Top Medication NCLEX Questions in Pharmacology
Pharmacological and parenteral therapies comprise 13 to 19% of all NCLEX questions. Unfortunately, it is impossible to memorize all the drugs in the world – unless you have an eidetic memory. If you were not born a regular Sheldon Cooper, you can still become a wizard of pharmacology by focusing on these top 5 medications that usually appear in medication NCLEX questions:
Heart disease is one of the leading causes of mortality and morbidity in the United States – and all around the world. As such, you can expect Ace Inhibitors to pop up in medication NCLEX questions every so often.
There are many Ace Inhibitors out there, but one thing you should know is that this family of drugs often ends in –pril (i.e. Captopril and Enalapril.) Medication NCLEX questions usually ask about common side effects, and with Ace inhibitors it is usually dizziness.
As a nurse, you need to be on the lookout for the development of throat or lip swelling in patients taking such drugs. After all, this is a rare yet very serious side effect that warrants the attention of the physician.
Another category of anti-hypertensive medications, Alpha Blockers are often included in medication NCLEX questions. Known to have the suffix –zosin or –losin, they are also used in patients with benign prostatic hyperplasia and Raynaud’s disease.
A common side effect of Alpha Blockers is orthostatic hypotension, or dizziness and low blood pressure that occur after an abrupt change in position (standing up from a lying or sitting position.) When you come across medication NCLEX questions pertaining to this, remember that your best measure is to advise your patient to change his position slowly in order to prevent this unpleasant side effect.
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Antianginals are medications that dilate the peripheral veins and arteries. This effect makes them the drug of choice in patients manifesting angina pectoris, a symptom associated with ischemic heart disease. Such antianginals that might pop out in medication NCLEX questions are the following:
- Nitrates – Nitroglycerin, Isosorbide Mononitrate and Isosorbide Dinitrate
- Beta Blockers – Drugs with –olol suffix, examples include Metoprolol or Acebutolol
- Calcium Channel Blockers – Dihydropine classes are characterized by the –dipine suffix
True to its name, this drug deals with dysrhythmias or arrhythmias, heart conditions characterized by irregular heartbeats. Antidysrhythmic drugs that might appear in NCLEX questions include Sodium Channel Blockers (Procainamide, Lidocaine), Beta-Adrenergic Blockers (Propanolol), Potassium Channel Blockers (Amiodarone) and Calcium Channel Blockers (Verapamil, Adenosine). Aside from the different type of antidysrhythmic drugs, medication NCLEX questions might deal with nursing considerations associated with these medications. Here are some helpful pointers:
- Monitor cardiac rate and rhythm when administering IV antidysrhythmics.
- Observe for side effects, as these might indicate overdose.
Antifungals, or drugs that combat fungal infections, are often incorporated in NCLEX questions. Often ending in the suffix –zole, antifungals are known to cause hepatotoxicity. As such, it is important to monitor the liver function tests of individuals who receive this kind of drug.
Even if there are many drugs in the world, you can answer medication NCLEX questions in Pharmacology with ease and confidence – just by remembering these tips. Put your skills to the test by sampling the Pharmacology medication NCLEX questions here at www.nclexpreceptor.com.
The superego, the last portion of the personality to develop, represents the moral component of personality. The superego consists of the conscience (all the “should nots” internalized) and the ego ideal (all the “shoulds” internalized).
Nursing NCLEX Fundamentals
The nurse must have a solid understanding of nursing NCLEX fundamentals to pass NCLEX. It is important for the nurse to study basic NCLEX fundamentals such as assessment, diagnosis, planning, implementing, and evaluation.
- Assessment is collecting vital signs, pain levels, other signs/ symptoms
- Diagnosis is the nurse making a nursing diagnosis based on assessment of patient. Medical diagnosis are made by physicians.
- Planning is the nurse comeing up with client-centered goals; need to be measurable (client will ambulate 10 meters 3x daily for 2 wks)
- Implementing is the nurse following through with plan that was developed for the patient
- Evaluation is when the nurse assess if a goal was met, partially met, not met. The nurse should evaluate the patient’s plan of care.
Consider placing patients on bedrest to help increase a patients strength. Bedrest will lower the body’s need for oxygen. Bedrest will reduce pain and discomfort. Patients should not be placed on bedrest without considering physical therapy.
NCLEX Fundamentals Tips
NCLEX Fundamentals Tip 1:
Assessment is the first step in the nursing process. The nurse should assess the patient in order to create a nursing diagnosis. Assessment is collecting objective and subjective information on the patient.
NCLEX Fundamentals Tip 2:
Pain management is a NCLEX fundamental concept. Opioids are pain relievers that contain opium or chemically related to opium. Opioids are ordered for moderate to severe pain. Opioids are commonly ordered for post-op, chronic non-cancer, or cancer patients.
NCLEX Fundamental Tip 3:
Hand washing is a NCLEX fundamental concept. One of the most important technique used in preventing and controlling transmission of infection is hand washing. Nurses should wash their hands before and after each patient encounter. Hand washing protects the patient as well as the nurse.
Congratulations, you have finally passed the hurdle that is Nursing School! While the thought of graduation should make you celebrate, you need to know that there is one more challenge you need to overcome: the NCLEX. Probably the most important requirement for all wannabe nurses, the NCLEX and the questions therein are designed to ensure safety of the public in the hands of neophyte nurses like you.
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What is the NCLEX?
NCLEX is the acronym for National Council Licensure Examination. NCLEX questions are formulated by members of the National Council of State Boards of Nursing.
NCLEX questions come in two forms: the NCLEX-RN for Registered Nurses, and the NCLEX-PN for Practical Nurses.
Passing the NCLEX is a must for every aspiring nurse, as it measures the competencies of entry-level nurses. This helps determine the ability of such professionals to perform their duties safely and efficiently in the healthcare setting.
The computerized NCLEX questions test is an innovation introduced in April 1994. NCLEX questions are divided into four categories, and these cover the entire span of Nursing.
The NCLEX is not just a repository of randomly-assigned queries, it features a computer-adaptive format that spews questions based on your former answers. The difficulty will depend on you, the examinee, and the level of your Nursing knowledge.
NCLEX Questions and Exam Length
NCLEX questions and the entire exam vary in length. The minimum number of questions you need to answer is 75, while the maximum is 265.
You have a total of 6 hours to finish the NCLEX questions. This duration includes breaks (optional), as well as viewing of tutorials and answering sample questions. Remember that your six-hour allotment does not stop whenever you take breaks.
What to Expect During the Exam Date
On the exam date, you need to provide a scan of your palms, as well as fingerprints and a digital signature. You need to have your picture taken as well.
You need to surrender your Authorization to Test (ATT) when asked. This is the only item you can bring with you during the examination. You can store your valuables in a locker outside the testing area.
To ensure result accuracy, each exam is checked twice by the Board.
After answering NCLEX questions, the waiting time is approximately one month before you get the results from the State Board. If this is too long for you, you can get the unofficial result 2 days after you have taken the test. Getting your result through this method comes with an additional fee.
In case of failure, you will be sent a Candidate Performance Report that features a detailed account of your strengths and weaknesses. From this report you can determine which NCLEX questions you need to brush up on, before you take another round of the test.
Practicing NCLEX questions is one of the best ways for you to pass the exam. If you are looking for mind-boosting queries that can help you prepare for the test, then be sure to visit nclexpreceptor.com.
Now that you know everything there is to know about the exam, it is time for you to take the exam and answer the NCLEX questions! Good luck!
In nursing, proper positioning is vital in promoting recovery – and preventing any complications that might come with the procedure or the patient’s over-all condition. As such, you can expect NCLEX-RN questions that ask about suitable positioning in newly-operated patients, or individuals with certain conditions.
Tips in Answering NCLEX-RN Questions on Proper Positioning
While different positions can drive you crazy, you can answer NCLEX-RN questions properly by keeping these positioning tips in mind:
- If patient is due for epidural puncture, make sure to place him on his side.
- For NCLEX-RN questions that deal with lumbar puncture (as well as oil-based Myelogram), the proper position is supine. This prevents cerebrospinal fluid leakage, which can lead to a severe spinal headache.
- In patients with air or pulmonary embolism, lower the head of the bed and turn the patient to his left side. Signs of this condition – which can come up in NCLEX-RN questions – include difficulty of breathing, cyanosis, tachycardia, chest pain and a sense of impending doom.
- If a patient is diagnosed with heatstroke, place him in a recovery position: flat on bed with the legs raised. This will foster adequate circulation – to combat the dehydration that usually comes with heatstroke.
- If ever you encounter NCLEX-RN questions regarding Buck’s Traction, your answer regarding position should be “elevate foot of bed,” as this promotes the counter traction needed.
- NCLEX-RN questions are oftentimes situational. In the event that you are asked about what position is needed for a pregnant woman diagnosed with cord prolapse, the answer should be Trendelenburg or knee-chest position.
- What do you do with a pregnant patient who is manifesting decreased variability, late decelerations and fetal bradycardia while being monitored? When a NCLEX-RN question asks about this scenario (this is characterized as non-reassuring fetal heart rate pattern,), the best answer is to place her on her left side.
- In a NCLEX-RN scenario that deals with an infant with spina bifida, the best position is prone (on his abdomen), in order to avoid rupture of the said sac.
Procedures and Surgeries
- After Myringotomy, wherein an incision is made to the eardrum to relieve pressure, make sure to place your patient on the affected side. This will facilitate the drainage of secretions from the affected ear.
- After Thyroidectomy, the patient should be placed on semi or low Fowler’s position. The head, neck and shoulders should be supported all throughout.
- For NCLEX-RN questions that deal with health teachings after total hip replacement surgery, it is important that you remind the patient about the following: avoid sleeping on the affected side, avoid flexing the hip for more than 45 degrees, and avoid elevating the head of bed for more than 45 degrees.
- In Supratentorial Surgery, an incision is made behind the hairline. If a question regarding proper positioning appears in your NCLEX-RN exam, your answer should be to elevate the head of bed to 30 to 45 degrees.
Remember, proper positioning can improve your patient’s condition – if not save him from further harm. Be a master of proper positioning by taking a tour of the challenging NCLEX-RN questions here at nclexpreceptor.com.