NCLEX REVIEW LPN

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Shanpaq
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182013
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NCLEX REVIEW LPN
Updated:
2012-11-06 08:19:46
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NCLEX
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Review for NCLEX
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  1. What is the antidote for acetaminophen/Tylenol?
    acetylcysteine or mucomyst
  2. What is the antidote for anticholinesterase? increase duration of acetylcholine
    atropine or pralidoxime
  3. What is the antidote for anticholinergics? inhibit parasympathetic system
    physostigmine
  4. What is the antidote for antifreeze?
    methanol, ethylene glycol: fomepizole, ethanol
  5. What is the antidote for benzodiazepine?
    romazacon (flumazenil)
  6. What is the antidote for beta-blocking agents?
    glucagon, epinephrine
  7. What is the antidote for carbon monoxide (CO)?
    hyperbaric oxygen, 100% oxygen
  8. What is the antidote for coumadin/warfarin?
    phytonadione or Vitamin K, fresh frozen plasma
  9. What is the antidote for cyanide?
    amyl nitrite, sodium nitrite, or sodium thiosulfate
  10. What is the antidote for ifosfamide/cyclophosphamide? chemo tx
    mesna
  11. What is the antidote for Digoxin?
    Digibind or Digoxin Immune Fab
  12. What is the antidote for Dopamine? shock syndrome due to myocardial infarctions, trauma, endotoxic septicemia, open heart surgery, renal failure, and chronic cardiac decompensation as in congestive failure.
    regitine
  13. What is the antidote for EPS?
    Benadryl (diphenhydramine)
  14. What is the antidote for fluorouracil? tx of cancer
    leucovorin calcium
  15. What is the antidote for heroin?
    Narcan (naloxone) or nalmefene
  16. What is the antidote for Heparin?
    protamine sulfate
  17. What is the antidote for Insulin reaction?
    IV glucose(D50), glucagon
  18. What is the antidote for Iron?
    deferoxamine
  19. What is the antidote for lead?
    edetate calcium disodium, dimercaprol, or succimer
  20. What is the antidote for magnesium sulfate?
    calcium carbonate
  21. What is the antidote for MH?
    dantrolene
  22. What is the antidote for Methotrexate?
    leucovorin calcium
  23. What is the antidote for narcotics?
    Narcan (naloxone) or nalmefene
  24. What is the antidote for opiods?
    Narcan (naloxone) or nalmefene
  25. What is the antidote for organophosphate (OPP)?
    atropine, pralidoxime
  26. What is the antidote for physostigmine? cholinesterase inhibitor
    atropine
  27. What is the antidote for theophylline? vasobronchodilator
    diphenhydramine (benadryl)
  28. What is the antidote for TCA (tricyclic antidepressants)?
    physostigmine or NaHCO3
  29. What is the antidote for Vitamin K?
    Kaexylatein
  30. What is the therapeutic range for Amikacin? antibiotic
    • Peak: 2-30 mcg/ml
    • Trough: 4-8 mcg/ml
  31. What is the therapeutic range for amitriptyline? treate depression
    120-150 ng/ml
  32. What is the therapeutic range for Carbamazepine? treat seizures
    4-12 mcg/ml
  33. What is the therapeutic range for Digoxin? for tx of atrial fibrillation or atrial flutter
    0.8 -2.0 ng/ml
  34. What is the therapeutic range for Disopyramide?
    2 - 5 mcg/ml
  35. What is the therapeutic range for Ethosuximide? tx for petit mal seizures
    40 - 100 mcg/ml
  36. What is the therapeutic range for Gentamicin?
    • Conventional dosing: peak 4-10 mcg/ml
    • trough: 0.5 - 2 mcg/ml
  37. What is the therapeutic range for Imipramine? tx for depression
    150 - 200 ng/ml
  38. What is the therapeutic range for Lidocaine? topical or for ventricular arrhythmias
    1.5 - 5.0 mcg/ml
  39. What is the therapeutic range for Lithium? tx bipolar disorder
    0.5 - 1.3 mEq/L
  40. What is the therapeutic range for Nortiptyline? tx depression
    50 - 150 ng/ml
  41. What is the therapeutic range for Phenobarbital? control seizures
    15 - 40 mcg/ml
  42. What is the therapeutic range for Phenytoin? anticonvulsant
    10 - 20 mcg/ml
  43. What is the therapeutic range for Primidone? seizure
    5 - 12 mcg/ml
  44. What is the therapeutic range for Procainamide? antiarrythmic medication
    4 - 10 mcg/ml
  45. What is the therapeutic range for Quinidine? antiarrhythmic
    2 - 5 mcg/ml
  46. What is the therapeutic range for Salicylate? pain
    50 - 250 mcg/ml
  47. What is the therapeutic range for Theophylline? vasobronchodilator
    10 - 20  mcg/ml
  48. What is the therapeutic range for Tobramycin? antibiotic
    • Peak: 4 - 10 mcg/ml
    • Trough: 0.5 - 2 mcg/ml
  49. What is the therapeutic range for Valproic Acid? seizure
    40 - 100 mcg/ml
  50. What is the therapeutic range for Vancomycin?
    • Peak: 20 -40 mcg/ml
    • trough: 5 - 15 mcg/ml
  51. What is the order of Maslow's Heirarchy of needs?
  52. What is the fastest administration route?
    "ISOISO" IV, Sublingual, IM, subcutaneous, oral
  53. What is the duration of labor contractions?
    beginning of one to the beginning of the next
  54. What is abruptio placenta?
    pre mature separation, painful, dark-red bleeding, c-section needed.
  55. What is placenta previa?
    low lying, painless, bright red bleeding, can continue pregnancy
  56. What is the WBC count?
    4.5 - 11.0 mm3
  57. What is RBC count?
    4.6 - 5.4 mm3
  58. Hgb count?
    12.0 - 18.0 g/dl
  59. HCT count?
    37.0 - 54.0 mL/dL
  60. PLT count?
    150,000 - 400,000 mm3
  61. Sodium count?
    135 - 145 mEq/L
  62. Potassium count?
    3.5 - 5.0 me/L
  63. Calcium count?
    8.4 - 10.6 mg/dL
  64. Magnesium count?
    1.3 - 2.1 mg/dL
  65. Phosphate count?
    2.7 - 4.5 mg/dL
  66. Chloride count?
    96 - 106 mEq/dL
  67. Bicarbonate HCO3 count?
    22 -26 me/L
  68. Serum PH?
    7.35 - 7.45
  69. What diseases necessitate airborne precautions?
    Measles, Chickenpox (varicella), disseminated varicella zoster, TB
  70. What diseases necessitate droplet precautions?
    adenovirus, diphtheria (pharygeal), epiglottitis, influenza, meningitis, mumps, mycoplasma or meningococcal pneumonia, parvovirus B19, pertussis, pneumonia, rubella, scarlet fever, sepsis, streptococcal pharyngitis.
  71. What necessitates contact precautions?
    multidrug - resistant organism, enteric functions, respiratory infections, wound infections, skin infections, eye infection.
  72. What are the 4 P's of hourly rounding to prevent injury?
    Pain, Potty, Position, Personal Needs
  73. What is primary angle-closure glaucoma (acute)?
    rapid increase in IOP; requires STAT treatment, severe eye pain, headache, blurred vision, rapid loss of vision.
  74. What is primary glaucoma?
    IOP >22, tunnel vision, loss of peripheral vision, halos around light, painless, blindness results if untreated.
  75. What are the signs of cushing's triad response to increased ICP?
    increased systolic BP, widening pulse pressure, and relfex bradycardia from stimulation of carotid bodies.
  76. What are the medications for glaucoma?
    • Pilocarpine HCL - drug of choice; pupil constrictor (miotic)
    • Timolol maleate (Timoptic) - inhibits production of aqueous humor
    • Acetazolamide (Diamox) - reduces aqueous humor production
    • Dorzolamide - reduce aqueous humor production
    • Latanoprost (Xalatan) - lowers IOP by increase outlfow of aqueous humor
  77. What are the earliest signs of in changes of LOC?
    restlessness, anxiety, irritability, disorientation, confusion, decreased visual acuity, blurred vision, diplopia, difficult speech, tachycardia, tachypnea, headache with position change.
  78. What are the late signs of increased ICP?
    decreased LOC - Coma, sluggish fixed pupils, decorticate or decerebrate posturing, cushing's triad: increased SBP, widening pulse pressure, bradycardia; cheyne-stokes breathing, elevated temperature, projectile vomiting, loss of reflexes - gag, corneal, swallowing.
  79. What is spinal shock?
    temporary loss of relfex function; once relfexes return, spinal shock has been resolved. sx are bradycardia, hypotension, flaccid paralysis of skeletal muscles, loss of pain, touch, temperature, pressure, visceral and somatic sensations, bowel and bladder dysfunction, loss of ability to perspire.
  80. What is apraxia?
    inability to perform purposeful movements in the absence of motor problems.
  81. What is dysarthria?
    difficulty articulating. motor speech problem.
  82. What is dysphasia?
    impaired speech and verbal comprehension
  83. What is aphasia?
    loss of ability to speak
  84. What is agraphia?
    loss of ability to write
  85. What is alexia?
    loss of ability to read
  86. What is myasthenia gravis?
    a neuromuscular disease characterized by considerable weakness and abnormal fatigue of the voluntary muscles.  A defect in the transmission of nerve impulses at the myoneural junction.
  87. What is Tensilon test?
    atropine sulfate administered to diagnose myasthenia gravis and to differentiate between myasthenic and cholinergic crisis. positive is myasthenia crisis.

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