2023/2024 NCLEX RN Uworld Comprehensive Study Guide Updated with NGN Questions, Answers, and Rationale from Actual Exam 1700+ Terms

what will damage to the occipital lobe cause? --------- Correct Answer visual disturbances what do advanced care documents include? --------- Correct Answer healthy care proxy and living will if pt comes into ER and says they have the worst HA of their life what could it be --------- Correct Answer an aneurysm what is the most important med to give for anaphylactic shock? Correct Answer -------- IM epinephrine what are mongolian spots? --------- Correct Answer benign discoloration bluish gray but usually fades after an amputation, should the residual limb be elevated? Correct Answer -------- NO, to prevent hip flexion contractures buck traction --------- Correct Answer immobilizes hip and femur fractures . the weight pulls the limb into traction. the foot of the bed is elevated following total hip replacement, how is hip dislocation prevented? Correct Answer using an abductor pillow to maintain hip in a straight position. dont bend hip more than 90 deg before starting broad spectrum antibiotics, what must be done? Correct Answer -------- blood culture and sensitivity what is HELLP related to pregnancy? --------- Correct Answer Hemolysis Elevated Liver enzymes Low Platelet it is a severe sign of preeclampsia. symptoms may be RUQ pain n/v and malaise normal sodium --------- Correct Answer 135-145 homonymous hemianopsia --------- Correct Answer loss in half of the visual field on the same side oxytocin --------- Correct Answer induction or augmentation of labor should be given by an electronic infusion pump requires frequent mother/fetal assessment adverse affects: maternal hypotension and water intoxication what are some seizure triggers? --------- Correct Answer excess caffeine, alcohol, sleep deprivation, and stress phenytoin --------- Correct Answer gingival hyperplasia dont give nsaids with nasal polyps --------- Correct Answer -------- dont give beta blockers to asthma patient --------- Correct Answer -------- treat asthma with --------- Correct Answer albuterol. SE: n/v, insomnia, palpitations, tremor proton pump inhibitors can increase the risk of --------- Correct Answer C-diff common proton pump inhibitors PPIs --------- Correct Answer Prazoles: omeprazole, lansoprazole, etc heparin is measured thru what levels? --------- Correct Answer PTT normal wbcs --------- Correct Answer 4,000-11,000 a pt with heparin should have a ptt of 1.5-2 times the normal range which is 25-35 scds --------- Correct Answer -------- what is the causitive agent of fifth disease? --------- Correct Answer human parvovirus fifth disease --------- Correct Answer "slapped face" distinct red rash on cheeks its on communicable before the onset of symptoms spreads via respiratory PKU --------- Correct Answer low phenylalanine diet specal infant formula no meat eggs or dairy warning signs of cancer --------- Correct Answer CAUTION what do rales (crackles) indicate? --------- Correct Answer fluid in the lungs proper nasal spray administration --------- Correct Answer high fowlers and head bowed slightly forward occlude one nostril and put it in open one point tip toward side and away from center spray while inhaling deeply normal platelets --------- Correct Answer 150,000-400,000 how to close a hemovac --------- Correct Answer compress to create negative suction pressure and APPLY PLUG BEFORE RELEASING THE PRESSURE most important to monitor bulemic pts when? --------- Correct Answer -------- cystic fibrosis --------- Correct Answer chest physiotherapy- to remove secretions that cause ineffective airway clearance CF is genetic HIGH fat HIGH calorie diet liberal fluid intake when would you see dry shiny hairless skin? --------- Correct Answer peripheral atherosclerotic arterial disease wilms tumor is on the --------- Correct Answer kidney presents as abnormal bulging on one side of child's abdomen DO NOT PALPATE ABDOMEN process for a burn at home --------- Correct Answer soak in cool water to stop buring process remove clothing around burn cover with a clean dry cloth dont put any meds or anything on the wound post surgical pts are usually perscrbed which prn med to help from the opioid drugs they were on --------- Correct Answer naloxone (Narcan) but it wears off in 1-2 hours so be prepared to give more than once monitor RR and give oxygen cushings triad --------- Correct Answer bradycardia, slowed RR, widened pulse pressure what is the normal pulse rate for a 1 year old --------- Correct Answer 100-160 hypokalemia can cause --------- Correct Answer heart arrythmias and muscle cramps and weakness what do you closely monitor when giving furosemide? --------- Correct Answer -------- blood pressure potassium BUN creatinine what type of medication is clopidogrel? --------- Correct Answer antiplatelet "look, listen, feel" approach --------- Correct Answer -------- ppl with long bone or pelvic fractures are at risk for developing what? Correct Answer fat embolism what patients are considered immunosuppressed? --------- Correct Answer on steroids/chemo, HIV pos, new post op, multiple chronic co morbidities, splenectomy, diabetes, very young/elderly what kind of precautions do you need for open lesions from shingles? Correct Answer both contact and airborne precautions and a negative airflow room symptom of macular degeneration --------- Correct Answer loss of central field of vision seeing small flashes of light is a sign of --------- Correct Answer retinal detachment what is presbyopia? --------- Correct Answer inability to see things close up some of the "cin" antibiotics can cause what? --------- Correct Answer prolonged QT interval and can also cause hepatotoxicity so make sure to check liver function tests diet for chronic kidney disease --------- Correct Answer restrict fluids, sodium, potassium, and phosphorus what wilyl you hear in lungd during atelactasis? --------- Correct Answer fine crackles (high pitched popping sound) calcium channel blockers end in --------- Correct Answer "pine" what are the most important adverse effects of calcium channel blockers? --------- Correct Answer dizziness, flushing, HA, peripheral edema, and constipation poor thiamine consumption can lead to wernicke encepalopathy Correct Answer tracheostomy allow for 1 finger to fit under the ties --------- Correct Answer -------- main care with someone with a new tracj --------- Correct Answer prevent dislodgement what is Docusate --------- Correct Answer stool softener what is the beers criteria? --------- Correct Answer list of drugs that are dangerous in the elderly what are foods high in vitamin k? --------- Correct Answer leafy green veggies, asparagus, brocoli, kale, brussel sprout, spinach some symptoms of tardive dyskinesia --------- Correct Answer unusualy movements of arms, legs, face, body metoclopramide --------- Correct Answer can cause tardive dyskinesia therapeutic trough levels of vancomycin --------- Correct Answer 10-20 normal creatinine level --------- Correct Answer 0.6-1.3 normal BUN level --------- Correct Answer 6-20 elevated bun and creatinine may indicate what? --------- Correct Answer -------- nephrotoxicity first level priority problems --------- Correct Answer airway breathing circulation & cardiac (become first priority in cardiac arrest)