensure allows nurses to practice in a compact state with
registration being required in the state of residence. However, the nurse
must maintain a residence in the state of licensure.
This video explains the compact licensing process:
https://www.ncsbn.org/compacts.htm (Links to an
external site.) You can obtain a compact (multistate)
license if you…
1. Legally reside in an NLC state. See map at
https://nurse.org/articles/enhanced- compact-multi-state-license-eNLC/
(Links to an external site.)
2. Hold an active RN or LPN/VN nursing license in good standing. Note:
APRN's are not included in this compact.
3. Declare an NLC state as your primary state of residency. *
4. Meet the licensure requirements in your home state. When working
in a remote state, you will also be held accountable to the nurse
practice act of the state where the patient is located or where practice
occurs.
*Licensure renewal cycles vary state to state. Nurses are required to
promptly declare a new state of residency and not wait for their license to
lapse or expire in the prior home state. State of residency changes when
obtaining a new driver's license in another state or when changing the state
in which registering to vote or filing federal taxes.
Try this practice question:
A nursing professor is preparing students for the NCLEX-RN®. Which of
the following items should the professor inform the students to expect on
the exam?
Select all that apply.
a) Multiple-choice questions with one correct answer
b) Drag and drop questions into an ordered response
COMP 1 Review
UNIT 1 Intro
Hi Rebecca,
Thanks for your response. For the question: Why did the nurses identify different
areas of focus for their tests? The correct answer for this is because each nurse
did have different questions. The NCLEX® test blueprint describes the
percentage of questions in each area to give a general guideline. Multiple
test banks are used. Each test bank contains questions that reflect the
content as outlined on the NCLEX® test plan. Based on the answer to the
previous question, the computer selects another question based on the
blueprint from test plan.
Try this practice question on a cardiac medication:
The nurse is providing teaching on home monitoring for an adult patient
prescribed digoxin. What are the most important points the nurse needs
to include in patient education?
See pages 535-537 in your Kee Pharmacology book (also covered in other
Pharm books such as ATI Pharmacology ebook). I recommend you know
teaching for patients prescribed digoxin. Checking apical pulse rate for a full
minute is important. Withhold dose and notify health care professional if
pulse rate is <60 bpm in an adult, <70 bpm in a child, or <90 bpm in an
infant.
Digoxin has a narrow therapeutic range and side effects are seen in 10–
20% of all cases. Teach patient the importance of monitoring for s/s of dig
toxicity (anorexia, n/v, visual disturbances, brady) and to report. Children
should have levels drawn monthly.
Low serum K levels increase the risk of dig toxicity, monitor for hypokalemia.
As noted in the nursing process box of the Kee textbook advise patients to
eat foods high in potassium. These include fruits (fresh, dried, juices) and
vegetables including potatoes.
Thanks for your response. For question #3: Why did some students have to
answer only 75 questions, whereas others had 265?
Computer-adaptive testing (CAT) determines the competency level of the
individual. Some achieve the desired competency outcome in 75 questions.
Most candidates take longer to achieve or fail to achieve the required
competency. As the candidate answers a question correctly, the next
question may become more difficult. When a question is answered
incorrectly, the next question becomes easier. The test proceeds in this
fashion until the necessary competency level is achieved or missed.
You learned about COPD in NUR242. Chronic obstructive pulmonary disease
(COPD) encompasses two diseases: emphysema and chronic bronchitis.
Most clients who have emphysema also have chronic bronchitis. COPD is
irreversible.
,NUR 280COMP 1 Review.
Emphysema is characterized by the loss of lung elasticity and
hyperinflation of lung tissue. Emphysema causes destruction of the
alveoli, leading to a decreased surface area for gas exchange, carbon
dioxide retention, and respiratory acidosis.
,NUR 280COMP 1 Review.
Chronic bronchitis is an inflammation of the bronchi and bronchioles due
to chronic exposure to irritants. COPD typically affects middle-age to
older adults.
Patients with COPD often become exhausted when completing ADLs. What
are specific interventions and teaching points to help patients with COPD
conserve energy after discharge?
COPD is debilitating for older adult clients. Referrals to assistance
programs, such as food delivery services, can be indicated. Set up referral
services, including home care services such as portable oxygen.
Interventions and teaching points for patients with COPD:
• High-Fowler’s position maximizes ventilation.
• Encourage the client to eat high-calorie foods to promote energy.
Increased work of breathing increases caloric demands. Dyspnea
decreases energy available for
eating, so soft, high-calorie foods should be encouraged.
• Encourage rest periods as needed. It is also helpful for conserving
energy if patients with COPD do not talk while performing physical
activities.
• Promote hand hygiene to prevent infection.
• Reinforce the importance of taking medications (inhalers, oral
medications) as prescribed.
• Promote smoking cessation if needed.
• Encourage immunizations, such as influenza and pneumonia, to
decrease the risk of infection.
• Clients should use oxygen as prescribed. Inform other caregivers not
to smoke around the oxygen due to flammability.
• Clients who have COPD can need 2 to 4 L/min of oxygen via nasal
cannula or up to 40% via Venturi mask. Clients who have chronically
increased PaCO2 levels usually require 1 to 2 L/min of oxygen via nasal
cannula.
Thanks for your response. If the recruiter asked Mitch about his
weaknesses here are some possible responses:
• I have not had much nursing experience but, given the right
opportunity, I think this weakness would quickly disappear.
• I spend a lot of free time researching information on experiences in
the clinical setting that are new to me.
• I spend a lot of time interacting with my patients.
Weaknesses are a perception of the person. Although each is stated as a
weakness, it can be perceived as a strength by the recruiter.
Try this practice question:
Which statement indicates the graduate nurse’s understanding of the
process at the NCLEX testing site?
1. “I will be photographed and have a palm vein scan.”
, NUR 280COMP 1 Review.
2. “I will be placed in a locked testing cubicle.”
3. “I will answer 300 test questions.”
4. “I will be given some questions as a paper-and-pencil test.”
NCSBN is using palm vein recognition because it offers a form
of positive identification that is much more accurate than older
identity verification technologies, such as digital fingerprinting.
Palm vein recognition allows NCSBN to accurately identify people
trying to take the NCLEX under assumed testers identities. By
preventing proxy testers, the technology helps NCSBN maintain the
integrity of the NCLEX examination.
Thanks for your response. For the last question: Participation in the
compact licensure allows nurses to practice in a compact state with
registration being required in the state of residence. However, the nurse
must maintain a residence in the state of licensure.
This video explains the compact licensing process:
https://www.ncsbn.org/compacts.htm (Links to an
external site.) You can obtain a compact (multistate)
license if you…
1. Legally reside in an NLC state. See map at
https://nurse.org/articles/enhanced- compact-multi-state-license-eNLC/
(Links to an external site.)
2. Hold an active RN or LPN/VN nursing license in good standing. Note:
APRN's are not included in this compact.
3. Declare an NLC state as your primary state of residency. *
4. Meet the licensure requirements in your home state. When working
in a remote state, you will also be held accountable to the nurse
practice act of the state where the patient is located or where practice
occurs.
*Licensure renewal cycles vary state to state. Nurses are required to
promptly declare a new state of residency and not wait for their license to
lapse or expire in the prior home state. State of residency changes when
obtaining a new driver's license in another state or when changing the state
in which registering to vote or filing federal taxes.
Try this practice question:
A nursing professor is preparing students for the NCLEX-RN®. Which of
the following items should the professor inform the students to expect on
the exam?
Select all that apply.
a) Multiple-choice questions with one correct answer
b) Drag and drop questions into an ordered response
