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NCLEX RN EXAM 2022

NCLEX-RN 2022 Q&A guide with key facts: antidotes, emergency conditions, therapeutic lab values & preeclampsia management. Essential for quick review and nursing exam prep.

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    NCLEX-RN EXAM 2022 WITH QUESTIONSAND ANSWERS What is the antidote for norepinephrine? - answer? he nto la mine (Regitine) What is autonomic dysreflexia? - answerLife -threatening condition in a client with high spinal cord injury Classic symptoms of autonomic dysreflexia? - a n s w e r s eve re hypotension, throbbing headache, dia pho resis, bradycardia,flushing and piloerection. Magnesium - answer1.5-2.5 mEq What is the therapeutic magnesium level to prevent seizures in a preeclamptic client? - answer4-7 mEq

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    Absent or decreased deep-tendon reflexes - answerEarliest sign of magnesium toxicity Calcium gluconate (antidote) - answerMagnesium toxicity Magnesium sulfate IV antidote? - answerCalcium gluconate IV Acetaminophen - answerN-acetylcysteine Most effective if given w/in 8 hrs of ingesting acetaminophen Anticholinergics - answerPhysostigmine Arsenic - a ns werChelat ion therapy: 1. dimercarpcl 2. penincillamine 3.calcium disodium edetate 4. Succimer Benzodiazepines - answerFlumazenil Beta blockers - answer High dose) glucagon Calcium channel blockers - answerGlucagon, calcium chloride, calcium gluconate Cholinergics - ans we rAtro pine, pralid oxime

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    Cyanide - answerAmyl nitrate Sodium thiosulfate Hyperbaric oxygen c h a m b e r Digitalis/digoxin - answerDigoxin antibodies: digoxin immune fab, digifab.digibind Dnoxaparin - answerProtamine sulfate Ethylene glycol - answer Ethanol Fomepizole Pyridoxine hydro chloride (vitamin b6) Heparin - answerProtamine sulfate Hypoglycemic agents - answerGlucagon Octreotide Iron - answerDeferoxamine mesylate Lead - a nswerC halation therapy 1. Dimercarpol 2. Penincillamine S.Succimer Mercury - answerChelation therapy

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    Methanol - answerFolic acid and then folic acid fomepizole Mushrooms, muscarinic - answerAtropine sulfate Nerve gas( sarin, soman and VX) - answerAtropine sulfate Pra lid oxime chloride Opiods(codeine, morphine) - answerNaloxone, nalmefene Snakesf rattle snakes, copperheads, cottonmouth) - answerAntivenin(crotalidae) polyvalent (equine origin) c rota lid a e polyvalent immune fa b( ovine) Spiders (black widow) - answerAntiveninf latrodectus Mactans) equine Tricyclic antidepressants - answerSodium bicarbonate Vasopressor infiltration and extravasation - answerPhentolamine mesylate Warfarin - answerP hytonadionef vitamin k) Normal neonate HR - answerl 10-160 <60 compression are started Creatinine - answerO.6-1.3 BUN - answer6-20

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    Hematocrit - answer39-50% Hemoglobin - answer!3.2 -17.3 Therapeutic INR Client with mechanical heart valve - answer2.5-3.5 Normal INR - answerO.75-1 .25 Therapeutic INR to treat A-FIE - answer2-3 Normal CVP - answer 2-8 Elevated CVP can indicate? - answerRight ventricular failure aka fluid volume over load S/S fluid overload: - answerPeripheral edema Increase urine output that is dilute Rapid weight gain S3 heart soundin adults Tachypnea, dyspnea, crackle in lungs Bo undig peripheral pulses What is re feeding syndrome? - answerA potential lethal complication of nutritional replenishment in malnourished pt

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    Key signs of refeeding syndrome? - answerRapid decline in phosphorus, potassium, and/or magnesium What is a potential complication of acute pericarditis? - answerCardiac tamponade S/S of tamponade - answerJVD, distant heart sounds, and decreased bp 5 stages of grief - answerdenial, anger,bargain, depression,acceptance what is wernickes (kortakoff's) syndrome? - answerPsychosis induced by Vitamin Bl (thiamine) deficiency Primary symptoms of wernickes (kortakoof's) syndrome? - answeramnesia with confabulation {making up stories) what is aversion therapy? - answerwhen you try and make the patient hate something anta bus/Revia onset and duration used for aversion therapy? - answer2 weeks pt. teaching on a n t a e u s /Revia: - answeravoid all forms of alcohol to avoid nausea, vomiting, death the difference between alcohol withdrawals and delirium tremens? - a ns w e rale o hoi withdrawals is NOT life threating delirious tremens CAN kill you how to remember aminoglycoslides? - answerthink " A MEAN OLD MACIN" when are aminoglycolides given? - answerused to treat serious, life threatening and resilienant

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    infection what most you remember about amino glycolides? - answerall ami no glycolides end in MYCIN but not all drugs that end in MYCIN are aminoglycolides examples of wanna be myc in's? - answerazythromycin, clarithromycin, arthromycin toxic effect of amino glycolides? - answerototoxicity: monitor hearing, balance, and tints neprotoxocoty: monitor creatine (kidney) frequency of aminoglycolides adminstration? - answerevery 8 hrs when do you only give amnio glycolides PO? - answerhepatic encepalopathy ( r/t high ammonia levels) pre op bowel prep who can sterilize your bowels? - answer" Neo- Kan" when do you ALWAYS draw the through? - answers 0 minutes before next dose when do you draw the peak levels of sublingual medications? - answer5-10 min after drug dissolved when do you draw the peak level IV medications? - ans werl 5-30 min after medication is finished when do you draw the peak level of IM medication? - answer30-60 min after injecting it

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    how to take off PPE? take it off alphabetic order - answ T ergloves 3 googles. gowns, mask how to put on PPE? put it on alphabetic order only that mask comes second - answergowns, mask, googles, gloves what are calcium channel blockers? - answerthey are like valium for the heart, what does that mean? it relaxes the heart what are calcium channel blockers consider? - answercalcium channel blockers are cardiac depressants. they are considered negative inotropic, chronotropic, drcmotropic. medications: calcium channel blockers, beta blockers what are cardiac stimulants? - answerpositive inotropic, chronotropic, drcmotropic medications are: atropine, epinephrine, and norepinephrine what does calcium channel blockers treat? - answeranti hypertensive (decrease bp) anti angina anti-atrial arrhythmic { atrial flutter, atrial fibrillation) what are some of the side effects of calcium channel blockers? - answerheadache- vaso dilation of brain hypotension- relaxes heart and bp can you give calcium channel blockers on a client with supra ventricular tachycardia ? - answeryes. because the indication of supra ventricular means its above the ventricle which is were the atrial is located.

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    name of calcium channel blockers can be remember by - answeranything finished in DIPINE BUT verapamil and cardizem are also calcium c h a n n e l blockers what do you monitor for cardizemp? - answercheck bp. if bp systolic is less than 100 hold calcium channel blockers QRS refers to? - a nswerve utricular P WAVE refers to? - answeratrial what is systole? - answera lack of QRS depolarization ( flat line) atrial flutter is? - answerrapid P wave depolarization in a "saw tooth pattern" atrial fibrillation is? - answerchaotic P wave depolarization chaotic P wave depolarization? - answerused to describe fibrillation ventricular fibrillation? - answerchaotics QRS ventricular tachycardia? - answerwide bizarre QRS PVC IS? - answerperiodic wide, bizarre QRS Be concerned about PVC's if? - answermore than 6 per minute 6 in a row

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    PVC falls on T wave of previous beat what are the lethal arrhythmias? - answerasystole and ventricular fibrillation ( high priority) what do asystole an ventricular fibrillation have in c o m m o n ? - answerthey have no c a r d i a c output what is the potentially life threatening arryhtmias? - answerV TACH, A FIB, A FLUTTER When dealing with an IV push drug? - answerif you don't know go slow EXCEPT ad eno card what is the treatment for PVC's? - answerlidocaine and a m i o d a r o n e What is the treatment for V tach? - a n s w e r l i d o c a i n e and amiodarone what are the treatment for supra v e n t r i c u l a r arrhythmias? - answerA- adenocard/adenosine { push in less than S secs: fast IV push) B- beta blockers ( lol) headache & hypotension C-calcium c h a n n e l blockers- better for asthma and COPD pts. D- digatilis- digoxinf lanoxinl what is treatment for V FIB? - answerYOU DEFIB (SHOCK THEM) what is the treatment for asystole? - a n s w e r l . epinephrine and follow by atropine ASYSTOLE - a n s w e r

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    ATRIAL FIBRILLATION - answer ATRIAL FLUTTER - answer NORMAL SINUS RHYTHM - answer SUPRAXTNTRICULAR TACHYCARDIA - answer VENTRICULAR FIBRILLATION - answer What is the purpose for CT ? - answeris to re establish negative pressure in the pleural space in the pneumothorax the chest tube removes? - answer air in the hemothorax the chest tube removes? - answerblood in the pneumohemothorax the chest tube removes' 1 - answerair and blood location of CT ? - answerAPICAL (HIGH - FOR AIR) AKA APEX BASILAR ( LOW-LUNG) REMOVES FOR BLOOD How many chest tube and location for unilateral pneumohemothorax? - answer? CT s apical and basilar on side of pneumo how many CT and where for post-op chest surgery/ chest trauma? - answerassume unilateral pneumohemothorax

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    2 apical and basilar on side if pneumo(sx) how many CT for Pneumohectomy? - answerzero because it has no pleural space When do you clamp the CT? - answerNEVER during routine during emergency CLAMP what do you do if the collection bottle gets knocked over? - answerset it back up ( is not an emergency) what do you do if the water seal breaks? - answerclamp it, cut it, submerge, unclamp what do you if the CT comes out? - answerlst: cover with a gloved hand best: cover the hole with vaseline gauze, put a dressing on top tape 3 sides if there is bubbling in the water seal intermittent? - answerits good - documented if there is continuous bubbling in the water seal? - answerbad= leak you don't want continuous bubbling in the water seal find the leak and put tape on it iftheres bubbling in the suction control chamber intermittently is? - answerbad= suction is not high low iftheres bubbling continous in the suction control chamber? - answergood rules for clamping the tube? - answer!, never clamp longer than 15 seconds w/out. a Drs orders.

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    2. use rubber tipped double clamp every congenital heart defect is either - answertrouble or not trouble TRouBLe- a lot of trouble - answerR to L shunt trouble slow growth short life expectancy apnea monitor needs surgery Blue -cyanotic No TRouBLe - no big deal - a n s w e r L t o R shunt no trouble normal development no surgery no apnea monitor If congenital heart defect DOESN'T start with a T is NOT TROUBLE - answerBUT if it starts with a T it is TROUBLE What are some examples of TROUBLE congeninteal heart defect? - answerRight to left -> kid is blue tetralogy of ballot, tricuspid stenosis, TAPZ, Trunks- arteriosnosis what are some examples of" NO TROUBLE" congenital heart defect? - answerventricular septial defect, pulmonary stenosis

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