NCLEX RN General Questions

Question 1

What is the difference between slander and libel?

Answer 1

Slander is defamation by speech, libel is defamation by written word.

Question 2

What are the essentials of K+ administration?

Answer 2

Never give IM/Sub Q/IV push. Dilute 1 mEq/10 mL solution. Infuse 5-10 mEq/hr never to exceed 20. Check IV site frequently for phlebitis and check renal function prior to administration

Question 3

What can cause a U wave to be present on telemetry?

Answer 3

Hypokalemia.

Question 4

What are the clinical manifestations of hypocalcemia?

Answer 4

Chvostek’s and Trousseau’s signs, prolonged ST and QT intervals.

Question 5

How does hyperkalemia affect an ECG?

Answer 5

Peaked T waves, flat P waves, widened QRS complex, and prolonged

Question 6

Which of these would create the GREATEST risk for hyponatremia, Diuretics, corticosteroids, Cushing’s, hyperaldosteronism.

Answer 6

Diuretics.

Question 7

What are the S/S of hyponatremia?

Answer 7

Muscle weakness, flat neck veins if hypovolemic, diminished DTR’s, hyperactive bowel sounds.

Question 8

What can cause low phosphorous levels?

Answer 8

9. Malnutrition (alcoholism), overuse of magnesium or aluminum hydroxide antacids, hyperglycemia, Respiratory alkalosis.

Question 9

What is the difference between sensible and insensible fluid loss?

Answer 9

Sensible is what the person is aware of. Urine, wound drainage, gastrointestinal. Insensible is skin and lungs.

Question 10

Would a colostomy put a patient at risk for fluid volume overload/deficit?

Answer 10

It would usually be a deficit, but under some circumstances it can produce an overload.

Question 11

How would you describe Kussmaul respirations?

Answer 11

Deep, regular (not labored), and ↑ in rate.

Question 12

Which serum amylase level would be indicative of chronic pancreatitis, 45/100/300/500?

Answer 12

300. Acute pancreatitis can cause amylase levels to be as much as 5 times as high.

Question 13

When changing PN bags and tubing, what should you ask the client to do?

Answer 13

Turn the head away from the PICC line and do the Valsalva maneuver (take a dep breath, hold it, bear down).

Question 14

What body position is used when an air embolus is suspected?

Answer 14

Left side, head lower than feet. (to trap the embolus in the right side of the heart).

Question 15

What are the S/S of hyperglycemia?

Answer 15

Thirst, fatigue, restlessness, confusion, weakness, diuresis, Kussmauls, coma.

Question 16

If you are hanging a bad of fat emulsions on a patient receiving PN, and notice that the fats have separated into layers or globules, what do you do?

Answer 16

Return it to pharmacy and get a new bag.

Question 17

What is closely monitored on a client receiving PN at home?

Answer 17

Temperature and weight.

Question 18

If PN runs out, what is hung until a new bag is obtained?

Answer 18

10% Dextrose in water.

Question 19

If you need to expand the volume of a hypovolemic patient quickly, what IV solution would you give?

Answer 19

5% dextrose in LR is a hypervolemic solution that would expand volume quickly.