Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NCLEX-PN > Random from practice quizzes 2 > Flashcards

Random from practice quizzes 2 Flashcards

You may prefer our related Brainscape-certified flashcards:
NCLEX-PN® flashcards NCLEX-RN® flashcards
1
Q

Cystic fibrosis nutrition

A

Nutritional deficiencies so include in diet extra dairy, fat, protein and salt.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bedwetting child

A

Collect UA first to rule out UTI! Rule out physiological information before psychosocial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is pertussis?

A

This is a childhood disease WITH A VACCINE. It has reemerged because not all kids are vaccinated
Also known as whooping cough!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is viral meningitis and what are the precautions

A 
Meninges infection (thin layer covering brain)
Use standard precautions!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does a negative and positive pressure room do?

A

Negative pressure room keeps air IN

Positive pressure room keeps air OUT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Immunosuppressed patient should be in a positive or negative pressure room?

A

Positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Airborne diseases are kept in a positive or negative pressure room?

A

Negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is tetralogy of fallot?

A

It is a dysfunctioned heart. Combination of 4 congenital abnormalities
Causes poor blood/O2 circulation leading to SOB and blue tinged skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

CPR for infants

A
  • Place pt on firm, flat surface
  • Use 2 fingers to do compressions
  • Give compressions @ rate of 100-120 per minute
  • Compressions about 1/3 anterior-posterior diameter of chest
  • Compression to ventilation rate is 30:2
  • Time to give breaths does not take longer than 10 sec
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Abdominal guarding

A

Tensing of abdominal wall muscles to guard inflamed organs
INVOLUNTARY! A sign your body is trying to protect itself from pain. This is a symptom of a very serious, life threatening condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is tenesmus?

A

Urge to move bowels even if emptied

Common symptom of ulceritive colitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a liver biopsy? What is a potential complication

A

Removing tissue from liver for diagnostic purposes. A potential complication is pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is a bronchoscopy? What is an expected finding post-op?

A

Dr. Inserts thin tube with light into lungs to examine. An expected finding is pink tinged mucus from sore throat with small amounts of blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Diet for patient with cirrhosis

A

NO ALCOHOL!

Calculate Na intake to avoid fluid volume excess. Low Na diet!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What data should be collected for patient with hematemesis

A

Assess for SHOCK! Check vitals!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

S/S of shock

A

DECREASED BP, Increased HR, thready rapid pulse
Cold/clammy skin, decreased UA,
Decreased LOC, SOB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is PTT and PT? Normal range?

A

PTT monitors efficacy of HEPARIN
Range: 30-40 sec
PT monitors efficacy of WARFARIN
Range: 11-13.5 sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Normal hemoglobin for men, women, pregnant?

A

Men: 13.5-17.5
Women: 12.0-15.5
Pregnant: 11.5 would be normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Rheumatoid arthritis to know

A

Autoimmune disease!
Protect client by restricting visitors with illness
Body attacks synovium - lining of membranes surrounding joints
No cure, treatment to relieve symptoms
Dexamethasone is common drug used. Treats severe inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

COPD diet

A

Nutritious diet to avoid weight loss!
Eat small, frequent, high calorie meals.
High protein and fiber
1-2% milk to avoid increased mucus production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Pancreatitis signs

A

“Cullen’s Sign” - bruising around umbilicus indicating internal bleeding
Pain can cause tachycardia
Fever from inflammation
Pain in mid-gastric area radiating to back
Onset SUDDEN AND SEVERE!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Trousseau Sign

A

Elicited in Hypocalcemia

Hand contracts when BP cuff is inflated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Late stages of rheumatoid arthritis

A
  • Effusion to knees - Water in knees. Look puffy and feel soft
  • Swan neck deformity - in fingers. Distal joint is permanently bent toward palm
  • Peripheral neuropathy
  • Nodules on elbows
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Iron deficient anemia teaching

A
  • Consume iron rich foods
  • Notify healthcare provider of glossitis (inflammation of tongue), anorexia, and paresthesia
  • Iron is needed for RBC development
  • Dilute liquid iron with water or juice. It stains teeth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Ebola virus transmission and precautions

A
  • Spreads through direct contact with blood or body fluids. From people or contaminated inanimate objects
  • Wear PPE - gown, apron, boot covers. N95 MASK
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Gastric reflux position

A

Reverse trandelenburg! promotes gastric emptying and prevents esophageal reflux.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is cystitis and s/s

A

Inflammation of bladder

Incontinence, urgency, frequency, hematuria, nocturia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What two diseases come from varicella virus?

A

Chicken pox and shingles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What do calcium channel blockers do?

A

Help relax the muscles in walls of vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What counteracts extrapyramidal side effects?

A

Benztropine Mesylate

Also used to treat parkinson’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What is biofeedback?

A

Progressive muscle relaxation with use of electrodes placed on chest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

TSH normal values

A

0.4-4.0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What is Akathisia?

A

Restlessness, nervous energy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Tardive Dyskinesia

A

Involuntary movement of tongue, chewing movement of mouth, lip smacking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Akinesia

A

Lack of movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Bradykinesia

A

Slow movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Dystonia

A

Upward gaze of eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

How long do you wait between puffs from inhaler?

A

1 minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q 
Normal lab values for
Potassium
Sodium
Calcium
Magnesium
A

K 3.5-5
Na 135-145
Ca 9.0-10.5
Mg 1.3-2.1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What is the action of sodium polystyrene sulfonate?

A

Reduce K

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Low sodium diet inclues:

A

Pork, salad, fresh fruit, lean meat.

NO instant pudding, tomato juice, pizza

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Plaster leg cast takes how long to dry

A

24-48 hours. Do not cover with blanket!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Pernicious anemia

A

Autoimmune disorder! Lack of B12

Symptoms: Smooth, red tongue, burning feeling in feet, lightheaded, dyspnea on exertion, slow reflexes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

How to use AED’s

What is synchronized cardioversion mode?

A
  1. Apply pads to bare skin
  2. Continue CPR until advised to deliver shock
  3. Stop CPR while machine analyzes rhythm
  4. Shout “clear” prior to activating shock button

Synchronized cardioversion mode is used when converting erratic rhythms to normal sinus rhythms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What is a mediterranean diet?

A

Vegetables, fruits, whole grains, low fat diary products, poultry, fish, legumes, nuts, limits sweets and red meats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Symptom of a stomach ulcer that is bleeding

A

Coffee ground emesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What is scotoma?

A

Partial loss of vision or blind spot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

What is movement agnosia?

A

Inability to recognize movement of an object

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What are signs of injury to the occipital region

A

Scotoma and movement agnosia

50
Q

Nutrition for burn patients

A

Vitamin C and protein to promote wound healing

Electrolyte drinks do not have protein just FYI

51
Q

What is pyelonephritis?

A

Infection of renal pelvis and kidney

  • Monitor for dark, cloudy, foul smelling urine
  • Strict I’s and O’s
  • Increase fluid to flush out bacteria
  • Levofloxacin is an antibiotic… increases phototoxicity. Avoid direct sunlight and tanning beds. Use suncreen
  • Monitor for hypotension, tachycardia, fever
52
Q

Tylenol contraindications

A

Warfarin - inhibits warfarin metabolism. Causes to accumulate in toxic levels
Liver disease or alcohol consumption

53
Q

Normal liver lab values

A

ALT: 7-55 units/L
AST: 8-48 units/L
Bilirubin: 0.1-1.2 mg/dl

54
Q

Common NSAIDS

A

Ketorolac (Toradol)
Ibuprofen (Advil, Motrin)
Naproxen Sodium (Anaprox, Aleve)
Meloxicam (Mobic)

55
Q

NSAID contraindications

A

Pregnancy, asthma, hepatic disease, peptic ulcer disease

56
Q

Drop factor units

A

gtts/mL

57
Q

How to decontaminate a client involved in a chemical exposure

A

Remove clothing FIRST, then complete flushing with water, then wrap pt in sheet or protective cover

58
Q

Removal of PPE order

A
  1. Remove GLOVES and wash hands
  2. Remove protective eyewear
  3. Remove gown
59
Q

S/S of pulmonary TB

A

Weight loss, anorexia, fatigue, bloody sputum, diaphoresis during sleep (night sweats)

60
Q

Pt with concussion should report this to the provider

A

Difficulty waking up, vomiting, blurry vision, increasing pain

61
Q

Chronic emphysema
What is it?
S/S

A

Gradual damage to lung tissue
Thinning and destruction of alveoli or air sacs
Creates large air spaces instead of many small ones
The alveoli then lose elasticity and the patient has trouble breathing
S/S: clubbing, increased anteroposterior diameter, use of accessory muscles, breathlessness

62
Q

Blood transfusion signs of adverse reactions

A

Lower back pain is a sign of an acute hemolytic reaction
This occurs when donor blood is incompatible with the recipient
This is the most dangerous and potentially life threatening reaction

63
Q

Assigning UAP random about vitals

A

UAP should not be assigned to obtain vitals on an unstable patient

64
Q

Fluoxetine

A

SSRI - regulates serotonin levels in the brain

Antidepressant

65
Q

Aplastic anemia

A

Client at risk for bleeding! Most life threatening… use soft toothbrush or swab for mouth care
This is where the body fails to produce blood cells in sufficient numbers - deficiency of all blood types

66
Q

Presbyopia begins at what age

A

40’s

67
Q

Anomia

A

Cannot name objects
Early sign of alzheimers
NEVER NORMAL

68
Q

Apraxia

A

Unable to perform purposeful movements

69
Q

INR

A

Increased INR means patient has potential for decreased clotting and bleeding
Normal: 2-3

70
Q

Chorioamnionitis

A

Intra amniotic infection that is not contagious

Inflammation of fetal membrane

71
Q

Proper foot care for pt with diabetes

A

Cut toes straight across, not round

Do not wash with harsh chemicals such as betadine

72
Q

Sign of digoxin toxicity

A

Vision problems

73
Q

Reason why infant should not have MMR vaccine

A

Known allergies to Gelatin

74
Q

Acute cholecystitis

S/S

A

Occurs when bile is trapped in gallbladder

S/S: Fever, chills, N/V, rigidity of upper R abdomen, decreased appetite

75
Q

Thyroidectomy diet

A

Soft diet post surgery

76
Q

Hypothyroidism S/S

A

Decreased sensitivity to cold, dry skin, anorexia, fatigue, weight gain, constipation

77
Q

Assault

A

An act that results in a person’s genuine fear and apprehension that he or she will be touched without consent

78
Q

Battery

A

Unconsented touching of another person

79
Q

Kava-Kava

A

Can cause liver damage. Consult with provider

80
Q

Neuroleptic malignant syndrome

S/S

A

Adverse reaction to antipsychotic drugs
MEDICAL EMERGENCY!
S/S: Fever, altered mental status, muscle rigidity, autonomic dysfunction, tachycardia, tachypnea, diaphoresis, coma

81
Q

Guaiac test

Foods that affect this test

A

Looks for hidden blood in stool

Raw broccoli, red meats, turnip greens, cantaloupe, radish and horseradish

82
Q

Thyroidectomy complications

A

Positive chvostek’s sign - hypocalcemia - abnormal reaction to stimulation of facial nerve

83
Q

Signing the consent form

A

Signing as a witness implies that the client willingly signed
Must be over 18, do not have to be an RN

84
Q

Pantoprazole

A

PPI - treats stomach and esophagus problems

85
Q

Methylprednisolone
What it does
Side effect

A

Steroid that treats inflammation or severe allergies

Side effect: peptic ulcer

86
Q

Phenytoin

A

anticonvulsant for seizures

87
Q

Trousseau sign

A

Indication of hypocalemia. Hand spasms during BP

88
Q

Hypothyroidism

A

Increase fiber to help with constipation

Popcorn is a good source of fiber

89
Q

Diabetes insipidus lab values (Diuresis inspidus)

A

Decreased specific gravity

Increased sodium and hemoglobin

90
Q

Normal WBC count

A

5,000-10,000

91
Q

Somogyi effect

A

BS decreases at night, increases in the AM. When insulin decreases BS too much it can trigger a release of hormones that rebound BS and cause to increase insulin

92
Q

PTCA post op

A

Client must remain in bed for 4 hours. At risk for hemorrhage

93
Q

Cholinergic crisis

A 
Common cause is overdose of treatment drugs from myasthenia gravis
DUMBELLS
Diarrhea and abd cramping
Urination increases
Miosis (pinpoint pupils)
Bradycardia
Emesis
Lacrimation
Lethargy
Salivation
94
Q

ANC (Absolute neutrophil count)

A

<500 = severe neutropenia

Leads to risk for infection and sepsis!

95
Q

Pt on clear liquids post op

A

Shouldn’t last longer than 3 days! Puts them at risk for nutritional deficiencies.

96
Q

Magnesmium regulation

A

GI absorption and renal excretion!

Example: Hypermagnesmia comes secondary to renal insufficiency

97
Q

Petroleum jelly

A

Combustible substance, so do not use with O2 therapy!

98
Q

Gastric residual volume

A

If high, check again in 1 hr. If still high, then determine reason. Always 2 checks 1 hour apart! (High is around 250 ml’s or so)

99
Q

Syncope

A

Fainting or sudden temporary loss of consciousness

100
Q

Peritoneal dialysis

A

WARM effluent
2000 to 2500 mL is instilled over 30 min
Returned fluid should be CLEAR
Sweet taste may be experienced

101
Q

Therapeutic digoxin levels

A

0.5-2 ng/ml

102
Q

Ferrous sulfate (iron)

A

Causes constipation and GI upset

103
Q

Cetirizine (Zyrtec)

A

Antihistamine - Treats hay fever and allergy symptoms

104
Q

Lab values
WBC
Platelet
RBC

A

WBC: 5,000-10,000
Platelet: 150,000-400,000
RBC: Female 4.2-5.2 Male 4.7-6.1

105
Q

Contact precautions

A

MRSA, VRE, Diarrheal Illnesses, open wounds, RSV

106
Q

Airborne precautions

A

TB, Measles, Varicella
Neg pressure room
Wear N95 mask

107
Q

Droplet precautions

A

Pneumonia, Influenza, Whooping Cough, Bacterial meningitis

108
Q

LPN scope of practice

A

Can COLLECT data on admit, but RN has to verify and cosign to complete it
Can MONITOR a PCA pump but cannot initiate or administer medication
Cannot do IVP (push)

109
Q

R sided HF S/S

A

Anorexia, ascites, hepatomegaly

All due to fluid buildup in abdomen

110
Q

Kosher diet

A

No dairy and meat in the same meal
Steak okay if not bloody
Fish okay except for shellfish
No pork

111
Q

B vitamins

A

Help reduce risk of peripheral neuropathy!

112
Q

Neologism

A

Invention of new words by psychotic patient

113
Q

Echopraxia

A

Imitation of movement

114
Q

Depersonalization

A

Feelings of unreality “my heart is solid and my veins have turned to stone”

115
Q

Ginseng

A

An herb that improves mental and physical abilities

116
Q

Barbiturates

A

CNS depressors

They slow respiratory rate

117
Q

Clang association

A

Rhyming and alliteration

118
Q

Perseveration

A

Repeatings same word or idea

119
Q

Early sign of hypoxia

A

Restlessness

120
Q

Precautions for cleaning and changing foot ulcer drsg in diabetic patient

A

Sterile gloves!!!

NCLEX-PN (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions