Verbal for NCLEXBy Thianlyn Chu

Q1.Patients weight 188 lbs., the doctor ordered dobutamine drip 2.5mcq/kg/min, Stock is 250 mcg in 250 cc D5W

A1. 188 lbs x 2.2 kg = 85.4 kg 85.4 x 2.5 mcg = 213.6

0.213÷ 250 x 250 cc = 0.2 ml 0.2 – 1 ml is the range of dobutamine

Q2. Which of the following meds should you give first?A2. 1st - Neostigmine to a myasthenia gravis patient 2nd – Zafirlukast to a bronchial asthma patient (a long term use)

Q3. Which is correct nursing action in cervical radiation implant? A3.Disposable plates & utensils

Q4 What is the priority nursing action in cervical implant?A4. Maintain Complete Bed rest Q5. PTU (Prophylthioracil) needs to be reported immediately A5. WBC of 2,500

Q6. Which of the following would indicate machine malfunction? A6. Hypothermic blanket with a temperature of 38.0°C (100.7°F) to 38.8°C (101.84°F)

Q7. Which is a correct cancer screening?A7. Occult blood test beginning at the age of 50 then annually

Q8. Which is correct about Addison’s disease?A8. “I will avoid persons with colds”

Q9. Osteoporosis, which is the correct understanding? A9. “I will walk in the morning for a few minutes in the sun”

Q10. Post MI patient correct understanding A10. “I will resume sex if I am able to climb 2 flights of stairs without dyspnea or Chest pain”Q11. Osteoarthritis correct understanding A11. “I will maintain ideal body weight”

Q12. Gouty arthritis, correct understanding A12. “I will get my protein sources from fish, eggs and poultry”

Q13. MRSA (Meticillin Resistant Staphylococcus Aureus), correct understanding about PrecautionA13. Assign a stethoscope to the patientQ14. Select all the best apply about the drug CIALIS (Sildenafil)A14. Do’s Don’ts -Check for dizziness - don’t increase libido -Check for hypotension -“I will take nitrates” -Visual disturbance -to be taken 30 minutes to 1 hour Prior to intended intercourse

Q15. GranisetronA15. Anti-emetic use in cancer chemotherapy

Q16.Celegenin (Anti parkinsonian) correct understandingA16. Caution patient to move slowly for it causes hypotension

Q17. PTB patientA17. Negative air pressure room High efficiency particulate air mask Strict hand washing

Q18. When is rifampicin and INH best given?A18. 1 hour a.c. or 2 hours p.c. – empty stomach

Q19. Post –op craniotomy day 1. What is the essential equipment?A19. Oral airway

Q20. Correct instruction about crutch walkingA20. Unaffected leg first up the stairs and then followed by crutches and affected leg

Q21. Patient with UTI/cystitis taking cotrimoxazole, which is incorrect understanding?A21. Take medications with grape juice *NO ANTI BIOTIC MEDICATION SHOULD BE TAKEN WITH GRAPE JUICE

Q22. Post-op vein ligation and stripping. What should you instruct?A22. Elevate above the level of the heart Foot flexion exercise q 1 hour

Q23. Ulcerative colitis, correct understandingA23. “I will avoid stressors/colds”

Q24. Cardiac catheterization, priority nursing actionA24. Check for allergy to iodine/anti platelet 2nd priority – “IS somebody available after the test?”

Q25. Bladder Cancer risk factorA25. Cigarette smoking ---1st PRIORITY Working in a rubber plant factory – 2nd priority

Q26. Pediatric Nurse assigned tit he Medical-Surgical unit, which patient should you Assign?A26. Sickle –cell patient asking for pain medication

Q27. Which task should you delegate to a nursing attendant?A27. Assisting a Parkinson patient to ambulate in the hallway

Q28. A medical-surgical nurse assigned to the Ob ward, which patient should you Assign?A28. Pregnancy Induce Hypertension (PIH)

Q29. Which of the tracheostomy care require intervention?A29. Tracheal cough pressure at 40 mmHg

Normal 20-25 mmHg

Q30. Diverticulitis which is correctA30. Increase intake of celery and cabbage

Q31. Prevention of thrombophlebitisA31. __X_1. Ambulation __/_2. Cross leg at the ankle __X_3. Foot flexion exercise q1 hour

Q32. Pneumonectomy correct understandingA32. Turn toward affected side

Q33. HIV, select all the best apply which requires urgent reporting A33. __/_1. Very low CD4 count (normal is 500 and up) __/_2. Sore throat (means infection) __x_3. (+) Elisa __x_4. (+) P24antigen __x_5. (+) Western blood

__x_6. High viral load

Q34. Herbal medication correct understandingA34. Saw palmetto is used to decrease urgency in BPH

Q35. Cushing’s disease correct understandingA35. Avoid people with colds

incorrect understanding - ↑ CHON diet and ↓K diet DIET: ↓CHON diet and ↑ K diet

Q36. Which following assessment indicates ventricular failure/left sided failure?A36. Crackling sound heard on auscultation that does not clear upon coughing HINT: Left = Lung

Q37. Which is correct physical assessment?A37. Dullness upon percussion of the spleen on Left side of thorax

Q38. Patient is seen staring blankly at the wall mumbling, best nursing interventionA38. Are you hearing voices? - Validating hallucination

Q39. Which of the following should you see first?A39. __x_ 1. G1P0 10 com dilated station 0 __/_ 2. G3P2 8 cm dilated station +3

Q40. Patient is tearful, best nursing respond?A40. “You seem bothered”

Q41. Scabies, select all best applyA41 __/_ 1. Gloves & Gowns __x_ 2. Door is always kept close __x_ 3. Mask __x_ 4. Items, blankets are not brought outside (place plastic cover)

Q42. Lamisil (Terbinafil) - antifungal. Report urgently.A42. Dark urine - hemolysis

Q43. Patient suspected of intestinal obstruction, assessment findingsA43. High Pitch tingling sound – Early sign DONOT ANSWER: Absence of bowel sound – late sign

Q44. Small bowel obstruction, select all the best applyA44. __/_1. Vomitus that is bowel stained __x_2. Abdominal pain through out the abdomen and flanks __x_3. Abdominal distention

Q45. Alendronic/Fossamacs (to ↑ bone density), correct instructionA45. Sit upright for 30 minutes after ingestion

Q46. New RN in the Med-Surg unit, give what patient?A46. Patient with an infection for antibiotics

Q47. AIDS roommateA47. D. Post –op patient or patient with seizure disorder

Q48. Tamoxifen, correct understandingA48. It blocks estrogen receptor to prevent recurrence of breast cancer * It causes flushing of the face/hot flashes

Q49. Phantom limb pain drug of choiceA49. Elavil (Amitreptilin)

Q50. PTCA balloon tip catheter, essential question to askA50. “Are you allergic to aspirin?”

Q51. Bronchoscopy essential nursing actionA51. Maintain on NPO, check for gag reflex

Q52. Spinal cord injury at level of T2 spastic bladder interventionA52. Catheterize patient intermittently

Q53. Obstetric patient on CTG/Fetomonitor. Which of the following you should report?A53. Deceleration at the peak of contraction/acme of contraction resembling a mirror Image of uterine contraction – late deceleration * Signifies utero-placental insufficiency

Variable deceleration - Cord compression} turn to side Early deceleration - Head compression} turn to side Late deceleration - Utero - placental insufficiency}

Q54. Pericarditis s/sxA54. Chest pain worst upon inspiration and supine

Q55. Corticosteroids correct understanding

A55. “I will inform my health care provider if with sore throat” “I will avoid persons’ with infection”

Q56. Latex allergy A56. Assess presence of stridor, allergy to kiwi and bananas

Q57. Patient type 1 DM with ketones and fruity dour of breath initial nursing actionA57. Check patency of the vascular access device (IVF) Give insulin (2nd best answer)

Fluids first Insulin (regular insulin) Electrolytes or give K

Q58. DM patient, correct guidelines sick day rulesA58. a. “I will increase my fluid intake” / “I will drink ½ cup of cola every 1 to 2 Hours” b. Continue medication c. Report sugar of 250 mg/dl and above

Q59. Lithium, correct understandingA59. “I will maintain ↑ fluid intake/ maintain normal salt intake”

Q60. Pneumonia physical assessmentA60. Bronchial breath sounds / increase tactile premitous

Q61.Theophylline signs of toxicityA61. Nervousness

Q62. Lanoxin common side effectsA62. Fatigue Destructor: Bradycardia

Q63. Osteoarthritis correct understandingA63. “I will lose weight” “I will avoid jogging” Rheumatoid Arthritis - avoid flexing - take medications with meals - avoid stressors and infectionQ64. Stroke highest risk factorA63. Atrial fibrillation

Q65. Lyme disease risk factor

A65. Camping

Q66. Hyperkalemia – 5.6 expected findingsA66. Bradycardia

Q67. Toddler – Which among the following is a safety hazard at home?A67. A container of balls in the table near the sofa *hazards are at the eye level of the toddler

Q68. Manic patientA68. Portable foods/finger food

Q69. Levofloxacin side effect, select all the best applyA69. Diarrhea Nausea/vomiting Rash

Q70. Heimlich maneuverA70. a. Stand behind the patient b. Wrap arms around the abdomen between the umbilicus and the typhoid Process c. Make a fist d. Place hand over the fist e. Make an upward thrust f. Continue upward thrusting until the object is dislodged

Q71. Clostridium deficile, correct precautionA71. Contact precaution – gloves/hand washing * Patients at risk are those at long term antibiotic treatment, s/sx - diarrhea

Q72. Morphine SO4 essential nursing interventionA72. Assess respiratory status

Q73. Hepatitis, correct understandingA73. a. Hepatitis A is transmitted via fecal-oral route and sexual intercourse b. Hepatitis D will occur only in the presence of hepatitis B infection c. Recombivax is given in series of 0-1-6 moths intervals d. Hepatitis E is transmitted by oral-fecal route

Q74. Hepatitis B vaccineA74. a. 1st dose is via the vastus lateralis in new born b. 2nd dose is given via deltoid

Q75. RSV, contact precaution correct understandingA75. Patient does not need antibiotics since it’s a viral illness

Q76. Cimetidine (Tagamet) is taken by patient, correct understandingA76. “I will inform my health care provider that cimetidine will interfere with other Meds”

Q77. Femoral popliteal by-pass surgery, needs immediate interventionA77. Knee flexion/ pillow behind the knee

Q78. Pulse oxymetry correct understandingA78. The reading is affected by excessive light from environment *The probe on fingers must be covered by opaque material

Q79. Post cholecystectomy patient, laparoscopic nursing care select all best applyA79. __/_ early ambulation __/_ Low fat diet

Q80. Bronchial asthma patient, immediate interventionA80. Absence of wheezing during asthma attack

Q81. Kcl IV, priority nursing assessmentA81. Check urine output

Q82. Sulfasalazine/5 ASA. Correct understandingA82. “I will take it with meals; I will increase my fluid intake”

Q83. Pancreatitis, correct understandingA83. a. NPO b.H2 Blockers (Ranitidine) c. NGT d. Meperidine e. IV Fluids

Q84. Hyperthyroidism signs and symptomsA84. Nervousness, Tremors, heat intolerance

Q85. Tapasol/PTU report A85. Sore throat

Q86. ERCP (Endoscopic Retrograde Colandronic Pancreatography) essential

Question to ask before the procedure A86. Assess for allergy to iodine/dye

Q87. Branchioplexus injury in NewbornA87. Assess for Moro reflex

Q88. AKA (Above Knee Amputation) correct understanding, select all the best applyA88. __/_ elevate for 24hours __/_ figure of 8 __x_ ROM exerciseQ89. Cystitis incorrect understandingA89. “I will void if I feel the urge”

Q90. Burn patient, what type of isolation?A90. Reverse isolation – all things must be sterile

Q91. Dental bleeding incorrect understanding about herbal medicationsA91. “Ginko bilova will prevent it when I ho to the dentist”

Q92. Multiple sclerosis, correct understandingA92. “I will avoid persons with colds”

Q93. Gentamycin/NeomycinA93. Monitor BUN, Creatinine and Increase fluid intake

Q94. Pneumocystis Carinii Pneumonia (PCP), correct understandingA94. “I will not contact the disease, since I have it in my nose” *Personal Protective Equipment: GLOVES

Q95. Reynaud’s correct understandingA95. Avoid smoking

Q96. Correct neurological assessmentA96. “I will let the patient identify the figure drawn on my hand”

Q97. Cyclopospomide/Cytoxan – a chemotherapeutic agent – it requires Thrombocytopenic precautionA97. ↑fluid intake Monitor BUN and creatinine *It causes hemolytic cystitis

Q98. Spina Bifida, incorrect instructionA98. “I will sit up my patient during toilet training”

Q99. Which among the following is correct understanding about safety?A99. Store medicines in a locked cabinet

Q100. Essential question to ask during intermittent claudicationA100. “Do you smoke?”