NCLEX RN EXAM 2022

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NCLEX-RN EXAM 2022 WITH QUESTIONSANDANSWERSWhat is the antidote for norepinephrine? - answer?he nto lamine (Regitine)What is autonomic dysreflexia? - answerLife-threatening condition in a client withhigh spinal cord injuryClassic symptoms of autonomic dysreflexia? - a n s w e r seve re hypotension, throbbingheadache,dia pho resis,bradycardia,flushing and piloerection.Magnesium - answer1.5-2.5 mEqWhat is the therapeutic magnesium level to prevent seizures in a preeclampticclient? - answer4-7 mEq

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Absent or decreased deep-tendon reflexes - answerEarliest sign of magnesiumtoxicityCalcium gluconate (antidote) - answerMagnesium toxicityMagnesium sulfate IV antidote? - answerCalcium gluconate IVAcetaminophen - answerN-acetylcysteineMost effective if given w/in 8 hrs of ingesting acetaminophenAnticholinergics - answerPhysostigmineArsenic - a ns werChelat ion therapy:1. dimercarpcl2. penincillamine3.calcium disodium edetate4. SuccimerBenzodiazepines - answerFlumazenilBeta blockers - answer High dose) glucagonCalcium channel blockers - answerGlucagon, calcium chloride, calcium gluconateCholinergics - ans we rAtro pine, pralid oxime

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Cyanide - answerAmylnitrate Sodiumthiosulfate Hyperbaricoxygen c h a m b e rDigitalis/digoxin - answerDigoxin antibodies: digoxin immune fab, digifab.digibindDnoxaparin - answerProtamine sulfateEthylene glycol - answer EthanolFomepizolePyridoxine hydro chloride(vitamin b6)Heparin - answerProtamine sulfateHypoglycemic agents -answerGlucagon OctreotideIron - answerDeferoxamine mesylateLead - a nswerC halation therapy1.Dimercarpol2. PenincillamineS.SuccimerMercury - answerChelation therapy

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Methanol - answerFolic acid and then folic acid fomepizoleMushrooms,muscarinic - answerAtropine sulfateNerve gas( sarin, soman and VX) - answerAtropine sulfatePra lidoxime chlorideOpiods(codeine,morphine) - answerNaloxone, nalmefeneSnakesf rattle snakes,copperheads, cottonmouth) - answerAntivenin(crotalidae)polyvalent (equine origin) c rota lidae polyvalent immune fa b(ovine)Spiders (black widow) - answerAntiveninf latrodectus Mactans) equineTricyclic antidepressants - answerSodium bicarbonateVasopressor infiltration and extravasation - answerPhentolamine mesylateWarfarin - answerPhytonadionef vitamin k)Normal neonate HR - answerl 10-160<60 compression are startedCreatinine - answerO.6-1.3BUN - answer6-20

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Hematocrit - answer39-50%Hemoglobin - answer!3.2 -17.3Therapeutic INRClient with mechanical heart valve - answer2.5-3.5Normal INR - answerO.75-1.25Therapeutic INR to treat A-FIE - answer2-3Normal CVP - answer 2-8Elevated CVP can indicate? - answerRight ventricular failure aka fluid volume overloadS/S fluid overload: - answerPeripheraledema Increase urine output that is diluteRapid weight gainS3 heart soundin adultsTachypnea,dyspnea,crackle inlungs Boundig peripheral pulsesWhat is re feeding syndrome? - answerA potential lethal complication of nutritionalreplenishment in malnourished pt

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Key signs of refeeding syndrome? - answerRapid decline in phosphorus, potassium,and/or magnesiumWhat is a potential complication of acute pericarditis? - answerCardiac tamponadeS/S of tamponade - answerJVD, distant heart sounds, and decreased bp5 stages of grief - answerdenial, anger,bargain, depression,acceptancewhat is wernickes (kortakoff's) syndrome? - answerPsychosis induced by VitaminBl (thiamine) deficiencyPrimary symptoms of wernickes (kortakoof's) syndrome? - answeramnesia withconfabulation {making up stories)what is aversion therapy? - answerwhen you try and make the patient hatesomethinganta bus/Revia onset and duration used for aversion therapy? - answer2 weekspt. teaching on a n t a e u s /Revia: - answeravoid all forms of alcohol to avoid nausea,vomiting, deaththe difference between alcohol withdrawals and delirium tremens? - a ns we rale ohoiwithdrawals is NOT life threatingdelirious tremens CAN kill youhow to remember aminoglycoslides? - answerthink " A MEAN OLD MACIN"when are aminoglycolides given? - answerused to treat serious, life threatening andresilienant

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infectionwhat most you remember about aminoglycolides? - answerall aminoglycolides endin MYCIN but not all drugs that end in MYCIN are aminoglycolidesexamples of wanna be mycin's? - answerazythromycin, clarithromycin, arthromycintoxic effect of aminoglycolides? - answerototoxicity: monitor hearing, balance, andtints neprotoxocoty: monitor creatine (kidney)frequency of aminoglycolides adminstration? - answerevery 8 hrswhen do you only give amnioglycolides PO? - answerhepatic encepalopathy ( r/t highammonia levels)pre op bowel prepwho can sterilize your bowels? - answer"Neo-Kan"when do you ALWAYS draw the through? - answers0 minutes before next dosewhen do you draw the peak levels of sublingual medications? - answer5-10 minafter drug dissolvedwhen do you draw the peak level IV medications? - ans werl 5-30 min aftermedication is finishedwhen do you draw the peak level of IM medication? - answer30-60 min afterinjecting it

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how to take off PPE? take it off alphabetic order - answTergloves3googles. gowns,maskhow to put on PPE? put it on alphabetic order only that mask comes second -answergowns, mask, googles, gloveswhat are calcium channel blockers? - answerthey are like valium for the heart, whatdoes that mean? it relaxes the heartwhat are calcium channel blockers consider? - answercalcium channel blockers arecardiac depressants.they are considered negative inotropic, chronotropic,drcmotropic. medications: calcium channel blockers, betablockerswhat are cardiac stimulants? - answerpositive inotropic, chronotropic,drcmotropic medications are: atropine, epinephrine, and norepinephrinewhat does calcium channel blockers treat? - answeranti hypertensive(decrease bp) anti anginaanti-atrial arrhythmic { atrial flutter, atrial fibrillation)what are some of the side effects of calcium channel blockers? - answerheadache-vaso dilation of brainhypotension- relaxes heart and bpcanyougivecalciumchannelblockersonaclientwithsupraventriculartachycardia ? - answeryes. because the indication of supra ventricular means itsabove the ventricle which is were the atrial is located.

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name of calcium channel blockers can be remember by - answeranythingfinished in DIPINE BUT verapamil and cardizem are also calcium c h a n n e lblockerswhat do you monitor for cardizemp? - answercheck bp. if bp systolic is less than 100hold calcium channel blockersQRS refers to? - a nswerve utricularP WAVE refers to? - answeratrialwhat 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 depolarizationchaotic P wave depolarization? - answerused to describe fibrillationventricular fibrillation? - answerchaotics QRSventricular tachycardia? - answerwide bizarre QRSPVC IS? - answerperiodic wide, bizarre QRSBe concerned about PVC's if? - answermore than 6per minute 6 in a row

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PVC falls on T wave of previous beatwhat are the lethal arrhythmias? - answerasystole and ventricular fibrillation ( highpriority)whatdo asystole an ventricular fibrillation have in c o m m o n ? - answerthey have noc a r d i a c outputwhatis thepotentially life threatening arryhtmias? - answerV TACH, A FIB, AFLUTTERWhen dealing with an IV push drug? - answerif you don't know go slow EXCEPTad eno cardwhatis the treatment for PVC's? - answerlidocaine and a m i o d a r o n eWhat is the treatment for V tach? - a n s w e r l i d o c a i n e and amiodaronewhatare 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 & hypotensionC-calcium c h a n n e l blockers- better for asthma and COPD pts.D- digatilis- digoxinf lanoxinlwhatis treatment for V FIB? - answerYOU DEFIB (SHOCK THEM)whatis the treatment for asystole? - a n s w e r l . epinephrine andfollow by atropineASYSTOLE - a n s w e r

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ATRIAL FIBRILLATION - answerATRIAL FLUTTER - answerNORMAL SINUS RHYTHM - answerSUPRAXTNTRICULAR TACHYCARDIA - answerVENTRICULAR FIBRILLATION - answerWhat is the purpose for CT ? - answeris to re establish negative pressure in thepleural spacein the pneumothorax the chest tube removes? - answerairin the hemothorax the chest tube removes? - answerbloodin the pneumohemothorax the chest tube removes'1- answerair and bloodlocation of CT ? - answerAPICAL (HIGH - FOR AIR) AKAAPEX BASILAR ( LOW-LUNG) REMOVES FOR BLOODHow many chest tube and location for unilateral pneumohemothorax? -answer? CT s apical and basilar on side of pneumohow many CT and where for post-op chest surgery/ chest trauma? - answerassumeunilateral pneumohemothorax

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2apical and basilar on side if pneumo(sx)how many CT for Pneumohectomy? - answerzero because it has no pleural spaceWhen do you clamp the CT? - answerNEVER duringroutine during emergency CLAMPwhat do you do if the collection bottle gets knocked over? - answerset it back up ( isnot an emergency)what do you do if the water seal breaks? - answerclamp it, cut it, submerge, unclampwhat do you if the CT comes out? - answerlst: cover with agloved hand best: cover the hole with vaseline gauze, put adressing on top tape 3 sidesif there is bubbling in the water seal intermittent? - answerits good - documentedif there is continuous bubbling in the water seal? -answerbad= leak you don't want continuous bubbling inthe water sealfind the leak and put tape on itiftheres bubbling in the suction control chamber intermittently is? - answerbad=suction is not high lowiftheres bubbling continous in the suction control chamber? - answergoodrules for clamping the tube? - answer!, never clamp longer than 15 seconds w/out. aDrs orders.

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2. use rubber tipped double clampevery congenital heart defect is either - answertrouble or not troubleTRouBLe- a lot of trouble - answerR to L shunttrouble slow growthshort lifeexpectancyapnea monitorneeds surgeryBlue -cyanoticNo TRouBLe - no big deal - a n s w e r L t o R shunt notrouble normal developmentno surgeryno apnea monitorIf congenital heart defect DOESN'T start with a T is NOT TROUBLE - answerBUT ifit starts with a T it is TROUBLEWhat are some examples of TROUBLE congeninteal heart defect? - answerRightto left -> kid is bluetetralogy of ballot, tricuspid stenosis, TAPZ, Trunks- arteriosnosiswhat are some examples of" NO TROUBLE" congenital heart defect? -answerventricular septial defect, pulmonary stenosis

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