...NCLEX Chapter 6 Q1. Nurse is talking to a Japanese American patient about his upcoming surgery. The patient keeps nodding and smiling. What does that mean? A1: The nodding and smiling is cultural/part patient’s culture. A2: Patient agrees with treatment. A3: Patient agrees that the procedure is required. A4: Patient understands the process of preoperative procedures. Correct answer is 1. Because answers 2 and 3 may not mean that patient agrees with the treatment, speaker, or understands the procedure. Option 4 falsely interprets patient’s behavior. Q2. What is the best thing to do when the nurse is talking to a patient of different language? A1: Talk slow and loud. A2: Get an interpreter. A3: Talk to the patient and family at once. A4: Talk loud while being close to the patient. Correct answer is 2. Answer 3 violates patient’s privacy rights, answers 1 and 4 are wrong because talking loud wouldn’t be therapeutic to the patient, but the opposite. Q3. The nurse educator is educating staff transcultural nursing, when a staff member asks to explain acculturation. What is the most appropriate response? A1: It is learning new culture and adapting to change. A2: It is importance of person’s heritage and a desire to belong. A3: It is a group of people that are culturally unique. A4: It is a group that shares characteristics of the population that it is a part of. Correct answer is 1 because the definition of acculturation means learning new culture and adapting...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...Darren & Jenny’s Nursing Study Guide Darren & Jenny Nursing Study Guide Nursing Formulas and Conversions Drugs and Dosage Formulas and Conversions Volume 60 minims = 1 dram = 5cc = 1tsp 4 drams = 0.5 ounces = 1tbsp 8 drams = 1 ounce 16 ounces = 1pt. 32 ounces = 1qt. Weight 60 grains = 1dram 8 drams = 1 ounce 12 ounces = 1 lb. (apothecaries') Household 1tsp = 1tsp = 3tsp = 1tbsp = Household 1tsp=5cc 3tsp=1tbsp 1tbsp=0.5oz or 15cc 2tbsp=1oz or 30cc 1pt.=16oz or 480cc 1qt=32oz or 960cc 1/60 grain=1mg 15 grains=1g 2.2 lbs.=1kg Apothecary 1 dram 60 gtts (drops) 0.5 ounce 0.5 ounce Metric 5cc=1tsp 15cc=1tbsp 30cc=2tbsp(1oz) 1cc=16minims Apothecary 1fl.dram=4cc 4drams=0.5oz 8drams=2tbsp(1oz) 16minims=1cc 500cc=0.5L or 1pt. 1000cc=1L or 1qt. Temp. Conversion C= F-32/1.8 F= 1.8*C-32 2 Darren & Jenny Nursing Study Guide NOTES CARDIOVASCULAR Arterial Ulcer – Pale, deep base, surrounded by tissue that is cool with trophic changes such as dry, soluble skin and loss of hair. Cause by ischemia from inadequate arterial blood supply of oxygen and nutrients . Venous stasis Ulcer – Dark, red base, surrounded by skin that is brown in color with edema. Caused by the accumulation of waste products of metabolism that are not cleared due to venous congestion. Stage I Ulcer – Reddened area with intact skin surface. Management of DVT – Bed rest, limb elevation , relief of discomfort with warm, moist, heat and analgesics (Tylenol, not narcotics) prn. Ambulation is contraindicated...
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...Nursing Student Study Plan Student _______ ____________________________ Course ____ ______________________________ Date_______________________________ | | | | |Problem Area |Steps to Be Taken |Solutions | | | | | |1. Improvement of academic preparation |1.Creating the list of short-and long-term |1.Identifying the list of goals I want to | | |realistic goals |accomplish today, tomorrow, next month, in the | | | |future | | | | | | | |2. Deciding what study pattern worked best for me | | |2.Creating a plan for preparation ...
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...1. Nurse Tim is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to: a. Avoid shopping for large amounts of food b. Control eating impulses c. Identify anxiety-causing situations d. Eat only three meals per day Answer C. Bulimic behavior is generally a maladaptive coping response to stress and underlying issues. The client must identify anxiety-causing situations that stimulate the bulimic behavior and then learn new ways of coping with the anxiety. 2. For a female client with anorexia nervosa, the nurse is aware that which goal takes the highest priority? a. The client will establish adequate daily nutritional intake b. The client will make a contract with the nurse that sets a target weight c. The client will identify self-perceptions about body size as unrealistic d. The client will verbalize the possible physiological consequences of self-starvation Answer A. According to Maslow’s hierarchy of needs, all humans need to meet basic physiological needs first. Because a client with anorexia nervosa eats little or nothing, the nurse must first plan to help the client meet this basic, immediate physiological need. 3. A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s safety, the nurse should: a. Check the client frequently at irregular intervals throughout the night ...
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...discusses the major components of the study. Spurlock et al., (2008) proposed that the actual NCLEX-RN passing rate be lower than institutions provided the predicted passing rate. Many nursing schools currently use Health Education Systems, Inc. (HESI) Exit Exam to prepare for NCLEX-RN Exam. Schools expected students who achieve 850 scores or above have higher passing rate on NCLEX-RN exam. Thus, schools used 850 scores on HESI Exit Exam as the cutoff score of pass or fail. Thus, authors studied the relationship between students who achieved the score on HESI Exit Exam and actual NCLEX-RN passing rate. Spurlock et al., identified...
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...National Council Licensure Examination 05 Jun 2012 AUTHORIZATION TO TEST (ATT) YOU ARE REQUIRED TO PRESENT THIS ATT AT THE TEST CENTER. NCLEX EXAMINATION CONFIDENTIALITY Candidates should be aware and understand that the disclosure of any examination materials including the nature or content of examination items, before, during, or after the examination is a violation of law. Candidates must follow the NCLEX Examination Candidate Rules which are listed in the NCLEX® Candidate Bulletin. Violations of confidentiality and/or candidate rules can result in criminal prosecution or civil liability and/or disciplinary actions by the licensing agency including the denial of licensure. ADMISSIONS REQUIREMENTS Authorization to Test (ATT) You must present this ATT at the test center on the day of your appointment to be admitted to the examination. You will not be admitted to the examination without this ATT and will be required to re-register and re-pay to take the examination. You must test within the validity dates printed on this ATT. These validity dates cannot be extended for any reason. Your Name The printed first and last names on your identification must match exactly the printed first and last names on this ATT. If your name on this ATT is different from the name on your identification, you must bring legal name change documentation with you to the test center on the day of your test. The only acceptable forms of legal documentation are: marriage license, divorce...
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...Running Head: AN IMMACULATE PROCESS An Immaculate Process Dustin Gorsky Mesa Community College Boswell Campus An Immaculate Process In order for an individual to become a nurse certain criteria must be met. One of those criteria must is applying for, taking, and passing the National Council Licensure Examination (NCLEX). The application process includes six steps that all must be achieved prior to taking the exam. An applicant must first submit an application for licensure to the state board of nursing. The second part is that an applicant must meet all of the requirements set forth by that state board. Third, an applicant will register for the NCLEX with Pearson VUE. Applicants can register several different ways including online, by mail, and telephone. Once registered, the fourth step is receiving an Acknowledgement of Receipt from Pearson VUE. After the Acknowledgement of Receipt is received the state board of nursing makes the applicant eligible to take the NCLEX. The final step is the applicant will receive an Authorization to Test (ATT) from Pearson VUE. An applicant must present a valid ATT and one form of acceptable identification in order to take the test. Acceptable forms of identification are U.S. driver’s license, state identification, Passport, and U.S. Military identification. The members of the Arizona State Board of Nursing (AZBN) are comprised of nurses, lawyers, community...
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...NCLEX-RN® DETAILED TEST PLAN 2010 NCLEX-RN Detailed Test Plan ® Effective | April 2010 Item Writer/Item Reviewer/Nurse Educator Version Mission Statement The National Council of State Boards of Nursing, composed of member boards, provides leadership to advance regulatory excellence for public protection. Purpose and Functions The purpose of the National Council of State Boards of Nursing (NCSBN ) is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. ® The major functions of NCSBN include developing the NCLEX-RN and NCLEX-PN examinations, performing policy analysis and promoting uniformity in relationship to the regulation of nursing practice, disseminating data related to NCSBN’s purpose and serving as a forum for information exchange for NCSBN members. ® ® Copyright© 2010 National Council of State Boards of Nursing, Inc. (NCSBN) All rights reserved. NCSBN , NCLEX , NCLEX-RN and NCLEX-PN are registered trademarks of NCSBN and this document may not be used, reproduced or disseminated to any third party without written permission from NCSBN. ® ® ® ® Permission is granted to boards of nursing to use or reproduce all or parts of this document for licensure related purposes only. Nonprofit education programs have permission to use or reproduce all or parts of this document...
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...Transition: LPN to RN…Is it the right decision for everyone? The debate is as old as the professions themselves, and in a society where success is most often measured by “climbing the corporate ladder” the choice between becoming an LPN/LVN or an RN is not always easy. While an RN license provides more opportunities for promotion, an LPN/LVN license can be earned more quickly with less time needed in school. Nurses at all levels face the challenge of balancing work with school, family obligations and other external commitments, and often, these factors play a large role in determining available finances and time available for educational pursuits. For people considering a nursing career, RN programs are sometimes excluded as most classes are daylight programs. Accelerated and evening programs exist, but clinicals and preceptorships are generally offered during the day. LPN training programs, being shorter to begin with, are much more flexible and usually offer part-time, night, and weekend hours. As people evaluate the career choice that’s right for them, educators must work to match the student with the best career fit, and it’s equally important for future nurses to understand the requirements and potential benefits of careers and an LPN/LVN and RN. Licensed practical and licensed vocational nurses, known as LPNs or LVNs, depending on the state in which they work, provide basic nursing care under the supervision of a registered nurse or physician. Typically tasks such as changing...
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...provider’s medical history to obtain subjective data.| ANS: A In an emergency situation the nurse may need to ask only the most pertinent questions for a specific problem and obtain more information later. A complete health history will include subjective information that is not available in the health care provider’s medical history. Family members may be able to provide some subjective data, but only the patient will be able to give subjective information about the bleeding. Because the subjective data about the cause of the patient’s bleeding will be essential, obtaining the physical examination alone will not provide sufficient information. DIF: Cognitive Level: Apply (application) REF: 45 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 2. Immediate surgery is planned for a patient with acute abdominal pain. Which question by the nurse will elicit the most complete information about the patient’s coping-stress tolerance pattern? a.|“Can you rate your pain on a 0 to 10 scale?”| b.|“What do you think caused this abdominal pain?”| c.|“How do you feel about yourself and your hospitalization?”| d.|“Are there other major problems that are a concern right now?”| ANS: D The coping-stress tolerance pattern includes information about other major stressors confronting the patient. The health perception–health management pattern includes information about the patient’s ideas...
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...RNQuiz.com - NCLEX-RN Study Guide Neonatal Care 1 Cardiovascular system: o Closer of the foramen ovale secondary to: Expansion of the lungs, decreases pulmonary resistance Clamping of umbilical cord: Increases systemic vascular resistance Increases left atrial pressure Respiratory system: o First breath is a reflex to noise and light Renal system: o Not fully functional for the first year o Neonate’s ability to filter waste products improve over first year of life Gastrointestinal system: o No normal bacterial flora o Unable to digest fat Thermogenesis: o Rapid heat loss can occur in less than optimal environment Immunity: o Depends on immunity provided by mother o Neonate begins to development of own immune system within 3 months Hematopoietic system: o Prolonged coagulation time secondary to low vitamin K levels RNQUIZ.com Changes in the Neonate post delivery: RNQuiz.com - NCLEX-RN Study Guide Neurologic system: o Equal strength and symmetrical responses and reflexes Hepatic system: o Physiological jaundice is mild and last first few days after birth Apgar Assessment: 2 This is a way to evaluate the neonate’s cardiopulmonary and neurological status at 1 and 5 minutes after birth. A score of 8-10 indicates no immediate distress, less than 8; possible CPR. Sign Heart rate Respiratory Muscle tone Reflex irritability Color 0 Absent Absent Flaccid None Pale blue 1 Less than 100beats/min...
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...associates and bachelors degree care, and how do the differences in educational level affect overall patient outcomes. What is competency in nursing? The American Nurses Association, or ANA, defines competency by stating, “competency is an expected level of performance that results from an integration of knowledge, skills, abilities, and judgment” (ANA 2004). A nurses’ ability to provide proficient and safe care at the bedside in any setting demonstrates competence. This statement is true for associates and bachelors level education alike. When comparing a BSN level educated nurse to an ADN level associated nurse, how can the two be compared in terms competency. One indicator that measures a nurses’ level of competency is the NCLEX-RN. Passing an NCLEX-RN...
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...The aim of this paper is to analyze the utilization of my study plan coupled with the National Council Licensure Examination (NCLEX) test taking practices as a medium to achieve success Licensure Examination for Registered Nurses (NCLEX RN). The practice of nursing is being regulated by National Council of State Boards of Nursing (NCSBN) who has established set requirements for licensure, this requirements measure the competency level needed to perform effective and safe practice. Among which are the area of client needs which is divide into four categories: Safety and Effective Care Environment Health Promotion and Maintenance Psychosocial Integrity Physiological Integrity All these categories have been integrated into the nursing courses in subjects like Fundamental of Nursing, Pharmacology and Medical-Surgical. These courses focus on Nursing process, caring, communication and documentation and patient teaching/learning. As a student nurse, I am expected to be able to demonstrate a minimal level of competence in these areas. At this time I can say I am averaging at 79.36% in both Kaplan Integrated testing and Sanders Assessment test on these categories. There is a desperate need and room for improvement for me as long as I can develop effective study strategy. Using Testing Strategies It is imperative for me to use the Sander Testing strategies while studying for examination in order for me to be successful. These Strategies are but not limited to: Pyramid...
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...of care, manager of care, and member of the discipline. According to Melrose, Miller, Gordon, and Jansen (2012) LPNs are socialized to “collect client data and decide who needs to be informed” while RNs are socialized to “synthesize client data and make independent decisions”. The knowledge, skills, and education curricula for the LPN and RN are progressing with increased complexity. Nurse practice acts designate specific roles for the LPNs and RNs and require most states to take the NCLEX-PN and NCLEX-RN to determine eligibility for licensure in your state (Harrington & Terry, 2013). The differences between the NCLEX-PN and the NCLEX- RN is the relationship to the job analyses, the scopes of practice defined by jurisdictions, the level of knowledge, skills, and abilities tested (Harrington & Terry, 2013). The NCLEX PN tests client needs based off “basic” knowledge of safe, effective care, health promotion and maintenance; psychosocial integrity, and physiological integrity. However, the NCLEX RN tests the cognitive levels of knowledge, comprehension, application, and analysis. Success in the new role as a BS prepared RN relies solely on the student. Being assertive and assuming responsibility for your academic efforts is recommended to meet academic goals. It is also important to build a rapport with all faculty advisors and professors; they are here to provide assistance when needed. Developing study skills and a study plan as well as having time management will allow me...
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