NCLEX Nursing Competency and Practice Quiz

Heroin withdrawal symptoms typically include physical and psychological manifestations such as dilated pupils, irritability, tremors, anorexia, and piloerection. Symptoms such as insomnia, increased appetite, euphoria, and relaxed muscles are not typically associated with heroin withdrawal.

Acute cocaine intoxication typically presents with dilated pupils, euphoria, and diaphoresis. Symptoms such as irregular heartbeat, blurred vision, confusion, slurred speech, decreased motor coordination, fatigue, constricted pupils, decreased heart rate, and decreased energy are not commonly associated with acute cocaine intoxication.

The correct answer provides a list of medications and substances to avoid while taking MAOi, along with common symptoms and side effects. The incorrect answers do not align with the topic of MAOi and do not provide the necessary information related to medication interactions.

It is recommended to change an ileostomy pouch every 3-7 days to prevent leakage and skin irritation while ensuring proper hygiene.

Pericardial friction rub typically presents as harsh grating sounds that are heard best during inspiration.

Chronic bronchitis is characterized by the presence of deep low pitched rumbling sounds mainly during expiration, known as rhonchi. It is not typically associated with high fever and chills, chest pain with coughing, or shortness of breath with wheezing.

SIADH refers to Syndrome of Inappropriate Antidiuretic Hormone, where excessive ADH secretion leads to water imbalance and hyponatremia. The correct definition highlights the role of ADH in causing this syndrome. The incorrect answers provide misleading interpretations unrelated to the actual condition.

Syndrome of inappropriate antidiuretic hormone (SIADH) is commonly seen in conditions that affect brain function or hormone regulation. Lung cancer, head injury, encephalitis, and severe hypothyroidism are known to be associated with SIADH. Conditions like diabetes mellitus, rheumatoid arthritis, and acute pancreatitis do not typically present with SIADH.

When preparing for an Angiogram, it is important to assess allergy, check pulses, and explain that the dye will feel warm. Assessing blood pressure, asking about recent meals, and checking temperature are not specific to preparing for an Angiogram.

A low residue diet typically involves consuming foods that are easily digestible and low in fiber, with options such as white bread, white rice, and well-cooked vegetables. Avoiding whole grains, raw fruits and vegetables, seeds, and skins is a key aspect of this diet to reduce the amount of residue in the digestive tract.

Librium is a medication commonly used to treat anxiety disorders. The side effects of Librium include drowsiness and hypotension, not insomnia and hypertension, nausea and diarrhea, or increased heart rate and dry mouth.

The loading dose for Digoxin is usually 0.5-1 mg, the maintenance dose is 0.125-0.25 mg, and symptoms of Digoxin toxicity include N&V (nausea and vomiting), visual disturbances, and bradycardia.

The correct answer provides a mnemonic (W H O F E T) to remember the common symptoms of organ rejection. Weight gain, hypertension, oliguria, fever, edema, and tenderness are among the key signs to watch out for in monitoring for organ rejection.

Hypokalemia is a condition characterized by low levels of potassium in the blood, resulting in symptoms such as nausea, dysrhythmias (abnormal heart rhythms), and muscle weakness. Headache, fever, and fatigue may be common symptoms of other conditions but are not typically associated with hypokalemia.

Hyponatremia is characterized by low sodium levels in the blood, leading to symptoms such as muscle cramps, nausea, muscular twitching, and dehydration. Symptoms like rash, fever, and headache are not typically associated with hyponatremia.

R.A.C.E is an acronym used in emergency situations to help individuals remember the correct steps to take when responding to a fire or other emergency. It stands for Rescue, Alarm, Contain, Extinguish.

During an angiogram process, patients may experience a warm sensation, a pressure dressing is usually applied after the procedure, and it is important to be aware of any allergies to fish or iodine. Nausea and vomiting post-procedure, immediate resumption of normal activities, and no discomfort during the procedure are not accurate expectations.

Cervical cancer is predominantly caused by persistent infection with high-risk types of human papillomavirus (HPV), particularly HPV16 and HPV18. Other risk factors include having multiple sex partners, engaging in sexual activity at a young age, and smoking.

Metal prosthesis or implanted metal can cause interference with the MRI machine, leading to potential harm to the individual undergoing the scan. Pacemakers can also pose a risk due to the magnetic field, while MRI scans are generally safe during pregnancy with appropriate precautions. Claustrophobia is a psychological condition that can make it challenging for individuals to tolerate being in the confined space of an MRI machine.

Lithium levels in the body should ideally be within the range of 0.8-1.4. Levels above or below this range can lead to various complications such as drug induced diabetes Insipidous.

Addisons disease is characterized by adrenal insufficiency leading to low levels of Sodium and Sugar, requiring supplementation. Whereas Cushings syndrome involves excess cortisol leading to high levels of Sodium and Sugar, requiring restriction and monitoring for potential complications.

The Glasgow Coma Scale measures the level of consciousness based on eye, verbal, and motor responses.

Using a bronchodilator before a steroid helps open up the airways first, then treat inflammation. Waiting between inhalations allows each medication to work effectively. Washing the inhaler weekly helps keep it clean and free of debris.

The correct approach to treating Maternal Hypotension after epidural anesthesia involves following the S.T.O.P. protocol, which includes stopping the pitocin, turning the patient, providing oxygen, and pushing IV fluids if still hypovolemic. Increasing the dosage of epidural anesthesia, administering a medication to increase blood pressure without addressing other factors, or ignoring the symptoms can all potentially worsen the condition and should be avoided.

Hypocalcemia is a condition characterized by low levels of calcium in the blood, leading to symptoms like Trousseau's sign, Chvostek's sign, seizures, confusion, paresthesia, irritability, and tetany. It is important to treat hypocalcemia with appropriate measures like calcium gluconate given with orange juice.