1
NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE
QUESTIONS AND ANSWERS
The pt is scheduled for a pelvic ultrasound to investigate cervical CA. What instruction does the
RN include during the pre-procedure teaching?
1.) NPO for 6 hrs ac procedure
2.) The ultrasound transducer might cause some discomfort while examining the abdomen
3.) Should drink 1L of H2O ac ultrasound
4.) Don't worry about the pain b/c local anesthetic will be given - CORRECT ANSWER 3 =>
filling the bladder w/ H2O ac the test expands the uterus, causing it to move up & our of the
pelvic cavity, which improves visualization
-> needs a full bladder tp move uterus up & move the intestines so you will have a better visual
Explanations:
1 = does NOT need to be NPO ac procedure
-> pelvic or abd.
2 = NO discomfort or pain
4 = NP pain @ all
Pt is being txed w/ radioactive implant for a bladder CA. The RN will intervene when the NAP?
(NOT in NAP scope of practice)
1.) Spends >30 mins in pt's room @ a time
2.) Puts the morning care equipment @ bedside table
3.) Stands @ foot of bed, crossing the placed portable bedside shield
4.) Stays @ least 3 ft away when speaking w/ pt - CORRECT ANSWER 3 => Do NOT do;
Neither NAP or visitors should stand @ foot of bed
-> shield should be between pt & RN
* ALWAYS protect self w/ a lead shield
, 2
Explanations:
1 = limit direct contact contact for 30 mins; stays in room w/ pt for > 30 mins w/o direct contact:
True
-> pregnant & kids do NOT go in
2 = true; do NOT put if a pt is confused w/ Dementia & Parkinson's b/c may drink shampoo
-> warn to pt's safety
-Do NOT leave
4 = ONLY on droplet precautions; stay BEHIND the shield NOT 3 ft
This is directly linked to human papilloma virus (HPV) - CORRECT ANSWER Cervical cancer
Cervical cancer is most common amongst a.)who & b.)@ what age? - CORRECT ANSWER a.)
Women
b.) btwn 9& 30 yrs-old
(Cervical CA) ALL women should be tested for HPV by - CORRECT ANSWER
Papanicolau (Pap smear test)
(Cervical CA) Women should start getting Pap test @ OR when they start to be sexual
active - CORRECT ANSWER 21 yr-old
(Cervical CA) The precursor to CA of the cervix is .
=> pressure of cells of an abnormal type w/in a tissue, which may signify a stage preceding to
the development of CA - CORRECT ANSWER Dysplasia
(Cervical CA) What is the tx for Cervical cancer? (4 things) - CORRECT ANSWER 1.)
Cryosurgery
=> freeze the tumor; all tissues around tumor will die from cold
2.) Hysterectomy
, 3
=> removal of the uterus
3.) Intra-cavity radiation
4.) Chemotherapy
(Cervical CA) This is the removal of the uterus - CORRECT ANSWER Hysterectomy
(Cervical CA) This is a type of surgery where the surgeons freeze the tumor; all tissues around
the tumor will die from cold - CORRECT ANSWER Cryosurgery
(Cervical CA: TX) Identify the Nursing Care for Hysterectomy
(13 things) - CORRECT ANSWER 1.) Admin enema & douche as prescribed pre-op
2.) Note amount & character of vaginal d/c
=> post-op, < 1 saturated pad in 4 hrs should be
3.) Pain manafement
4.) Encourage ambulation ASAP
5.) Monitor urinary output
=> foley cath usually inserted in surgery
6.) Observe incision for bleeding
7.) Note abd. distention
=> may be a sign for internal bleeding, OR
=> a lot of gas trapped pt has flatus (farts)
8.) Gradually INCREASE diet from liquids to general
, 4
9.) Provide stool softners
10.) Refrain from sexual intercourse until approved by HCP (3-6 wks, more like 6 wks)
11.) AVOID heavy lifting
12.) Maintain adequate fluid intake (3L/day)
13.) Notify HCP of infection
S&S => temp >101F, redness, pain, swelling in suture line
=> foul smelling vaginal d/c => fistula bwtn rectum & uterus
-fistula is very serious
--surgery complication
(Cervical CA: TX: Nursing Care for Hysterectomy:(13 things)
10.) How long after surgery should a pt refrain from sexual intercourse? - CORRECT ANSWER
3-6 wks
=> more like 6 wks
(Cervical CA: TX: Nursing Care for Hysterectomy:(13 things)
13.) Name the 4 S&S of infection - CORRECT ANSWER 1.) Temp 101F
2.) Redness
3.) Pain
4.) Swelling in suture line
(Cervical CA: TX: Nursing Care for Hysterectomy:(13 things)
13.) If a pt has a foul, smelling vag. d/c what is this caused from? And is a very serious
complication? - CORRECT ANSWER Fistula btwn rectum & uterus
=> a very serious surgical complication
NEW EXAM UPDATE SOLUTION FOR NCLEX RN: 7 COMPLETE
QUESTIONS AND ANSWERS
The pt is scheduled for a pelvic ultrasound to investigate cervical CA. What instruction does the
RN include during the pre-procedure teaching?
1.) NPO for 6 hrs ac procedure
2.) The ultrasound transducer might cause some discomfort while examining the abdomen
3.) Should drink 1L of H2O ac ultrasound
4.) Don't worry about the pain b/c local anesthetic will be given - CORRECT ANSWER 3 =>
filling the bladder w/ H2O ac the test expands the uterus, causing it to move up & our of the
pelvic cavity, which improves visualization
-> needs a full bladder tp move uterus up & move the intestines so you will have a better visual
Explanations:
1 = does NOT need to be NPO ac procedure
-> pelvic or abd.
2 = NO discomfort or pain
4 = NP pain @ all
Pt is being txed w/ radioactive implant for a bladder CA. The RN will intervene when the NAP?
(NOT in NAP scope of practice)
1.) Spends >30 mins in pt's room @ a time
2.) Puts the morning care equipment @ bedside table
3.) Stands @ foot of bed, crossing the placed portable bedside shield
4.) Stays @ least 3 ft away when speaking w/ pt - CORRECT ANSWER 3 => Do NOT do;
Neither NAP or visitors should stand @ foot of bed
-> shield should be between pt & RN
* ALWAYS protect self w/ a lead shield
, 2
Explanations:
1 = limit direct contact contact for 30 mins; stays in room w/ pt for > 30 mins w/o direct contact:
True
-> pregnant & kids do NOT go in
2 = true; do NOT put if a pt is confused w/ Dementia & Parkinson's b/c may drink shampoo
-> warn to pt's safety
-Do NOT leave
4 = ONLY on droplet precautions; stay BEHIND the shield NOT 3 ft
This is directly linked to human papilloma virus (HPV) - CORRECT ANSWER Cervical cancer
Cervical cancer is most common amongst a.)who & b.)@ what age? - CORRECT ANSWER a.)
Women
b.) btwn 9& 30 yrs-old
(Cervical CA) ALL women should be tested for HPV by - CORRECT ANSWER
Papanicolau (Pap smear test)
(Cervical CA) Women should start getting Pap test @ OR when they start to be sexual
active - CORRECT ANSWER 21 yr-old
(Cervical CA) The precursor to CA of the cervix is .
=> pressure of cells of an abnormal type w/in a tissue, which may signify a stage preceding to
the development of CA - CORRECT ANSWER Dysplasia
(Cervical CA) What is the tx for Cervical cancer? (4 things) - CORRECT ANSWER 1.)
Cryosurgery
=> freeze the tumor; all tissues around tumor will die from cold
2.) Hysterectomy
, 3
=> removal of the uterus
3.) Intra-cavity radiation
4.) Chemotherapy
(Cervical CA) This is the removal of the uterus - CORRECT ANSWER Hysterectomy
(Cervical CA) This is a type of surgery where the surgeons freeze the tumor; all tissues around
the tumor will die from cold - CORRECT ANSWER Cryosurgery
(Cervical CA: TX) Identify the Nursing Care for Hysterectomy
(13 things) - CORRECT ANSWER 1.) Admin enema & douche as prescribed pre-op
2.) Note amount & character of vaginal d/c
=> post-op, < 1 saturated pad in 4 hrs should be
3.) Pain manafement
4.) Encourage ambulation ASAP
5.) Monitor urinary output
=> foley cath usually inserted in surgery
6.) Observe incision for bleeding
7.) Note abd. distention
=> may be a sign for internal bleeding, OR
=> a lot of gas trapped pt has flatus (farts)
8.) Gradually INCREASE diet from liquids to general
, 4
9.) Provide stool softners
10.) Refrain from sexual intercourse until approved by HCP (3-6 wks, more like 6 wks)
11.) AVOID heavy lifting
12.) Maintain adequate fluid intake (3L/day)
13.) Notify HCP of infection
S&S => temp >101F, redness, pain, swelling in suture line
=> foul smelling vaginal d/c => fistula bwtn rectum & uterus
-fistula is very serious
--surgery complication
(Cervical CA: TX: Nursing Care for Hysterectomy:(13 things)
10.) How long after surgery should a pt refrain from sexual intercourse? - CORRECT ANSWER
3-6 wks
=> more like 6 wks
(Cervical CA: TX: Nursing Care for Hysterectomy:(13 things)
13.) Name the 4 S&S of infection - CORRECT ANSWER 1.) Temp 101F
2.) Redness
3.) Pain
4.) Swelling in suture line
(Cervical CA: TX: Nursing Care for Hysterectomy:(13 things)
13.) If a pt has a foul, smelling vag. d/c what is this caused from? And is a very serious
complication? - CORRECT ANSWER Fistula btwn rectum & uterus
=> a very serious surgical complication
