NCLEX RN EXAM WITH CORRECT QUESTIONS AND ANSWERS
How should the temperature of the water be tested if no thermometer is available? - ANSWER-Dropping
... [Show More] water on inside surface of your forearm.
With which body part do you begin when bathing an infant? - ANSWER-Eyes always
When cleansing an infant's eye, cleanse from _______ to _______ canthus? - ANSWER-No, inner to outer
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse the area? - ANSWER-No, not until foreskin retracts naturally and without resistance- then it should be retracted, cleansed and replaced.
When sponge-bathing with tepid water the correct temp is _____________. - ANSWER-98.6 F
How long does it take for the umbilical stump to fall off? - ANSWER-7 to 14 days
The primary reason why an infant is draped during the bath is to provide privacy. (T/F) - ANSWER-False, the primary purpose of draping is to prevent chilling.
You may use friction to remove vernix caseosa from an infant's skin. (T/F) - ANSWER-False, it causes damage/bruising
What solution is commonly used for care of umbilical cord? - ANSWER-70% alcohol to promote drying (trend is toward soap and water)
What is glycogen? - ANSWER-It is a stored formed of glucose/energy manufactured by the liver
When the body does not receive enough carbs it burns ___________ and _____________. - ANSWER-protein, fat
The most concentrated source of energy for the body is ___________. - ANSWER-fats
Fats carry vitamins - ANSWER-A,D,E,K (Remember FADE K!)
The nutrient needed most for growth and repair of tissues is _____________. - ANSWER-protein (second best is Vit C)
Vitamins and minerals provide energy for the body. (T/F) - ANSWER-False- they are necessary for a body's chemical reactions.
Water is present in ALL body tissues. (T/F) - ANSWER-True (even bone)
An individual is overweight if they are ________% above the ideal weight. - ANSWER-10
An individual is obese if they weigh ________% above the ideal weight. - ANSWER-20
What solution and material are used to cleanse the eyes of an infant? - ANSWER-Plain water, cotton balls, washcloths
Can you use cotton swabs to clean the eyes, nares or ears of an infant? - ANSWER-No, this is dangerous
Can you use the same cotton ball/washcloth edge for both eyes? - ANSWER-No, it would cross contaminate
Should you cover an unhealed umbilical site with the diaper? - ANSWER-No, fold the diaper down.
What temperature is appropriate for the water used to bathe an infant? - ANSWER-100 to 105
What is the #1 purpose of a tepid (slightly) sponge bath? - ANSWER-Lower body temperature during fever.
What cranial nerve is affected in Bell's Palsy? - ANSWER-#7, facial nerve
What is the #1 symptom of Bell's Palsy (idiopathic facial paralysis)? - ANSWER-One sided (unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______ months. - ANSWER-4 to 6
In addition to the facial paralysis, the sense of ______ is also affected in Bell's Palsy. - ANSWER-taste
Will the patient be able to close their eye on the affected side of Bell's Palsy? - ANSWER-no
Give three eye interventions for the client with Bell's Palsy. - ANSWER-Dark glasses, artificial tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary ________. - ANSWER-Urethra, rentention
At what age does BPH occur? - ANSWER-men over 50 years of age
In BPH the man has (increased/decreased) frequency of urination? - ANSWER-increased
In BPH the force of the urinary stream is (increased/decreased). - ANSWER-decreased
The man with BPH has a _________-stream of urine - ANSWER-forked
The man with BPH has hesitancey. What does this mean? - ANSWER-Difficulty starting to void
Will the man with BPH have enuresis, nocturia or hematuria? - ANSWER-Enuresis (involuntary urination) -No
Nocturia (Frequent urination at night) -Yes
Hematuria (blood in urine) -Maybe
What is the best way to screen men for BPH? - ANSWER-Digital rectal exam
Should fluids be forced or restricted in BPH? - ANSWER-forced
What does TURP stand for? - ANSWER-Transurethral resection of the prostate
The most radical prostate surgery is the ____________ prostatectomy. - ANSWER-Perineal
What type of diet is used in BPH? - ANSWER-Acid Ash
Acid Ash diet - ANSWER-Decrease pH (makes urine acid)
Chz, eggs, Meat, fish, oysters, poultry, Bread, Cereal, Whole Grains, Pastries, Cranberries, Prunes, Plums, Tomatoes, Peas, Corn, Legumes.
What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP? - ANSWER-To keep the catheter clear of clots and to drain urine
What solution is used for CBI? - ANSWER-Normal saline (0.9 NaCl)
How fast do you run the CBI? - ANSWER-At whatever rate it takes to keep the urine flowing and free of clots
What drug is use to treat bladder spasm? - ANSWER-B&O suppositories (Belladonna & Opiates)
Should you take a rectal temp after prostatectomy? Give stool softeners? - ANSWER-No rectal temperatures, yes stool softeners
You should call the MD after TURP when you see _________ thick ________, _____________ clots, and ____________ urine drainage on the dressing. - ANSWER-Bright thick blood, persistent clots, persistent urine on dressing (don't call MD for transitory clots and urine on dressing.)
In a patient with a TURP, if you see an increase in blood content of urine coming out of the catheter, you would first ___________. - ANSWER-Pull carefully on the catheter to apply local pressure on the prostate with the Foley balloon.
In a TURP, if you see clots in the tubing you would first ____________. - ANSWER-Increase the flow-rate.
What exercises should the post prostectomy patient do upon discharge? Why? - ANSWER-Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary problem post op
Will the post prostectomy patient be impotent? - ANSWER-If TURP, no impotence, if perineal prostatectomy, yes impotence
What is the most common problem due to catheterization? - ANSWER-UTI
What is the most common organism to cause UTI with catheterization? - ANSWER-E. coli
What is the most common route for organisms to enter the blader when a catheterization is used? - ANSWER-Up through the inside of the catheter in the days following catheterization [Show Less]