NCLEX

A partial-thickness superficial burn appears wet, shiny, and weeping or may contain blisters. A partial-thinkness deep burn appears dry and may be deep red or white. No blanching occurs and thrombosed vessels may be visible. Hypercalcemia is a serum calcium ion level greater than 11 mg/dl or 5.5 mEq/L. Keratoplasty is referred to as corneal tranplantation or grafting The 3 characteristic symptoms

The bullets below can also be seen in the DID YOU KNOW section of the site (Top Most)Odynophagia is painful swallowing, in the mouth (oropharynx) or esophagus. It can occur with or without dysphagia, or difficult swallowing Halitosis, oral malodor (scientific term), breath odor, foul breath, fetor oris, fetor ex ore, or most commonly bad breath are terms used to describe Pyloroplasty is surgery

Here is an email I sent to one of my friends and I thought that it might also be helpful to others... A little bit of unsolicited advice... Kaplan test taking strategies are very effective! you don't even necessarily need to enroll in their expensive review classes (unless you have the money... then go for it!), just utilize their techniques in answering each question (Im sure you can find books

NCLEX Question Trainer Explanations Test 7 1. The father of a one-day-old son works the evening shift (3 PM to 11 PM) at another hospital. Which of the following plans would be a priority to meet the needs of this father? 1. Encourage the father to call his wife after work. 2. Instruct the father about visiting policy and suggest AM visitation. 3. Adjust visiting hours to meet the new parents'

NCLEX Question Trainer Explanations Test 6 1. The nurse returns to the nurse's station after making client rounds and finds four phone messages. Which of the following messages should the nurse return FIRST? 1. A client with hepatitis A who states, "My arms and legs are itching" 2. A client with a cast on the right leg who states, "I have a funny feeling in my right leg" 3. A client with

NCLEX Question Trainer Explanations Test 5 1. The nurse is preparing a patient for an 8:00 AM outpatient electroconvulsive (ECT) treatment. Which of the following questions is the MOST important for the nurse to ask? 1. "Did you have anything to eat or drink before you came in today?" 2. "Have you had any headaches since your last treatment?" 3. "Who came with you to the hospital today?" 4. "

NCLEX QUESTION TRAINER EXPLANATIONS TEST 4 1. A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders? 1. "Promethazine (Phenergan) 25 mg IM 3 h" 2. "

NCLEX QUESTION TRAINER EXPLANATIONS TEST 3 1. A client has a total laryngectomy with a permanent tracheostomy. The nurse is planning nutritional intake for the next three days. Which of the following would be necessary for the nurse to consider regarding the client’s nutrition? 1. To facilitate healing of the surgical area, a nasogastric tube may be utilized and tube feedings may be implemented

NCLEX QUESTION TRAINER EXPLANATIONS TEST 2 SOURCE: KAPLAN 1. The nurse is supervising care given to a group of patients on the unit. The nurse observes a staff member entering a patient’s room wearing gown and gloves. The nurse knows that the staff member is caring for which of the following patients? 1. An 18-month-old with respiratory syncytial virus. 2. A 4-year-old with Kawasaki disease. 3

NCLEX QUESTION TRAINER EXPLANATIONS TEST 1 SOURCE: KAPLAN 1. The nurse is caring for clients in the outpatient clinic. Which of the following messages should the nurse return FIRST? 1. A mother reports that the umbilical cord of her five-day-old infant is dry and hard to the touch. 2. A mother reports that the “soft spot” on the head of her four-day-old infant feels slightly elevated when the

ATI Kaplan NurseNotes Nclex Bullets - Growth & Development And Psychosocial 1. Typipical 4 year old has a vocabulary of? 1500 words 2. Growth of a preschool child, expect to gain, 4-6 pounds per year. 3. Tie Shoelaces - 4 year old 4. Factor that would indicate that the child is ready to be toilet trained? No longer falls or trips over his feet when walking. 5. Infant - solitary Toddler -

PLEASE PRAY FOR ME, I’VE TAKEN THE NCLEX TWICE AND FAILED,I’M SCARED TO TAKE IT AGAIN. I REALLY ENJOY HELPING AND TAKING CARE OF PEOPLE. IT’S MY LIFELONG DREAM OF BECOMING A NURSE. - JUDY from LOIUSISANA

Just got my result and I passed heres what I did.. First: read the strategies in the kaplan book carefully. It gives great Tips and strategies that you can practice later... DON'T do the questions in the kaplan book they are too easy and have tons of typs which makes me not trust the questions too much. Second: Read nursing made insanely easy, spend time on each page making sure you really

Women Health and Maternal Newborn Nursing During ovulatory cycle -> FSH & LH is release from anterior pituitary (tropic hormone). They stimulate the follicles in the ovaries to produces estrogen. Mature egg release estrogen and progesterone to prepare the endometrium just incase you get pregnant. (month by month) Menarchy - When the girl first menstrate Infertility - inability to concieved

Most reliable early indicator of myocardial insult would be * Troponin T and I rationale: Troponin I and Troponin T are proteins in the striated cells of cardiac tissue and are therefore unique markets for cardiac damage; elevations occur within 1 hour of a myocardial infarction and persist for 7 to 15 days. Creatine kinas (CK) isoenzyme levels, especially the MB subunit, begin to rise wintin 3

1. Which contraindication should the nurse assess for prior to giving a child immunizations? A) Mild cold symptoms B) Chronic asthma C) Depressed immune system D) Allergy to eggs The correct answer is C: Depressed immune system Children who have a depressed immune system related to HIV or chemotherapy should not be given routine immunizations. Wong, D.L., Perry, S.E., & Hockenberry, M.J. (2002). Maternal Child Nursing. (2nd edition). Mosby: St. Louis, Missouri. Potts, N.L. and Mandleco, B.L. (2002). Pediatric nursing, caring for children and their families. USA: Thompson, Delmar, Learning. 2. Which of the following situations is most likely to produce sepsis in the neonate? A) Maternal diabetes B) Prolonged rupture of membranes C) Cesarean delivery D)

1. After 4 electroconvulsive treatments over 2 weeks, a client is very upset and states “I am so confused. I lose my money. I just can’t remember telephone numbers.” The most therapeutic response for the nurse to make is A) "You were seriously ill and needed the treatments." B) "Don't get upset. The confusion will clear up in a day or two." C) "It is to be expected since most clients have the same results." D) "I can hear your concern and that your confusion is upsetting to you." The correct answer is D: "I can hear your concern and that your confusion is upsetting to you." Communicating caring and empathy with the acknowledgement of feelings is the initial response. Afterwards, teaching about the expected short term effects would be discussed. Fontaine, K.L. (2003). Mental Health Nursing, (5th ed.). Upper Saddle River, NJ: Prentice-Hall. Varcarolis,

1. Which of the following laboratory results would suggest to the emergency room nurse that a client admitted after a severe motor vehicle crash is in acidosis? A) Hemoglobin 15 gm/dl B) Chloride 100 mEq/L C) Sodium 130 mEq/L D) Carbon dioxide 20 mEq/L The correct answer is D: Carbon dioxide 20 mEq/L Serum carbon dioxide is an indicator of acid-base status. This finding would indicate acidosis. Lewis, S.M., Heitkemper, M.M., & Dirksen, S. R. (2004). Medical-Surgical Nursing: Assessment & management of clinical problems. St. Louis: Mosby. Pagana, K.D. and Pagana, T.J. (2002). Mosby''s Manual of Diagnostic and Laboratory Tests. (2nd ed.). Philadelphia: Lippincott. 2. The nurse is caring for a client with asthma who has developed gastroesophageal reflux disease (GERD). Which of the following medications prescribed for the client may aggravate GERD? A) Anticholiner

1. The client is advised by the physician to have mammography screening annually, measures to provide adherence with mammography screening include: 1. Making sure that the individual barriers to screening are minimized 2. Emphasizing that mammography screening can prevent breast cancer 3. Emphasizing that mammography screening is a low cost approach to cancer prevention 4. Informing the client

Which of the following nursing interventions is correct for clients receiving I.V. therapy? 1. Change the tubing every 8 hours. 2. Monitor the flow rate at least every hour. 3. Change the I.V. catheter and entry site daily. 4. Increase the rate to catch up if the correct amount hasn't been infused at the end of the shift. 2. Closely observing the rate of infusion prevents underhydration and

what is a possible complication when administrating Lasix? Tachycardia Oxygen applied by mask with be at how many liters? 10 liters. red man syndrome means the IV is infusing rapidly naegals rule expected date of delivery subtract 3 months and add 7 days of your last menstrual period if scheduled for CAT scan, check for iodine sensitivity if scheduled for MRI, check for metallic implants

1. After the lungs, the kidneys work to maintain body pH. The best explanation of how the kidneys accomplish regulation of pH is that they a. Secrete hydrogen ions and sodium. b. Secrete ammonia. c. Exchange hydrogen and sodium in the kidney tubules. d. Decrease sodium ions, hold on to hydrogen ions, and then secrete sodium bicarbonate. Answer: d Rationale: By decreasing NA+ ions, holding onto

Note:All information below is based on personal experience Please be sure to file to take your exam in plenty of time so that you will receive the information needed for the actual test taking. On the day of the test, a thumbprint will be needed and a photo will be taken. This photo will appear only on the document that you receive in the mail with regards as to whether you passed or not. This

Taking the NCLEX exam can be... well, let's just say stress-inducing. To help you out, check out Kaplan's NCLEX questions and answers for the exam. And even though being nervous is completely natural, we have a few tips that can help reduce your anxiety as the test date approaches. Some Hot Nclex Tips Always keep a set of flashcards (whether bought or self-made) on hand in order to make use

Purpose 1. To determine if you are a safe and effective nurse. 2. To safeguard the public. 3. To test for minimum competency. Test Content 4. Based on the knowledge and activities of an entry-level nurse. 5. Written by nursing faculty and clinical specialists. 6. Presented as multiple-choice questions with four possible answer choices. 7. Based on integrated nursing content - not on the

There are many books that you can use to review for the NCLEX-RN test, but here are some books that were very useful when I studied for my own U.S. licensure exam:1. Kozier's Fundamentals of Nursing - always useful whether for local or the U.S. NCLEX. It's important that you know your basics.2. Saunder's Comprehensive Review for the NCLEX-RN Examination - finish reading the entire book and then try to answer the entire set of questions in the accompanying CD-ROM. When answering questions and you get stymied by a difficult question, go back to the book and study the topic again. This is a very good routine when studying and it improves retention.3. Saunder's Q&A Review for the NCLEX-RN Examination - Use this book together with the Comprehensive Review to look up answers to questions you have difficulty answering. It has a CD-ROM companion which contains basically the same questions as in the book.4. LaCharity's Prioritization, Delegation & Assignment - Perhaps the most important bo

By Krista Angela Montealegre , Special to The Manila Times WITH the Philippines now one of its accredited testing sites, the professional review organization College Network is bringing to the Filipino nurses a guaranteed way to pass the National College Licensure Examination (NCLEX). This is the equivalent of a comprehensive board examination in the United States. Majority of Filipino nurses go to the United States to practice their profession. This is the main reason why the College Network decided to bring its NCLEX-Registered Nurse (RN) program in the Philippines. With a similar lifestyle between Filipinos and the Americans, their English-proficiency and their hospitability, Filipinos are the most-sought-after nurses in the US.

xaviour Online Prayer Request please pray for me my name is xaviour belsyia . i am going to write my Nclex Exam on 9th sept.2007 . please pary for me . i want to pass this time . please do not forsake my requst pray for me by your sister in christ .from Delhi,india

Every year, thousands of Filipino nurses aspire to migrate and become a licensed nurse in the US. Here's a practical guide intended to help Pinoy nurses achieve this dream. Because the application process requires several steps and there are ongoing issues related to foreign nurse employment in the US, we've broken down this feature article into a series. Read Part 1 of the Filipino Nursing Herald's Guide to Becoming a US RN by clicking here.There are different methods for sending payments for the nursing registration application in the U.S.. Each board of nursing will have its own preferred method of payment. Going to the BON payment office is the best way to guarantee that your payment will be received, but if you're so many thousand kilometers away like in the Philippines, there are payment methods that you can use.The most convenient payment method is using a credit card. Most BON will have a payment form attached to the application form. Simply fill out this form and send it t

Lourdes Santos Tancinco, Aug 29, 2007MAKATI CITY — After more than two years since the National Council of State Board of Nursing (NCSBN) began administering Nclex outside of the United States, it finally came to a decision to make the Philippines a venue for Nclex or the National Council Licensure Examination.President Gloria Macapagal Arroyo inaugurated the testing center here and welcomed this recent development as a “great service” to the nursing professionals aspiring to work in the U.S.While Filipino nurses are significant in number than any other foreign nationalities in terms of their migration to the U.S., the Philippines was not chosen right away as testing center. Since 2005, the Nclex has been offered abroad in other countries like London, England; Hong Kong; Sydney, Australia; Toronto, Montreal, and Vancouver, Canada; Frankfurt, Germany; Mumbai, New Delhi, Hyderabad, Bangalore, and Chennai, India; Mexico City, Mexico; Taipei, Taiwan; Chiyoda-ku and Yokohama, Japan.

#1 Determine which state you want to apply If you applied in New Mexico for example, it does not mean that you have to work there, once you pass the exam, you can always apply for reciprocity. Another factor that you need to consider when choosing the state to apply for nclex is their requirements, for example, some states some state requires that you be a cgfns passer and so on.. #2 Visit

The complete information on how to apply for the NCLEX exam is available at the Pearson VUE web site at http://www.pearsonvue.com/nclex/. You can also checkout the National Council of State Boards of Nursing (NCSBN) web site at https://www.ncsbn.org/nclex.htm. Carefully read the information that you will find on those web sites and you’ll be on your way to taking the NCLEX exam in no time.

More bad news for the CNMI's tourism industry.Starting this week, Filipino nurses seeking jobs in the United States began taking the National Council Licensure Examination in their own country.Instead of the past practice of coming to Saipan or going to Hong Kong and other Asian countries for the NCLEX, Filipino nurses now have the option of taking the licensure exam at the Pearson Professional Center in Makati City.It is estimated that some 4,000 Filipino nurses will take the NCLEX until December this year."The nursing shortage is still significant and research still indicates that there is a future anticipated shortfall of more than a million nurses in the U.S.," said Casey Marks, associate executive director for business operations of Pearsonvue, told the Philippine Daily Inquirer.The shortage is worldwide, according to Marks. In the U.S.-a preferred destination of many Filipino nurses-“there is certainly a significant demand for a long period of time," he said."That’s one of t

I feel sorry for those who were not allowed to take their NCLEX because they forgot to sign their passports. International NCLEX test-takers, including those who will take the test in the Philippines, are required to present their Authorization to Test (ATT) and their passports as proof of identification. The passport is the only form of identification accepted by Pearson Vue, which administers the NCLEX, from international applicants. Sadly, some have been barred from taking the exam on their test date because they forgot to affix their signature on their passports.This is a very simple matter, actually. Signing your name on any ID is a very basic rule that that requires the smallest of efforts. Unfortunately, some still fall into trouble because they forget to sign their name before presenting their passport to the receptionist at the Pearson Vue test center.We received a report that said some were turned away from the Pearson Vue test center in Manila because of the lack of signatur

Some 4,000 Filipino nurses seeking jobs in the United States will take the National Council Licensure Examination (NCLEX) starting today until December at the Pearson Professional Center in Makati City. Dante Ang, chief of the presidential task force on NCLEX, said at least 90 Filipino nurses will take the exam on the first day today,to be administered by Pearsonvue officials from Monday to Friday in two shifts, from 8 a.m. to 12 noon and 1 p.m. onwards at the test site. "Our Filipino nurses can save a lot now that the NCLEX will be held here in Manila. This great opportunity comes a great responsibility for us to maintain the integrity of the exam. We should not endanger the credibility of NCLEX here," he said in an interview. Ang said Filipino nurses can save as much as R100,000 each because they don’t have to fly to other NCLEX international sites abroad such as Hong Kong, Singapore, and Saipan where most nurses had earlier taken the test. "They have to pay only the 0 exa

Tomorrow, Aug. 23 is a big day for Filipino nurses as the first batch of Pinoy applicants take the NCLEX right here in Manila.Pearson Vue, the authorized test administrator of the NCLEX which is developed by the National Council of State Boards of Nursing (NCSBN) in the US, began scheduling exams in the Manila center on July 13 this year and testing will finally begin tomorrow. Contact information:Pearson Professional Centers-Manila27th Floor, Trident Tower 312 Senator Gil Puyat Avenue, Makati City, Manila 1227 Tel. +612-9478-5400 Extension 3 (Sydney office)Get a map to the testing center here and directions here.

Every year, thousands of Filipino nurses aspire to migrate and become a licensed nurse in the US. Here's a practical guide intended to help Pinoy nurses achieve this dream. Because the application process requires several steps and there are ongoing issues related to foreign nurse employment in the US, we've broken down this feature article into a series. This is Part 1 of the Filipino Nursing Herald's Guide to Becoming a US RN.What is the NCLEX-RNTo be able to practice as a nurse in the US and its territories, you must be registered in the US state you wish to work in. Each state has a nursing board that regulates the registration process. A major requirement for registration is that applicants must pass an examination that "measures the competencies needed to perform safely and effectively as a newly licensed, entry-level registered nurse".The National Council of State Boards of Nursing (NCSBN) develops this examination, which is called the Nursing Council Licensure Examination (N

a) Make a first good initial impression which basically means that you make sure that at least the first 20 questions are answered correctly. The computer will base the succeeding questions from there. They’re like the pre-exam questions. For more details, look at the catalog. b) It’s okay to have mistakes. For as long as the errors aren’t consecutive. 3-4 consecutive questions aren’t a good

Autologous Transfusion: · Collected 4-6 weeks before surgery · Contraindicated—infection, chronic disease, cerebrovascular or cardiovascular disease Hypotonic Solution · ½ NS (0.45% Saline) Isotonic Solution · 0.9% NaCl (Normal Saline) · 5% D/W (Dextrose in Water) · Lactated Ringer’s · 5% D/ ¼ NS (5% Dextrose in 0.225% Saline ) Hypertonic Solution · 10% D/W (10% Dextrose in water) · D15W ·

Tonometry: normal (10-21 mm Hg) PR Interval: normal (0.12-0.20 seconds) Serum Amylase: normal (25-151 units/dL) Serum Ammonia: normal (35 to 65 mcg/dL) Calcium: adult (8.6-10 mg/dL) child (8 to 10.5 mg/dL) term

Question: 1. Alzheimer's patient incontinent of urine during the night times. The nursing care includes a) Offers bed pan every 2 hours b) Limit fluids during evening times c) Foley's catheter 2. After immediate post operative hysterectomy patient to observe (or) Nursing care includes a) Observe vaginal bleeding b) Urine output c) Vital signs 3. Dilantin prescribed to the patient,

HERBAL MEDS St. John's wort - antidepressant, photosensitive (C/I in SULFA drugs) Garlic - antihypertensive (avoid aspirin) Ginseng - Anti stress (C/I in coumadin) Green tea - antioxidant (check if risk for calculi-oxalates) Echinacea - immune stimulant (6-8 weeks only)(C/I in SANDIMMUNE-Immunosuppressant) Licorice - cough and cold Ginger root - antinausea (C/I in Coumadin) Ginkgo -

The Nclex test will be held at the international Pearson Professional Center in Makati, with the scheduling for tests starting on July 13.According to the NCSBN release, its Board of Directors decided to open the Nclex test center in Manila “because of the deep commitment shown by the Philippine government to ensuring a secure test center.” Beginning January 2005, the Nclex has authorized the establishment of international test sites in such places as London, in the UK; Hong Kong; Sydney, Australia; Toronto, Montreal, and Vancouver in Canada; Frankfurt, Germany; Mumbai, New Delhi, Hyderabad, Bangalore, and Chennai in India; Mexico City; Taipei, Taiwan; Chiyoda-ku and Yokohama in Japan. Nclex exam statistics ending March 2007 show that the Philippines still leads the top five nurse sending countries to the US which included India, South Korea, Canada and Cuba. Filipino nurses are estimated to constitute over 80 percent of the foreign-educated nurses in the US.The NCSBN release also

1. Which of the following is not considered a fat soluble vitamin? a. Vitamin A b. Vitamin B1 c. Vitamin K d. Vitamin E 2. Which of the following is not considered a water soluble vitamin? a. Vitamin B3 b. Vitamin C c. Vitamin D d. Vitamin B12 3. Which of the following is not an underlying cause of hypercalcemia? a. Paget’s disease b. Hyperparathyroidism c. Hartnup disease d. Sarcoidosis 4. Which of the following is caused by a B5 deficiency? a. Ectopic pregnancy b. Nausea c. Dermatitis d. Fever 5. Which of the following is caused by a B6 deficiency? a. Excessive irritability b. Nonproductive cough c. Dry mouth d. Depression 6. Which of the following is caused by a B12 deficiency? a. Glossitis b. Fever c. Hypertension d. Edema 7. Which of the following is caused by a Vitamin C deficiency? a. Fever b. Anemia c. Headaches d. Nausea 8. Which of the following is caused by a Vitamin D deficiency? a. Edema b. Anemia c. Lupus d. Rickets 9. Which of the followi

1. Prothrombin is a ____ globulin and is produced by the _____. a. Alpha, Kidney b. Alpha, Liver c. Beta, Kidney d. Beta, Liver 2. The right coronary artery divides to form the posterior interventricular artery and the ___ artery. a. Marginal b. LVC c. RVC d. LAD 3. Blood flowing into the cardiac veins enters the _______ next. a. Coronary Sinus b. Left Ventricle c. Right Ventricled. Left Atrium 4. If you are using a stethoscope and trying to detect the tricuspid valve which of the following would be the best location? a. Within 2 inches of the xyphoid process b. On the right side of the sternum c. On the left side of the sternum near the midpoint d. On the left side of the sternum near the midpoint of the sixth rib 5. Which of the following occurs during ventricular systole? a. Increased aortic pressure b. Increased ventricular volume c. Dup heart sound d. P wave 6. Which of the following occurs during ventricular diastole? a. Increased aortic pressure b. Increased

I could not recall who wrote this but it is very helpful. Got this from nclex-rn.net.Here are some tips that I can share to you when going to Hongkong:a) Bago ka pumunta sa Centennial Terminal ng NAIA, dapat ay nasulatan muna yung Bureau of Immigration Embarkation Card, May dala ka na ring P750.00 para bayad mo sa Terminal Fee. I suggest magdala ka ng belt bag na paglalagyan mo ng passport, chewing gum at bonamine chewables (kung mahiluhin ka sa biyahe). IRoam-on mo na ang celfone mo.2. Magdala ka ng mineral water. Mahal kasi ang Mineral water doon mga HK$7.00 (current exchange rate: 1 HKD = 5.88 or 6 pesos as of 6/23/07)) at kung may Sotanghon o cup noodles ka. Magdala ka na rin para makatipid.3. Pagsakay mo ng eroplano, pray hard to God for a safe trip and easy NCLEX questions. Para ibless ka.4. Kung naka PAL ka, bibigyan naman kayo ng stewardess ng instructions kung paano gagamitin ang safety features ng aircraft, like seatbelt, O2 mask etc. Sulatan mo na rin doon ang Hongkong Immig

Cristina A. Godinez, Aug 01, 2007NEW YORK — The National Council of State Boards of Nursing (NCSBN) has announced recently that the Nclex testing for foreign nurses in Manila will begin August 23, paving the way for the Philippines to be a testing destination.The Nclex test will be held at the international Pearson Professional Center in Makati, with the scheduling for tests starting on July 13.Passing the Nclex test is a requirement for obtaining the license to practice nursing in the United States and its territories.The Nclex test is administered by the NCSBN, a not-for-profit organization composed of the boards of nursing in the 50 states, the District of Columbia and four U.S. territories.According to the NCSBN release, its Board of Directors decided to open the Nclex test center in Manila “because of the deep commitment shown by the Philippine government to ensuring a secure test center.”Despite being the largest number of foreign Nclex test-takers, Filipino RNs had to trav

PharmacologyPrevious topics MgSO4- action: relaxes smooth muscles (4x) Morphine sulfate- check for RR: s/e: respiratory depression (4x) St. John’s Worth- action: Antidepressant; what to check? (3x) Gingkobiloba- indication (enhances memory), adverse effect, contraindicated in pt taking with anticoagulant and pregnant (promotes bleeding). (3x) Motrin (Ibuprofen)- how to prevent complication: take with food (2x) Nifedipine-precaution: move slowly when changing position(hypotension) (3x) Lithium toxicity: s/s: restlessness (neurotoxic) (4x) MAOI- correct understanding on diet ( prevent hypertensive crisis) tyramine free diet: (5x) Epidural anesthesia- s/e: hypotension-check BP q hr, move slowly. (3x) Latanoprost (Xalatan)- need further assessment: “I don’t feel that this medication is working”, S/E, indication of the drug (3x) Patient with PCA- complains that pain is not relieved-what will the nurse do? (2x) Anticonvulsant- S/E, health teachings

PSYCH MEDICATIONS1. A client in the hyperactive phase of a mood disorder, bipolar type is receiving lithium carbonate. The nurse notes that the client’s lithium blood level is 1.8 mEq/L. It would be most appropriate for the nurse to:a. Continue the usual dose of lithium and note any adverse reactionsb. Discontinue the drug until the lithium serum level drops to 0.5 mEq/Lc. Notify the physician immediately, since the lithium serum level may be toxicd. Ask the physician to increase the dose of lithium, since the serum level is too low2. The nurse evaluates that the teaching about taking the medication amitriptyline (Elavil) has been understood when the client states:a. “I must discontinue this medication if side effects occur.”b. “I don’t need to be concerned about taking my medications.”c. “It is necessary to take each dose of my medication as ordered.”d. “I may find it necessary to adjust the dosage if side effects occur.” 3. The physician has ordered imipramine (

Article copyright philippinenurses.blogspot.com - #1 source of information to update filipino nurses. All rights reserved. No part of an article may be reproduced without the prior permission.Anatomy & Physiology, FAMILY PLANNING & Childbearing (10 items) 1. When teaching a patient about the cervical mucus contraceptive method, the nurse should instruct her to avoid sexual intercourse when her cervical mucus is:A. Clear and elasticB. Cloudy and thickC. Clear and thickD. Cloudy and elasticRationale:A. The patient using cervical mucus method of birth control should avoid sexual intercourse when her mucus is clear, thin, and elastic. This indicates that estrogen levels have decreased to the point that ovulation is imminent. During the preovulatory and postovulatory phases of the menstrual cycle, cervical mucus is cloudy, thick, and inelastic.2. Which patient assessment finding contraindicates the use of a cervical cap?A. LactationB. Diabetes mellitusC. An abnormal Papanicolau (Pap) test r

1. The nurse is discussing growth and development with the parents of a four-year-old child. The nurse should identify which of the following as the type of play characteristic of this age group?1. Solitary play.2. Parallel play.3. Associative play.4. Aggressive play.2. The school nurse conducts a class on childcare at the local high school. During the class, one of the participants asks the nurse what age is best to start toilet training a child. Which of the following is the BEST response by the nurse? 1. 11 months of age.2. 14 months of age.3. 17 months of age.4. 20 months of age.. The school nurse observes a group of preschool children in the playroom. The nurse recognizes which of the following activities as appropriate behavior for a five-year-old boy? 1. The boy plays with a large truck with another child.2. The boy talks on a toy telephone and imitates his father. 3. The boy works on a puzzle with several other children.4. The boy holds and cuddles a large stuffed

Pedia Hemo 1. The parents of a child with hemophilia want to know the cause of the disease. Which of the following would be the BEST response by the nurse?1. "The father transmits the gene to his son."2. "Both the mother and the father carry a recessive trait."3. "The mother transmits the gene to her son."4. "There is a 50% chance that the mother will pass the trait to each of her daughters."2. Which of the following statements, if made to the nurse, indicates parental understanding about the cause of their newborn's diagnosis of cystic fibrosis (CF)?"The gene came from my husband's side of the family.""The gene came from my wife's side of the family.""There is a 50 percent chance that our next child will have the disease.""Both of us carry a recessive trait for cystic fibrosis."3. A toddler admitted with an elevated blood lead level is to be treated with intramuscular (IM) injections of calciu

1. A neonate has a decreased ability to resorb:A. PotassiumB. SodiumC. UreaD. HydrogenRationaleA neonate has a reduced ability to absorb Na & H2O . An infant’s urine is dilute, & hydrogen ion excretion is reduced until 1 yr. These differences in renal function make a neonate susceptible to acidosis.2. Nephrotic syndrome results from:A. Glomerular injuryB. Ureteral injuryC. Bladder traumaD. Meatal constrictionRationaleNephrotic syndrome which results from glomerular filtration injury, is characterized by gross proteinuria, edema, hypoalbuminia, & hyperlipidemia. Normally, the membrane of the glomerulus is impermeable to proteins & other large molecules. I n Nephrotic Syndrome, the membrane loses its permeability, enabling urine proteins to filter into in the urine. This results in a fluid shift that is manifested clinically by edema. Idiopathic causes or exposure to drugs, heavy metals, venoim or stings can produce this disorder. Nephrotic syndrome sometimes follows acute or c

1. A child’s gender identity typically is established between ages:A. 1 and 2B. 2 and 4C. 4 ½ and 8D. 8 and 10RationaleGender identity, a conviction of being male or female usually is established between ages 2 & 4. Once a child has become comfortable w/ being male or female, identification w/ the parent of the same sex occurs. Gender identity typically follows a patterned sequence of events. First, the sex chromosomes and gonads initiate differentiation of the reproductive anatomy; next, these visible differences act as a stimulus to parents & others to respond to the child in a manner that shapes the child’s gender identity; and last, hormonal changes during adolescence activate reproductive capacity, thereby confirming the child’s gender.2. Follicle-stimulating hormone in males promoteA. Spermatozoa productionB. Spermatozoa maturationC. Semen productionD. Testosterone releaseRationaleFSH, combined w/ TSH & an appropriate thermal environment, promotes maturation of spermatozoa

1. A healthy neonate’s respiratory rate ranges from:A. 10 to 12 breaths/minuteB. 12 to 18 breaths/minuteC. 20 to 30 breaths/minuteD. 32 to 60 breaths/minuteRationaleA healthy neonate breathes between 32 - 60 times per minute. An obligate nose breather, he uses his abdominal muscles for respiration, w/c is frequently shallow & irregular. To determine an accurate rate, the nurse should count the respiratory rate for 1 min during assessment.2. Which pulse is best to assess in a neonate?A. ApicalB. BrachialC. CarotidD. PedalRationaleAuscultating the apical area is the most accurate way to determine the rate & quality (rhythm, strength & sound) of a neonate’s pulse. The apical pulse w/c should be assessed for 1 min when the neonate is quiet, normally ranges from 110-160 bpm. Auscultating any of the other sites would yield imprecise results; a neonate has small arteries & a rapid pulse rate, w/c makes palpation of the pulse difficult.3. A neonate demonstrates the tonic neck reflex by

1. In the early setting of myocardial infarction, beta blockers have been found to be useful because:A. Decrease myocardial oxygen consumption.B. Improve venous returnC. Increase contractilityD. Limit the infarct to subendocardial damage.RationaleA. The effect of cardioselective beta blockers to reduce myocardial workload cause myocardial oxygen consumption to be decreased as well.B. Beta blockers do not act to increase venous return.C. Cardioselective beta blockers reduce contractility, thereby reducing myocardial workload.D. While the cardioselective action of beta blockade reduces infarct ”size”, this effect does not necessarily limit the amount of damage to subendocardial versus complete transmural infarction.2. If a patient who is managed for a chest pain in the ED is allergic to aspirin, what alternative antithrombotic can be used?A. Acetylsalicylic acid (“baby aspirin” ) 81 mg chewed.B. Ticlopidine hydrochloride (Ticlid) 250 mg orally.C. Enoxaparin (Lovenox) 1mg/kg intra

1. Which of the following client would be appropriate to assign to an unlicensed assistive personnel (UAP)?a. A 43-year-old client with a tracheostomy who is weaned from the ventilator.b. A 76-year-old cardiovascular accident client with a gastrostomy tube feeding infusing at 40cc/hr who needs nutritional counseling.c. A 30-year-old client who has a fractured femur immobilized with a Thomas splint and pearson attachment in Russel’s traction with balanced suspension.d. An 84-year-old combative and confused client admitted with a drug overdose of aspirin2. Which of the following assessments, if made by the registered nurse would be appropriate for unlicensed assistive personnel?a. Teaching a client how to administer insulinb. Assessing the clients status postoperativelyc. Inserting a Foley catheterd. Monitoring the vital signs of a postoperative client3. A registered nurse and an unlicensed assistive personnel are working on a medical/surgical unit. The nurse would delegate which of th

TRIAGE – 35 items1. A 35-year old woman has just been brought into the ED by the police after having been successfully assaulted. The patient is alert. Initial assessment reveals bruises and abrasions on her face, breasts, arms, and hands. She makes minimal eye contact with the nurse and speaks only when asked a question. What is the most appropriate action for the emergency nurse to take?A. Escort the patient to the bathroom for a shower and contact a social worker.B. Notify the emergency physician that a vaginal examination must be done immediately.C. Accompany the victim in a private treatment area and explain the sexual assault examination process.D. Once the patient is in the treatment area, let her be alone to compose herthoughts about the incident so that an accurate police report can be filed.Rationale:C. Remaining with the patient throughout the sexual assault examination process permits a trust relationship to develop between the nurse and the patient. Minimizing the intera

1. A nurse is caring for a burn client who has sustained thoracic burns and smoke inhalation and is risk for impaired gas exchange. The nurse avoids which action in caring for this client?a. repositioning the client from side to side every 2 hoursb. maintaining the client in a supine position with the head of the bed elevatedc. suctioning the airway as neededd. providing humidified oxygen as prescribed2. A client sustains a burn injury to the entire right arm, entire right leg, and anterior thorax. According to the rule of nine’s the nurse determines that what body percent was injured?Answer: __45%___3. A nurse assesses a burn injury and determines that the client sustained a full-thickness fourth-degree burn if which of the following is noted at the site of injury?a. a wet shiny weeping wound surfaceb. a dry wound surfacec. charring at the wound sited. blisters4. A client is brought to the emergency room following a burn injury. In assessment the nurse notes that the client’s eyeb

NCLEX Examinations Scheduling Opens July 13, 2007, for Philippines Test CenterContact:Dawn M. KappelDirector of Marketing and Communications312.525.3667 direct 312.279.1034fax dkappel@ncsbn.orgFOR IMMEDIATE RELEASECHICAGO - The National Council of State Boards of Nursing, Inc. (NCSBN) will begin NCLEX testing in Manila, the capital city of the Philippines, at the international Pearson Professional Center on Aug. 23, 2007. Scheduling for examination appointments will begin on July 13, 2007.The Manila site was chosen in February by the NCSBN Board of Directors because of the deep commitment shown by the Philippine government to ensuring a secure test center. The placement of a test site in the Philippines will allow for greater customer service to nurses without compromising the goal of safeguarding the public health, safety and welfare of patients in the U.S.Intended for the purposes of domestic nurse licensure in U.S. states and territories, all security policies and procedures curren

1. A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient’s medication does not cause urine discoloration?a. Sulfasalazineb. Levodopac. Phenolphthaleind. Aspirin2. You are responsible for reviewing the nursing unit’s refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator’s contents? a. Corgardb. Humulin (injection)c. Urokinased. Epogen (injection)3. A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?a. IgAb. IgDc. IgEd. IgG4. A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take?a. Immediately see a socia

Entry into the practice of nursing in the United States and its territories is regulated by the licensing authorities within each jurisdiction. To ensure public protection, each jurisdiction requires a candidate for licensure to pass an examination that measures the competencies needed to perform safely and effectively as a newly licensed, entry-level registered nurse. The National Council of State Boards of Nursing (NCSBN) develops two licensure examinations, the National Council Licensure Examination for Registered Nurses and the National Council Licensure Examination for Practical Nurses that are used by state and territorial boards of nursing to assist in making licensure decisions.PURPOSE OF NCLEX-RN EXAMThe primary responsibility of the NCLEX Examinations Department of the National Council of State Boards of Nursing (NCSBN) is the development, delivery and support of the NCLEX-RN® and NCLEX-PN® examinations. NCLEX® candidates, nurse educators, health care professionals and the

How to Register for the NCLEX Examination?1. Candidates must submit an application for licensure to the board of nursing where they wish to be licensed. Candidates must be sure to meet that board of nursing's application deadline.2. Candidates who provide an e-mail address when registering for the NCLEX Examination will receive all subsequent correspondence from Pearson VUE only through e-mail. If a candidate does not provide an e-mail address when they register then all correspondence from Pearson VUE will arrive only through U.S. mail.3. Candidates need to register using one of the following methods: on the web, by mail or by telephone.Registering on the Internet1. Go to the NCLEX Candidate Web site (www.pearsonvue.com/nclex) and select the "Create a Web Account and register" option. Answer each question as directed. Use the Candidate Bulletin (PDF 740k) as a guide to answering the questions.2. Candidates must pay for their registration by credit card, using one of the following: VI

NCSBN will begin NCLEX testing in Manila, the capital city of the Philippines, at the international Pearson Professional Center on Aug. 23, 2007. Scheduling for examination appointments will begin on July 13, 2007.FOR IMMEDIATE RELEASECHICAGO - The National Council of State Boards of Nursing, Inc. (NCSBN) will begin NCLEX testing in Manila, the capital city of the Philippines, at the international Pearson Professional Center on Aug. 23, 2007. Scheduling for examination appointments will begin on July 13, 2007.The Manila site was chosen in February by the NCSBN Board of Directors because of the deep commitment shown by the Philippine government to ensuring a secure test center. The placement of a test site in the Philippines will allow for greater customer service to nurses without compromising the goal of safeguarding the public health, safety and welfare of patients in the U.S.Intended for the purposes of domestic nurse licensure in U.S. states and territories, all security policies a

NCLEX to be conducted in Manila on August 23 By Perry Gil S. Mallari, Reporter The nursing profession in the Philippines got a big shot in the arm with the recent approval of the government’s request for the establishment of a National Council Licensure Examination (NCLEX) testing center in the Philippines. The approval was a welcome development after the controversial nursing board exam leakage last year tarnished Filipino nurses’ reputation abroad. The initiative was advanced through the efforts of Secretary Dante Ang, chairman of the Commission on Filipinos Overseas (CFO). Dr. Ang said it was the sincerity of the Philippine government in resolving the nursing-text l

NCLEX registration sa Biyernes naMaaari nang magparehistro ngayong Biyernes ang mga kukuha ng National Council Licensure Examination (NCLEX) sa bansa para sa Agosto. Hindi bababa sa $700 ang tinatayang matitipid ng Filipino nurses sa pagkakaroon ng NCLEX testing center sa Pilipinas. Ang NCLEX ay pagsusulit na kailangang ipasa ng mga nurse para makapagtrabaho sa Amerika. Pumupunta pa dati ang mga Pilipinong nurse sa ibang bansa tulad ng Hong Kong at Saipan para kumuha ng NCLEX. Naniniwala naman ang Philippine Nurses Association na tataas din ang bilang ng mga papasa sa NCLEX. Ayon naman sa chairman ng Commission on Filipino Overseas na si Dante Ang, hindi dapat masira ang Pilipinas sa mata ng National Council for State Boards of Nursing (NCSBN).121550fce609bcdf

Manila OK’d as NCLEX siteUS nursing boards council approves RP request Nurses may take first exam in Manila Aug. 23By RAYMUND F. ANTONIOFilipino nursing graduates may now take the National Council Licensure Examination (NCLEX) in Manila after the National Council of State Boards of Nursing, Inc. (NCSBN) selected the country’s capital city as a new international NCLEX test site.The NCSBN said it had approved the Philippine government’s request for the establishment of a testing center in Manila.Dawn Kappel, NCSBN director for marketing and communications, said the examination appointments are scheduled on July 13, Friday and the NCLEX will be administered on August 23 at the International Pearson Professional Center in Manila."The Manila site was chosen in February by the NCSBN Board of Directors because of the deep commitment shown by the Philippine government to ensuring a secure test center," Kappel said.The NCSBN is a nonprofit organization comprising the boards of nursing in

CHICAGO, IL--(Marketwire - July 11, 2007) - The National Council of State Boards of Nursing, Inc. (NCSBN) will begin NCLEX® testing in Manila, the capital city of the Philippines, at the international Pearson Professional Center on Aug. 23, 2007. Scheduling for examination appointments will begin on July 13, 2007. The Manila site was chosen in February by the NCSBN Board of Directors because of the deep commitment shown by the Philippine government to ensuring a secure test center. The placement of a test site in the Philippines will allow for greater customer service to nurses without compromising the goal of safeguarding the public health, safety and welfare of patients in the U.S. Intended for the purposes of domestic nurse licensure in U.S. states and territories, all security policies and procedures currently used to administer the NCLEX examination domestically will be fully implemented at this new site. Administration of the NCLEX examination abroad d

The news today about the opening of the NCLEX testing center in Manila is the best news we've received in a long time. The NCSBN, in a press release, said the Manila center will begin accepting calls on Friday, July 13, NCLEX applicants who already have their ATT can start scheduling their exam dates this Friday, but actual exams will only begin on Aug. 23.I've e-mailed NCSBN to ask additional details about the Manila test center, hopefully they'll reply soon. Except for the start of scheduling and exam administration, the NCSBN press release contained little else. There were no details about the location of the testing center and the number of examinees it can accommodate in a day.The testing center will be operated by the NCSBN's test service partner Pearson Vue. NCSBN said the center will have the same security systems as in other NCLEX testing centers.In the past, there were reports that the NCLEX testing center would be located in the Enterprise Building in Makati. Some rumors

The National Council of State Boards of Nursing, Inc. (NCSBN) will begin NCLEX testing in Manila at the international Pearson Professional Center on Aug. 23, 2007. Scheduling for examination appointments will begin on July 13, 2007. Read the full story here.

Attempt to answer the following question in the comments. New commenters will be held for moderation. This forward will be removed after the correct answer is posted in the comments. I try to post the correct answer after 10 attempts to answer have been made. Don’t miss a post! For easy to subscribe options please visit to get everything to come to you! A client is hospitalized for treatment of a fractured femur. Suddenly, he becomes pale, confused, and very short of breath. He complains of pain to his chest. The nurse also notes petechial hemorrhages on his legs and stomach. The nurse suspects that this client: is having an acute anxiety attack may have a fat embolism may have a wound infection is having a myocardial infarction

Attempt to answer the following question in the comments. New commenters will be held for moderation. This forward will be removed after the correct answer is posted in the comments. I try to post the correct answer after 10 attempts to answer have been made. Don’t miss a post! For easy to subscribe options please visit [...]

Correct answer now posted by Tanya… A client with chronic lymphocytic leukemia has a central venous access device. She has a tunneled central catheter called a Hickman. The nurse knows that this catheter is inserted surgically and threaded to the subclavian, and then is advanced into the superior vena cava just above the junction with the left atrium right atrium left ventricle right ventricle

Correct answer now posted by Tanya… A client with chronic lymphocytic leukemia has a central venous access device. She has a tunneled central catheter called a Hickman. The nurse knows that this catheter is inserted surgically and threaded to the subclavian, and then is advanced into the superior vena cava just above the junction with the left [...]

Correct answer now posted by Tanya… Twelve hours post lumbar laminectomy a client complains of discomfort and the inability to void. Which is the best action for the nurse to take? Assist the client to the bathroom Palpate for fullness of the bladder Apply manual pressure to the bladder as the client attempts to void Insert an indwelling catheter

Correct answer now posted by Tanya… Twelve hours post lumbar laminectomy a client complains of discomfort and the inability to void. Which is the best action for the nurse to take? Assist the client to the bathroom Palpate for fullness of the bladder Apply manual pressure to the bladder as the client attempts to void Insert an indwelling catheter

Correct answer now posted by Tanya… A 2 day old neonate is receiving phototherapy for hyperbilirubinemia. During this therapy, it is essential that the nurse: decrease the unit’s level of light every 2 hours keep the neonate well covered to prevent cold stress maintain the neonate’s position for 4 hours at a time place an opaque mask over the neonate’s eyes Source: Question & Rationale provided by Drexel University's NCLEX EXCEL

Correct answer now posted by Tanya… A 2 day old neonate is receiving phototherapy for hyperbilirubinemia. During this therapy, it is essential that the nurse: decrease the unit’s level of light every 2 hours keep the neonate well covered to prevent cold stress maintain the neonate’s position for 4 hours at a time place an opaque mask over the [...]

Correct answer now posted by Tanya… The mother of a premature infant demonstrates knowledge of her son’s growth and development when she tells the nurse: “If his respirations are the normal rate and he isn’t retracting or grunting. I won’t need to bring him in for an oximeter reading.” “His skin will have less chance of friction or pressure points from a sheet over the crib mattress than a sheepskin over the mattress.” “When he stops sucking the nipple and falls asleep, he is telling me he has had enough to eat and is full.” “The best time to provide exciting music, talking and stroking is during feedings when he is already awake.” Source: Question & Rationale provided by Drexel University’s NCLEX EXCEL

Correct answer now posted by Tanya… The mother of a premature infant demonstrates knowledge of her son’s growth and development when she tells the nurse: “If his respirations are the normal rate and he isn’t retracting or grunting. I won’t need to bring him in for an oximeter reading.” “His skin will have less chance of friction or [...]

Correct answer now posted by Tanya… A nurse assigned to work on a new unit in a nursing home. The clients are elderly, alert, ambulatory or out of bed in wheelchairs. When administering medications, the nurse enters a client’s room and finds the client sitting on the side of a bed. Which of the following is the most appropriate action for the nurse to take at this time? “Good morning, I have your medications.” “Good morning, may I check your ID band?”; “Are you Mrs. K? I have your medication.” “I’m looking for Mrs. K. What is your name?” Source:Question & Rationale provided by Drexel University’s NCLEX EXCEL

Correct answer now posted by Tanya… In performing CPR, the primary goal of the nurse is to return the heart to normal rhythm maintain acid-base balance maintain circulation to vital organs correct fluid volume deficit Source: Question & Rationale provided by Drexel University’s NCLEX EXCEL