NGN NCLEX /NCLEX NGN RN PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

NGN NCLEX /NCLEX NGN RN PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) Abruptio Placenta - ANSWER The placenta separates from the uterine wall prematurely. 2) Multigravida - ANSWER A woman who has been pregnant multiple times, usually over the age of 35. 3) Bleeding in Abruptio Placenta vs. Placenta Previa - ANSWER Bleeding is usually painful in Abruptio Placenta; bleeding is more voluminous in placenta previa. 4) IV Gauge for Abruptio Placenta - ANSWER An 18 gauge needle should be used in preparation to give blood if necessary. 5) Monitoring Frequency for Abruptio Placenta - ANSWER Vital signs, vaginal bleeding, and fetal heart rate should be measured every 5-15 minutes. 6) Delivery Method for Abruptio Placenta - ANSWER Usually delivered via C-section. 7) Fetal Death Incidence - ANSWER There is a higher incidence of fetal death with Abruptio Placenta compared to Placenta Previa. 8) Common Trimester for Abruptio Placenta - ANSWER Most commonly occurs in the third trimester. 9) Accidental Poisonings Age - ANSWER Accidental poisonings are most common at 2 years old. 10) First Action After Poison Ingestion - ANSWER Call for medical help. 11) Inducing Vomiting for Gasoline Ingestion - ANSWER No, vomiting should not be induced for gas or any other petroleum products. 12) What to Bring to ER After Poisoning - ANSWER The suspected poison must accompany the child to the ER. 13) Accidental Poisoning Risk for Elderly - ANSWER Elderly clients are at high risk for accidental poisoning due to poor eyesight. 14) Chemicals Causing Burns to Oral Mucosa - ANSWER Lye and caustic cleaners. 15) Seizure Risk After Ingestion - ANSWER Children who have swallowed drugs and insecticides are at the highest risk for seizure activity. 16) Impaired Skin Integrity Diagnosis - ANSWER Yes, it can be an appropriate nursing diagnosis when Lye or caustic agents have been ingested. 17) Causative Organism of Acne - ANSWER P. acnes (propionibacterium acnes). 18) Structures Involved in Acne Vulgaris - ANSWER The sebaceous glands. 19) Drugs Given for Acne - ANSWER Vitamin A, Antibiotics, Retinoids. 20) Causes of Acne - ANSWER Dietary indiscretions and uncleanliness are not causes of acne. 21) Causative Factors in Acne Vulgaris - ANSWER Hereditary, Bacterial, Hormonal. 22) Most Common Retinoid for Acne - ANSWER Accutane. 23) Accutane Analog - ANSWER Accutane is an analog of Vitamin A. 24) Common Side Effect of Accutane - ANSWER Inflammation of the lips; causes birth defects. 25) Common Antibiotic for Acne - ANSWER Tetracycline. 26) Time to See Results from Acne Treatment - ANSWER 4 to 6 weeks. 27) Stress and Acne - ANSWER Yes, stress makes acne worse. 28) Face Washing Frequency for Acne - ANSWER Twice a day. 29) Instructions for Tetracycline - ANSWER Take it on an empty stomach and avoid sunlight (photosensitivity). 30) Comedones - ANSWER Blackheads and whiteheads. 31) Virus Causing AIDS - ANSWER HIV (Human immunodeficiency virus). 32) AIDS Virus Target Cells - ANSWER The AIDS virus invades the helper T-lymphocytes (or CD4 cells). 33) AIDS Transmission Routes - ANSWER Blood, Sexual contact, Breastfeeding, Across placenta in utero. 34) HIV Presence in Body Fluids - ANSWER HIV is present only through blood, semen, and breast milk. 35) Risk Groups for AIDS - ANSWER Homosexual/bisexual men, IV drug users, Hemophiliacs, Heterosexual partners of infected people, Newborn children of infected women. 36) First Test for HIV Antibodies - ANSWER ELISA. 37) Test Confirming ELISA - ANSWER Western Blot. 38) Best Indicator of HIV Progress - ANSWER CD4 count. 39) CD4 Count for AIDS Symptoms Onset - ANSWER A CD4 count of under 500 is associated with the onset of AIDS-related symptoms. 40) CD4 Count for Opportunistic Infections - ANSWER A CD4 count of under 200 is associated with the onset of opportunistic infections. 41) CD4 count under 500 - ANSWER Associated with the onset of AIDS-related symptoms. 42) CD4 count under 200 - ANSWER Associated with the onset of opportunistic infections. 43) Symptoms of HIV disease - ANSWER 1. anorexia, 2. fatigue, 3. weakness, 4. diarrhea, 5. night sweats, 6. fever. 44) Classes of drugs for HIV sero-positivity - ANSWER NRTIs (Nucleoside Reverse Transcriptase Inhibitors) and PIs (Protease Inhibitors). 45) NRTI - ANSWER An antiviral drug used against HIV that is incorporated into the DNA of the virus and stops the building process. 46) PI - ANSWER Most potent of antiviral meds that inhibit cell protein synthesis, interfering with viral replication. 47) Effect of NRTIs and PIs - ANSWER They prevent viral replication. 48) Goal of NRTIs and PIs for HIV - ANSWER A delayed onset of AIDS for as long as possible (usually can delay onset for 10-15 years). 49) Most common NRTI - ANSWER AZT (zidovudine). 50) Challenge of combination drug therapy for HIV - ANSWER The number of pills that must be taken in 24 hours can be overwhelming. 51) Weight change in AIDS clients - ANSWER Clients with AIDS lose weight. 52) Typical pneumonia of AIDS - ANSWER Caused by Pneumocystic carinii. 53) Common oral/esophageal infections in AIDS - ANSWER Candida. 54) Most common cancer in AIDS patients - ANSWER Kaposi's sarcoma. 55) Kaposi's sarcoma - ANSWER A cancer of the skin. 56) AIDS and lymphomas - ANSWER True. 57) Lab findings in AIDS - ANSWER Decreased RBC's, WBC's and platelets. 58) Leukopenia - ANSWER Decrease in WBC, indicated viral infection. 59) Precautions without leukopenia - ANSWER Standard precautions or blood and body fluid precautions. 60) Indication of low platelet count in AIDS - ANSWER Bleeding precautions; no IM's, no rectal temperatures. 61) Room requirement for AIDS patients - ANSWER Yes - if WBC counts are low. 62) Need for gown with AIDS - ANSWER If you are going to get contaminated with secretions. 63) Need for mask with AIDS - ANSWER Not usually unless they have an infection caused by an airborne bug. 64) Need for goggles with AIDS - ANSWER During suctioning, central line start, and arterial procedures. 65) Cleaning contaminated countertop - ANSWER 1:10 solution of bleach and water. 66) Double-bagging articles used by AIDS patients - ANSWER No; only those contaminated with secretions. 67) Dietary protein in AGN - ANSWER Not usually limited, but may be restricted if there is severe azotemia. 68) Azotemia - ANSWER Nitrogenous wastes in the blood (increased creatinine, BUN). 69) Best indicator of renal function - ANSWER The serum creatinine. 70) Recovery from AGN - ANSWER Yes, the vast majority of all clients recover completely from it. 71) Prevention of AGN - ANSWER By having all sore throats cultured for strep and treating any strep infections. 72) Most important intervention in treating AGN - ANSWER Bedrest - they can walk if hematuria, edema and hypertension is gone. 73) Common dietary restriction for AGN - ANSWER Moderate Na+ restriction; fluid restriction is #2 if edema is severe. 74) Urinalysis findings on AGN - ANSWER Hematuria, Proteinuria +3 to +4, Specific Gravity Up. 75) Timeframe for AGN development after strep infection - ANSWER 2 to 3 weeks after initial infection. 76) Assessment of fluid excess in child with AGN - ANSWER Daily weight. 77) Acute glomerulonephritis - ANSWER Caused by Group A beta hemolytic strep. 78) Kidney response in AGN - ANSWER It becomes clogged with antigen-antibody complexes which then causes inflammation and loss of function. 79) Vital sign measurement frequency in AGN - ANSWER Q4 hours with blood pressure. 80) Blood pressure in AGN - ANSWER Hypertension, because of fluid retention. 81) First signs of AGN - ANSWER Puffiness of face and dark urine. 82) Stages of adult development - ANSWER Early adulthood, middle adulthood, late adulthood. 83) Age range for early adulthood - ANSWER 19 - 35. 84) Age range for middle adulthood - ANSWER 35 - 64. 85) Age range for late adulthood - ANSWER 64 - death.