NCLEX PN EXAM 2024 WITH VERIFIED
ANSWERS || ALREADY GRADED A+ | LATEST
VERSION | GUARANTEED PASS
What is a mechanical diet? - ANSWER-Meals that are prepared for easy swallowing (Avoid nuts, dried, salty foods)
What type of candy can you offer a patient who has reduced salivary flow? - ANSWER-Sour candy
Can you give a patient hard candy to relieve thirst? - ANSWER-Yes
How can you determine the patients BMI? - ANSWER-Divide the weight (kilo) by the height (meters squared)
What is Enteral nutrition? - ANSWER-Feeding through the GI tract
What is Parenteral nutrition (PN)? - ANSWER-Feeding through a vein (Last resort)
Where should the PN line be placed when short term nutrition is needed (4 weeks or less)? - ANSWER-Subclavian or jugular vein
- / 3
Where should the PN line be placed when "long" term nutrition is needed (longer than 4 weeks)? - ANSWER-PICC is used
How often should you monitor the VS of a patient receiving lipid solutions? - ANSWER-Every 10 mins (Monitor for reactions the 1st 30 mins)
Can lipid solutions be given to patients with egg allergies? - ANSWER-No
Can you use the arm that has an infusion going for blood draws? - ANSWER-No, it can give inaccurate results (Try and draw blood 1 hour prior to intermittent heparin)
Clenching/unclenching of the fist during a blood draw can cause what inaccurate result? - ANSWER-Potassium level
If the aPTT value is prolonged longer than ___ seconds in a patient receiving heparin, initiate bleeding precautions? - ANSWER-90 seconds
If the PT value is longer than ___ seconds in a patient receiving warfarin, initiate bleeding precautions? - ANSWER-30 seconds
What should you monitor in a patient receiving Chemo due to the risk of Thrombocytopenia? - ANSWER-Platelet count
What is the normal RBC for a male and female? - ANSWER-Female 4.0 - 5.5 Male. 4.5 - 6.2
- / 3
If a patient is experiencing dyspnea and has an elevated BNP, what is the diagnosis? - ANSWER-Heart failure (If the BNP is normal, the dyspnea is a result of respiratory distress)
In "acute" pancreatitis the amylase levels may exceed how many times the normal limit? - ANSWER-5 times (Levels start rising around 6 hours of the onset of pain, peaks at 24 hours)
In "chronic" pancreatitis the serum amylase levels may increase how many times the normal limit? - ANSWER-3 times (normally does not exceed 3)
True/False Patients with liver disease have prolonged clotting times? - ANSWER-True
How long should the patient fast before a glucose study? - ANSWER-8-12 hours
How are Central venous catheters position determined? - ANSWER-X-ray
What position should the patient be in for central line insertion, removal and tubing change? - ANSWER-Trendelenburg
Washed red blood cells may be ordered for what 2 types of issues? - ANSWER-1) Recent allergic reaction to transfusion
2) Recent stem cell transplant
How are platelets administered? - ANSWER-Rapidly over 15-30 mins
- / 3