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NCLEX-PN > Random from practice quizzes > Flashcards

Random from practice quizzes Flashcards

1
Q

What is cholelithiasis and what are the risk factors

A

Formation of gallstones

Risk factors: Female, old age, liver disease

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2
Q

What is Meniere’s Disease?

A

Disorder that usually affects the inner ear - hearing and balance
Causes vertigo!
Use antiemitics to treat
Occurs most commonly among 40’s and 50’s… not old age
Typically affects only one ear
Not the result of 2nd cranial nerve damage

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3
Q

What is a nosocomial Infection

A

Hospital acquired infection

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4
Q

What is considered low birth weight?

A

2500 grams

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5
Q

Nociceptive pain is…

A

Pain from physical damage

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6
Q

Radicular pain is…

A

Pain radiated along a nerve

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7
Q

What is Fibromyalgia

A

Widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues

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8
Q

What is dyspepsia

A

Indigestion

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9
Q

What is arson

A

Criminal act of setting fire to property

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10
Q

What is digoxin used for?

A

Heart Failure

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11
Q

How should you take iron pills?

A

On an empty stomach. If N/V occurs, drink with OJ

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12
Q

Positioning of patient after liver surgery

A

Right side to directly apply pressure to puncture site

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13
Q

What Is an EEG?

A

Electroencephalogram

Evaluates electrical activity in the brain

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14
Q

Erickson’s… Toddler, Preschool, Schoolage

A

Toddler: Autonomy vs Shame & Guilt
Preschool: Initiative vs Guilt
School Age: Industry vs Inferiority

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15
Q

How to use a cane

A

Place cane on strong side, move cane forward 6 inches, client stands with body weight divided, advance weaker leg towards cane first then stronger leg

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16
Q

Transfer of hemiplegia patient

A

Use mechanical lift!

hemiplegia = paralysis on one side of the body

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17
Q

What is pyuria

A

Presence of pus in urine, typically from an infection!

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18
Q

What is Dysuria

A

Pain or discomfort when urinating

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19
Q

Signs of prostate cancer

A

Weak or interrupted urine flow, inability to urinate, difficulty starting/stopping, polyuria, nocturia, hematuria, dysuria, low back pain

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20
Q

Therapeutic communication reminders

A
  • Never demand an explanation… causes defensiveness
  • Open ended statements are therapeutic and provide a safe environment for building rapport and client interaction
  • Restate what patient says.
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21
Q

LPN scope of practice

A

Sterile DRSG change

Administer enema’s & antibiotics

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22
Q

What is compartment syndrome and 5 P’s

A

Edema within a closed space that may result in a vascular compromise and decreased blood flow with eventual neurologic compromise

Five P’s
Pallor, pulselessness, pain, parasthesia, paralysis

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23
Q

What is Carpal Tunnel Syndrome

A

Causes pain, numbness and tingling in hand and arm. It occurs when the median nerve is squeezed or compressed as it travels through the wrist

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24
Q

What is Varicella?

A

Chicken Pox

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25
What is Reye's Syndrome?
Triggered by aspirin and most common among children recovering from viral infections such as chicken pox or the flu Causes brain and liver damage
26
Diet changes when taking diuretics...
Limit sodium and raise potassium!
27
Good sources of potassium
Avocados and milk
28
What is stress urinary incontinence
When urine leaks out due to pressure on bladder or urethra
29
How to decrease risk of dehiscence when removing sutures
Remove every other and if intact, continue removing alternating ones
30
Diet change with client diagnosed with liver disease
Increase carbs
31
Post surgery for upper GI series
X-ray.. pt given barium. Give oral laxative to get rid of barium post surgery
32
Position of bed if fluid volume overload
Raise HOB
33
Long term use of steroids
Decreases calcium, so body takes it from bones increasing osteoporosis
34
Ace inhibitors
-prils | Dilates blood vessels so it decreases blood pressure
35
Hematocrit levels | What is Hematocrit?
Males: 42-52% Females: 37-47% Proportion of RBC
36
How long can you delay eye prophylaxis after birth for newborn
1 hr
37
Which type of birth is highest risk for hemorrhage?
C-section
38
What is a precipitous delivery?
Super quick labor... less than 3 hours of commencement of regular contractions. Increased risk of tearing/hemorrhage
39
Guillan Barre syndrome. What is it? Nursing things to know?
Autoimmune disease where immune system attacks the nerves. Leads to eventual paralysis. - Monitor for contractures/pressure sores - Eventual paralysis or paresis of lungs and airway... monitor respiratory function - Encourage movement - ROM, massage, etc - Small, frequent, well balanced meals
40
What to do when someone has difficulty voiding post-op?
Administer pain meds | DO NOT straight cath
41
How can Hep B spread?
Blood borne... Can spread through razors or toothbrushes
42
What is slander?
Sharing verbal untruths
43
What is Libel?
Defamation of character by print or pictures
44
What is cellulitis? | How to decrease edema?
1. Bacterial skin infection resulting in warm, reddened, and edematous tissue. 2. To decrease edema use warm, moist compress to stimulate circulation and speed reabsorption of fluid.
45
Bulimia causes what electrolyte disorder?
Hypokalemia
46
S/S of pulmonary edema
Pink, frothy sputum
47
S/S of Bell's palsy
Droopy face, numbness on affected side, decreased ability to taste, increased sensitivity to sound, excessive tearing, inability to wrinkle forhead
48
How is nitro administered?
Sublingual or buccal
49
Acetylsalicyclic acid is what drug? | How is it administerd?
Aspirin | Chew or swallow. Faster absorption from chewing
50
What is thrombocytopenia? | What are s/s?
Low platelets - <150,000 | Ecchymosis, bleeding gums, petechiae, palpable spleen and liver
51
What is HPV?
Human papilloma virus There is a vaccine Most common cause of cervical cancers
52
How do you respond to delusions from schizophrenic or delusional patients?
Always present reality
53
Y/N is power of attorney for health care part of permanent record?
Yes
54
Why should children get rubella immunization?
If pregnant woman gets it from unimmunized child, baby could have birth defects.
55
Complications of mumps
Deafness and common cause of meningitis
56
What is an amniotomy?
Artifical ROM
57
Important prescription how to write
- No trailing "0" (20.0) | - Use "units" instead of IU - can be mistaken for IV or 10
58
Chest tube important to know
- Keep below level of chest | - Can be disconnected from suction when pt ambulates. Uses gravity
59
Wound DRSG change important to know
- Warm cleansing solution to body temp - Clean wound when drainage is present - Use sterile forceps to clean - Do NOT dry wound before applying DRSG... moisture is important for healing process
60
What angle should pt's elbows be flexed to when using crutches? Proper way to go from standing to sitting with crutches?
30 degrees | Hold both crutches in one hand, grab chair with other
61
Diet restrictions for patient on hemodialysis
Fluid, Na, K, Protein
62
What is the nursing process?
``` ADPIE Assessment Diagnosis Planning Implementing Evaluation ```
63
Reporting laws
- Physical, mental, financial abuse of VULNERABLE POPULATIONS (does not include spouse) - Gunshot victims report to law enforcement - Gonorrhea and West Nile to CDC
64
Visible changes of menopause
Loss of muscle mass, increased fat tissue leading to thicker waist, dryness of skin, dry vagina, hot flashes, sleep abnormalities, mood changes
65
When to bathe elderly patients?
Before bedtime to improve sleep
66
What is tepid water?
Lukewarm
67
How to prevent clots when on plane
- Do not cross legs - Get up and move Q2 hrs - Wear compression stockings - Avoid coffee
68
What is Anhedonia?
Inability to feel pleasure
69
What is an exercise stress test? | Eduction?
Determines hearts response during exercise - Hold heart meds - Do not eat or drink (Except H20) 4 hours prior - Avoid caffeine 24 hours prior
70
How to help patient with PTSD
Encourage to verbalize both memories and feelings
71
Jewish culture dietary
Dairy and meat cannot be eaten in the same meal
72
Akathisia
Movement disorder that makes it hard for you to stay still
73
Celiac disease diet
Gluten free - no wheat! - soups and sauces often have hidden gluten - Gluten free grains include: rice, corn, potato, quinoa - No malt or traditional wheat such as pastas, bread or crackers
74
What does gluten do to people with celiac diseaes
Causes inflammation of SMALL intestine
75
What to do when wrong med is administered
1. Get vitals 2. Report to provider 3. Alert unit manager 4. Complete incident report
76
Scope of practice
LPN can collect date for RN, but RN must validate correct data LPN cannot review pre-surgical lab values
77
What does conspicuous mean?
In plain sight
78
S/S of pernicious anemia
Smooth, red tongue; burning feet; lightheaded; dyspnea on exertion
79
What is Buerger's disease?
Rare disease of arms and legs where blood vessels become inflamed and can become blocked with blood clots This leads to pain, tissue damage and eventual gangrene There is no cure Quitting smoking can help stop the disease from getting worse
80
What electrolyte blocks iron absorption?
Calcium! Examples of calcium rich foods: broccoli and milk
81
Hypothyroidism diet
Hypothyroidism causes constipation so increase fiber in diet | Popcorn is high in fiber
82
What to do when chest tube is accidently D/C'd
Reconnect first before doing anything else
83
UAP scope of practice
CAN apply condom catheter
84
Alcohol abuse electrolyte disorder
Hypomagnesmia
85
What is rotovirus? | What kind of precautions?
Contagious virus common in children that causes diarrhea | Contact precautions
86
How to care for newborns umbilical chord
Do not place child in water until it falls off | Keep dry and clean. No petroleum guaze or anything
87
Patient with rheumatic fever pre op
Premedicate with antibiotics before surgery or dental procedure to prevent development of infective endocarditis
88
S/S of ovarian cancer
urinary frequency, menorrhea with breast tenderness, increased abdominal girth
89
Late decelerations position for mom
LEFT side to prevent compression of vena cava. Administer O2
90
What is green stained fluid during birth
Meconium | Have suction ready
91
To know about chlamydia
Use latex condom Can be asymptomatic. If burning or discharge, report to provider Sexually active women <25 should be screened. If diagnosed, repeat screening in 3 mo.
92
When do fetal movements first occur?
16-20 weeks
93
C-Section teaching
- Wait for 3 weeks to drive - Do not lift heavier than baby - Do not cross legs - Relax and contract pelvic floor muscles 10X, 8X a day
94
Purpose of amniotic fluid
- Control temperature - Assists musculoskeletal growth - Protects fetus from injury
95
What is Nagele's rule?
Subtract 3 mo, add 7 days
96
When do babies regain weight after birth
In 14 days!
97
What do you check immediately following rupture of membranes
FHR. Want to check for prolapsed chord
98
Newborn with hyperbilirubinemia
- Cover eyes during phototherapy - Phototherapy changes bilirubin so it can be more easily excreted - Breast feeding should continue every 2-4 hours - Baby should be undressed to allow maximum exposure for phototherapy - Dark urine is expected because of bilirubin breakdown
99
What position to put mom if prolapsed chord
Knee-Chest position
100
Breastfeeding tips
- Wear well fitting bra 72 hours after birth - Apply warm compress to breast prior to feeding - Massage breast during feeding - Wash hands before to prevent infection

NCLEX-PN (5 decks)

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