NCLEX 2021 COMPLETE SOLUTIONS WITH
COMBINED QUESTIONS AND ANSWERS
Rule of the B's: if the _ and the _ are _ in the same direction then it is meta _ Correct Answers: ph,
Bicarb, Both, Bolic
The only acid base to cause Kussmaul respirations is Correct Answers: Metabolic ACidosis
As the pH goes up, so goes my patient, except for Correct Answers: potassium
Acid-base imbalances: If it's not lung, then it's _______. Correct Answers: metabolic
Acid-base imbalances: If the patient has _______ _______ vomiting or suction, pick _______.
Correct Answers: prolonged gastric, alkalosis
Acid-base imbalances: For everything that isn't lung, pick _______ _______. Correct Answers:
metabolic acidosis
Acid-base imbalances: When you don't know what to pick, choose _______ _______ Correct
Answers: metabolic acidosis
Acid-base imbalances: "Is it _______?" If yes, it's _______. : "Are they _______ or _______. Correct
Answers: lung, respiratory, over ventilating, or under ventilating
Acid-base imbalances: If over ventilating, pick _______. If _______, pick _______ Correct Answers:
alkalosis, under ventilating, acidosis
High pressure alarms are triggered by _ resistance to air flow Correct Answers: increased
High pressure alarms can be caused by 3 obstructions: Correct Answers: kink (unkink), water (drain),
mucus (turn, cough)
Low pressure alarms are triggered by ____ resistance to airflow Correct Answers: decreased
Low pressure alarms can be caused by disconnections of the Correct Answers: tubing or oxygen
sensor tube
Respiratory alkalosis means ventilator settings may be too Correct Answers: high
Respiratory acidosis means ventilator settings may be too Correct Answers: low
Maslow's Hierarchy of Needs from highest to lowest priority Correct Answers: physiological
safety,
comfort,
psychological,
social,
spiritual
,What are the 5 stages of grief? Correct Answers: denial, anger, bargaining, depression, acceptance
The number one problem in abuse is Correct Answers: denial
Denial is the _______ to accept the _______ of their problem Correct Answers: refusal, reality
Treating denial: _______ it by pointing out the difference between what they _______ and what they
_______. Correct Answers: confront, say , do
In contrast to confront the denial: you ____ the denial of loss and grief Correct Answers: support
Dependency: When the _______ gets the Significant Other to do things for them or make decisions
for them Correct Answers: abuser
Codependency: When the _______ _______ derives positive _______ _______ from doing things for
or making decisions for the _______ Correct Answers: significant other, self esteem, abuser
When treating dependency/codependency: Set _______ and _______ them. Agree in advance on
what requests are allowed, then enforce the agreement Correct Answers: limits, enforce
When treating dependency/codependency: Correct Answers: Agree in advance on what requests are
allowed, then enforce the agreement
When treating dependency/codependency: Work on the _______ _______ of the codependent
person Correct Answers: self esteem
Manipulation: when the _______ gets the _______ _______ to do things for him/her that are not in
the _______ _______ of the _______ _______. Correct Answers: abuser, significant other, best
interest, significant other
The nature of the manipulation is ___ or ___ to the ___ ___ Correct Answers: harmful, or dangerous,
significant other
Treating manipulation: set _______ and _______ them Correct Answers: limits, and enforce
Wernicke's (Korsakoff Syndrome): _____ induced by vitamin __ (thiamine) deficiency Correct
Answers: psychosis, B1
Symptoms of Wernicke's Syndrome: ___ with ____ Correct Answers: amnesia, confabulation
Characteristics of Wernicke's Syndrome (Korsakoff): Correct Answers: preventable, arrestable,
irreversible
Disulfiram (Antabuse) is known as _____ therapy Correct Answers: aversion
Onset of effectiveness of disulfiram/naltrexone (Revia): _______ Correct Answers: 2 weeks
Teach patients taking disulfiram/naltrexone to avoid all forms of __ to avoid ___. Correct Answers:
alcohol, nausea, vomiting and death
,Products that contain alcohol: Correct Answers: vinaigrettes, hand sanitizer, mouth wash, cologne,
perfume,
Products that contain alcohol : Correct Answers: aftershave, elixirs, most otc liquid medications,
vanilla extract, insect repellant
Every alcoholic goes through _______. Only a minority get _______ Correct Answers: alcohol
withdrawal syndrome. delirium tremens
Alcohol withdrawal syndrome is not life threatening. ___ ___can kill you. Correct Answers: Alcohol
withdrawal syndrome, Delirium tremens
Patients with ___ are not a danger to themselves or others. Correct Answers: alcohol withdrawal
syndrome
Patients with ___ are a danger to themselves and others. Correct Answers: delirium tremens
Delirium tremens are restrained with either vest or 2 point restraint Correct Answers: includes one
arm and one leg
Alcohol withdrawal and Delirium Tremens are given Correct Answers: an anti-hypertensive, vitamin
b1, and a tranquilizer
For Aminoglycosides, think: Correct Answers: A Mean Old Mycin
Aminoglycosides are used to treat: Correct Answers: serious, life-threatening, resistant infections
All aminoglycosides end in ___, but not all that end in ____ are aminoglycosides. Correct Answers: -
mycin, -mycin
Examples of wannabe -mycins Correct Answers: azithromycin,, clarithromycin,, erythromycin
Examples of aminoglycosides Correct Answers: streptomycin,, gentamycin,, tobramycin,, vancomycin
When remembering toxic effects of mycin's think _______ Correct Answers: mice ears
Toxic effect of aminoglycosides Correct Answers: ototoxicity: monitor hearing,, balance,, tinnitus
Another toxic effect of aminoglycosides is ___ so monitor ___ Correct Answers: nephrotoxicity,,
creatinine
The number eight drawn inside the ear reminds you of cranial nerve ___ and frequency of
administration ___. Correct Answers: eight, every eight hours
Aminoglycosides are given PO for : Correct Answers: hepatic encephalopathy and bowel surgery
Hepatic encephalopathy is Correct Answers: high levels of ammonia in liver
Who can sterilize my bowel? Correct Answers: "Neo" "Kan"
, Why do we draw trough and peak levels: Correct Answers: narrow therapeutic level
Trough levels are always drawn: Correct Answers: 30 minutes before the next dose
Draw the peak level of sublingual medications: Correct Answers: 5 to 10 minutes after drug dissolves
Draw the peak level of IV medications: Correct Answers: 15 to 30 minutes after medication is finished
Draw the peak level of IM medication: Correct Answers: 30 to 60 minutes after injecting it
Draw the peak level of subcutaneous medications based Correct Answers: on type of insulin
administered
Biological agents in category A include: Correct Answers: staph B, small pox, tuleremia, anthrax,
Biological agents in category A include Correct Answers: plague, botulism and hemorrhagic illness
Biological agents in category C include: Correct Answers: Nipah and Hanta, both viruses
Small Pox is contracted through inhalation Correct Answers: patient dies from septicemia, rash starts
around the mouth first,, patient on airborne precautions
Tuleremia (Rabbit fever) Correct Answers: chest symptoms, dies from respiratory failure,
Tuleremia (Rabbit fever) treat with Correct Answers: streptomycin
Anthrax (Bacillus anthracis) is spread by inhalation Correct Answers: looks like the flu, patient dies
from respiratory failure
Anthrax (Bacillus anthracis) is treated with Correct Answers: supro, penicillin, and streptomycin
Botulism (Clostridium botulinum) is ingested Correct Answers: has 3 main symptoms: paralysis,
fever, respiratory arrest
Botulism (Clostridium botulinum) is ingested Correct Answers: has 3 main symptoms: paralysis,
fever, respiratory arrest
Examples of chemical agents that cause bioterrorism: Correct Answers: mustard gas,,
cyanide,,phosgine chlorine,,sarin
chemical agents that cause bioterrorism: Correct Answers: mustard gas,, cyanide,,phosgine
chlorine,,sarin
Primary symptom of mustard gas: Correct Answers: blisters (vesicant)
Primary symptom of cyanide: Correct Answers: respiratory arrest
How do you treat cyanide poisoning: Correct Answers: with sodium thiosulfate iv
COMBINED QUESTIONS AND ANSWERS
Rule of the B's: if the _ and the _ are _ in the same direction then it is meta _ Correct Answers: ph,
Bicarb, Both, Bolic
The only acid base to cause Kussmaul respirations is Correct Answers: Metabolic ACidosis
As the pH goes up, so goes my patient, except for Correct Answers: potassium
Acid-base imbalances: If it's not lung, then it's _______. Correct Answers: metabolic
Acid-base imbalances: If the patient has _______ _______ vomiting or suction, pick _______.
Correct Answers: prolonged gastric, alkalosis
Acid-base imbalances: For everything that isn't lung, pick _______ _______. Correct Answers:
metabolic acidosis
Acid-base imbalances: When you don't know what to pick, choose _______ _______ Correct
Answers: metabolic acidosis
Acid-base imbalances: "Is it _______?" If yes, it's _______. : "Are they _______ or _______. Correct
Answers: lung, respiratory, over ventilating, or under ventilating
Acid-base imbalances: If over ventilating, pick _______. If _______, pick _______ Correct Answers:
alkalosis, under ventilating, acidosis
High pressure alarms are triggered by _ resistance to air flow Correct Answers: increased
High pressure alarms can be caused by 3 obstructions: Correct Answers: kink (unkink), water (drain),
mucus (turn, cough)
Low pressure alarms are triggered by ____ resistance to airflow Correct Answers: decreased
Low pressure alarms can be caused by disconnections of the Correct Answers: tubing or oxygen
sensor tube
Respiratory alkalosis means ventilator settings may be too Correct Answers: high
Respiratory acidosis means ventilator settings may be too Correct Answers: low
Maslow's Hierarchy of Needs from highest to lowest priority Correct Answers: physiological
safety,
comfort,
psychological,
social,
spiritual
,What are the 5 stages of grief? Correct Answers: denial, anger, bargaining, depression, acceptance
The number one problem in abuse is Correct Answers: denial
Denial is the _______ to accept the _______ of their problem Correct Answers: refusal, reality
Treating denial: _______ it by pointing out the difference between what they _______ and what they
_______. Correct Answers: confront, say , do
In contrast to confront the denial: you ____ the denial of loss and grief Correct Answers: support
Dependency: When the _______ gets the Significant Other to do things for them or make decisions
for them Correct Answers: abuser
Codependency: When the _______ _______ derives positive _______ _______ from doing things for
or making decisions for the _______ Correct Answers: significant other, self esteem, abuser
When treating dependency/codependency: Set _______ and _______ them. Agree in advance on
what requests are allowed, then enforce the agreement Correct Answers: limits, enforce
When treating dependency/codependency: Correct Answers: Agree in advance on what requests are
allowed, then enforce the agreement
When treating dependency/codependency: Work on the _______ _______ of the codependent
person Correct Answers: self esteem
Manipulation: when the _______ gets the _______ _______ to do things for him/her that are not in
the _______ _______ of the _______ _______. Correct Answers: abuser, significant other, best
interest, significant other
The nature of the manipulation is ___ or ___ to the ___ ___ Correct Answers: harmful, or dangerous,
significant other
Treating manipulation: set _______ and _______ them Correct Answers: limits, and enforce
Wernicke's (Korsakoff Syndrome): _____ induced by vitamin __ (thiamine) deficiency Correct
Answers: psychosis, B1
Symptoms of Wernicke's Syndrome: ___ with ____ Correct Answers: amnesia, confabulation
Characteristics of Wernicke's Syndrome (Korsakoff): Correct Answers: preventable, arrestable,
irreversible
Disulfiram (Antabuse) is known as _____ therapy Correct Answers: aversion
Onset of effectiveness of disulfiram/naltrexone (Revia): _______ Correct Answers: 2 weeks
Teach patients taking disulfiram/naltrexone to avoid all forms of __ to avoid ___. Correct Answers:
alcohol, nausea, vomiting and death
,Products that contain alcohol: Correct Answers: vinaigrettes, hand sanitizer, mouth wash, cologne,
perfume,
Products that contain alcohol : Correct Answers: aftershave, elixirs, most otc liquid medications,
vanilla extract, insect repellant
Every alcoholic goes through _______. Only a minority get _______ Correct Answers: alcohol
withdrawal syndrome. delirium tremens
Alcohol withdrawal syndrome is not life threatening. ___ ___can kill you. Correct Answers: Alcohol
withdrawal syndrome, Delirium tremens
Patients with ___ are not a danger to themselves or others. Correct Answers: alcohol withdrawal
syndrome
Patients with ___ are a danger to themselves and others. Correct Answers: delirium tremens
Delirium tremens are restrained with either vest or 2 point restraint Correct Answers: includes one
arm and one leg
Alcohol withdrawal and Delirium Tremens are given Correct Answers: an anti-hypertensive, vitamin
b1, and a tranquilizer
For Aminoglycosides, think: Correct Answers: A Mean Old Mycin
Aminoglycosides are used to treat: Correct Answers: serious, life-threatening, resistant infections
All aminoglycosides end in ___, but not all that end in ____ are aminoglycosides. Correct Answers: -
mycin, -mycin
Examples of wannabe -mycins Correct Answers: azithromycin,, clarithromycin,, erythromycin
Examples of aminoglycosides Correct Answers: streptomycin,, gentamycin,, tobramycin,, vancomycin
When remembering toxic effects of mycin's think _______ Correct Answers: mice ears
Toxic effect of aminoglycosides Correct Answers: ototoxicity: monitor hearing,, balance,, tinnitus
Another toxic effect of aminoglycosides is ___ so monitor ___ Correct Answers: nephrotoxicity,,
creatinine
The number eight drawn inside the ear reminds you of cranial nerve ___ and frequency of
administration ___. Correct Answers: eight, every eight hours
Aminoglycosides are given PO for : Correct Answers: hepatic encephalopathy and bowel surgery
Hepatic encephalopathy is Correct Answers: high levels of ammonia in liver
Who can sterilize my bowel? Correct Answers: "Neo" "Kan"
, Why do we draw trough and peak levels: Correct Answers: narrow therapeutic level
Trough levels are always drawn: Correct Answers: 30 minutes before the next dose
Draw the peak level of sublingual medications: Correct Answers: 5 to 10 minutes after drug dissolves
Draw the peak level of IV medications: Correct Answers: 15 to 30 minutes after medication is finished
Draw the peak level of IM medication: Correct Answers: 30 to 60 minutes after injecting it
Draw the peak level of subcutaneous medications based Correct Answers: on type of insulin
administered
Biological agents in category A include: Correct Answers: staph B, small pox, tuleremia, anthrax,
Biological agents in category A include Correct Answers: plague, botulism and hemorrhagic illness
Biological agents in category C include: Correct Answers: Nipah and Hanta, both viruses
Small Pox is contracted through inhalation Correct Answers: patient dies from septicemia, rash starts
around the mouth first,, patient on airborne precautions
Tuleremia (Rabbit fever) Correct Answers: chest symptoms, dies from respiratory failure,
Tuleremia (Rabbit fever) treat with Correct Answers: streptomycin
Anthrax (Bacillus anthracis) is spread by inhalation Correct Answers: looks like the flu, patient dies
from respiratory failure
Anthrax (Bacillus anthracis) is treated with Correct Answers: supro, penicillin, and streptomycin
Botulism (Clostridium botulinum) is ingested Correct Answers: has 3 main symptoms: paralysis,
fever, respiratory arrest
Botulism (Clostridium botulinum) is ingested Correct Answers: has 3 main symptoms: paralysis,
fever, respiratory arrest
Examples of chemical agents that cause bioterrorism: Correct Answers: mustard gas,,
cyanide,,phosgine chlorine,,sarin
chemical agents that cause bioterrorism: Correct Answers: mustard gas,, cyanide,,phosgine
chlorine,,sarin
Primary symptom of mustard gas: Correct Answers: blisters (vesicant)
Primary symptom of cyanide: Correct Answers: respiratory arrest
How do you treat cyanide poisoning: Correct Answers: with sodium thiosulfate iv
