NCLEX UWORLD Review Questions and Answers 100% CORRECT
What medications are used once adverse effects occur with ACE inhibitor use? Correct Answer: ARBs
(sartans)
What are the adverse effects of ACE inhibitors? Correct Answer: symptomatic hypotension
intractable cough
hyperkalemia
angioedema
temporary increase in creatinine
What is dextromethorphan used for? Correct Answer: cough suppressant
what causes phenylketonuria in newborns? Correct Answer: genetic problem lacking phenylalanine
hydroxylase
What is the tx for phenylketonuria? Correct Answer: low phenlylalanine diet for life
monitor serum phenylalanine levels
use synthetic special formulas
encourage consumption of fruit & veggies
avoid eggs, meats, milk & replace w/ protein substitutes
can LPN assess the quality of pt problems? Correct Answer: no
should you remove ADHD child from room to sit in time out? Correct Answer: no, puntitive & not
therapeutic (move away from source of anger)
What is the best action for child with ADHD in situation where child had difficulty controlling anger?
Correct Answer: requesting child to relax & take deep breaths (will distract client & calm them)
when is methylphenidate administered? Correct Answer: 2-3 divided doses or sustained release 30-45
mins before meals
what has most likely happened if pt's PTT is control value? Correct Answer: pt is not getting the ordered
heparin (check IV tubing, IV patency, etc.)
How long is heparin effective? Correct Answer: 2-6h
can pts develop tolerance to heparin? Correct Answer: no
does vitamin k effect heparin? Correct Answer: no
low platelets while pt is receiving heparin places them at risk for? Correct Answer: heparin-induced
thrombocytopenia
(results in clot formation, not bleeding & has NO EFFECT on PTT)
,What is the priority tx for client with hemophilia A & suspected head injury? Correct Answer: IV factor
VIII then head CT
teaching about injury prevention
s/sx of intracranial bleed are? Correct Answer: lethargy
HA
irritability
vomiting
Why would you administer factor VIII before head CT in pt with hemophilia A who has suspected head
trauma? Correct Answer: can't perform surgery to fix head bleed without the factor & head bleed
cannot clot w/o factor .
can you give blood through a 20g needle? Correct Answer: yes
can you run blood as IV piggyback through infusion pump? Correct Answer: NO! (blood must be on it's
own line w/ filtered tubing)
what should you do before administering blood if client had anything going through IV other than
saline? Correct Answer: flush IV catheter first
What medications do elderly most commonly have a negative effect with? Correct Answer: benzos
diuretics
opioids
antihistamines
antihypertensives
antipsychotics
antichollinergics
insulin
(DOBI's 4A's)
what is the recommended glucose range for pt. receiving parenteral/enteral support? Correct Answer:
140-180
what is a normal CD4+ count? Correct Answer: 500-1200
an infection causes increased serum glucose, requiring more insulin, but does it affect HbA1c? Correct
Answer: no
what does A1c reflect? Correct Answer: serum glucose level for 2-3 month period
what is the normal platelet range? Correct Answer: 150K-400K
mature minors (14-18) are allowed to give consent for tx of? Correct Answer: STIs
family planning
, drug & alcohol abuse
blood donation
mental health care
what is hirschsprung disease? Correct Answer: child born w/o distal large intestine cells causing anal
sphincter to remain closed & no peristalsis/excretion can occur.
Who will most likely present with distended abdomen, difficulty feeding, vomiting green bile, & no
bowel movement in first 24-48h after birth? Correct Answer: Hirschsprung disease infant
Will pt with Hirschsprung disease have bright red bleeding from anus present? Correct Answer: no
what are 3 possible interventions to reduce aspiration risk in client with feeding tube? Correct Answer:
assess gastric residuals Q4h
administer continual feeds
check feed tube placement
What is theophylline's therapeutic range? Correct Answer: 10-20
What is theophylline used for? Correct Answer: relaxing bronchial muscles
how often is theophylline levels drawn? Correct Answer: Q6 months
T/F: pt with knee arthroplasty should be fully weight-bearing by d/c? Correct Answer: TRUE
do pts with gestational HTN have proteinuria? Correct Answer: no (that's a sign of preeclampsia)
What causes addisons? Correct Answer: adrenal insufficiency
What are the symptoms of addison's disease? Correct Answer: weight loss
muscle weakness
low BP
hypoglycemia
hyperpigmented skin
African american women are at highest risk for which diseases? Correct Answer: cervical cancer
HTN
ischemic stroke
When drawing blood specimen off central line, what should you do to prevent transmission of infection?
Correct Answer: wash hands
scrub hub prior to use
place in biohazard bag
immediate transport to lab
Why should pt report prosthetic heart valves to dentist? Correct Answer: they re at risk for infective
endocarditis & should receive prophylactic antibiotic therapy
What medications are used once adverse effects occur with ACE inhibitor use? Correct Answer: ARBs
(sartans)
What are the adverse effects of ACE inhibitors? Correct Answer: symptomatic hypotension
intractable cough
hyperkalemia
angioedema
temporary increase in creatinine
What is dextromethorphan used for? Correct Answer: cough suppressant
what causes phenylketonuria in newborns? Correct Answer: genetic problem lacking phenylalanine
hydroxylase
What is the tx for phenylketonuria? Correct Answer: low phenlylalanine diet for life
monitor serum phenylalanine levels
use synthetic special formulas
encourage consumption of fruit & veggies
avoid eggs, meats, milk & replace w/ protein substitutes
can LPN assess the quality of pt problems? Correct Answer: no
should you remove ADHD child from room to sit in time out? Correct Answer: no, puntitive & not
therapeutic (move away from source of anger)
What is the best action for child with ADHD in situation where child had difficulty controlling anger?
Correct Answer: requesting child to relax & take deep breaths (will distract client & calm them)
when is methylphenidate administered? Correct Answer: 2-3 divided doses or sustained release 30-45
mins before meals
what has most likely happened if pt's PTT is control value? Correct Answer: pt is not getting the ordered
heparin (check IV tubing, IV patency, etc.)
How long is heparin effective? Correct Answer: 2-6h
can pts develop tolerance to heparin? Correct Answer: no
does vitamin k effect heparin? Correct Answer: no
low platelets while pt is receiving heparin places them at risk for? Correct Answer: heparin-induced
thrombocytopenia
(results in clot formation, not bleeding & has NO EFFECT on PTT)
,What is the priority tx for client with hemophilia A & suspected head injury? Correct Answer: IV factor
VIII then head CT
teaching about injury prevention
s/sx of intracranial bleed are? Correct Answer: lethargy
HA
irritability
vomiting
Why would you administer factor VIII before head CT in pt with hemophilia A who has suspected head
trauma? Correct Answer: can't perform surgery to fix head bleed without the factor & head bleed
cannot clot w/o factor .
can you give blood through a 20g needle? Correct Answer: yes
can you run blood as IV piggyback through infusion pump? Correct Answer: NO! (blood must be on it's
own line w/ filtered tubing)
what should you do before administering blood if client had anything going through IV other than
saline? Correct Answer: flush IV catheter first
What medications do elderly most commonly have a negative effect with? Correct Answer: benzos
diuretics
opioids
antihistamines
antihypertensives
antipsychotics
antichollinergics
insulin
(DOBI's 4A's)
what is the recommended glucose range for pt. receiving parenteral/enteral support? Correct Answer:
140-180
what is a normal CD4+ count? Correct Answer: 500-1200
an infection causes increased serum glucose, requiring more insulin, but does it affect HbA1c? Correct
Answer: no
what does A1c reflect? Correct Answer: serum glucose level for 2-3 month period
what is the normal platelet range? Correct Answer: 150K-400K
mature minors (14-18) are allowed to give consent for tx of? Correct Answer: STIs
family planning
, drug & alcohol abuse
blood donation
mental health care
what is hirschsprung disease? Correct Answer: child born w/o distal large intestine cells causing anal
sphincter to remain closed & no peristalsis/excretion can occur.
Who will most likely present with distended abdomen, difficulty feeding, vomiting green bile, & no
bowel movement in first 24-48h after birth? Correct Answer: Hirschsprung disease infant
Will pt with Hirschsprung disease have bright red bleeding from anus present? Correct Answer: no
what are 3 possible interventions to reduce aspiration risk in client with feeding tube? Correct Answer:
assess gastric residuals Q4h
administer continual feeds
check feed tube placement
What is theophylline's therapeutic range? Correct Answer: 10-20
What is theophylline used for? Correct Answer: relaxing bronchial muscles
how often is theophylline levels drawn? Correct Answer: Q6 months
T/F: pt with knee arthroplasty should be fully weight-bearing by d/c? Correct Answer: TRUE
do pts with gestational HTN have proteinuria? Correct Answer: no (that's a sign of preeclampsia)
What causes addisons? Correct Answer: adrenal insufficiency
What are the symptoms of addison's disease? Correct Answer: weight loss
muscle weakness
low BP
hypoglycemia
hyperpigmented skin
African american women are at highest risk for which diseases? Correct Answer: cervical cancer
HTN
ischemic stroke
When drawing blood specimen off central line, what should you do to prevent transmission of infection?
Correct Answer: wash hands
scrub hub prior to use
place in biohazard bag
immediate transport to lab
Why should pt report prosthetic heart valves to dentist? Correct Answer: they re at risk for infective
endocarditis & should receive prophylactic antibiotic therapy
