Other NCLEX

Question 1

What to do for: Bradycardia

Answer 1

Meds: atropine, isoprotenelol
Action: Pacemaker

Question 2

What to do for: A fib

Answer 2

Meds: Amiodarone, adenosine, verapamil
Action: Synchronized cardioversion

Question 3

What to do for: Supraventricular tachycardia

Answer 3

Meds: Amiodarone, adenosine, verapamil
Action: Synchronized Cardioversion

Question 4

What to do for: V tach w/ pulse

Answer 4

Meds: Amiodarone, adenosine, verapamil
Action: Synchronized Cardioversion

Question 5

What to do for: V tach w/ NO pulse

Answer 5

Defibrillate

Question 6

What to do for: V fib

Answer 6

Meds: Amiodarone, Lidocaine, Epi
Action: Defibrillate

Question 7

Height of a cane

Answer 7

Greater trochanter

Question 8

Going UP stairs with crutches

Answer 8

1. Good leg, 2. Crutches and bad leg.

Question 9

Going DOWN stairs with crutches

Answer 9

1. Crutches. 2. Bad leg. 3. Good leg.

Question 10

COPD ABGs

Answer 10

Hypoxemia = Pao2 < 80
Hypercarbia = paCO2 > 45

Question 11

DKA vs. HHS

Answer 11

DKA: bg>300; ketones present; metabolic acidosis; Kussmal breathing; acetone breath
HHS: bg>600; no ketones, no acidosis; seizures; reversible paralysis

Question 12

ileal conduit

Answer 12

has a pouch; no need to self-catheratize

Question 13

S/s of thyroid storm

Answer 13

hyperthermia, hypertension, delirium, vomiting, abdominal pain, tachydysrhythmias, chest pain, dyspnea, palpitations.

Meds: thionamides (methimazole or proplythiouracil) followed by sodium iodide.

Question 14

Autonomic Dysreflexia

Answer 14

s/s severe hypertension, bradycardia, severe headache, flushing, sweating above injury, goose bumps below injury, nasal stuffiness, nausea,

Complication post spinal-cord injury; has to do with stimulation of sympathetic nervous system and inadequate compensatory response by parasympathetic nervous system.
Nursing actions:
1. sit up
2.notify provider
3.determine cause: distended bladder- most common, fecal impaction? cold stress? tight clothing? undiagnosed injury/infection.
4. treat cause (catheterize/irrigate)
5. monitor v/s for severe hypertension and bradycardia
6. administer antihypertensives

Question 15

Right sided CVA

Answer 15

• altered perception of deficits
• unilateral neglect syndrome
• loss of depth perception
• poor impulse control/judgement
• left hemiplegia
• visual changes

Question 16

Left sided CVA

Answer 16

• expressive/receptive aphasia
• agnosia
• alexia
• agraphia
• right extremity hemiplegia

Question 17

Zenker’s diverticulum

Answer 17

condition r/t mucus in the pharynx
surgical/endoscopic treatment
priority: airway

Question 18

Cushings:

Answer 18

hypercortisolism – over secretion of cortisol from adrenal cortex

s/s weakness, fatigue, sleep issues, back/joint pain, altered emotions, decreased immune system, thin/fragile skin, bruising and petechiae, hypertension, tachycardia, gastric ulcers, weight gain, dependent edema, muscle atrophy – “moon face”

labs: elevated plasma cortisol levels, high ACTH levels, K and Ca decreased, glucose increased, Na increased, lymphocytes decreased.

treat w/ ketoconazole - adrenocorticosol inhibitor, mitotane

Question 19

Addisons

Answer 19

hypocortisolism – under secretion of cortisol from adrenal cortex

s/s: weight loss, salt craving, hyperpigmentation, weak/fatigue, n/v, gi issues, dizziness, severe hypotension, dehydration, hypoNa, hypoglycemia, hyperK, hyperCa,

labs: increased K, increased Ca, decreased Na; increased BUN and creatinine, decreased serum cortisol

treat w/ hydrocortisone, prednisone