NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE QUESTIONS AND ANSWERS

NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE
QUESTIONS AND ANSWERS

NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE
QUESTIONS AND ANSWERS
The pt is scheduled for a pelvic ultrasound to investigate cervical CA. What
instruction does the RN include during the pre-procedure teaching?


1.) NPO for 6 hrs ac procedure
2.) The ultrasound transducer might cause some discomfort while examining
the abdomen 3.) Should drink 1L of H2O ac ultrasound
4.) Don't worry about the pain b/c local anesthetic will be given - CORRECT
ANSWER 3 => filling the bladder w/ H2O ac the test expands the uterus,
causing it to move up & our of the pelvic cavity, which improves visualization
-> needs a full bladder tp move uterus up & move the intestines so you will have a
better visual


Explanations:
1 = does NOT need to be NPO ac procedure
-> pelvic or abd.


2 = NO discomfort or
pain 4 = NP pain @ all


Pt is being txed w/ radioactive implant for a bladder CA. The RN will intervene
when the NAP? (NOT in NAP scope of practice)


1.) Spends >30 mins in pt's room @ a time
2.) Puts the morning care equipment @ bedside table
3.) Stands @ foot of bed, crossing the placed portable bedside shield

4.) Stays @ least 3 ft away when speaking w/ pt - CORRECT ANSWER 3 => Do
NOT do; Neither NAP or visitors should stand @ foot of bed
-> shield should be between pt & RN


* ALWAYS protect self w/ a lead shield

, NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE
QUESTIONS AND ANSWERS

Explanations:
1 = limit direct contact contact for 30 mins; stays in room w/ pt for > 30 mins w/o
direct contact: True
-> pregnant & kids do NOT go in


2 = true; do NOT put if a pt is confused w/ Dementia & Parkinson's b/c may drink
shampoo
-> warn to pt's safety
-Do NOT leave


4 = ONLY on droplet precautions; stay BEHIND the shield NOT 3 ft


This is directly linked to human papilloma virus (HPV) - CORRECT ANSWER Cervical
cancer



Cervical cancer is most common amongst a.)who & b.)@ what age? - CORRECT
ANSWER a.)
Women
b.) btwn 9& 30 yrs-old



(Cervical CA) ALL women should be tested for HPV by - CORRECT ANSWER
Papanicolau (Pap smear test)


(Cervical CA) Women should start getting Pap test @ OR when they start to
be sexual active - CORRECT ANSWER 21 yr-old


(Cervical CA) The precursor to CA of the cervix is .
=> pressure of cells of an abnormal type w/in a tissue, which may signify a stage
preceding to the development of CA - CORRECT ANSWER Dysplasia


(Cervical CA) What is the tx for Cervical cancer? (4 things) - CORRECT
ANSWER 1.) Cryosurgery
=> freeze the tumor; all tissues around tumor will die from cold

, NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE
QUESTIONS AND ANSWERS


2.) Hysterectomy

, NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE
QUESTIONS AND ANSWERS

=> removal of the uterus


3.) Intra-cavity radiation
4.) Chemotherapy


(Cervical CA) This is the removal of the uterus - CORRECT ANSWER Hysterectomy



(Cervical CA) This is a type of surgery where the surgeons freeze the tumor; all
tissues around the tumor will die from cold - CORRECT ANSWER Cryosurgery


(Cervical CA: TX) Identify the Nursing Care for Hysterectomy
(13 things) - CORRECT ANSWER 1.) Admin enema & douche as prescribed pre-op


2.) Note amount & character of vaginal d/c
=> post-op, < 1 saturated pad in 4 hrs should be


3.) Pain manafement


4.) Encourage ambulation ASAP


5.) Monitor urinary output
=> foley cath usually inserted in surgery


6.) Observe incision for bleeding



7.) Note abd. distention
=> may be a sign for internal bleeding, OR
=> a lot of gas trapped pt has flatus (farts)


8.) Gradually INCREASE diet from liquids to general