Welcome To The Caring 4 You 2 Day NCLEX Review Seminar : Welcome To The Caring 4 You 2 Day NCLEX Review Seminar My name is Anneliese Garrison
www.caring4you.net
I have been a nurse since 1997 and since 2000, I have been helping nursing students in America and abroad, pass their Licensure Exam (known as the NCLEX).
We Start With A Quiz : We Start With A Quiz For the first 10 pages, these are items that were on the NCLEX as reported by various NCLEX test takers.
Please turn to page 11 and follow my instructions,
When complete, we will go over the correct answers together.
Please begin .... When I instruct you
Answers: Please share why you may have missed some questions. : Answers: Please share why you may have missed some questions. Question 1 - Actual answer was: Administer the morphine. The nurses PRIORITY action would
be to relieve the chest pain. Thus administering the morphine would be the correct action to take
FIRST. While it is true that pain is a psychosocial need and physiological needs would come
first, in this case it is standard routine in an ER to get an EKG and blood work. Answers B and C
do not need a doctors order.
Question 2. : Question 2. Actual answer was: Dissolve clots they may have. Throbolytic drugs are
administered within the first 6 hours of a MI to lyse clots and reduce the extent of damage.
Question 3. : Question 3. Actual answer was: Impaired Gas Exchange. Impaired Gas Exchange related to poor oxygenation and dysrythmias is a major problem after a MI.
Question 4. : Question 4. Actual answer was: Observe for chest pain. Closure of the previous obstructed coronary artery may recur. Heperin is often given in conjunction with tPA to prevent closure after the tPA is given. (tPA = Tissue Plasminogen Activator)
Question 5. : Question 5. Actual answer was: Blood Pressure. People with Pulmonary Edema often experience hypertension.
Question 6. : Question 6. Actual answer was: Activity Intolerance related to imbalance between oxygen supply and demand. The decreased cardiac output associated with heart failure leads to reduced oxygen and fatigue.
Question 7. : Question 7. Actual answer was: Increase myocardial contractility. Digoxin is a cardiac glycoside
with positive inotropic activity. This activity causes increased strength of myocardial
contractions and increases out of blood from the left ventricle. There is then, less blood shifting
from the capillaries into the alveoli. It does decrease electrical conductivity but this is not the
primary reason for its use.
Question 8. : Question 8. Actual answer was: reduce peripheral vascular resistance. B-adrenergic antagonists such as metoprolol tartarate (Lopressor) act on B1-adrenoreceptors in the cardiac muscle and thereby reduce heart rate and lower blood pressure.
Question 9. : Question 9. Actual answer was: 5 to 10 minutes. Diuresis normally begins in about 5 minutes and reaches its peak in 30 minutes. Lasts 2-4 hours.
Question 10. : Question 10. Actual answer was: excrete fluids accumulated during the night. When given in the morning, the need to void will not disturb nighttime sleeping.
Now let us move on to understanding delegation …..