NCLEX RN 2022 Questions and Answers
when fusing packed red blood cells, which solution is hung with the Y tubing? -
ANSWER 0.9% sodium in water (NS)
Severe Preeclampsia, what are expected findings? - ANSWER proteinuria, facial
edema, blurred vision
DM and glucose monitoring, what will increase blood flow and decrease risk of infection,
before taking the sample? - ANSWER washing clients hands with soap and warm water
What is an expecting finding of Hyperthyroidism? - ANSWER Tremors
What is an expected finding of Hypothyroidism? - ANSWER Periorbital Edema
Coping Strategies - ANSWER
Verapamil - ANSWER CCB, treats hypertension, angina, arrhythmia. Do not take with
Grapefruit (may cause hypotension).
what should be administered for a Benzodiazepine overdose? - ANSWER Flumazenil
Which side does a cane go on? Weak side or Strong side? - ANSWER Strong side
Na+ - ANSWER Electrolytes, Sodium 136-145
K+ - ANSWER Electrolytes, Potassium 3.5-5
Ca++ - ANSWER Electrolytes, Calcium 9-10.5
pH - ANSWER ABG, 7.35-7.45
PaCO2 - ANSWER ABG, 35-45
HCO3 - ANSWER ABG, bicarbonate, 21-28
PaO2 - ANSWER ABG, oxygen, 80-100
SaO2 - ANSWER ABG, Oxygen Saturation, 95%-100%
Hgb - ANSWER CBC, Hemoglobin, 12-16 (F) 14-18 (M)
Hct - ANSWER CBC, Hematocrit, 42-52% (M) 37-47% (F)
RBC - ANSWER 4.7 (M) 6.1 (F)
WBC - ANSWER CBC, White Blood Cell, 5000-10,000
ESR - ANSWER erythrocyte sedimentation rate, < 20 mm/hr
Cholesterol, Total - ANSWER < 200 (risk for cardiac or stroke > 150)
Platelets - ANSWER 150,000-400,000
PT - ANSWER 11-12.5 seconds
therapeutic range is 1.5 - 2 times the normal
aPTT - ANSWER partial thromboplastin time, 30-40 seconds
therapeutic range is 1.5 - 2 times the normal
INR - ANSWER 0.7-1.8 (unless on drug, therapeutic range 2-3)
Glucose, Fasting - ANSWER Endocrine, 70-105
HbA1c, glycosylated hemoglobin - ANSWER Endocrine, Hemoglobin A1c, 4-6%
under 6% for normal
under 7% for Diabetes Control
,BUN - ANSWER GU, 10-20
Creatinine - ANSWER GU, 0.6-1.2 (M) 0.5-1.1 (F)
Creatinine Clearance Test - ANSWER 90 - 139 (M) 80 -125 (F)
calculation of GFR
best indicator of overall renal function
What type of solution is TPN? - ANSWER hypertonic
How can TPN be given and when is it prepared? - ANSWER Through a PICC line or
tunneled catheter and prepared daily
Which lab value is checked and how often, when TPN is initiated? - ANSWER blood
glucose, every 4-6 hours
Every 24 hours a new TPN bag is hung with a new filter. True or False? - ANSWER
True
Non-Pharmocological Interventions: HOT - ANSWER on for 15min, off for 20min
acts as an analgesia (pain relief)
increase blood flow
relaxes muscles
diminishes muscles spasms
eases muscles & joint stiffness
Non-Pharmacological Interventions: COLD - ANSWER on for 15min, off for 20min
acts as an analgesia (pain relief)
decreases/prevents swelling
diminishes muscles spasms
Diseases that need Private rooms? - ANSWER varicella (chicken pox)
herpes zoster (shingles)
rubeola virus (measles)
meningococcal disease
pneumonia
respiratory syncytial virus (RSV)
rubella
tuberculosis (TB)
HIV/AIDS - ANSWER Standard
duration of illness
blood & body fluids, including breast milk
hand hygiene
PPE if in contact with potential contaminated materials
Varicella (chicken pox) - ANSWER Standard, Airborne, Contact
Private Room
until lesions crust over
leasions & respiratory secretions
ppl who are pregnant or not had chicken pox of vaccine, should not care for client
Clostridium difficile (C-diff) - ANSWER Standard, Contact
duration of illness
feces
hand hygiene
PPE (enteric) if contact with potentially contaminated materials
, Hepatitis A (HepA) - ANSWER Standard, Contact (if fecal incontinence)
until 7 days after onset of jaundice
Contact precautions used with clients wearing diapers or incontinent, min of 1 week
depending on age
Hepatitis B (HepB) - ANSWER Standard
duration of illness
blood & body fluids
hand hygiene
contact for blood & body fluids
Hepatitis C (HepC) - ANSWER Standard (unless hemodialysis)
duration of illness
blood & body fluids
hand hygiene
contact for blood & body fluids
Herpes Simplex Virus (HSV) - ANSWER Standard, Contact
recurrent oral, skin, genital
until lesions crust over
fluid from lesions
horizontal transmission: skin & secretions
vertical transmission: mother to child utero or birth
Carbapenam-resistant enterobacteriacease (CRE) - ANSWER Standard, Contact
high mortality rate
blood & body fluids, feces
hand hygiene
contact precautions
Herpes Zoster (shingles) - ANSWER Standard. Airborne, Contact
Private Room
disseminated or localized in immunocompromised
duration of illness or visible lesions
lesions
ppl who never had chicken pox or vaccine should not care for client
Rubeola virus (measles) - ANSWER Standard, Airborne
Private Room
duration of illness
respiratory secretions
virus can live on infected surfaces up to 2 hours
Meningococcal disease - ANSWER Standard, Droplet
Private Room
until continuous 24 h therapy
respiratory secretions
postexposure prophylaxis to control outbreaks
What is the antidote for Magnesium Sulfate? - ANSWER Calcium Gluconate
What is the number one complication after insertion of an epidural catheter and what
should the nurse do? - ANSWER HTN and nurse should infuse isotonic IV solution
Specific Gravity (urine) - ANSWER Urinalysis, 1.005 - 1.025
Protein (urine) - ANSWER Urinalysis, 0.8
when fusing packed red blood cells, which solution is hung with the Y tubing? -
ANSWER 0.9% sodium in water (NS)
Severe Preeclampsia, what are expected findings? - ANSWER proteinuria, facial
edema, blurred vision
DM and glucose monitoring, what will increase blood flow and decrease risk of infection,
before taking the sample? - ANSWER washing clients hands with soap and warm water
What is an expecting finding of Hyperthyroidism? - ANSWER Tremors
What is an expected finding of Hypothyroidism? - ANSWER Periorbital Edema
Coping Strategies - ANSWER
Verapamil - ANSWER CCB, treats hypertension, angina, arrhythmia. Do not take with
Grapefruit (may cause hypotension).
what should be administered for a Benzodiazepine overdose? - ANSWER Flumazenil
Which side does a cane go on? Weak side or Strong side? - ANSWER Strong side
Na+ - ANSWER Electrolytes, Sodium 136-145
K+ - ANSWER Electrolytes, Potassium 3.5-5
Ca++ - ANSWER Electrolytes, Calcium 9-10.5
pH - ANSWER ABG, 7.35-7.45
PaCO2 - ANSWER ABG, 35-45
HCO3 - ANSWER ABG, bicarbonate, 21-28
PaO2 - ANSWER ABG, oxygen, 80-100
SaO2 - ANSWER ABG, Oxygen Saturation, 95%-100%
Hgb - ANSWER CBC, Hemoglobin, 12-16 (F) 14-18 (M)
Hct - ANSWER CBC, Hematocrit, 42-52% (M) 37-47% (F)
RBC - ANSWER 4.7 (M) 6.1 (F)
WBC - ANSWER CBC, White Blood Cell, 5000-10,000
ESR - ANSWER erythrocyte sedimentation rate, < 20 mm/hr
Cholesterol, Total - ANSWER < 200 (risk for cardiac or stroke > 150)
Platelets - ANSWER 150,000-400,000
PT - ANSWER 11-12.5 seconds
therapeutic range is 1.5 - 2 times the normal
aPTT - ANSWER partial thromboplastin time, 30-40 seconds
therapeutic range is 1.5 - 2 times the normal
INR - ANSWER 0.7-1.8 (unless on drug, therapeutic range 2-3)
Glucose, Fasting - ANSWER Endocrine, 70-105
HbA1c, glycosylated hemoglobin - ANSWER Endocrine, Hemoglobin A1c, 4-6%
under 6% for normal
under 7% for Diabetes Control
,BUN - ANSWER GU, 10-20
Creatinine - ANSWER GU, 0.6-1.2 (M) 0.5-1.1 (F)
Creatinine Clearance Test - ANSWER 90 - 139 (M) 80 -125 (F)
calculation of GFR
best indicator of overall renal function
What type of solution is TPN? - ANSWER hypertonic
How can TPN be given and when is it prepared? - ANSWER Through a PICC line or
tunneled catheter and prepared daily
Which lab value is checked and how often, when TPN is initiated? - ANSWER blood
glucose, every 4-6 hours
Every 24 hours a new TPN bag is hung with a new filter. True or False? - ANSWER
True
Non-Pharmocological Interventions: HOT - ANSWER on for 15min, off for 20min
acts as an analgesia (pain relief)
increase blood flow
relaxes muscles
diminishes muscles spasms
eases muscles & joint stiffness
Non-Pharmacological Interventions: COLD - ANSWER on for 15min, off for 20min
acts as an analgesia (pain relief)
decreases/prevents swelling
diminishes muscles spasms
Diseases that need Private rooms? - ANSWER varicella (chicken pox)
herpes zoster (shingles)
rubeola virus (measles)
meningococcal disease
pneumonia
respiratory syncytial virus (RSV)
rubella
tuberculosis (TB)
HIV/AIDS - ANSWER Standard
duration of illness
blood & body fluids, including breast milk
hand hygiene
PPE if in contact with potential contaminated materials
Varicella (chicken pox) - ANSWER Standard, Airborne, Contact
Private Room
until lesions crust over
leasions & respiratory secretions
ppl who are pregnant or not had chicken pox of vaccine, should not care for client
Clostridium difficile (C-diff) - ANSWER Standard, Contact
duration of illness
feces
hand hygiene
PPE (enteric) if contact with potentially contaminated materials
, Hepatitis A (HepA) - ANSWER Standard, Contact (if fecal incontinence)
until 7 days after onset of jaundice
Contact precautions used with clients wearing diapers or incontinent, min of 1 week
depending on age
Hepatitis B (HepB) - ANSWER Standard
duration of illness
blood & body fluids
hand hygiene
contact for blood & body fluids
Hepatitis C (HepC) - ANSWER Standard (unless hemodialysis)
duration of illness
blood & body fluids
hand hygiene
contact for blood & body fluids
Herpes Simplex Virus (HSV) - ANSWER Standard, Contact
recurrent oral, skin, genital
until lesions crust over
fluid from lesions
horizontal transmission: skin & secretions
vertical transmission: mother to child utero or birth
Carbapenam-resistant enterobacteriacease (CRE) - ANSWER Standard, Contact
high mortality rate
blood & body fluids, feces
hand hygiene
contact precautions
Herpes Zoster (shingles) - ANSWER Standard. Airborne, Contact
Private Room
disseminated or localized in immunocompromised
duration of illness or visible lesions
lesions
ppl who never had chicken pox or vaccine should not care for client
Rubeola virus (measles) - ANSWER Standard, Airborne
Private Room
duration of illness
respiratory secretions
virus can live on infected surfaces up to 2 hours
Meningococcal disease - ANSWER Standard, Droplet
Private Room
until continuous 24 h therapy
respiratory secretions
postexposure prophylaxis to control outbreaks
What is the antidote for Magnesium Sulfate? - ANSWER Calcium Gluconate
What is the number one complication after insertion of an epidural catheter and what
should the nurse do? - ANSWER HTN and nurse should infuse isotonic IV solution
Specific Gravity (urine) - ANSWER Urinalysis, 1.005 - 1.025
Protein (urine) - ANSWER Urinalysis, 0.8
