UWorld NCLEX-PN Exam Study Guide: Questions &
Answers: A+ Score Guide
B/P Medication side effects? - ANSWER- fatigue
- erectile dysfunction
- dizziness
Angina pectoris risk factors? - ANSWER- Smoking
- Extreme temperatures
- Physical exertion (including sex)
- Intense emotion
- Coronary artery narrowing
- Stimulants (cocaine, amphetamines)
Define angina pectoris - ANSWERChest pain due to myocardial ischemia (decreased
blood flow to heart).
Purpose of an ICD (implantable cardioverter defibrillator)? - ANSWER- sense and
defibrillate life-threatening dysrhythmias.
- overdrive pacing for rapid heart rhythms
- back-up pacing for bradycardia that may occur after defibrillation.
Postoperative teaching for ICD? - ANSWERDon't lift arm of affected side above the
shoulder unless cleared by the health care provider.
Where is an ICD placed? - ANSWERIn the endometrium via the subclavian vein.
Home care instructions for discharging a patient with heart failure following
myocardial infarction? - ANSWER- How to take own pulse
- Monitoring weight daily
- Reduction of sodium in diet
- Take blood pressure and keep record of it
- Avoid temperature extremes
- Increase walking, but plan for rest periods
Chronic Venous Insufficiency (CVI) s/sx? - ANSWER- Brownish skin discoloration on
lower extremities
- Chronic edema
- Inflammation
- Leathery skin
- Venous leg ulcers inside of ankle
How to improve pain due to acute pericarditis? - ANSWERSit up and lean forward
Pericarditis treatment? - ANSWERNSAIDs or aspirin plus colchicine.
, Pericarditis is characterized by what symptom? - ANSWERPleuritic chest pain.
Pericarditis is known to be aggravated by what actions? - ANSWERInspiration and
coughing.
Normal urinary output? - ANSWER30 mL/hr
Urinary output below 30 ml/hr may signify what? - ANSWER- low vascular volume
- decreased renal perfusion
- intrinsic kidney injury
- urine outflow obstruction
A client with heart failure with decreased urine output, what action is the priority? -
ANSWERAuscultate for lung sounds to assess for crackles due to decreased cardiac
function and buildup of fluid in the lungs.
Anticipated treatment for a client with decreased urine output r/t to heart failure? -
ANSWERLoop diuretics.
Critical and life-threatening PTT value? - ANSWER> 100 sec.
Common IV Heparin complications? - ANSWER- GI bleeds
- Epistaxis
- Hematuria
Lab value taken for heparin therapy? - ANSWERPTT
Instructions to prevent recurrent episodes for Raynaud phenomenon? - ANSWER-
Avoid excess caffeine
- Refain using tobacco products
- Wear gloves handling cold objects
- Reduce cold exposure, wear warm layers in cold weather
- Implement stress-management strategies (yoga, tai-chi)
- Avoid vasoconstricting drugs (cocaine, amphetamines)
Treatment for Raynaud's phenomenon? - ANSWERVasodilators, calcium channel
blockers
Teachings for patient who had coronary artery bypass grafting? - ANSWER- Refrain
lifting weights 5 lb. <
- Notify HCP of swelling, redness, or drainage at incision site or chest pain/SOB that
does not subside with rest
- Take a shower daily without soaking chest or leg incision
- No applying lotion to incision site (may introduce pathogens)
- No smoking
- Increase activity levels through exercise
- NO driving for 4-6 weeks
Answers: A+ Score Guide
B/P Medication side effects? - ANSWER- fatigue
- erectile dysfunction
- dizziness
Angina pectoris risk factors? - ANSWER- Smoking
- Extreme temperatures
- Physical exertion (including sex)
- Intense emotion
- Coronary artery narrowing
- Stimulants (cocaine, amphetamines)
Define angina pectoris - ANSWERChest pain due to myocardial ischemia (decreased
blood flow to heart).
Purpose of an ICD (implantable cardioverter defibrillator)? - ANSWER- sense and
defibrillate life-threatening dysrhythmias.
- overdrive pacing for rapid heart rhythms
- back-up pacing for bradycardia that may occur after defibrillation.
Postoperative teaching for ICD? - ANSWERDon't lift arm of affected side above the
shoulder unless cleared by the health care provider.
Where is an ICD placed? - ANSWERIn the endometrium via the subclavian vein.
Home care instructions for discharging a patient with heart failure following
myocardial infarction? - ANSWER- How to take own pulse
- Monitoring weight daily
- Reduction of sodium in diet
- Take blood pressure and keep record of it
- Avoid temperature extremes
- Increase walking, but plan for rest periods
Chronic Venous Insufficiency (CVI) s/sx? - ANSWER- Brownish skin discoloration on
lower extremities
- Chronic edema
- Inflammation
- Leathery skin
- Venous leg ulcers inside of ankle
How to improve pain due to acute pericarditis? - ANSWERSit up and lean forward
Pericarditis treatment? - ANSWERNSAIDs or aspirin plus colchicine.
, Pericarditis is characterized by what symptom? - ANSWERPleuritic chest pain.
Pericarditis is known to be aggravated by what actions? - ANSWERInspiration and
coughing.
Normal urinary output? - ANSWER30 mL/hr
Urinary output below 30 ml/hr may signify what? - ANSWER- low vascular volume
- decreased renal perfusion
- intrinsic kidney injury
- urine outflow obstruction
A client with heart failure with decreased urine output, what action is the priority? -
ANSWERAuscultate for lung sounds to assess for crackles due to decreased cardiac
function and buildup of fluid in the lungs.
Anticipated treatment for a client with decreased urine output r/t to heart failure? -
ANSWERLoop diuretics.
Critical and life-threatening PTT value? - ANSWER> 100 sec.
Common IV Heparin complications? - ANSWER- GI bleeds
- Epistaxis
- Hematuria
Lab value taken for heparin therapy? - ANSWERPTT
Instructions to prevent recurrent episodes for Raynaud phenomenon? - ANSWER-
Avoid excess caffeine
- Refain using tobacco products
- Wear gloves handling cold objects
- Reduce cold exposure, wear warm layers in cold weather
- Implement stress-management strategies (yoga, tai-chi)
- Avoid vasoconstricting drugs (cocaine, amphetamines)
Treatment for Raynaud's phenomenon? - ANSWERVasodilators, calcium channel
blockers
Teachings for patient who had coronary artery bypass grafting? - ANSWER- Refrain
lifting weights 5 lb. <
- Notify HCP of swelling, redness, or drainage at incision site or chest pain/SOB that
does not subside with rest
- Take a shower daily without soaking chest or leg incision
- No applying lotion to incision site (may introduce pathogens)
- No smoking
- Increase activity levels through exercise
- NO driving for 4-6 weeks
