NCLEX PN 2020 Comprehensive Practice Exam Questions Latest Update 100% Verified Answers| Covers All Sections.

What is adenosine used for? - correct answer Antiarrhythmic used to treat supraventricular tachycardia. What is dopamine used for? - correct answer A vasopressor used to treat symptomatic hypotension. What is metoprolol used for? - correct answer Metoprolol is a beta blocker used for heart rate control in tachyarrhythmias. Torsades de pointes - correct answer "Twisting of the points" usually do to a prolonged QT interval which is the result of electrolyte imbalances especially hypomagnesemia. Gastric lavage - correct answer - Intubation and suction supplies should always be available at the bedside during GL in case the client develops aspiration or respiratory distress - Performed through large bore (36 to 42 french) - Client should be placed on side with HOB elevated. - Should be initiated within one hour of overdose. Allens test - correct answer Done to detect the patency of ulnar artery. CPR (cardiopulmonary resuscitation) - correct answer - 3O compressions to two rescue breathes. - Hand placement is in the center of chest on lower half of the sternum. - Compression rate of 100 to 120/min AED placement for ≤ 8 years old - correct answer One AED pad on chest and one on back. Why is suprapubic pressure applied during pregnancy? - correct answer It helps dislodge an impacted anterior shoulder from under the client's pubic bone in the event of shoulder dystocia. Leopold maneuvers - correct answer A systematic approach to palpating the pregnant abdomen to identify fetal presentation. McRoberts maneuver - correct answer Consists of sharply flexing the thigh onto the maternal abdomen to straighten the sacrum. It is used for shoulder dystocia. How does the palm of your hand appear during negative Allens test? - correct answer It does not turn pink and remains pale. What food allergies increase the risk for latex allergies? - correct answer Avocado, Banana and tomato. GTPAL - correct answer Gravida, Term, Preterm, Abortion, Living. Gravida (GTPAL) - correct answer The number of times a woman has been pregnant regardless of outcome. Term (GTPAL) - correct answer The number of pregnancies delivered at 37 w 0 d gestation & beyond. Preterm (GTPAL) - correct answer The number of pregnancies delivered from 20 w 0 d gestation through 36 w 6 d gestation. Abortion (GTPAL) - correct answer The number of pregnancies ending before 20 w 0 d gestation; these may be spontaneous (miscarriage) or induced abortions. Living (GTPAL) - correct answer The number of currently living children. Acrocyanosis - correct answer Peripheral cyanosis that is considered normal during the first day of life or up to 7-10 days after birth if the infant becomes cold. Bishop Score - correct answer A system for the assessment and rating of cervical favorability and readiness for induction of labor.A higher Bishop score indicates an increased likelihood of successful induction that results in vaginal birth. What is the average newborn head circumference? - correct answer 13-14 inches (33-35cm) S/S of pyelonephritis - correct answer - N/V - Fever and chills - Flank pain - Costovertebral tenderness Important foods during pregnancy. - correct answer Foods containing folic acid, protein, whole grains, iron, and omega-3 fatty acids are especially important. Supine hypotensive syndrome - correct answer Occurs when the weight of the abdominal contents compresses the vena cava, causing decreased venous return to the heart. Preeclampsia - correct answer A systemic disease characterized by hypertension and proteinuria after the 20th gestational week with unknown etiology. Eclampsia - correct answer The onset of convulsions or seizures that cannot be attributed to other causes in a woman with preeclampsia. Delivery is the only cure for preeclampsia-eclampsia syndrome. Magnesium sulfate - correct answer A central nervous system depressant used to prevent/control seizure activity in preeclampsia/eclampsia clients. Therapeutic level is 4-7 mEq/L. Medication used to lower bp during preeclampsia. - correct answer - Hydralazine (Apresoline) - methyldopa (Aldomet) - labetalol (Trandate) is used to lower blood pressure (BP) if needed (usually considered when BP is 160/110 mm Hg). Tocolytic drugs - correct answer Medications used to suppress contractions in preterm labor. Examples: terbutaline, magnesium sulfate, indomethacin, nifedipine. HELLP syndrome - correct answer A severe form of preeclampsia. Hemolysis,Elevated Liver enzymes,Low Platelet count. s/s of HELLP syndrome - correct answer RUQ pain, nausea, vomiting, and malaise. Mongolian spots - correct answer A benign skin discoloration most often seen in newborns of ethnicities with darker skin tones (eg, African American, Native American, Hispanic, Asian). *Fade over first 1-2 years of life. *Measure and document area. VBAC (vaginal birth after cesarean) - correct answer Have a slightly increased risk for uterine rupture due to previous surgical scarring of the uterus. Signs of uterine rupture - correct answer -Abnormal fetal heart rate patterns. -Constant abdominal pain. -Loss of fetal station. - Sudden cessation of uterine contractions. What is an immediate intervention to help control ADHD? - correct answer Deep breathing. Methylphenidate (Ritalin) - correct answer What is the drug of choice for treating ADHD. Not used on a PRN basis. Administered daily in 2-3 divided doses 30 -45 min before meals. What is the legal criteria for involuntary admission? - correct answer - The individual appears to be an imminent danger to self or others. -The individual has a grave disability(unable to adequately care for basic needs) as a result of a mental illness. borderline personality disorder(BPD) - correct answer To avoid being abandoned, they use manipulation and control, often unconsciously, to prevent a person from leaving. The manipulative behavior may be of a positive nature, such as the use of flattery, or a negative nature, such as distancing from the other person. Caregiver role strain - correct answer A caregiver's perception of the multifactorial difficulties associated with providing care to another person (usually a family member). What are some signs of caregiver role strain? - correct answer *All physical, emotional and social Fatigue, depression, isolation etc.