tag:blogger.com,1999:blog-5416612590965848902024-03-26T22:22:52.899-07:00moh - doh - haad - exam - registrationjincyhttp://www.blogger.com/profile/11680211598977442937noreply@blogger.comBlogger96125tag:blogger.com,1999:blog-541661259096584890.post-33673284067930752372015-03-10T03:35:00.001-07:002015-03-10T03:35:05.784-07:00Medical-Surgical Nursing Exam Sample Questions<div style="background-color: white;">
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<strong style="box-sizing: border-box; line-height: inherit;">These sample questions apply to all exams taken on or after October 25, 2014.</strong></div>
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The following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. The answers to the sample questions are provided after the last question.</div>
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To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Then click the button corresponding to the best answer for each question. When you are finished, click the "Evaluate" button at the bottom of the page. A new browser window will open, displaying your results, which you may print, if you wish.</div>
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This practice exam is not timed, and you may take it as many times as you wish. Good luck!</div>
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<small><span style="font-family: Arial;">1. The main goal of treatment for acute glomerulonephritis is to:</span></small></div>
<input name="Question 1" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">encourage activity.</span></small><br style="background-color: white;" /><input name="Question 1" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">encourage high protein intake.</span></small><br style="background-color: white;" /><input name="Question 1" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">maintain fluid balance.</span></small><br style="background-color: white;" /><input name="Question 1" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">teach intermittent urinary catheterization.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 2" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">2. Nursing diagnoses mostly differ from medical diagnoses in that they are:</span></small></div>
<input name="Question 2" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">dependent upon medical diagnoses for the direction of appropriate interventions.</span></small><br style="background-color: white;" /><input name="Question 2" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">primarily concerned with caring, while medical diagnoses are primarily concerned with curing.</span></small><br style="background-color: white;" /><input name="Question 2" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">primarily concerned with human response, while medical diagnoses are primarily concerned with pathology.</span></small><br style="background-color: white;" /><input name="Question 2" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">primarily concerned with psychosocial parameters, while medical diagnoses are primarily concerned with physiologic parameters.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 3" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">3. A patient who received spinal anesthesia four hours ago during surgery is transferred to the surgical unit and, after one and a half hours, now reports severe incisional pain. The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99<sup>o</sup>F (37.2<sup>o</sup>C), and respirations are 30 breaths/min. The patient's skin is pale, and the surgical dressing is dry and intact. The most appropriate nursing intervention is to:</span></small></div>
<input name="Question 3" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">medicate the patient for pain.</span></small><br style="background-color: white;" /><input name="Question 3" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">place the patient in a high Fowler position and administer oxygen.</span></small><br style="background-color: white;" /><input name="Question 3" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">place the patient in a reverse Trendelenburg position and open the IV line.</span></small><br style="background-color: white;" /><input name="Question 3" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">report the findings to the provider.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 4" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">4. To prevent a common, adverse effect of prolonged use of phenytoin sodium (Dilantin), patients taking the drug are instructed to:</span></small></div>
<input name="Question 4" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">avoid crowds and obtain an annual influenza vaccination.</span></small><br style="background-color: white;" /><input name="Question 4" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">drink at least 2 L of fluids daily, including 8 to 10 glasses of water.</span></small><br style="background-color: white;" /><input name="Question 4" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">eat a potassium-rich, low sodium diet.</span></small><br style="background-color: white;" /><input name="Question 4" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">practice good dental hygiene and report gum swelling or bleeding.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 5" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">5. The most common, preventable complication of abdominal surgery is:</span></small></div>
<input name="Question 5" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">atelectasis.</span></small><br style="background-color: white;" /><input name="Question 5" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">fluid and electrolyte imbalance.</span></small><br style="background-color: white;" /><input name="Question 5" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">thrombophlebitis.</span></small><br style="background-color: white;" /><input name="Question 5" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">urinary retention.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 6" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">6. A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient's spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to:</span></small></div>
<input name="Question 6" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">arrange nursing home placement for the couple.</span></small><br style="background-color: white;" /><input name="Question 6" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">consult the spouse's healthcare provider about the spouse's ability to care for the patient.</span></small><br style="background-color: white;" /><input name="Question 6" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">contact the children to ascertain their commitment to help.</span></small><br style="background-color: white;" /><input name="Question 6" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">discuss community resources with the spouse and offer to make referrals.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 7" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">7. During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the development of slurred speech and disorientation to time and place. The nurse's initial action is to:</span></small></div>
<input name="Question 7" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">continue the hourly neurologic assessments.</span></small><br style="background-color: white;" /><input name="Question 7" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">inform the neurosurgeon of the patient's status.</span></small><br style="background-color: white;" /><input name="Question 7" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">prepare the patient for emergency surgery.</span></small><br style="background-color: white;" /><input name="Question 7" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">recheck the patient's neurologic status in 15 minutes.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 8" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">8. For the evaluation feedback process to be effective, a manager:</span></small></div>
<input name="Question 8" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">conducts weekly meetings with staff members.</span></small><br style="background-color: white;" /><input name="Question 8" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">considers staff members' interests and abilities when delegating tasks.</span></small><br style="background-color: white;" /><input name="Question 8" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">informs staff members regularly of how well they are performing their jobs.</span></small><br style="background-color: white;" /><input name="Question 8" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">provides goals for staff members to meet.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 9" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">9. An 80-year-old patient is placed in isolation when infected with methicillin-resistant <i>Staphylococcus aureus</i>. The patient was alert and oriented on admission, but is now having visual hallucinations and can follow only simple directions. The medical-surgical nurse recognizes that the changes in the patient's mental status are related to:</span></small></div>
<input name="Question 9" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">a fluid and electrolyte imbalance.</span></small><br style="background-color: white;" /><input name="Question 9" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">a stimulating environment.</span></small><br style="background-color: white;" /><input name="Question 9" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">sensory deprivation.</span></small><br style="background-color: white;" /><input name="Question 9" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">sundowning.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 10" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">10. To prepare a patient on the unit for a bronchoscopic procedure, a medical-surgical nurse administers the IV sedative. The medical-surgical nurse then instructs the licensed practical nurse to:</span></small></div>
<input name="Question 10" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">educate the patient about the pending procedure.</span></small><br style="background-color: white;" /><input name="Question 10" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">give the patient small sips of water only.</span></small><br style="background-color: white;" /><input name="Question 10" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">measure the patient's blood pressure and pulse readings.</span></small><br style="background-color: white;" /><input name="Question 10" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">take the patient to the bathroom one more time.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 11" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">11. Which physiological response is often associated with surgery-related stress?</span></small></div>
<input name="Question 11" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Bronchial constriction</span></small><br style="background-color: white;" /><input name="Question 11" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Decreased cortisol levels</span></small><br style="background-color: white;" /><input name="Question 11" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Peripheral vasodilation</span></small><br style="background-color: white;" /><input name="Question 11" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Sodium and water retention</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 12" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">12. A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects:</span></small></div>
<input name="Question 12" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">justice.</span></small><br style="background-color: white;" /><input name="Question 12" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">paternalism.</span></small><br style="background-color: white;" /><input name="Question 12" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">pragmatism.</span></small><br style="background-color: white;" /><input name="Question 12" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">veracity.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 13" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">13. Which statement by a patient with diabetes mellitus indicates an understanding of the medication insulin glargine (Lantus)?</span></small></div>
<input name="Question 13" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">"Lantus causes weight loss."</span></small><br style="background-color: white;" /><input name="Question 13" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">"Lantus is used only at night."</span></small><br style="background-color: white;" /><input name="Question 13" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">"The duration of Lantus is six hours."</span></small><br style="background-color: white;" /><input name="Question 13" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">"There is no peak time for Lantus."</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 14" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">14. Which action occurs primarily during the evaluation phase of the nursing process?</span></small></div>
<input name="Question 14" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Data collection</span></small><br style="background-color: white;" /><input name="Question 14" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Decision-making and judgment</span></small><br style="background-color: white;" /><input name="Question 14" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Priority-setting and expected outcomes</span></small><br style="background-color: white;" /><input name="Question 14" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Reassessment and audit</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 15" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">15. Which action best describes a sentinel event alert?</span></small></div>
<input name="Question 15" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Documenting the breakdown in communication during a shift report</span></small><br style="background-color: white;" /><input name="Question 15" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Indicating that a community or institution is unsafe</span></small><br style="background-color: white;" /><input name="Question 15" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Recording the harm done when a medication error occurs</span></small><br style="background-color: white;" /><input name="Question 15" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Signaling the need for immediate investigation and response</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 16" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">16. Which is primarily a developmental task of middle age?</span></small></div>
<input name="Question 16" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Learning and acquiring new skills and information</span></small><br style="background-color: white;" /><input name="Question 16" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Rediscovering or developing satisfaction in one's relationship with a significant other</span></small><br style="background-color: white;" /><input name="Question 16" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Relying strongly upon spiritual beliefs</span></small><br style="background-color: white;" /><input name="Question 16" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Risk taking and its perceived consequences</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 17" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">17. A medical-surgical nurse, who is caring for a patient with a new diagnosis of cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to:</span></small></div>
<input name="Question 17" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">allow the patient and family members time to be alone.</span></small><br style="background-color: white;" /><input name="Question 17" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">arrange time for the patient to speak with another patient with cancer.</span></small><br style="background-color: white;" /><input name="Question 17" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">direct the discussion and validation of emotion, without false reassurance.</span></small><br style="background-color: white;" /><input name="Question 17" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">request a consultation from a social worker on the oncology unit.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 18" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">18. It is hospital policy to assess and record a patient's pulse before administering digoxin (Lanoxin). By auditing the nursing records to determine the frequency of compliance with this policy, the quality assessment and improvement committee is conducting:</span></small></div>
<input name="Question 18" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">a process analysis.</span></small><br style="background-color: white;" /><input name="Question 18" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">a quality analysis.</span></small><br style="background-color: white;" /><input name="Question 18" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">a system analysis.</span></small><br style="background-color: white;" /><input name="Question 18" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">an outcome analysis.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 19" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">19. The nursing diagnosis for a patient with a myocardial infarction is activity intolerance. The plan of care includes the patient outcome criterion of:</span></small></div>
<input name="Question 19" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">agreeing to discontinue smoking.</span></small><br style="background-color: white;" /><input name="Question 19" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">ambulating 50 feet without experiencing dyspnea.</span></small><br style="background-color: white;" /><input name="Question 19" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">experiencing no dyspnea on exertion.</span></small><br style="background-color: white;" /><input name="Question 19" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">tolerating activity well.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 20" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">20. A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?</span></small></div>
<input name="Question 20" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Erikson</span></small><br style="background-color: white;" /><input name="Question 20" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Maslow</span></small><br style="background-color: white;" /><input name="Question 20" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Rogers</span></small><br style="background-color: white;" /><input name="Question 20" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">Watson</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 21" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">21. Which statement by a patient demonstrates an accurate understanding about herbal supplements?</span></small></div>
<input name="Question 21" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">"Herbs may interact with prescribed medications but not other herbs."</span></small><br style="background-color: white;" /><input name="Question 21" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">"Most herbs have been tested and found to be safe and therapeutic."</span></small><br style="background-color: white;" /><input name="Question 21" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">"The Food and Drug Administration regulates herbs and allows advertising."</span></small><br style="background-color: white;" /><input name="Question 21" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">"There is no standardization among the manufacturers of herbs in this country."</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 22" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">22. For a patient with Crohn's disease, the medical-surgical nurse recommends a diet that is:</span></small></div>
<input name="Question 22" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">high in fiber, and low in protein and calories.</span></small><br style="background-color: white;" /><input name="Question 22" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">high in potassium.</span></small><br style="background-color: white;" /><input name="Question 22" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">low in fiber, and high in protein and calories.</span></small><br style="background-color: white;" /><input name="Question 22" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">low in potassium.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 23" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">23. When examining a patient who is paralyzed below the T4 level, the medical-surgical nurse expects to find:</span></small></div>
<input name="Question 23" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">flaccidity of the upper extremities.</span></small><br style="background-color: white;" /><input name="Question 23" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">hyperreflexia and spasticity of the upper extremities.</span></small><br style="background-color: white;" /><input name="Question 23" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">impaired diaphragmatic function requiring ventilator support.</span></small><br style="background-color: white;" /><input name="Question 23" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">independent use of upper extremities and efficient cough.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 24" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">24. After completing a thorough neurological and physical assessment of a patient who is admitted for a suspected stroke, a medical-surgical nurse anticipates the next step in the immediate care of this patient to include:</span></small></div>
<input name="Question 24" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">administering tissue plasminogen activator.</span></small><br style="background-color: white;" /><input name="Question 24" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">obtaining a computed tomography scan of the head without contrast.</span></small><br style="background-color: white;" /><input name="Question 24" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">obtaining a neurosurgical consultation.</span></small><br style="background-color: white;" /><input name="Question 24" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">preparing for carotid Doppler ultrasonography.</span></small><br style="background-color: white;" /><a href="https://www.blogger.com/null" name="Question 25" style="background-color: white;"></a><span style="background-color: white;"></span><br />
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<small><span style="font-family: Arial;">25. The first step in applying the quality improvement process to an activity in a clinical setting is to:</span></small></div>
<input name="Question 25" type="radio" value="0" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">assemble a team to review and revise the activity.</span></small><br style="background-color: white;" /><input name="Question 25" type="radio" value="1" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">collect data to measure the status of the activity.</span></small><br style="background-color: white;" /><input name="Question 25" type="radio" value="2" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">select an activity for improvement.</span></small><br style="background-color: white;" /><input name="Question 25" type="radio" value="3" /><span style="background-color: white;"> </span><small style="background-color: white;"><span style="font-family: Arial;">set a measurable standard for the activity.</span></small>jincyhttp://www.blogger.com/profile/11680211598977442937noreply@blogger.com12tag:blogger.com,1999:blog-541661259096584890.post-38496447927917272732015-02-26T04:20:00.004-08:002015-02-26T04:20:46.890-08:00EATING AT LATE NIGHT, DAMAGING BRAIN<div dir="ltr" style="text-align: left;" trbidi="on">
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Washington: Be warned if you have a strong urge to eat late at night as a new study shows that this could be bad for your brain.</div>
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Eating late at night, especially during the hours when our bodies think they should be sleeping, could disrupt learning and memory.</div>
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The results of the study may pose a possible health concern not only for those eating late at night but for the millions who are engaged in shift work.</div>
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"We have this illusion that with the flip of a switch, we can work at any time and part of that is eating at any time," Christopher Colwell, professor, psychiatry and bio-behavioural sciences, University of California, Los Angeles was quoted as saying in Today.</div>
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Although the new research was done on mice, the general principles also apply to humans, the Inquisitr reported.</div>
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The modern lifestyle of working long hours does not allow the body's need to stick with a specific schedule to remain healthy.</div>
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The circadian rhythm follows a 24-hour cycle and regulates almost everything in our body, including hormones and behaviour.</div>
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Any disruption of this cycle may not only be harmful for the immune system but even lead to type 2 diabetes, Colwell suggested.</div>
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Referring to jet-lag, the author demonstrates how such a disruption may affect the brain function.</div>
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In the experiment, the researchers allowed one group of mice to eat at normal times, while a second group could only eat during their normal sleep time.</div>
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The mice eating during their normal sleeping times were "severely compromised" in remembering what they had learned.</div>
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They also had trouble recognising new objects and showed changes in the part of the brain that involved learning and memory.</div>
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jincyhttp://www.blogger.com/profile/11680211598977442937noreply@blogger.com2tag:blogger.com,1999:blog-541661259096584890.post-64047702630933758912015-02-26T04:19:00.001-08:002015-02-26T04:19:10.189-08:00Garlic - fight against lung infections<div dir="ltr" style="text-align: left;" trbidi="on">
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London - Spicing up your food with garlic can help protect your lungs against infections, suggests new research.</div>
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A chemical found in garlic can kill bacteria that cause life-threatening lung infections in people with cystic fibrosis, a genetic disorder that mostly affects the lungs, the study noted.</div>
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The chemical - known as allicin - could be an effective treatment against a group of infectious bacteria that is highly resistant to most antibiotics.</div>
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“At a time when novel antimicrobial agents are urgently required, chemical and microbiological research has the potential to unlock the rich reservoir of antimicrobial compounds present in plants such as garlic,” said professor John Govan from the University of Edinburgh in Britain.</div>
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Allicin is produced naturally by garlic bulbs to ward off a closely-related group of plant pathogens found in soil and water habitats.</div>
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The bacteria - known as the Burkholderia cepacia complex (Bcc) causes serious and transmissible lung infections in people with cystic fibrosis.</div>
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The researchers found that allicin - which can be extracted by crushing raw garlic - inhibits the growth of bacteria.</div>
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Allicin kills Bcc bacteria by chemically modifying key enzymes, the researchers noted.</div>
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The team believes allicin-containing remedies could be used in combination with existing antibiotics to treat Bcc infections.</div>
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<em>The study was published in the journal PLOS one.</em></div>
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jincyhttp://www.blogger.com/profile/11680211598977442937noreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-3795526148837653752014-02-12T07:00:00.001-08:002014-02-12T07:00:31.575-08:00How brain guards itself against virus attacks<div dir="ltr" style="text-align: left;" trbidi="on">
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Infections in the central nervous system are rare thanks to our brain’s unique defence system that prevents viruses from invading, finds a study.<br /><br />The research explains a long-standing mystery.<br /><br />The olfactory mucosa in the nose can serve as a conduit for a number of viruses to enter the brain including rabies, polio and influenza viruses.<br /><br />Yet infections in the central nervous system rarely occur.<br /><br />The mechanism responsible for protecting the brain from viruses that successfully invade the olfactory bulb (OB), the first site of infection in nasal mucosa, remains elusive.<br /><br />“Our work points to the remarkable ability of the immune system, even within the brain, to protect us against opportunistic viruses,” says Anthony van den Pol of Yale University.<br /><br />Van den Pol and his colleagues discovered that in response to viral infection, cells in the olfactory bulb release long-distance signalling molecules that tell cells in uninfected parts of the brain to produce anti-viral interferon - a first line of defence against invading viruses.<br /><br />In the study, normal mice wiped out the infection while mice lacking receptors for the initial signalling molecules succumbed as the viruses spread throughout the brain, proving the critical role of these molecules.<br /><br />These signalling molecules are different than regular neurotransmitters.<br /><br />Van den Pol noted that during neuronal signalling, neurotransmitters released by one cell travel across a mere 20 nanometers of synapse to the next nerve cell.<br /><br />Yet, the long-distance signalling molecules diffuse up to 15 millimetres.<br /><br />That distance is almost a million times greater than the distance across a synapse.<br /><br />“The success of the immune system in blocking two unrelated viruses, vesicular stomatitis virus and cytomegalo virus, suggests that our results may generalise to many other viruses that can enter the brain through the olfactory nerve,” said van den Pol.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-26603775880024748102014-02-11T06:05:00.002-08:002014-02-11T06:06:04.765-08:00UAE new rules - nurses - MOH - DOH - HAAD<div dir="ltr" style="text-align: left;" trbidi="on">
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His Highness Shaikh Mohammed bin Rashid Al Maktoum, Vice-President and Prime Minister of the UAE and Ruler of Dubai, on Wednesday attended the signing of an agreement for the unification of licences for medical practitioners in the country, on the sidelines of his visit to the Arab Health Exhibition and Congress at the Dubai International Convention and Exhibition Centre. Also present was Shaikh Hamdan bin Mohammed bin Rashid Al Maktoum, Crown Prince of Dubai.</div>
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“A new step on the right path in order to unify the regulations, laws and procedures governing this noble human profession,” said Shaikh Mohammed while commending the signing of the agreement. </div>
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The ruling will be applicable within the next three months.</div>
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The agreement was signed by Minister of Health, Abdul Rahman bin Mohammed Al Owais, Director-General of the Dubai Health Authority (DHA) Essa Al Maidoor, and Dr Maha Barakat, Director-General of the Abu Dhabi Health Authority (Haad).</div>
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Health authorities of Dubai and Abu Dhabi had signed an agreement in 2012 to allow medical professionals of both emirates to work freely for each other. The move was followed by Dubai Healthcare City.</div>
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Wednesday’s signing now allows professionals from the health ministry to work for the authorities and vice versa. Over 200 professionals from the DHA have been licensed by Haad since the agreement and vice versa.</div>
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Commenting on the agreement, Al Maidoor said: “We are living in one country…we have doctors and technical staff in different fields of medicine who change their places between the emirates.</div>
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“So in this way we are unifying when the doctor is tested or interviewed by any of the authorities, he practice freely between any other emirate,” he said.</div>
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“This will be more flexible, unify the requirements between the emirates and guarantee the quality of work,” he added.</div>
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Al Maidoor said that a legislation would govern the agreement and in case of violation, action would be taken.</div>
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Currently, there are 18,000 licensed professionals in the private and government health sector in Dubai and 22,000 in Abu Dhabi.</div>
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No comment was available from the health ministry.</div>
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Health professionals, however, said that though it would now be easier to share expertise and experience especially in some sub-specialties of the medical field, general practitioners may not be able to benefit much. Some UAE national specialists are already allowed to work between both emirates. </div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-541661259096584890.post-54262477036123311552014-02-11T05:28:00.003-08:002014-02-11T05:28:20.812-08:005 reasons why beer is good for your health<div dir="ltr" style="text-align: left;" trbidi="on">
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<u>5 reasons why beer is good for your health</u></h1>
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<span style="box-sizing: border-box; font-size: 13px; line-height: 1.6em;"><span style="color: blue;">For all those who believe that drinking beer may pose a threat to your health, recent studies have found that the drink has several surprising health benefits if consumed in moderate amounts.</span></span></div>
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<span style="box-sizing: border-box; font-size: 13px; line-height: 1.6em;"><span style="color: blue;">Here are some amazing health benefits of beer:</span></span></div>
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<span style="color: blue;">Drinking two beers a day can help in maintaining bone strength as it contains silicon which helps in strengthening bones.</span></div>
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<span style="color: blue;">If consumed in the right amount, beer is good for one's mental health and reduces the risk of developing Alzheimer's.</span></div>
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<li style="box-sizing: border-box; line-height: 20px;"><div style="box-sizing: border-box; font-size: 14px; margin: 10px 0px;">
<span style="color: blue;">Since it is made of barley, it is an excellent source of fibre and hence consuming beer improves heart health and lowers cholesterol levels.</span></div>
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<span style="color: blue;">Studies suggest that consumption of beer in moderate amounts reduces the risk of heart strokes.</span></div>
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<li style="box-sizing: border-box; line-height: 20px;"><div style="box-sizing: border-box; font-size: 14px; margin: 10px 0px;">
<span style="color: blue;">Since beer contains high water content, it helps reduce the risk of developing kidney stones.</span></div>
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</ul>
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</div>
Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-541661259096584890.post-55156765970448530832014-02-11T05:05:00.002-08:002014-02-11T05:05:17.538-08:00Young female smokers at higher risk of most common type of breast cancer<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="color: red;">Young female smokers at higher risk of most common type of breast cancer</span></h1>
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A new study has revealed that young women, who have been smoking a pack of cigarettes a day for a decade, are at higher risk of most common type of breast cancer.</div>
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<span style="box-sizing: border-box; font-size: 13px;">According to the researchers, young women who are current or recent smokers and had been smoking a pack a day for at least 10 years, had a 60 percent increased risk of estrogen receptor positive breast cancer.</span></div>
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<span style="box-sizing: border-box; font-size: 13px;">However, it was found that smoking had no link to a woman's risk of triple-negative breast cancer.</span></div>
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<span style="box-sizing: border-box; font-size: 13px;">Christopher Li of the Fred Hutchinson Cancer Research Center, Seattle, and his colleagues conducted a population-based study consisting of 778 patients with estrogen receptor positive breast cancer, 182 patients with triple-negative breast cancer and 938 cancer-free controls.</span></div>
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Li said that the health hazards associated with smoking are numerous and well known and his study suggests that smoking might increase the risk of the most common molecular subtype of breast cancer but not influence risk of one of the rarer, more aggressive subtypes.</div>
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<span style="box-sizing: border-box; font-size: 13px;">The study was published in Cancer journal of the American Cancer Society.</span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-29909241038750098252014-02-08T07:04:00.001-08:002014-02-08T07:04:26.325-08:00Medical professionals can work across UAE<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="background-color: white; color: #333333; font-family: Georgia, 'Times New Roman', Times, serif; font-size: 15px;">An agreement has paved the way for professionals from the health ministry to work freely across the country. The move is expected to further enhance the quality of healthcare in the UAE and also counter any staff shortages.</span><br />
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His Highness Shaikh Mohammed bin Rashid Al Maktoum, Vice-President and Prime Minister of the UAE and Ruler of Dubai, on Wednesday attended the signing of an agreement for the unification of licences for medical practitioners in the country, on the sidelines of his visit to the Arab Health Exhibition and Congress at the Dubai International Convention and Exhibition Centre. Also present was Shaikh Hamdan bin Mohammed bin Rashid Al Maktoum, Crown Prince of Dubai.</div>
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“A new step on the right path in order to unify the regulations, laws and procedures governing this noble human profession,” said Shaikh Mohammed while commending the signing of the agreement. </div>
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The ruling will be applicable within the next three months.</div>
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The agreement was signed by Minister of Health, Abdul Rahman bin Mohammed Al Owais, Director-General of the Dubai Health Authority (DHA) Essa Al Maidoor, and Dr Maha Barakat, Director-General of the Abu Dhabi Health Authority (Haad).</div>
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Health authorities of Dubai and Abu Dhabi had signed an agreement in 2012 to allow medical professionals of both emirates to work freely for each other. The move was followed by Dubai Healthcare City.</div>
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Wednesday’s signing now allows professionals from the health ministry to work for the authorities and vice versa. Over 200 professionals from the DHA have been licensed by Haad since the agreement and vice versa.</div>
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Commenting on the agreement, Al Maidoor said: “We are living in one country…we have doctors and technical staff in different fields of medicine who change their places between the emirates.</div>
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“So in this way we are unifying when the doctor is tested or interviewed by any of the authorities, he practice freely between any other emirate,” he said.</div>
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“This will be more flexible, unify the requirements between the emirates and guarantee the quality of work,” he added.</div>
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Al Maidoor said that a legislation would govern the agreement and in case of violation, action would be taken.</div>
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Currently, there are 18,000 licensed professionals in the private and government health sector in Dubai and 22,000 in Abu Dhabi.</div>
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No comment was available from the health ministry.</div>
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Health professionals, however, said that though it would now be easier to share expertise and experience especially in some sub-specialties of the medical field, general practitioners may not be able to benefit much. Some UAE national specialists are already allowed to work between both emirates. </div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-31523916909539992622013-11-16T01:50:00.000-08:002013-11-16T01:50:17.240-08:00MOH Instructions for new users<div dir="ltr" style="text-align: left;" trbidi="on">
<u>MOH INSTRUCTIONS for new users</u><br />
<br />
1. How to create an online account?<br />
<a href="https://nmis.moh.gov.ae/nmis/EServiceHelp/1_How%20to%20create%20%20an%20online%20account.pdf">https://nmis.moh.gov.ae/nmis/EServiceHelp/1_How%20to%20create%20%20an%20online%20account.pdf</a><br />
<br />
<br />
2.Guidelines for new registrations.<br />
<a href="https://nmis.moh.gov.ae/nmis/EServiceHelp/2_New%20registration%20(Guidelines).pdf">https://nmis.moh.gov.ae/nmis/EServiceHelp/2_New%20registration%20(Guidelines).pdf</a><br />
<br />
<br />
3. Procedure for new registration.<br />
<a href="https://nmis.moh.gov.ae/nmis/EServiceHelp/3_New%20registration%20(Procedure).pdf">https://nmis.moh.gov.ae/nmis/EServiceHelp/3_New%20registration%20(Procedure).pdf</a><br />
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<br />
Thank you</div>
Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-541661259096584890.post-91062326295870867302013-10-24T04:10:00.001-07:002013-10-24T04:10:45.900-07:00NCLEX Examination Process - Eight Steps<div dir="ltr" style="text-align: left;" trbidi="on">
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-541661259096584890.post-543423862444443072013-10-24T04:01:00.000-07:002013-10-24T04:01:15.289-07:00nclex rn exam centers in kerala india<div dir="ltr" style="text-align: left;" trbidi="on">
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Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-541661259096584890.post-44511110503426732902013-10-24T03:51:00.001-07:002013-10-24T03:51:12.381-07:00NCLEX RN 3500 FREE DOWNLOAD<div dir="ltr" style="text-align: left;" trbidi="on">
<h1 style="border-bottom-color: rgb(204, 204, 204); border-bottom-style: dotted; border-bottom-width: 1px; color: #6f328b; font-family: 'Berkshire Swash', cursive; font-size: 34px; font-weight: 400; line-height: 1.5em; margin: 0px 0px 0.5em; text-shadow: rgb(204, 204, 204) 2px 2px 1px;">
NCLEX RN 3500 FREE DOWNLOAD</h1>
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Please go to bellow link for downloading the same. </div>
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Jincy Byju</div>
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Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-541661259096584890.post-87447497644013875012013-10-23T07:12:00.002-07:002013-10-23T07:12:55.799-07:00List of NCLEX testing centers.<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-size: 13px;">American Samoa<br />Pearson Professional Centers-Pago Pago AS<br />Pago Plaza, PO Box AC, Suite 222, Pago Pago,<br />96799<br />011-684-633-7873<br /><br /><strong>Canada</strong><br />Pearson Professional Centers- British Columbia<br />4190 Lougheed Hwy, Suite 103, Burnaby, BC V5C 6A8<br />604-678-2636<br /><br />Pearson Professional Centres-Montreal<br />7705 17th Avenue, Montreal, QC H2A<br />2S4<br />514-727-6006<br /><br /><strong>Germany</strong><br />Pearson Professional Centers-Frankfurt<br />62 Bettinastrasse, 4th floor, Frankfurt, 60325<br />+49 69- 7409 3624<br /><br /><strong>India</strong><br />Pearson Professional Centers-Bangalore<br />Trade Center, Dickenson Road, Next to Maniple Centre, Bangalore, KAR 560042<br />+91-80-41134165<br /><br />Pearson Professional Centers-Chennai <br />Gee Gee Emerald Building, 151,Village Road,Nungambakkam, Chennai, TAM 600034 <br />+91-44-43021101<br /><br />Pearson Professional Centers-Hyderabad<br />202,ABK Olbee Plaza, Road No.1,Banjara Hills, Hyderabad, AND 500034<br />+91-40-66469825<br /><br />Pearson Vue Professional Centers – New Delhi<br />Yousuf Sarai Community Centre, Above Hyundai Show room, New Delhi, DEL 110016<br />+91-11-41841472<br /><br />Pearson Professional Centers-Mumbai<br />Solitaire Corporate Park,167 Andheri, J B Nagar Link Rd,Chakala,Andheri,<br />Mumbai, MAH 400093<br />+91-22-40056787<br /><br /><strong>Hong Kong</strong><br />Pearson Professional Centers-Hong<br />Grand Millenium Plaza, 181 Queens Road, Central, Hong Kong<br />+91 85221678568<br /><br /><strong>Mexico</strong><br />Pearson Professional Centers-Mexico<br />Atlacomulco 500, Industrial Atoto, Naucalpan, Estado de Mexico<br />53519<br />+55.5359.8106<br /><br /><strong>Puerto Rico</strong><br />Pearson Professional Centers-San Juan<br />273 Ponce de Leon Avenue, Plaza Scotiabank, Suite 501, San Juan,<br />00917<br />787-641-9632<br /><br /><strong>Philippines</strong><br />Pearson Professional Centers-Manila<br />Trident Tower, 313 Senator Gil Puyat Avenue, Makati City, Manila, 1327<br />+63 2 887 2198<br /><br /><strong>Taiwan</strong><br />Pearson Professional Centers-Taipei<br />No 163 Sec 1, 13 F-3, Keelung Road, Union Century Building, Taipei<br />+886 2 2756 7808<br /><br /><strong>United Kindom</strong><br />Pearson Professional Centers-London<br />190 High Holborn, London, WC1V 7BH,<br />+08007314359<br /><br /><strong>United States - Alabama</strong><br />Pearson Professional Centers-Birmingham AL<br />Shelby Building Highpoint Office Center, 600 Vestavia Parkway, Suite 241,<br />Birmingham, AL 35216<br />205-824-0017<br /><br />Pearson Professional Centers-Decatur AL<br />AM South Bank Building, Suite 602, 401 Lee Street, Decatur, AL<br />35602<br />256-552-0667<br /><br />Pearson Professional Centers-Dothan AL<br />2623 Montgomery Hwy., Suite 4, Carmel Plaza, Dothan, AL<br />36303<br />334-671-7007<br /><br />Pearson Professional Centers-Mobile AL<br />900 Western America Circle, Executive Center One, Suite 504, Mobile, AL<br />36609<br />251-343-2601<br /><br />Pearson Professional Centers-Montgomery AL<br />400 East Boulevard, Suite 103, Montgomery, AL 36117<br />334-271-8995<br /><br /><strong>United States – Alaska</strong><br />Pearson Professional Centers-Anchorage AK<br />2550 Denali Street, Suite 511, Denali Towers North Building, Anchorage, AK 99503<br />907-222-1821<br /><br /><strong>United States – Arizona</strong><br />Pearson Professional Centers-Mesa AZ<br />555 W. Iron Avenue, Suite 102, Mesa, AZ 85210<br />480-655-7775<br /><br />Pearson Professional Centers-Phoenix AZ<br />2501 West Dunlap Avenue, Suite 260, Phoenix, AZ 85021<br />602-944-4425<br /><br />Pearson Professional Centers-Tucson AZ<br />5210 East Williams Circle, Merrill Lynch Building, Suite 722, Tucson, AZ<br />85711<br />520-790-2207<br /><br /><strong>United States – Arkansas</strong><br />Pearson Professional Centers-Fort Smith AR<br />1401 S Waldron Road, Suite 208, Fort Smith, AR<br />72903<br />479-484-5660<br /><br />Pearson Professional Centers-Little Rock AR<br />10802 Executive Center Dr., Benton Building,<br />Suite 201, Little Rock, AR 72211<br />501-313-9082<br /><br />Pearson Professional Centers-Texarkana AR<br />210 North State Line Avenue, Landmark Building, Suite B100,<br />Texarkana, 71854<br />870-772-3247<br /><br /><strong>Unites States – California</strong><br />Pearson Professional Centers-Anaheim (LA) CA<br />2190 Towne Centre Place, Suite 300, Anaheim Corporate Plaza, Anaheim, CA 92806 <br />714-937-0281<br /><br />Pearson Professional Centers-Fresno CA<br />7555 N. Palm Avenue, Suite 205, Fresno, CA 93711<br />559-449-0986<br /><br />Pearson Professional Centers-Gardena (LA) CA<br />1515 West 190th Street, South Bay Center, Suite 405, Gardena, CA 90248<br />310-532-7521<br /><br />Pearson Professional Centers-Oakland CA<br />1000 Broadway, Transpacific Center, Suite 470, Oakland, CA 94607<br />510-836-3171<br /><br />Pearson Professional Centers-Ontario (LA) CA <br />3401 Centrelake Drive, Centerlake Plaza, Suite 675, Ontario, CA 91761 <br />909-937-3223<br /><br />Pearson Professional Centers-Pasadena (LA) CA<br />Union Bank Building, 70 S. Lake Avenue, Suite 840,<br />626-397-2815<br /><br />Pearson Professional Centers-San Diego (North) CA<br />11770 Bernardo Plaza Court, Suite 463, San Diego, CA 92138<br />800-247-8731<br /><br />Pearson Professional Centers-San Diego CA <br />9619 Chesapeake Drive, Suite 208, San Diego, CA 92133<br />858-541-1934<br /><br />Pearson Professional Centers-San Francisco CA<br />201 Filbert Street, Suite 200, San Francisco, CA 94133-3238<br />415-362-6316<br /><br />Pearson Professional Centers-San Jose CA<br />1641 N 1st Street, Koll Lyon Plaza, Suite 260, San Jose, CA 95113-4519<br />408-437-1707<br /><br />Pearson Professional Centers-Santa Maria CA <br />1010 South Broadway, Gill Office Building, Suite F, Santa Maria, CA 93454<br />805-348-1340<br /><br />Pearson Professional Centers-Westlake Village (LA) <br />875 Westlake Blvd.Westlake Corporate Centre, Suite 106, WestLake Village, CA 91361<br />805-778-0020<br /><br /><strong>United States – Colorado</strong><br />Pearson Professional Centers-Greenwood Village<br />5660 Greenwood Plaza Blvd, Suite 510,The Triad, Greenwood Village, CO 80111</span><br /><span style="font-size: 13px;">720-482-2806</span></div>
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<span style="font-size: 13px;">Pearson Professional Centers-Pueblo CO <br />41 Montebello Road, University Center Professional Building, Suite 313, Pueblo, CO 81001<br />719-545-6376</span></div>
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<span style="font-size: 13px;">Pearson Professional Centers-Westminster<br />9101 Harlan Street, Lake Arbor Plaza, Suite 320, Westminster, CO 80031<br />303-427-6446<br /><br /><strong>United States – Connecticut</strong><br />Pearson Professional Centers-Wallingford <br />35 Thorpe Avenue, Suite 105, Wallingford, CT 06492<br />203-269-0732<br /> <br />Pearson Professional Centers-Wethersfield<br />100 Great Meadow Road, Putnam Park, Suite 404,Wethersfield, CT 06109<br />860-513-1362<br /><br /><strong>United States – Delaware</strong><br />Pearson Professional Centers-Dover DE<br />1013 College Road, Suite 104, The Kay’s Building, Dover, DE 19904<br />302-736-8006<br /><br />Pearson Professional Centers-Newark (Wilmington) DE <br />111 Continental Drive, Suite 109, Newark, DE 19713302-368-5271<br /><br /><strong>United States – District of Columbia</strong><br />Pearson Professional Centers-Washington DC <br />1615 L Street NW, Suite 410, Washington, DC 20036<br />202-223-6640<br /><br /><strong>United States – Florida</strong><br />Pearson Professional Centers-Deerfield Beach, FL <br />1191 East Newport Center Drive, Suite PHA, 3rd Floor, Penthouse A, Deerfield Beach, FL 33442 <br />800-247-8731<br /><br />Pearson Professional Centers-Gainesville FL <br />201 SE Second Avenue, Union Street Station, Suite 208,Gainesville, FL 32601<br />352-374-8001<br /><br />Pearson Professional Centers-Jacksonville FL <br />8659 Baypine Road, Suite 305, Spring Lake Business Center, Building 3, Jacksonville, FL 32256 <br />904-448-5410<br /><br />Pearson Professional Centers-Miami FL <br />8615-8617 South Dixie Highway, Miami, FL 33143<br />786-268-8176</span><br /><br /><span style="font-size: 13px;">Pearson Professional Centers-Orlando FL <br />1707 Orlando Central Parkway, Suite 300, Orlando, FL 32809<br />407-857-9685<br /><br />Pearson Professional Centers-Plantation (Ft Laud) <br />1000 South Pine Island Road, Royal Palm At Southpoint, Suite 260, Plantation, FL 33324 <br />954-370-9964<br /><br />Pearson Professional Centers-Port Charlotte FL <br />1777 Tamiami Trail (41 Hwy), M & I Bank Building, Suite 508, Port Charlotte, FL 33948 <br />941-625-0345<br /><br />Pearson Professional Centers-St. Petersburg, FL <br />The Glades Building, 877 Executive Center Drive,Suite 350, St. Petersburg, FL 33702 <br />727-577-9794<br /><br />Pearson Professional Centers-Tallahassee FL <br />2286-2 Wednesday Street, Tallahassee, FL 32308<br />850-201-1953<br /><br />Pearson Professional Centers-Tampa FL <br />3922 Coconut Palm Drive, Sabal Business Center 5, Suite 101,Tampa, FL 33619 <br />813-621-2397<br /><br />United States – Georgia<br />Pearson Professional Centers-Albany GA <br />2410 Westgate Drive, Suite 102, Albany, GA 31707 <br />229-878-6265<br /><br />Pearson Professional Centers-Atlanta (South)GA <br />3420 Norman Berry Rd., The Entrusted Building, Suite 275, Atlanta, GA 30354<br />404-305-9220<br /><br />Pearson Professional Centers-Atlanta (North) GA <br />1117 Perimeter Center West, W-500, Perimeter Center West, Atlanta, GA 30338<br />678-587-9268<br /><br />Pearson Professional Centers-Augusta GA <br />One 10th Street, Suite 640, Augusta Riverfront Center, Augusta, GA 30901<br />706-724-2892<br /><br />Pearson Professional Centers-Macon GA <br />4885 Riverside Drive, Riverside Corporate Center, Suite 101, Macon, GA 31310<br />478-474-1400<br /><br />Pearson Professional Centers-Savannah GA <br />785 King George Blvd, Suite C, Georgetown Center, Savannah, GA 31419<br />913-921-5352<br /><br />United States – Hawaii<br />Pearson Professional Centers-Honolulu HI <br />3049 Ualena Street, Suite 406, Airport Center Building, Honolulu, HI 96819<br />808-834-8909<br /><br /><strong>United States – Idaho</strong><br />Pearson Professional Centers-Boise ID <br />1951 South Saturn Way, Suite 200, Spectrum View Business Center, Boise, ID 83709<br />208-323-8330<br /><br /><strong>United States – Illinois</strong><br />Pearson Professional Centers-Chicago Financial District<br />200 West Adams Street, Suite 1105, Chicago, IL 60606<br />313-551-1143<br /><br />Pearson Professional Centers-Chicago IL (La Salle) <br />1 North LaSalle St., Suite 1350, Chicago, IL 60602<br />313-422-8621<br /><br />Pearson Professional Centers-Marion IL <br />103 Airway Drive, Suite 1, Marion, IL 62959<br />618-993-8253<br /><br />Pearson Professional Centers-Peoria IL <br />4507 N. Sterling Ave, Norwoods Professional Bldg, Suite 302, Peoria, IL 61615<br />309-682-8638<br /><br />Pearson Professional Centers-Schaumburg <br />1827 Walden Office Sq. Gateway Executive Park,Algonquin Road, Schaumburg, IL 60173 <br />847-925-1032<br /><br />Pearson Professional Centers-Springfield IL <br />3000 Professional Drive, Suite C, Springfield, IL 62703<br />217-789-9482<br /><br /><strong>United States – Indiana</strong><br />Pearson Professional Centers-Evansville IN <br />4424 Vogel Road, Suite 402, Bank of Evansville Building, Evansville, IN 47715<br />813-473-2083<br /><br />Pearson Professional Centers-Fort Wayne IN <br />9921 Dupont Circle Drive West, Suite 140, Dupont Office Center Bldg 2, Fort Wayne, IN 46825 <br />260-489-5615<br /><br />Pearson Professional Centers-Indianapolis IN <br />3500 DePauw Blvd. Bldg 2, Fl 8, Ste 2080, Pyramid Buildings at College Park, Indianapolis, IN 46268 <br />317-337-9553<br /><br />Pearson Professional Centers-Merrillville IN <br />8585 Broadway, Chase Building, Suite 745, Merrillville, IN. 46410<br />219-736-1056<br /><br />Pearson Professional Centers-Terre Haute IN <br />630 Wabash Avenue, Suite 221, Terre Haute, IN 47807<br />813-478-5334<br /><br /><strong>United States – Iowa</strong><br />Pearson Professional Centers-Coralville (Iowa City) <br />327 2nd St., Suite 370, Coralville, IA 52241<br />319-338-1148<br /><br />Pearson Professional Centers-Davenport <br />100 East Kimberly Road, Suite 401, Northwest Bank & Trust Company, Davenport, IA52806 <br />563-386-0906</span></div>
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<span style="font-size: 13px;">Pearson Professional Centers-Sioux City IA <br />4300 S. Lakeport, Suite 204, Sioux City, IA 51106<br />713-274-2114<br /><br />Pearson Professional Centers-West Des Moines IA <br />3737 Woodland Ave, Colony Park Office Building, Third Floor, Suite 340, West Des Moines, IA 50266 <br />515-226-0502<br /><br /><strong>United States – Kansas</strong><br />Pearson Professional Centers-Hays KS <br />205 E. 7th St., Hadley Center, Suite 237, Hays, KS 67601<br />785-650-0152<br /><br />Pearson Professional Centers-Topeka KS <br />4135 SW Gage Center Drive, Gage Center Office Suites, Suite 201, Topeka, KS 66604<br />785-273-4304<br /><br />Pearson Professional Centers-Wichita KS <br />7701 E. Kellogg, Equity Financial Center, Suite 750-7th floor, Wichita, KS 67207<br />316-687-9015<br /><br /><strong>United States – Kentucky</strong><br />Pearson Professional Centers-Lexington KY <br />2317 Alumni Park Plaza, Alumni Office Park, Suite B-130,Lexington, KY 40517<br />859-273-6443<br /><br />Pearson Professional Centers-Louisville KY <br />1941 Bishop Lane, Suite 713, Louisville, KY 40218<br />502-451-4222</span><br /><br /><span style="font-size: 13px;"><strong>United States – Louisiana</strong><br />Pearson Professional Centers-Baton Rouge LA <br />5555 Hilton Ave, Suite 430, Corporate Atrium Bldg,Baton Rouge, LA 70808<br />225-216-2794<br /><br />Pearson Professional Centers-Metairie LA. <br />2800 Veterans Blvd., Suite 215, Metairie, LA 70002<br />504-828-4969<br /><br />Pearson Professional Centers-Shreveport LA <br />920 Pierremont Road, Pierremont Office Park, Suite 213, Shreveport, LA 71106<br />318-861-6692<br /><br /><strong>United States - Maine</strong><br />Pearson Professional Centers-Bangor ME <br />10 Ridgewood Drive, Suite 2, Bangor, ME 04401<br />207-262-4398<br /><br />Pearson Professional Centers-Westbrook . <br />201 Main Streets, Suite 4A, Westbrook, ME 04092<br />207-854-4853<br /><br /><strong>United States – Maryland</strong><br />Pearson Professional Centers-Baltimore MD <br />3108 Lord Baltimore Dr, Suite 103, Baltimore, MD 21344<br />410-944-8460<br /><br />Pearson Professional Centers-Bethesda MD <br />4340 East West Highway, Suite 901, Bethesda Towers, Bethesda, MD 20814<br />301-652-3131<br /><br />Pearson Professional Centers-Columbia MD <br />9891 Broken Land Parkway, Suite 108, Columbia, MD 21046<br />410-290-8217<br /><br />Pearson Professional Centers-Salisbury MD <br />1315 Mt. Hermon Road, Suite B, Salisbury, MD 21804<br />410-860-0650<br /><br /><strong>United States – Massachusetts</strong><br />Pearson Professional Centers-Boston MA <br />Park Square, 31 St. James Avenue, Suite 725, Boston, MA 02116<br />617-451-1473<br /><br />Pearson Professional Centers-Boston MA <br />295 Devonshire Street, 2nd Floor, Boston, MA 02110<br />617-423-9297<br /><br />Pearson Professional Centers-Springfield MA <br />1414 Main st., One Monarch Place, Suite 1110, Springfield, MA 01144<br />413-747-5327<br /><br />Pearson Professional Centers-Waltham MA <br />470 Totten Pond Road, Waltham Office Center, 2nd Floor, Waltham, MA 02451<br />781-290-0967<br /><br />Pearson Professional Centers-Worcester MA <br />255 Park Avenue, Suite 604, Worcester, MA 01609<br />508-757-9547<br /><br /><strong>United States – Michigan</strong><br />Pearson Professional Centers-Ann Arbor MI <br />325 E. Eisenhower Parkway, Suite 3A, Burlington Office Center I, Ann Arbor, MI 48108<br />734-761-9857<br /><br />Pearson Professional Centers-Grand Rapids MI <br />161 Ottawa Ave NW, Waters Building, Suite 307, Grand Rapids, MI 49503<br />616-774-9443<br /><br />Pearson Professional Centers-Lansing MI <br />3390 Pine Tree Road, Suite 101, Lansing, MI 48911<br />517-394-4565<br /><br />Pearson Professional Centers-Marquette MI <br />290 Rublein Street, Rublein Building,Suite B,Marquette, MI 49855<br />906-228-6585<br /><br />Pearson Professional Centers-Southfield (Detroit) MI <br />26555 Evergreen Rd.,Suite 822, Travelers Tower I,Southfield, MI 48076<br />248-356-6913<br /><br />Pearson Professional Centers-Troy (Detroit) MI <br />888 W. Big Beaver Rd,,City Center,Suite 490,Troy, MI 48084<br />248-244-9650<br /><br /><strong>United States – Minnesota</strong><br />Pearson Professional Centers-Bloomington (MPLS) <br />5601 Green Valley Dr,,Suite 150,Bloomington, MN 55437<br />952-831-0640<br /><br />Pearson Professional Centers-Brooklyn Park (MPLS) <br />7101 Northland Circle, Triad Building, Suite 102, Brooklyn Park, MN 55428<br />763-531-2026<br /><br />Pearson Professional Centers-Eagan (MPLS) <br />3459 Washington Drive, Suite 107, Washington Dr Executive Center, Eagan, MN 55132-1347 <br />651-994-0650<br /><br />Pearson Professional Centers-Hermantown MN <br />4815 West Arrowhead Road, North Shore Bank Place, Suite 100, Hermantown, MN 55811<br />218-279-3084<br /><br />Pearson Professional Centers-Rochester MN <br />1544 Greenview Drive SW, Greenview Office Building, Suite 200, Rochester, MN 55902<br />507-285-3277<br /><br /><strong>United States – Mississippi</strong><br />Pearson Professional Centers-Ridgeland MS <br />795 Woodlands Parkway, Woodlands Office Park, Suite 107, Ridgeland, MS 39157<br />601-956-0156<br /><br />Pearson Professional Centers-Tupelo MS <br />431 W. Main Street, Suite 340, Tupelo, MS 38801<br />662-620-2094<br /><br /><strong>United States – Missouri</strong><br />Pearson Professional Centers-Columbia MO <br />3610 Buttonwood Drive, Suite 102A, Buttonwood Building, Columbia, MO 65201<br />573-449-0524<br /><br />Pearson Professional Centers-Kansas City MO <br />9200 Ward Parkway, Ward Parkway Corporate Centre, Suite 101, Kansas City, MO 64114<br />816-363-8571<br /><br />Pearson Professional Centers-Springfield MO <br />1111 S. Glenstone, Eleven-Eleven Building, Suite 2-103, Springfield, MO 65804<br />417-864-3033<br /><br />Pearson Professional Centers-St Louis MO <br />1600 S. Brentwood Blvd, Center Forty Building, Suite 130, St. Louis, MO 63144<br />314-961-4551<br /><br /><strong>United States – Montana</strong><br />Pearson Professional Centers-Billings MT <br />404 North 31st St, Suite 230, Transwestern 1 Building, Billings, MT 59101<br />406-896-8371<br /><br />Pearson Professional Centers-Helena MT<br />111 N. Last Chance Gulch, Arcade Building, Suite 4K, Helena, MT 59601<br />406-442-6775<br /><br /><strong>United States – Nebraska</strong><br />Pearson Professional Centers-Lincoln NE <br />300 North 44th Street, Suite 104, 44 Corporate Place Office Park, Lincoln, NE 68503<br />402-466-3100<br /><br />Pearson Professional Centers-North Platte NE <br />131 N. Dewey, Nebraskaland Bank Building, Suite 213, North Platte, NE 69101<br />308-534-5336<br /><br />Pearson Professional Centers-Omaha NE <br />10832 Old Mill Road, Omni Corporate Park, Omaha, NE 68154<br />402-697-9119<br /><br /><strong>United States – Nevada</strong><br />Pearson Professional Centers-Las Vegas NV <br />101 Convention Center Drive, Suite 690, Las Vegas, NV 89109<br />702-253-0345<br /><br />Pearson Professional Centers-Reno NV <br />5250 S. Virginia, Corporate Point, Suite 301, Reno, NV 89502<br />775-825-6611<br /><br /><strong>United States – New Hampshire</strong><br />Pearson Professional Centers-Concord NH <br />2 Capital Plaza, 4th Floor, Capital Plaza, Concord, NH 03301<br />603-223-0879<br /><br /><strong>United States – New Jersey</strong><br />Pearson Professional Centers-Atlantic City NJ <br />1135 Atlantic Avenue, Suite 107, Atlantic City, NJ 08401<br />609-344-0064<br /><br />Pearson Professional Centers-Lyndhurst NJ <br />1099 Wall Street West, Suite 106, Lyndhurst, NJ 07071<br />201-896-1011<br /><br />Pearson Professional Centers-Princeton NJ <br />135 Village Blvd, Princeton Forrestal Village, Suite 302, Princeton, NJ 08540<br />609-452-8668<br /><br />Pearson Professional Centers-Somerset NJ <br />1543 State Route 27, Lower Level-Basement, Somerset, NJ 08873<br />732-247-6665<br /><br /><strong>United States – New Mexico</strong><br />Pearson Professional Centers-Albuquerque NM <br />2500 Louisiana Blvd NE, Suite LL-1B, Bank of Albuquerque Building, Albuquerque, NM 87110 <br />505-888-9601<br /><br /><strong>United States – New York</strong><br />Pearson Professional Centers-Albany NY <br />1365 Washington Ave Suite 107, Albany, NY 13206<br />518-454-9350<br /><br />Pearson Professional Centers-Brooklyn NY <br />45 Main Street, Suite 706, Brooklyn, NY 11301<br />718-858-8143<br /><br />Pearson Professional Centers-East Syracuse NY <br />6700 Kirkville Road, Suite 204, East Syracuse, NY 13057<br />315-433-0108<br /><br />Pearson Professional Centers-Endicott NY <br />421-423 East Main Street, Suite 100, Endicott, NY 13760<br />607-658-9315<br /><br />Pearson Professional Centers-New York <br />500 5th Avenue, Suite 3130, New York, NY 10110<br />213-354-9818<br /><br />Pearson Professional Centers-NY <br />100 William Street, Suite 1300, New York, NY 10038<br />213-232-0324<br /><br />Pearson Professional Centers-Rego Park NY <br />9734 64th Road, Street Level, Rego Park, NY 11374<br />718-275-3024<br /><br />Pearson Professional Centers-Rochester NY <br />3445 Winton Place Plaza, The Design Center, Suite 238, Rochester, NY 14623<br />585-427-2030<br /><br />Pearson Professional Centers-Staten Island NY <br />1110 South Avenue, Gardens Office I, Suite 400, Staten Island, NY 10314<br />718-477-7182<br /><br />Pearson Professional Centers-Utica NY <br />132 Business Park Drive, Suite 4, Utica, NY 13502<br />315-266-0478<br /><br />Pearson Professional Centers-Watertown NY <br />18564 US Route 11, Suite 7, Watertown, NY 13601<br />315-788-6621<br /><br />Pearson Professional Centers-White Plains NY <br />399 Knollwood Road, Cross West Office Center, Suite 218, White Plains, NY 10603<br />914-946-0352<br /><br />Pearson Professional Centers-Williamsville (Buff) <br />325 Essjay Road, Centerpointe Corporate Park, Suite 104, Williamsville, NY 14221<br />716-565-9379<br /><br /><strong>United States – North Carolina</strong><br />Pearson Professional Centers-Asheville NC <br />One Town Square Boulevard, Suite 350, Asheville, NC 28803-5007<br />828-684-8602<br /><br />Pearson Professional Centers-Charlotte NC <br />4601 Charlotte Park Dr., Suite 340, Charlotte, NC 28217<br />704-523-2617<br /><br />Pearson Professional Centers-Greenville NC <br />1105 Corporate Dr, Suite B, Greenville, NC 27858<br />252-493-0345<br /><br />Pearson Professional Centers-Raleigh NC <br />8024 Glenwood Ave, CEI Building, Suite 107, Raleigh, NC 27613<br />919-782-2258<br /><br />Pearson Professional Centers-Wilmington NC <br />2709 Market St., Market Street Central, Suite 206 Wilmington, NC 28405,<br />910-763-8255<br /><br />Pearson Professional Centers-Winston-Salem NC <br />514 S. Stratford Road, Stratford Oaks, Knollwood Level, Winston-Salem, NC 27104<br />336-721-4803<br /><br /><strong>United States – North Dakota</strong><br />Pearson Professional Centers-Bismark ND <br />919 S. 7th Street, Suite 400, Kirkwood Office Tower, Bismarck, ND 58504<br />701-223-8737<br /><br />Pearson Professional Centers-West Fargo ND <br />1150 Prairie Parkway, Suite 103, West Fargo, ND 58078<br />701-277-4599<br /><br /><strong>United States – Ohio</strong><br />Pearson Professional Centers-Bath (Akron) OH <br />231 Springside Drive, Suite 135, Springside Center, Bath, OH 44333<br />330-666-4402<br /><br />Pearson Professional Centers-Beachwood <br />3201 Enterprise Parkway, Suite 10 Basement, Beachwood, OH 44132<br />216-378-1847<br /> <br />Pearson Professional Centers-Cincinnati OH <br />11300 Cornell Park Drive, Suite 140, Cincinnati, OH 45242<br />513-469-2830<br /><br />Pearson Professional Centers-Columbus OH <br />355 E. Campus View Blvd, Suite 140, Columbus, OH 43235<br />614-781-0775<br /><br />Pearson Professional Centers-Columbus OH <br />700 Taylor Road, Suite 180, OffiCenter 2, Gahanna, OH 43230<br />614-476-4173<br /><br />Pearson Professional Centers-Dayton OH <br />1139 Miamisburg-Centerville Rd., Ste 203, Imperial Plaza Office Building, Dayton, OH 45449 <br />937-384-0825<br /><br />Pearson Professional Centers-Maumee OH <br />1789 Indian Wood Circle, Metro Woods Building, Suit 130, Maumee, OH 43537<br />419-897-7831<br /><br />Pearson Professional Centers-Westlake OH <br />2001 Crocker Road, Suite 350, Westlake, OH 44145<br />440-250-9851<br /><br />United States – Oklahoma<br />Pearson Professional Centers-Oklahoma City OK <br />5100 N Brookline, Suite 282, Oklahoma City, OK 73113<br />405-917-7325<br /><br />Pearson Professional Centers-Tulsa OK <br />10830 East 45th Street, Town Center Office Park, Building C 10830, Suite 210, Tulsa, OK 74146 <br />918-663-0671<br /><br /><strong>United States – Oregon</strong><br />Pearson Professional Centers-Beaverton OR <br />10700 SW Beaverton Hillsdale Highway, Park Plaza West - Building 3, Suite 595, Beaverton, OR 97005 <br />503-644-1587<br /><br />Pearson Professional Centers-Medford OR <br />3560 Excel Drive, Suite 105, Medford, OR 97504<br />541-770-7118<br /><br />Pearson Professional Centers-Salem OR <br />1660 Oak Street SE, The VA Outpatient Clinic Bldg, Suite 250, Salem, OR 97301<br />503-588-5861<br /><br /><strong>United States – Pennsylvania</strong><br />Pearson Professional Centers-Allentown PA <br />5100 W Tilghman Street, Suite B-30, Commerce Corporate Center II, Allentown, PA 18104<br />610-398-6601<br /><br />Pearson Professional Centers-Erie PA <br />3133 West 13th Street, Suite D, Edgewood Place, Erie, PA 16505<br />814-836-2700<br /><br />Pearson Professional Centers-Harrisburg PA <br />801 East Park Drive, Suite 101, Harrisburg, PA 17111<br />717-564-6755<br /><br />Pearson Professional Centers-Horsham PA <br />110 Gibraltar Road, Pennsylvania Buisiness Campus,Suite 227, Horsham, PA 19044<br />215-675-9348<br /><br />Pearson Professional Centers-Lancaster PA <br />205 Granite Run Drive, Suite 130, Lancaster, PA 17601<br />717-569-0056<br /><br />Pearson Professional Centers-Pittsburgh PA <br />1500 Ardmore Boulevard, Suite 401, Pittsburgh, PA 15221<br />413-371-9935<br /><br />Pearson Professional Centers-Pittsburgh PA <br />Penn Center Blvd & Campbell's Run Road, I Penn Center West Blvd., Suite 109, Pittsburgh, PA 15276<br />413-494-5146<br /><br />Pearson Professional Centers-Scranton PA <br />330 Montage Mountain Rd., Stadium Office Park, Suite 102, Scranton, PA 18507<br />570-963-5708<br /><br />Pearson Professional Centers-Wayne PA <br />530 E. Swedesford Road, Valley Forge Office Center, Suite 109, Wayne, PA 19087<br />610-995-2943<br /><br /><strong>United States – Rhode Island</strong><br />Pearson Professional Centers-Warwick RI <br />301 Metro Center Boulevard, Metro Center Boulevard, Suite 103, Warwick, RI 02886<br />401-738-6974<br /><br /><strong>United States – South Carolina</strong><br />Pearson Professional Centers-Columbia SC <br />107 Westpark Blvd. Suite 170, Westpark Center II Building, Columbia, SC 29210<br />803-798-3001<br /><br />Pearson Professional Centers-North Charleston SC <br />4975 LaCross Rd, Rivergate Center II, Suite 255, North Charleston, SC 29406<br />843-747-9747<br /><br />Pearson Professional Centers-Greenville SC <br />301 Halton Road, Commons Office, ParkSuite, D1Greenville, SC 29607-3496<br />864-288-0892<br /><br /><strong>United States – South Dakota</strong><br />Pearson Professional Centers-Sioux Falls SD <br />5101 South Nevada, AvenueVanBuskirk ,Office BuildingSuite, 130Sioux Falls, SD 57108<br />605-362-6151<br /><br /><strong>United States – Tennessee</strong><br />Pearson Professional Centers-Chattanooga TN <br />5726 Marlin Road, Suite 310,Franklin Building,Chattanooga, TN 37411<br />423-485-8524<br /><br />Pearson Professional Centers-Johnson City TN <br />207 Mockingbird Lane, Suite 401,Sun Trust Bank Building,Johnson City, TN 37604<br />423-926-9294<br /><br />Pearson Professional Centers-Knoxville TN <br />135 Fox Road,Keystone Center,Suite C,Knoxville, TN 37922<br />865-670-9035<br /><br />Pearson Professional Centers-Memphis TN <br />6060 Poplar Avenue,Suite LL01,Memphis, TN 38119<br />901-761-3372<br /><br />Pearson Professional Centers-Nashville TN <br />545 Mainstream, DriveRiverview ,Office BuildingSuite, 410Nashville, TN 37228<br />615-255-8672<br /><br /><strong>United States – Texas</strong><br />Pearson Professional Centers-Abilene TX <br />500 Chestnut St,Suite 856,Abilene, TX 79602<br />325-675-5694<br /><br />Pearson Professional Centers-Amarillo TX <br />1616 S Kentucky, Suite C305,Amarillo, TX 79102<br />806-463-7465<br /><br />Pearson Professional Centers-Austin, TX <br />301 Congress Avenue,Suite 565,Guaranty bank building,Austin, TX 78701<br />513-469-0276<br /><br />Pearson Professional Centers-Bellaire TX <br />6800 West Loop S,Prosperity Bank Building,Suite 405,Bellaire, TX 77401<br />713-838-1849<br /><br />Pearson Professional Centers-Corpus Christi TX <br />4646 Corona Drive, Suite 175,Corona South Building,Corpus Christi, TX 78411<br />361-814-5872<br /><br />Pearson Professional Centers-Dallas TX <br />13801 North Central Expressway,Suite 820,Dallas, TX 75243<br />972-661-5035<br /><br />Pearson Professional Centers-El Paso TX <br />4110 Rio Bravo Drive,Suite #222,El Paso, TX 79902<br />915-533-3040<br /><br />Pearson Professional Centers-Houston North <br />14425 Torrey Chase Blvd,Suite 240,Houston, TX 77014<br />877-752-7344<br /><br />Pearson Professional Centers-Hurst TX <br />500 Grapevine Hwy.,Suite 401,Hurst, TX 76054-2707<br />817-427-0960<br /><br />Pearson Professional Centers-Lubbock TX <br />1500 Broadway St,Wells Fargo Center,Suite 1113,Lubbock, TX 79401<br />806-744-1697<br /><br />Pearson Professional Centers-Midland TX <br />3300 North A Street,Building 4,Suite 228,Midland, TX 79705-5457<br />432-685-0033<br /><br />Pearson Professional Centers-San Antonio TX <br />10000 San Pedro Ave,Suite 175,San Antonio, TX 78216<br />210-340-3628<br /><br />Pearson Professional Centers-Tyler TX <br />909 East Southeast Loop 323,One America Cente,rSuite 625,Tyler, TX 75701<br />903-561-5038<br /><br />Pearson Professional Centers-Waco TX <br />1105 Wooded Acres Dr,Wells Fargo Bank Building,Suite 406,Waco, TX 76710<br />254-751-0483<br /><br /><strong>United States – Utah</strong><br />Pearson Professional Centers-Draper UT <br />11734 Election Road,Draper Technology Cente,rSte 180,Draper, UT 84020<br />801-619-4137<br /><br />Pearson Professional Centers-Ogden UT <br />1150 South Depot Drive,Business Depot Ogden,Suite 130,Ogden, UT 84404<br />801-394-0271<br /><br /><strong>United States – Vermont</strong><br />Pearson Professional Centers-South Burlington VT <br />30 Kimball Ave,Suite 202,South Burlington, VT 05403<br />802-657-3535<br /><br /><strong>United States – Virginia</strong><br />Pearson Professional Centers-Lynchburg VA <br />424 Graves Mill Road,Graves Mill Office Park - Suite 200-A,Lynchburg, VA 24502<br />434-237-8813<br /><br />Pearson Professional Centers-Newport News VA <br />825 Diligence Drive,Suite 130,Newport News, VA 23606<br />757-591-0766<br /><br />Pearson Professional Centers-Richmond VA <br />3900 Westerre Parkway,Suite 202,Richmond, VA 23233<br />804-934-0150<br /><br />Pearson Professional Centers-Roanoke VA <br />6701 Peters Creek Road,Northpark Business Center,Suite 108,Roanoke, VA 24019<br />540-265-9201<br /><br />Pearson Professional Centers-Vienna VA <br />8391 Old Courthouse Road,Suite 201,Vienna, VA 22182<br />703-749-2770<br /><br /><strong>United States – Washington</strong><br />Pearson Professional Centers-Renton WA <br />1300 SW 7th Street,Oaksdale Center Building E,Ste 113,Renton, WA 98055<br />425-277-6690<br /><br />Pearson Professional Centers-Seattle WA <br />10700 Meridian Avenue North, Suite 407, Seattle, WA 98133<br />206-417-9986</span></div>
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<span style="font-size: 13px;">Pearson Professional Centers-Spokane WA <br />1410 N Mullan Rd,Mullan Centre,Suite 203,Spokane Valley, WA 99206<br />509-924-6775<br /><br />Pearson Professional Centers-Yakima WA <br />1701 Creekside Loop,Suite 110,Yakima, WA 98902<br />509-452-7605<br /><br /><strong>United States – West Virginia</strong><br />Pearson Professional Centers-Charleston WV <br />300 Summers Street, Suite 430,BB&T Square,Charleston, WV 25301<br />304-342-4681<br /><br />Pearson Professional Centers-Morgantown WV <br />150 Clay Street,The Jackson & Kelly Building,Suite 420,Morgantown, WV 26505<br />304-284-0491<br /><br /><strong>United States – Wisconsin</strong><br />Pearson Professional Centers-Eau Claire WI <br />3610 Oakwood Mall DriveSuite 102 Eau Claire, WI 54701<br />715-552-8662<br /><br />Pearson Professional Centers-Brookfield <br />13555 Bishops Court, Suite L10,Bishops Woods Centre,Brookfield, WI 53005<br />262-784-5098<br /><br />Pearson Professional Centers-Kenosha WI <br />7500 Green Bay Road,Johnson Bank Building,Suite 311,Kenosha, WI 53142<br />262-697-6263<br /><br />Pearson Professional Centers-Madison WI <br />8517 Excelsior Drive,Prairie Trail Office Suites II,Suite 105,Madison, WI 53717<br />608-833-3991<br /><br /><strong>United States – Wyoming</strong><br />Pearson Professional Centers-Casper WY <br />800 Werner Court, Suite 310,Aspen Creek,Casper, WY 82601<br />307-472-5675<br /><br />Virgin Island<br />Pearson Professional Centers-St. Thomas <br />Nisky Center, Suite 730, East Wing, St Thomas, 00802<br />+ 340-776-4910</span></div>
<span style="color: #333333; font-family: Verdana, Tahoma, Helvetica, Arial; font-size: 12px;">- See more at: http://www.nursetogether.com/list-of-nclex-testing-centers#sthash.koPLGNJy.dpuf</span></div>
Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-541661259096584890.post-39144450645801441522013-10-23T07:09:00.000-07:002013-10-23T07:09:07.201-07:00NCLEX - Philippines<div dir="ltr" style="text-align: left;" trbidi="on">
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Great news for Filipino would-be nurses! I read that <a href="http://www.pearsonvue.com/" style="border: none; color: #006699; text-decoration: none;">Pearson VUE</a>, a computer-based testing provider for certification and licensure exams, will be opening up a testing center in Manila. This means that nursing graduates who aspire to work in the USA need not go to Hongkong for the <a href="http://www.alleba.com/search/?q=nclex+examinations" style="border: none; color: #006699; text-decoration: none;">Nclex examinations</a>.</div>
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From the <a href="http://www.pearsonvue.com/about/release/07_07_11_ncsbn.html" style="border: none; color: #006699; text-decoration: none;">website</a>:</div>
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The National Council of State Boards of Nursing (NCSBN®) authorized Pearson VUE to expand testing availability for the NCLEX examination to Manila, the capital of the Philippines. Exam delivery begins at the Pearson VUE-owned and -operated <a href="http://www.alleba.com/search/?q=Pearson+Professional%20Center" style="border: none; color: #006699; text-decoration: none;">Pearson Professional Center</a> in Manila on August 23, 2007 and exam scheduling opens Friday, July 13, 2007.</blockquote>
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<span id="more-288"></span><br />I think this is the most logical thing to do, since the US is experiencing a severe shortage of <a href="http://www.alleba.com/search/?q=nurses" style="border: none; color: #006699; text-decoration: none;">nurses</a> and young Filipinos are out to fill that gap by the thousands per year. The money they save from not having to go to Hong kong can be well spent on their travel expenses leaving for the United States. Makes sense, eh?</div>
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You may reach the new test center at:</div>
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<strong>Pearson Professional Centers</strong><br />27th Floor, Trident Tower<br />312 Senator Gil Puyat Avenue,<br />Makati City,<br />Manila<br />Telephone Number: +63 2 887 2198</div>
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Directions:</div>
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From Buendia LRT Station take a Guadalupe-bound jeepney. Trident Tower is located immediately after the old Shell Maya station, just off the Ayala-Buendia stoplight. Examinees coming from EDSA (Buendia MRT or Guadalupe Tulay) should take an LRT-Taft-bound jeepney and alight just before the Ayala Avenue – Malugay intersection. Those coming in from Ayala Avenue should walk towards Buendia via Geronimo Street (RCBC Plaza and Metrobank GT Towers)</div>
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Applicants in the Asia Pacific (Philippines included) who wish to schedule an exam should call +612 9478 5400 (EXT. 3) 8:30 am-6 pm. By dialing this number, you are making a long distance call to Australia. There is no local number available yet. You must also have a credit card ready to pay the scheduling fee.</div>
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The first batch of examinees will take the NCLEX on August 23, 2007. I gather that there are still many slots available, but some scheduled their dates in September or later.</div>
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For those who are set to take the exams in Hongkong on or after August 23, you may call the number above and have them transfer your venue to the Philippines free of charge.</div>
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For examinees coming in from the provinces, there are some hotels in the vicinity you might want to consider:</div>
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<a href="http://www.makatipalacehotel.com.ph/" style="border: none; color: #006699; text-decoration: none;"><strong>Makati Palace Hotel</strong></a> (currently 50% off room rates)<br />5011 P. Burgos corner Caceres Streets<br />Makati City<br />Tel: (02) 899-0344</div>
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<strong>Century Citadel Inn</strong><br />5007 P. Burgos St. and Kalayaan St.<br />Bel-Air<br />Makati City<br />Tel: (02) 897-2370, (02) 897-2666</div>
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<a href="http://www.salcedosuites-makati.com/" style="border: none; color: #006699; text-decoration: none;"><strong>Salcedo Suites</strong></a> ($33/night)<br />LPL Manor Building, 116 L.P. Leviste Street,<br />Salcedo Village, Makati City<br />Tel: (02) 893-2654 / (02) 813-6331</div>
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<strong>Regine’s</strong><br />339 Gil J Puyat Ave.<br />Makati City<br />Tel: (02) 899-9594</div>
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<a href="http://www.elcielito-makati.com/" style="border: none; color: #006699; text-decoration: none;"><strong>El Cielito</strong></a> (kinda far, but not really)<br />804 Arnaiz Avenue (formerly Pasay Road)<br />Makati City, Philippines<br />Tel. No.: (02) 815-8951 to 54</div>
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It’s recommended to check in at least a night before and not on the day of exam itself. The NCLEX isn’t easy, you’ll need all the rest you can get! To save on lodging fees, share with someone else who’s taking the test on the same day as you. Good luck!</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-541661259096584890.post-62075310313924081362013-10-23T07:00:00.002-07:002013-10-23T07:00:14.003-07:00NCLEX model questions<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>1. A nurse is administering IV furosemide to a patient admitted with congestive heart failure. After the infusion, which of the following symptoms is NOT expected?</b></div>
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A. Increased urinary output.<br />B. Decreased edema.<br />C. Decreased pain.<br />D. Decreased blood pressure.</div>
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<b>2. There are a number of risk factors associated with coronary artery disease. Which of the following is a modifiable risk factor?</b></div>
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A. Obesity.<br />B. Heredity.<br />C. Gender.<br />D. Age.</div>
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<b>3. Tissue plasminogen activator (t-PA) is considered for treatment of a patient who arrives in the emergency department following onset of symptoms of myocardial infarction. Which of the following is a contraindication for treatment with t-PA?</b></div>
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A. Worsening chest pain that began earlier in the evening.<br />B. History of cerebral hemorrhage.<br />C. History of prior myocardial infarction.<br />D. Hypertension.</div>
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<b>4. Following myocardial infarction, a hospitalized patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by his physician. Which of the following choices reflects the purpose of exercise for this patient?</b></div>
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A. Increases fitness and prevents future heart attacks.<br />B. Prevents bedsores.<br />C. Prevents DVT (deep vein thrombosis).<br />D. Prevent constipations.</div>
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<b>5. A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock?</b></div>
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A. Hypertension.<br />B. Bradycardia.<br />C. Bounding pulse.<br />D. Confusion.</div>
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<b>6. A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform?</b></div>
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A. Ask the patient to lie down on the exam table.<br />B. Draw blood for chemistry panel and arterial blood gas (ABG).<br />C. Send the patient for a chest x-ray.<br />D. Check blood pressure.</div>
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<b>7. A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct?</b></div>
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A. "Stop taking the nitroglycerin and see if the headaches improve."<br />B. "Go to the emergency department to be checked because nitroglycerin can cause bleeding in the brain."<br />C. "Headaches are a frequent side effect of nitroglycerine because it causes vasodilation."<br />D. "The headaches are unlikely to be related to the nitroglycerin, so you should see your doctor for further investigation."</div>
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<b>8. A patient received surgery and chemotherapy for colon cancer, completing therapy 3 months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations could account for her symptoms?</b></div>
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A. The symptoms may be the result of anemia caused by chemotherapy.<br />B. The patient may be immunosuppressed.<br />C. The patient may be depressed.<br />D. The patient may be dehydrated.</div>
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<b>9. A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the follow nutritional advice is appropriate?</b></div>
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A. The diet is providing adequate sources of iron and requires no changes.<br />B. The patient should add meat to her diet; a vegetarian diet is not advised.<br />C. The patient should use iron cookware to prepare foods, such as dark green, leafy vegetables and legumes, which are high in iron.<br />D. A cup of coffee or tea should be added to every meal.</div>
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<b>10. A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement?</b></div>
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A. Transfusion reaction is most likely immediately after the infusion is completed.<br />B. PRBCs are best infused slowly through a 20g. IV catheter.<br />C. PRBCs should be flushed with a 5% dextrose solution.<br />D. A nurse should remain in the room during the first 15 minutes of infusion.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>11. A patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. An increase in neutrophil count.<br />B. An increase in hematocrit.<br />C. An increase in platelet count.<br />D. An increase in serum iron.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>12. A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. Weight loss.<br />B. Increased clotting time.<br />C. Hypertension.<br />D. Headaches.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>13. A nurse is caring for a patient with a platelet count of 20,000/microliter. Which of the following is an important intervention?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. Observe for evidence of spontaneous bleeding.<br />B. Limit visitors to family only.<br />C. Give aspirin in case of headaches.<br />D. Impose immune precautions.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>14. A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Note: More than one answer may be correct.</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. Hypertension.<br />B. Cushingoid features.<br />C. Hyponatremia.<br />D. Low serum albumin.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>15. A nurse is caring for patients in the oncology unit. Which of the following is the most important nursing action when caring for a neutropenic patient?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. Change the disposable mask immediately after use.<br />B. Change gloves immediately after use.<br />C. Minimize patient contact.<br />D. Minimize conversation with the patient.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>16. A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. We will bring in books and magazines for entertainment.<br />B. We will bring in personal care items for comfort.<br />C. We will bring in fresh flowers to brighten the room.<br />D. We will bring in family pictures and get well cards.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>17. A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. 3-10 years.<br />B. 25-35 years.<br />C. 45-55 years.<br />D. over 60 years.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>18. A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin's disease. Which of the following symptoms is typical of Hodgkin's disease?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. Painful cervical lymph nodes.<br />B. Night sweats and fatigue.<br />C. Nausea and vomiting.<br />D. Weight gain.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>19. The Hodgkin's disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin's disease were correct, which of the following cells would the pathologist expect to find?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. Reed-Sternberg cells.<br />B. Lymphoblastic cells.<br />C. Gaucher's cells.<br />D. Rieder's cells</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>20. A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A. Warn the patient to stay very still because the smallest movement will increase her pain.<br />B. Encourage the family to stay in the room for the procedure.<br />C. Stay with the patient and focus on slow, deep breathing for relaxation.<br />D. Delay the procedure to allow the patient to deal with her feelings.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Answer Key</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>1. Answer: C</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Furosemide, a loop diuretic, does not alter pain. Furosemide acts on the kidneys to increase urinary output. Fluid may move from the periphery, decreasing edema. Fluid load is reduced, lowering blood pressure.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>2. Answer: A</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Obesity is an important risk factor for coronary artery disease that can be modified by improved diet and weight loss. Family history of coronary artery disease, male gender, and advancing age increase risk but cannot be modified.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>3. Answer: B</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A history of cerebral hemorrhage is a contraindication to tPA because it may increase the risk of bleeding. TPA acts by dissolving the clot blocking the coronary artery and works best when administered within 6 hours of onset of symptoms. Prior MI is not a contraindication to tPA. Patients receiving tPA should be observed for changes in blood pressure, as tPA may cause hypotension.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>4. Answer: C</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Exercise is important for all hospitalized patients to prevent deep vein thrombosis. Muscular contraction promotes venous return and prevents hemostasis in the lower extremities. This exercise is not sufficiently vigorous to increase physical fitness, nor is it intended to prevent bedsores or constipation.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>5. Answer: D</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Cardiogenic shock severely impairs the pumping function of the heart muscle, causing diminished blood flow to the organs of the body. This results in diminished brain function and confusion, as well as hypotension, tachycardia, and weak pulse. Cardiogenic shock is a serious complication of myocardial infarction with a high mortality rate.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>6. Answer: D</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A patient with congestive heart failure and dyspnea may have pulmonary edema, which can cause severe hypertension. Therefore, taking the patient's blood pressure should be the first action. Lying flat on the exam table would likely worsen the dyspnea, and the patient may not tolerate it. Blood draws for chemistry and ABG will be required, but not prior to the blood pressure assessment.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>7. Answer: C</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Nitroglycerin is a potent vasodilator and often produces unwanted effects such as headache, dizziness, and hypotension. Patients should be counseled, and the dose titrated, to minimize these effects. In spite of the side effects, nitroglycerine is effective at reducing myocardial oxygen consumption and increasing blood flow. The patient should not stop the medication. Nitroglycerine does not cause bleeding in the brain.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>8. Answer: A</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Three months after surgery and chemotherapy the patient is likely to be feeling the after-effects, which often includes anemia because of bone-marrow suppression. There is no evidence that the patient is immunosuppressed, and fatigue is not a typical symptom of immunosuppression. The information given does not indicate that depression or dehydration is a cause of her symptoms.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>9. Answer: 3</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Normal hemoglobin values range from 11.5-15.0. This vegetarian patient is mildly anemic. When food is prepared in iron cookware its iron content is increased. In addition, dark green leafy vegetables, such as spinach and kale, and legumes are high in iron. Mild anemia does not require that animal sources of iron be added to the diet. Many non-animal sources are available. Coffee and tea increase gastrointestinal activity and inhibit absorption of iron.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>10. Answer: D</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Transfusion reaction is most likely during the first 15 minutes of infusion, and a nurse should be present during this period. PRBCs should be infused through a 19g or larger IV catheter to avoid slow flow, which can cause clotting. PRBCs must be flushed with 0.45% normal saline solution. Other intravenous solutions will hemolyze the cells.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>11. Answer: B</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Epoetin is a form of erythropoietin, which stimulates the production of red blood cells, causing an increase in hematocrit. Epoetin is given to patients who are anemic, often as a result of chemotherapy treatment. Epoetin has no effect on neutrophils, platelets, or serum iron.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>12. Answer: B, C, and D</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Polycythemia vera is a condition in which the bone marrow produces too many red blood cells. This causes an increase in hematocrit and viscosity of the blood. Patients can experience headaches, dizziness, and visual disturbances. Cardiovascular effects include increased blood pressure and delayed clotting time. Weight loss is not a manifestation of polycythemia vera.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>13. Answer: A</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Platelet counts under 30,000/microliter may cause spontaneous petechiae and bruising, particularly in the extremities. When the count falls below 15,000, spontaneous bleeding into the brain and internal organs may occur. Headaches may be a sign and should be watched for. Aspirin disables platelets and should never be used in the presence of thrombocytopenia. Thrombocytopenia does not compromise immunity, and there is no reason to limit visitors as long as any physical trauma is prevented.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>14. Answer: A, B, and D</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Side effects of corticosteroids include weight gain, fluid retention with hypertension, Cushingoid features, a low serum albumin, and suppressed inflammatory response. Patients are encouraged to eat a diet high in protein, vitamins, and minerals and low in sodium. Corticosteroids cause hypernatremia, not hyponatremia.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>15. Answer: B</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
The neutropenic patient is at risk of infection. Changing gloves immediately after use protects patients from contamination with organisms picked up on hospital surfaces. This contamination can have serious consequences for an immunocompromised patient. Changing the respiratory mask is desirable, but not nearly as urgent as changing gloves. Minimizing contact and conversation are not necessary and may cause nursing staff to miss changes in the patient's symptoms or condition.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>16. Answer: C</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
During induction chemotherapy, the leukemia patient is severely immunocompromised and at risk of serious infection. Fresh flowers, fruit, and plants can carry microbes and should be avoided. Books, pictures, and other personal items can be cleaned with antimicrobials before being brought into the room to minimize the risk of contamination.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>17. Answer: A</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
The peak incidence of ALL is at 4 years (range 3-10). It is uncommon after the mid-teen years. The peak incidence of chronic myelogenous leukemia (CML) is 45-55 years. The peak incidence of acute myelogenous leukemia (AML) occurs at 60 years. Two-thirds of cases of chronic lymphocytic leukemia (CLL) occur after 60 years.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>18. Answer: B</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Symptoms of Hodgkin's disease include night sweats, fatigue, weakness, and tachycardia. The disease is characterized by painless, enlarged cervical lymph nodes. Weight loss occurs early in the disease. Nausea and vomiting are not typically symptoms of Hodgkin's disease.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>19. Answer: A</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
A definitive diagnosis of Hodgkin's disease is made if Reed-Sternberg cells are found on pathologic examination of the excised lymph node. Lymphoblasts are immature cells found in the bone marrow of patients with acute lymphoblastic leukemia. Gaucher's cells are large storage cells found in patients with Gaucher's disease. Rieder's cells are myeloblasts found in patients with acute myelogenous leukemia.</div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<b>20. Answer: C</b></div>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
Slow, deep breathing is the most effective method of reducing anxiety and stress. It reduces the level of carbon dioxide in the brain to increase calm and relaxation. Warning the patient to remain still will likely increase her anxiety. Encouraging family members to stay with the patient may make her worry about their anxiety as well as her own. Delaying the procedure is unlikely to allay her fears.</div>
</div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-14433883275811627112013-10-23T06:59:00.001-07:002013-10-23T06:59:04.827-07:00Sample questions NCLEX<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>1. A child is admitted to the hospital with a diagnosis of Wilm's tumor, stage II. Which of the following statements most accurately describes this stage?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>The tumor is less than 3 cm. in size and requires no chemotherapy.</li>
<li>The tumor did not extend beyond the kidney and was completely resected.</li>
<li>The tumor extended beyond the kidney but was completely resected.</li>
<li>The tumor has spread into the abdominal cavity and cannot be resected.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>2. A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Note: More than one answer may be correct.</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Urine specific gravity of 1.040.</li>
<li>Urine output of 350 ml in 24 hours.</li>
<li>Brown ("tea-colored") urine.</li>
<li>Generalized edema.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>3. Which of the following conditions most commonly causes acute glomerulonephritis?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>A congenital condition leading to renal dysfunction.</li>
<li>Prior infection with group A Streptococcus within the past 10-14 days.</li>
<li>Viral infection of the glomeruli.</li>
<li>Nephrotic syndrome.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>4. An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Massaging the groin area twice a day until the fluid is gone.</li>
<li>Referral to a surgeon for repair.</li>
<li>No treatment is necessary; the fluid is reabsorbing normally.</li>
<li>Keeping the infant in a flat, supine position until the fluid is gone.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>5. A nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation for these symptoms?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Inadequate tissue perfusion leading to nerve damage.</li>
<li>Fluid overload leading to compression of nerve tissue.</li>
<li>Sensation distortion due to psychiatric disturbance.</li>
<li>Inflammation of the skin on the hands and feet.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>6. A patient in the cardiac unit is concerned about the risk factors associated with atherosclerosis. Which of the following are hereditary risk factors for developing atherosclerosis?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Family history of heart disease.</li>
<li>Overweight.</li>
<li>Smoking.</li>
<li>Age.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>7. Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>It results when oxygen demand is greater than oxygen supply.</li>
<li>It is characterized by pain that often occurs duing rest.</li>
<li>It is a result of tissue hypoxia.</li>
<li>It is characterized by cramping and weakness.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>8. A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in instructions?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Walk barefoot whenever possible.</li>
<li>Use a heating pad to keep feet warm.</li>
<li>Avoid crossing the legs.</li>
<li>Use antibacterial ointment to treat skin lesions at risk of infection.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>9. A patient who has been diagnosed with vasospastic disorder (Raynaud's disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>An adolescent male.</li>
<li>An elderly woman.</li>
<li>A young woman.</li>
<li>An elderly man.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>10. A 23 year old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conditions is the most likely cause of her symptoms?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Myocardial infarction due to a history of atherosclerosis.</li>
<li>Pulmonary embolism due to deep vein thrombosis (DVT).</li>
<li>Anxiety attack due to worries about her baby's health.</li>
<li>Congestive heart failure due to fluid overload.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>11. Thrombolytic therapy is frequently used in the treatment of suspected stroke. Which of the following is a significant complication associated with thrombolytic therapy?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Air embolus.</li>
<li>Cerebral hemorrhage.</li>
<li>Expansion of the clot.</li>
<li>Resolution of the clot.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>12. An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Torticollis, with shortening of the sternocleidomastoid muscle.</li>
<li>Craniosynostosis, with premature closure of the cranial sutures.</li>
<li>Plagiocephaly, with flattening of one side of the head.</li>
<li>Hydrocephalus, with increased head size.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>13. An adolescent brings a physician's note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>The condition was caused by the student's competitive swimming schedule.</li>
<li>The student will most likely require surgical intervention.</li>
<li>The student experiences pain in the inferior aspect of the knee.</li>
<li>The student is trying to avoid participation in physical education.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>14. The clinic nurse asks a 13-year-old female to bend forward at the waist with arms hanging freely. Which of the following assessments is the nurse most likely conducting?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Spinal flexibility.</li>
<li>Leg length disparity.</li>
<li>Hypostatic blood pressure.</li>
<li>Scoliosis.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>15. A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse LEAST likely to find in an abusing parent?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Low self-esteem.</li>
<li>Unemployment.</li>
<li>Self-blame for the injury to the child.</li>
<li>Single status.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>16. A nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>The child has a poor chance of recovery without joint deformity.</li>
<li>Most children progress to adult rheumatoid arthritis.</li>
<li>Nonsteroidal anti-inflammatory drugs are the first choice in treatment.</li>
<li>Physical activity should be minimized.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>17. A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>The admission orders are written.</li>
<li>A blood culture is drawn.</li>
<li>A complete blood count with differential is drawn.</li>
<li>The parents arrive.</li>
</ol>
<div style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;">
<strong>18. A two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child's symptoms?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Possible fracture of the tibia.</li>
<li>Bruising of the gastrocnemius muscle.</li>
<li>Possible fracture of the radius.</li>
<li>No anatomic injury, the child wants his mother to carry him.</li>
</ol>
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<strong>19. A toddler has recently been diagnosed with cerebral palsy. Which of the following information should the nurse provide to the parents? Note: More than one answer may be correct.</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Regular developmental screening is important to avoid secondary developmental delays.</li>
<li>Cerebral palsy is caused by injury to the upper motor neurons and results in motor dysfunction, as well as possible ocular and speech difficulties.</li>
<li>Developmental milestones may be slightly delayed but usually will require no additional intervention.</li>
<li>Parent support groups are helpful for sharing strategies and managing health care issues.</li>
</ol>
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<strong>20. A child has recently been diagnosed with Duchenne's muscular dystrophy. The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information?</strong></div>
<ol style="background-color: white; font-family: Georgia; font-size: 14px; line-height: 19px;" type="a">
<li>Duchenne's is an X-linked recessive disorder, so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease.</li>
<li>Duchenne's is an X-linked recessive disorder, so both daughters and sons have a 50% chance of developing the disease.</li>
<li>Each child has a 1 in 4 (25%) chance of developing the disorder.</li>
<li>Sons only have a 1 in 4 (25%) chance of developing the disorder.</li>
</ol>
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<strong>Answer Key</strong></div>
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<strong>1. C</strong></div>
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</div>
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The staging of Wilm's tumor is confirmed at surgery as follows: Stage I, the tumor is limited to the kidney and completely resected; stage II, the tumor extends beyond the kidney but is completely resected; stage III, residual nonhematogenous tumor is confined to the abdomen; stage IV, hematogenous metastasis has occurred with spread beyond the abdomen; and stage V, bilateral renal involvement is present at diagnosis.</div>
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<strong>2. A, B, and C</strong></div>
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Acute glomerulonephritis is characterized by high urine specific gravity related to oliguria as well as dark "tea colored" urine caused by large amounts of red blood cells. There is periorbital edema, but generalized edema is seen in nephrotic syndrome, not acute glomerulonephritis.</div>
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<strong>3. B</strong></div>
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</div>
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Acute glomerulonephritis is most commonly caused by the immune response to a prior upper respiratory infection with group A Streptococcus. Glomerular inflammation occurs about 10-14 days after the infection, resulting in scant, dark urine and retention of body fluid. Periorbital edema and hypertension are common signs at diagnosis.</div>
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<strong>4. C</strong></div>
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</div>
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A hydrocele is a collection of fluid in the scrotum that results from a patent tunica vaginalis. Illumination of the scrotum with a pocket light demonstrates the clear fluid. In most cases the fluid reabsorbs within the first few months of life and no treatment is necessary. Massaging the area or placing the infant in a supine position would have no effect. Surgery is not indicated.</div>
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<strong>5. A</strong></div>
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Patients with peripheral vascular disease often sustain nerve damage as a result of inadequate tissue perfusion. Fluid overload is not characteristic of PVD. There is nothing to indicate psychiatric disturbance in the patient. Skin changes in PVD are secondary to decreased tissue perfusion rather than primary inflammation.</div>
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<strong>6. A</strong></div>
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Family history of heart disease is an inherited risk factor that is not subject to life style change. Having a first degree relative with heart disease has been shown to significantly increase risk. Overweight and smoking are risk factors that are subject to life style change and can reduce risk significantly. Advancing age increases risk of atherosclerosis but is not a hereditary factor.</div>
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<strong>7. A, C, and D</strong></div>
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Claudication describes the pain experienced by a patient with peripheral vascular disease when oxygen demand in the leg muscles exceeds the oxygen supply. This most often occurs during activity when demand increases in muscle tissue. The tissue becomes hypoxic, causing cramping, weakness, and discomfort.</div>
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<strong>8. C</strong></div>
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Patients with peripheral vascular disease should avoid crossing the legs because this can impede blood flow. Walking barefoot is not advised, as foot protection is important to avoid trauma that may lead to serious infection. Heating pads can cause injury, which can also increase the risk of infection. Skin lesions at risk for infection should be examined and treated by a physician.</div>
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<strong>9. C</strong></div>
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</div>
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Raynaud's disease is most common in young women and is frequently associated with rheumatologic disorders, such as lupus and rheumatoid arthritis.</div>
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<strong>10. B</strong></div>
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</div>
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In a hospitalized patient on prolonged bed rest, he most likely cause of sudden onset shortness of breath and chest pain is pulmonary embolism. Pregnancy and prolonged inactivity both increase the risk of clot formation in the deep veins of the legs. These clots can then break loose and travel to the lungs. Myocardial infarction and atherosclerosis are unlikely in a 27-year-old woman, as is congestive heart failure due to fluid overload. There is no reason to suspect an anxiety disorder in this patient. Though anxiety is a possible cause of her symptoms, the seriousness of pulmonary embolism demands that it be considered first.</div>
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<strong>11. B</strong></div>
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Cerebral hemorrhage is a significant risk when treating a stroke victim with thrombolytic therapy intended to dissolve a suspected clot. Success of the treatment demands that it be instituted as soon as possible, often before the cause of stroke has been determined. Air embolus is not a concern. Thrombolytic therapy does not lead to expansion of the clot, but to resolution, which is the intended effect.</div>
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<strong>12. A</strong></div>
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</div>
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In torticollis, the sternocleidomastoid muscle is contracted, limiting range of motion of the neck and causing the chin to point to the opposing side. In craniosynostosis one of the cranial sutures, often the sagittal, closes prematurely, causing the head to grow in an abnormal shape. Plagiocephaly refers to the flattening of one side of the head, caused by the infant being placed supine in the same position over time. Hydrocephalus is caused by a build-up of cerebrospinal fluid in the brain resulting in large head size.</div>
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<strong>13. C</strong></div>
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</div>
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Osgood-Schlatter disease occurs in adolescents in rapid growth phase when the infrapatellar ligament of the quadriceps muscle pulls on the tibial tubercle, causing pain and swelling in the inferior aspect of the knee. Osgood-Schlatter disease is commonly caused by activities that require repeated use of the quadriceps, including track and soccer. Swimming is not a likely cause. The condition is usually self-limited, responding to ice, rest, and analgesics. Continued participation will worsen the condition and the symptoms.</div>
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<strong>14. D</strong></div>
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</div>
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A check for scoliosis, a lateral deviation of the spine, is an important part of the routine adolescent exam. It is assessed by having the teen bend at the waist with arms dangling, while observing for lateral curvature and uneven rib level. Scoliosis is more common in female adolescents. Choices A, B, and C are not part of the routine adolescent exam.</div>
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<strong>15. C</strong></div>
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</div>
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The profile of a parent at risk of abusive behavior includes a tendency to blame the child or others for the injury sustained. These parents also have a high incidence of low self-esteem, unemployment, unstable financial situation, and single status.</div>
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<strong>16. 3</strong></div>
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</div>
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Nonsteroidal anti-inflammatory drugs are important first line treatment for juvenile idiopathic arthritis (formerly known as juvenile rheumatoid arthritis). NSAIDs require 3-4 weeks for the therapeutic anti-inflammatory effects to be realized. Half of children with the disorder recover without joint deformity, and about a third will continue with symptoms into adulthood. Physical activity is an integral part of therapy.</div>
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<strong>17. B</strong></div>
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</div>
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Antibiotics must be started after the blood culture is drawn, as they may interfere with the identification of the causative organism. The blood count will reveal the presence of infection but does not help identify an organism or guide antibiotic treatment. Parental presence is important for the adjustment of the child but not for the administration of medication.</div>
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<strong>18. A</strong></div>
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The child's refusal to walk, combined with swelling of the limb is suspicious for fracture. Toddlers will often continue to walk on a muscle that is bruised or strained. The radius is found in the lower arm and is not relevant to this question. Toddlers rarely feign injury to be carried, and swelling indicates a physical injury.</div>
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<strong>19. A, B, D</strong></div>
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</div>
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Delayed developmental milestones are characteristic of cerebral palsy, so regular screening and intervention is essential. Because of injury to upper motor neurons, children may have ocular and speech difficulties. Parent support groups help families to share and cope. Physical therapy and other interventions can minimize the extent of the delay in developmental milestones.</div>
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<strong>20. A</strong></div>
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</div>
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The recessive Duchenne's gene is located on one of the two X chromosomes of a female carrier. If her son receives the X bearing the gene he will be affected. Thus, there is a 50% chance of a son being affected. Daughters are not affected, but 50% are carriers because they inherit one copy of the defective gene from the mother. The other X chromosome comes from the father, who cannot be a carrier.</div>
</div>
Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-541661259096584890.post-71353504063018394132013-10-23T06:57:00.001-07:002013-10-23T06:57:50.433-07:00NCLEX - RN Sample questions<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>1. A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient's lab results would expect which of the following changes in laboratory findings?</b></div>
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A. Elevated serum calcium.<br />B. Low serum parathyroid hormone (PTH).<br />C. Elevated serum vitamin D.<br />D. Low urine calcium.</div>
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<b>2. A patient with Addison's disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended?</b></div>
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A. A diet high in grains.<br />B. A diet with adequate caloric intake.<br />C. A high protein diet.<br />D. A restricted sodium diet.</div>
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<b>3. A patient with a history of diabetes mellitus is in the second post-operative day following cholecystectomy. She has complained of nausea and isn't able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient's symptoms?</b></div>
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A. Anesthesia reaction.<br />B. Hyperglycemia.<br />C. Hypoglycemia.<br />D. Diabetic ketoacidosis.</div>
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<b>4. A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern?</b></div>
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A. Bowel perforation.<br />B. Viral gastroenteritis.<br />C. Colon cancer.<br />D. Diverticulitis.</div>
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<b>5. A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation?</b></div>
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A. Partial thromboplastin time.<br />B. Prothrombin time.<br />C. Platelet count.<br />D. Hemoglobin</div>
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<b>6. A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission?</b></div>
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A. Sexual contact with an infected partner.<br />B. Contaminated food.<br />C. Blood transfusion.<br />D. Illegal drug use.</div>
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<b>7. A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this?</b></div>
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A. A history of hepatitis C five years previously.<br />B. Cholecystitis requiring cholecystectomy one year previously.<br />C. Asymptomatic diverticulosis.<br />D. Crohn's disease in remission.</div>
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<b>8. A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient?</b></div>
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A. Naproxen sodium (Naprosyn).<br />B. Calcium carbonate.<br />C. Clarithromycin (Biaxin).<br />D. Furosemide (Lasix).</div>
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<b>9. The nurse is conducting nutrition counseling for a patient with cholecystitis. Which of the following information is important to communicate?</b></div>
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A. The patient must maintain a low calorie diet.<br />B. The patient must maintain a high protein/low carbohydrate diet.<br />C. The patient should limit sweets and sugary drinks.<br />D. The patient should limit fatty foods.</div>
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<b>10. A patient admitted to the hospital with myocardial infarction develops severe pulmonary edema. Which of the following symptoms should the nurse expect the patient to exhibit?</b></div>
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A. Slow, deep respirations.<br />B. Stridor.<br />C. Bradycardia.<br />D. Air hunger.</div>
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<b>11. A nurse caring for several patients on the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?</b></div>
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A. A patient admitted for myocardial infarction without cardiac muscle damage.<br />B. A post-operative coronary bypass patient, recovering on schedule.<br />C. A patient with a history of ventricular tachycardia and syncopal episodes.<br />D. A patient with a history of atrial tachycardia and fatigue.</div>
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<b>12. A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient?</b></div>
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A. The patient is allergic to shellfish.<br />B. The patient has a pacemaker.<br />C. The patient suffers from claustrophobia.<br />D. The patient takes anti-psychotic medication.</div>
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<b>13. A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed?</b></div>
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A. The patient is somnolent with decreased response to the family.<br />B. The patient suddenly complains of chest pain and shortness of breath.<br />C. The patient has developed a wet cough and the nurse hears crackles on auscultation of the lungs.<br />D. The patient has a fever, chills, and loss of appetite.</div>
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<b>14. A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect?</b></div>
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A. The patient will be admitted to the medicine unit for observation and medication.<br />B. The patient will be admitted to the day surgery unit for sclerotherapy.<br />C. The patient will be admitted to the surgical unit and resection will be scheduled.<br />D. The patient will be discharged home to follow-up with his cardiologist in 24 hours.</div>
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<b>15. A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included on the nursing care plan?</b></div>
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A. Monitor for fever every 4 hours.<br />B. Require visitors to wear respiratory masks and protective clothing.<br />C. Consider transfusion of packed red blood cells.<br />D. Check for signs of bleeding, including examination of urine and stool for blood.</div>
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<b>16. A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern?</b></div>
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A. Bulging anterior fontanel.<br />B. Repeated vomiting.<br />C. Signs of sleepiness at 10 PM.<br />D. Inability to read short words from a distance of 18 inches.</div>
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<b>17. A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)?</b></div>
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A. Small blue-white spots are visible on the oral mucosa.<br />B. The rash begins on the trunk and spreads outward.<br />C. There is low-grade fever.<br />D. The lesions have a "tear drop on a rose petal" appearance.</div>
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<b>18. A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is NOT correct?</b></div>
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A. Scarlet fever is caused by infection with group A Streptococcus bacteria.<br />B. "Strawberry tongue" is a characteristic sign.<br />C. Petechiae occur on the soft palate.<br />D. The pharynx is red and swollen.</div>
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<b>19. A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. Diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose?</b></div>
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A. It is the correct dose.<br />B. The dose is too low.<br />C. The dose is too high.<br />D. The dose should be increased or decreased, depending on the symptoms.</div>
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<b>20. The mother of a 2-month-old infant brings the child to the clinic for a well baby check. She is concerned because she feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate?</b></div>
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A. Normally, the testes are descended by birth.<br />B. The infant will likely require surgical intervention.<br />C. The infant probably has with only one testis.<br />D. Normally, the testes descend by one year of age.</div>
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Answer Key</div>
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<b>1. Answer: A</b></div>
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The parathyroid glands regulate the calcium level in the blood. In hyperparathyroidism, the serum calcium level will be elevated. Parathyroid hormone levels may be high or normal but not low. The body will lower the level of vitamin D in an attempt to lower calcium. Urine calcium may be elevated, with calcium spilling over from elevated serum levels. This may cause renal stones.</div>
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<b>2. Answer: D</b></div>
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A patient with Addison's disease requires normal dietary sodium to prevent excess fluid loss. Adequate caloric intake is recommended with a diet high in protein and complex carbohydrates, including grains.</div>
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<b>3. Answer: C</b></div>
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A post-operative diabetic patient who is unable to eat is likely to be suffering from hypoglycemia. Confusion and shakiness are common symptoms. An anesthesia reaction would not occur on the second post-operative day. Hyperglycemia and ketoacidosis do not cause confusion and shakiness.</div>
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<b>4. Answer: A</b></div>
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Bowel perforation is the most serious complication of fiberoptic colonoscopy. Important signs include progressive abdominal pain, fever, chills, and tachycardia, which indicate advancing peritonitis. Viral gastroenteritis and colon cancer do not cause these symptoms. Diverticulitis may cause pain, fever, and chills, but is far less serious than perforation and peritonitis.</div>
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<b>5. Answer: A, B, and C</b></div>
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Prothrombin time, partial thromboplastin time, and platelet count are all included in coagulation studies. The hemoglobin level, though important information prior to an invasive procedure like liver biopsy, does not assess coagulation.</div>
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<b>6. Answer: B</b></div>
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Hepatitis A is the only type that is transmitted by the fecal-oral route through contaminated food. Hepatitis B, C, and D are transmitted through infected bodily fluids.</div>
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<b>7. Answer: A</b></div>
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Hepatitis C is a viral infection transmitted through bodily fluids, such as blood, causing inflammation of the liver. Patients with hepatitis C may not donate blood for transfusion due to the high risk of infection in the recipient. Cholecystitis (gall bladder disease), diverticulosis, and history of Crohn's disease do not preclude blood donation.</div>
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<b>8. Answer: A</b></div>
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Naproxen sodium is a nonsteroidal anti-inflammatory drug that can cause inflammation of the upper GI tract. For this reason, it is contraindicated in a patient with gastritis. Calcium carbonate is used as an antacid for the relief of indigestion and is not contraindicated. Clarithromycin is an antibacterial often used for the treatment of Helicobacter pylori in gastritis. Furosemide is a loop diuretic and is contraindicated in a patient with gastritis.</div>
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<b>9. Answer: D</b></div>
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Cholecystitis, inflammation of the gallbladder, is most commonly caused by the presence of gallstones, which may block bile (necessary for fat absorption) from entering the intestines. Patients should decrease dietary fat by limiting foods like fatty meats, fried foods, and creamy desserts to avoid irritation of the gallbladder.</div>
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<b>10. Answer: D</b></div>
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Patients with pulmonary edema experience air hunger, anxiety, and agitation. Respiration is fast and shallow and heart rate increases. Stridor is noisy breathing caused by laryngeal swelling or spasm and is not associated with pulmonary edema.</div>
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<b>11. Answer: C</b></div>
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An automatic internal cardioverter-defibrillator delivers an electric shock to the heart to terminate episodes of ventricular tachycardia and ventricular fibrillation. This is necessary in a patient with significant ventricular symptoms, such as tachycardia resulting in syncope. A patient with myocardial infarction that resolved with no permanent cardiac damage would not be a candidate. A patient recovering well from coronary bypass would not need the device. Atrial tachycardia is less serious and is treated conservatively with medication and cardioversion as a last resort.</div>
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<b>12. Answer: B</b></div>
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The implanted pacemaker will interfere with the magnetic fields of the MRI scanner and may be deactivated by them. Shellfish/iodine allergy is not a contraindication because the contrast used in MRI scanning is not iodine-based. Open MRI scanners and anti-anxiety medications are available for patients with claustrophobia. Psychiatric medication is not a contraindication to MRI scanning.</div>
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<b>13. Answer: B</b></div>
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Typical symptoms of pulmonary embolism include chest pain, shortness of breath, and severe anxiety. The physician should be notified immediately. A patient with pulmonary embolism will not be sleepy or have a cough with crackles on exam. A patient with fever, chills and loss of appetite may be developing pneumonia.</div>
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<b>14. Answer: C</b></div>
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A rapidly enlarging abdominal aortic aneurysm is at significant risk of rupture and should be resected as soon as possible. No other appropriate treatment options currently exist.</div>
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<b>15. Answer: D</b></div>
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A platelet count of 25,000/microliter is severely thrombocytopenic and should prompt the initiation of bleeding precautions, including monitoring urine and stool for evidence of bleeding. Monitoring for fever and requiring protective clothing are indicated to prevent infection if white blood cells are decreased. Transfusion of red cells is indicated for severe anemia.</div>
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<b>16. Answer: B</b></div>
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Increased pressure caused by bleeding or swelling within the skull can damage delicate brain tissue and may become life threatening. Repeated vomiting can be an early sign of pressure as the vomit center within the medulla is stimulated. The anterior fontanel is closed in a 4-year-old child. Evidence of sleepiness at 10 PM is normal for a four year old. The average 4-year-old child cannot read yet, so this too is normal.</div>
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<b>17. Answer: A</b></div>
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Koplik's spots are small blue-white spots visible on the oral mucosa and are characteristic of measles infection. The body rash typically begins on the face and travels downward. High fever is often present. "Tear drop on a rose petal" refers to the lesions found in varicella (chicken pox).</div>
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<b>18. Answer: C</b></div>
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Petechiae on the soft palate are characteristic of rubella infection. Choices A, B, and D are characteristic of scarlet fever, a result of group A Streptococcus infection.</div>
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<b>19. Answer: B</b></div>
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This child weighs 30 kg, and the pediatric dose of diphenhydramine is 5 mg/kg/day (5 X 30 = 150/day). Therefore, the correct dose is 150 mg/day. Divided into 3 doses per day, the child should receive 50 mg 3 times a day rather than 25 mg 3 times a day. Dosage should not be titrated based on symptoms without consulting a physician.</div>
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<b>20. Answer: D</b></div>
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Normally, the testes descend by one year of age. In young infants, it is common for the testes to retract into the inguinal canal when the environment is cold or the cremasteric reflex is stimulated. Exam should be done in a warm room with warm hands. It is most likely that both testes are present and will descend by a year. If not, a full assessment will determine the appropriate treatment.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-30363791209785913802013-10-23T06:56:00.002-07:002013-10-23T06:56:28.845-07:00NCLEX Sample questions<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>1. A mother complains to the clinic nurse that her 2 ½-year-old son is not yet toilet trained. She is particularly concerned that, although he reliably uses the potty seat for bowel movements, he isn't able to hold his urine for long periods. Which of the following statements by the nurse is correct?</b></div>
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A. The child should have been trained by age 2 and may have a psychological problem that is responsible for his "accidents."<br />B. Bladder control is usually achieved before bowel control, and the child should be required to sit on the potty seat until he passes urine.<br />C. Bowel control is usually achieved before bladder control, and the average age for completion of toilet training varies widely from 24 to 36 months.<br />D. The child should be told "no" each time he wets so that he learns the behavior is unacceptable.</div>
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<b>2. The mother of a 14-month-old child reports to the nurse that her child will not fall asleep at night without a bottle of milk in the crib and often wakes during the night asking for another. Which of the following instructions by the nurse is correct?</b></div>
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A. Allow the child to have the bottle at bedtime, but withhold the one later in the night.<br />B. Put juice in the bottle instead of milk.<br />C. Give only a bottle of water at bedtime.<br />D. Do not allow bottles in the crib.</div>
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<b>3. Which of the following actions is NOT appropriate in the care of a 2-month-old infant?</b></div>
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A. Place the infant on her back for naps and bedtime.<br />B. Allow the infant to cry for 5 minutes before responding if she wakes during the night as she may fall back asleep.<br />C. Talk to the infant frequently and make eye contact to encourage language development.<br />D. Wait until at least 4 months to add infant cereals and strained fruits to the diet.</div>
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<b>4. An older patient asks a nurse to recommend strategies to prevent constipation. Which of the following suggestions would be helpful? Note: More than one answer may be correct.</b></div>
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A. Get moderate exercise for at least 30 minutes each day.<br />B. Drink 6-8 glasses of water each day.<br />C. Eat a diet high in fiber.<br />D. Take a mild laxative if you don't have a bowel movement every day.</div>
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<b>5. A child is admitted to the hospital with suspected rheumatic fever. Which of the following observations is NOT confirming of the diagnosis?</b></div>
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A. A reddened rash visible over the trunk and extremities.<br />B. A history of sore throat that was self-limited in the past month.<br />C. A negative antistreptolysin O titer.<br />D. An unexplained fever.</div>
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<b>6. An infant with congestive heart failure is receiving diuretic therapy at home. Which of the following symptoms would indicate that the dosage may need to be increased?</b></div>
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A. Sudden weight gain.<br />B. Decreased blood pressure.<br />C. Slow, shallow breathing.<br />D. Bradycardia.</div>
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<b>7. A patient taking Dilantin (phenytoin) for a seizure disorder is experiencing breakthrough seizures. A blood sample is taken to determine the serum drug level. Which of the following would indicate a sub-therapeutic level?</b></div>
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A. 15 mcg/mL.<br />B. 4 mcg/mL.<br />C. 10 mcg/dL.<br />D. 5 mcg/dL.</div>
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<b>8. A patient arrives at the emergency department complaining of back pain. He reports taking at least 3 acetaminophen tablets every three hours for the past week without relief. Which of the following symptoms suggests acetaminophen toxicity?</b></div>
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A. Tinnitus.<br />B. Diarrhea.<br />C. Hypertension.<br />D. Hepatic damage.</div>
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<b>9. A nurse is caring for a cancer patient receiving subcutaneous morphine sulfate for pain. Which of the following nursing actions is most important in the care of this patient?</b></div>
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A. Monitor urine output.<br />B. Monitor respiratory rate.<br />C. Monitor heart rate.<br />D. Monitor temperature.</div>
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<b>10. A patient arrives at the emergency department with severe lower leg pain after a fall in a touch football game. Following routine triage, which of the following is the appropriate next step in assessment and treatment?</b></div>
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A. Apply heat to the painful area.<br />B. Apply an elastic bandage to the leg.<br />C. X-ray the leg.<br />D. Give pain medication.</div>
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<b>11. A nurse is evaluating a post-operative patient and notes a moderate amount of serous drainage on the dressing 24 hours after surgery. Which of the following is the appropriate nursing action?</b></div>
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A. Notify the surgeon about evidence of infection immediately.<br />B. Leave the dressing intact to avoid disturbing the wound site.<br />C. Remove the dressing and leave the wound site open to air.<br />D. Change the dressing and document the clean appearance of the wound site.</div>
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<b>12. A patient returns to the emergency department less than 24 hours after having a fiberglass cast applied for a fractured right radius. Which of the following patient complaints would cause the nurse to be concerned about impaired perfusion to the limb?</b></div>
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A. Severe itching under the cast.<br />B. Severe pain in the right shoulder.<br />C. Severe pain in the right lower arm.<br />D. Increased warmth in the fingers.</div>
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<b>13. An older patient with osteoarthritis is preparing for discharge. Which of the following information is correct.</b></div>
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A. Increased physical activity and daily exercise will help decrease discomfort associated with the condition.<br />B. Joint pain will diminish after a full night of rest.<br />C. Nonsteroidal anti-inflammatory medications should be taken on an empty stomach.<br />D. Acetaminophen (Tylenol) is a more effective anti-inflammatory than ibuprofen (Motrin).</div>
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<b>14. Which patient should NOT be prescribed alendronate (Fosamax) for osteoporosis?</b></div>
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A. A female patient being treated for high blood pressure with an ACE inhibitor.<br />B. A patient who is allergic to iodine/shellfish.<br />C. A patient on a calorie restricted diet.<br />D. A patient on bed rest who must maintain a supine position.</div>
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<b>15. Which of the following strategies is NOT effective for prevention of Lyme disease?</b></div>
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A. Insect repellant on the skin and clothes when in a Lyme endemic area.<br />B. Long sleeved shirts and long pants.<br />C. Prophylactic antibiotic therapy prior to anticipated exposure to ticks.<br />D. Careful examination of skin and hair for ticks following anticipated exposure.</div>
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<b>16. A nurse is counseling patients at a health clinic on the importance of immunizations. Which of the following information is the most accurate regarding immunizations?</b></div>
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A. All infectious diseases can be prevented with proper immunization.<br />B. Immunizations provide natural immunity from disease.<br />C. Immunizations are risk-free and should be universally administered.<br />D. Immunization provides acquired immunity from some specific diseases.</div>
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<b>17. A patient is brought to the emergency department after a bee sting. The family reports a history of severe allergic reaction, and the patient appears to have some oral swelling. Which of the following is the most urgent nursing action?</b></div>
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A. Consult a physician.<br />B. Maintain a patent airway.<br />C. Administer epinephrine subcutaneously.<br />D. Administer diphenhydramine (Benadryl) orally.</div>
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<b>18. A mother calls the clinic to report that her son has recently started medication to treat attention deficit/hyperactivity disorder (ADHD). The mother fears her son is experiencing side effects of the medicine. Which of the following side effects are typically related to medications used for ADHD? Note: More than one answer may be correct:</b></div>
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A. Poor appetite.<br />B. Insomnia.<br />C. Sleepiness.<br />D. Agitation.</div>
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<b>19. A patient at a mental health clinic is taking Haldol (haloperidol) for treatment of schizophrenia. She calls the clinic to report abnormal movements of her face and tongue. The nurse concludes that the patient is experiencing which of the following symptoms:</b></div>
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A. Co-morbid depression.<br />B. Psychotic hallucinations.<br />C. Negative symptoms of schizophrenia.<br />D. Tardive dyskinesia.</div>
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<b>20. A patient with newly diagnosed diabetes mellitus is learning to recognize the symptoms of hypoglycemia. Which of the following symptoms is indicative of hypoglycemia?</b></div>
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A. Polydipsia.<br />B. Confusion.<br />C. Blurred vision.<br />D. Polyphagia.</div>
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Answer Key</div>
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<b>1. Answer: C</b></div>
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Toddlers typically learn bowel control before bladder control, with boys often taking longer to complete toilet training than girls. Many children are not trained until 36 months and this should not cause concern. Later training is rarely caused by psychological factors and is much more commonly related to individual developmental maturity. Reprimanding the child will not speed the process and may be confusing.</div>
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<b>2. Answer: C</b></div>
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Babies and toddlers should not fall asleep with bottles containing liquid other than plain water due to the risk of dental decay. Sugars in milk or juice remain in the mouth during sleep and cause caries, even in teeth that have not yet erupted. When water is substituted for milk or juice, babies will often lose interest in the bottle at night.</div>
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<b>3. Answer: B</b></div>
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Infants under 6 months may not be able to sleep for long periods because their stomachs are too small to hold adequate nourishment to take them through the night. After 6 months, it may be helpful to let babies put themselves back to sleep after waking during the night, but not prior to 6 months. Infants should always be placed on their backs to sleep. Research has shown a dramatic decrease in sudden infant death syndrome (SIDS) with back sleeping. Eye contact and verbal engagement with infants are important to language development. The best diet for infants under 4 months of age is breast milk or infant formula.</div>
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<b>4. Answer: A, B, and C</b></div>
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A daily bowel movement is not necessary if the patient is comfortable and the bowels move regularly. Moderate exercise, such as walking, encourages bowel health, as does generous water intake. A diet high in fiber is also helpful. ). Laxatives should be used as a last resort and should not be taken regularly. Over time, laxatives can desensitize the bowel and worsen constipation.</div>
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<b>5. Answer: C</b></div>
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Rheumatic fever is caused by an untreated group A B hemolytic Streptococcus infection in the previous 2-6 weeks, confirmed by a positive antistreptolysin O titer. Rheumatic fever is characterized by a red rash over the trunk and extremities as well as fever and other symptoms.</div>
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<b>6. Answer: A</b></div>
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Weight gain is an early symptom of congestive heart failure due to accumulation of fluid. When diuretic therapy is inadequate, one would expect an increase in blood pressure, tachypnea, and tachycardia to result.</div>
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<b>7. Answer: B</b></div>
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The therapeutic serum level for Dilantin is 10 - 20 mcg/mL. A level of 4 mcg/mL is sub-therapeutic and may be caused by patient non-compliance or increased metabolism of the drug. A leve of 15 mcg/mL is therapeutic. Choices C and D are expressed in mcg/dL, which is the incorrect unit of measurement.</div>
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<b>8. Answer: D</b></div>
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Acetaminophen in even modestly large doses can cause serious liver damage that may result in death. Immediate evaluation of liver function is indicated with consideration of N-acetylcysteine administration as an antidote. Tinnitus is associated with aspirin overdose, not acetaminophen. Diarrhea and hypertension are not associated with acetaminophen.</div>
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<b>9. Answer: B</b></div>
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Morphine sulfate can suppress respiration and respiratory reflexes, such as cough. Patients should be monitored regularly for these effects to avoid respiratory compromise. Morphine sulfate does not significantly affect urine output, heart rate, or body temperature.</div>
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<b>10. Answer: C</b></div>
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Following triage, an x-ray should be performed to rule out fracture. Ice, not heat, should be applied to a recent sports injury. An elastic bandage may be applied and pain medication given once fracture has been excluded.</div>
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<b>11. Answer: D</b></div>
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A moderate amount of serous drainage from a recent surgical site is a sign of normal healing. Purulent drainage would indicate the presence of infection. A soiled dressing should be changed to avoid bacterial growth and to examine the appearance of the wound. The surgical site is typically covered by gauze dressings for a minimum of 48-72 hours to ensure that initial healing has begun.</div>
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<b>12. Answer: C</b></div>
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Impaired perfusion to the right lower arm as a result of a closed cast may cause neurovascular compromise and severe pain, requiring immediate cast removal. Itching under the cast is common and fairly benign. Neurovascular compromise in the arm would not cause pain in the shoulder, as perfusion there would not be affected. Impaired perfusion would cause the fingers to be cool and pale. Increased warmth would indicate increased blood flow or infection.</div>
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<b>13. Answer: A</b></div>
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Physical activity and daily exercise can help to improve movement and decrease pain in osteoarthritis. Joint pain and stiffness are often at their worst during the early morning after several hours of decreased movement. Acetaminophen is a pain reliever, but does not have anti-inflammatory activity. Ibuprofen is a strong anti-inflammatory, but should always be taken with food to avoid GI distress.</div>
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<b>14. Answer: D</b></div>
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Alendronate can cause significant gastrointestinal side effects, such as esophageal irritation, so it should not be taken if a patient must stay in supine position. It should be taken upon rising in the morning with 8 ounces of water on an empty stomach to increase absorption. The patient should not eat or drink for 30 minutes after administration and should not lie down. ACE inhibitors are not contraindicated with alendronate and there is no iodine allergy relationship.</div>
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<b>15. Answer: C</b></div>
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Prophylactic use of antibiotics is not indicated to prevent Lyme disease. Antibiotics are used only when symptoms develop following a tick bite. Insect repellant should be used on skin and clothing when exposure is anticipated. Clothing should be designed to cover as much exposed area as possible to provide an effective barrier. Close examination of skin and hair can reveal the presence of a tick before a bite occurs.</div>
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<b>16. Answer: D</b></div>
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Immunization is available for the prevention of some, but not all, specific diseases. This type of immunity is "acquired" by causing antibodies to form in response to a specific pathogen. Natural immunity is present at birth because the infant acquires maternal antibodies Immunization, like all medication, cannot be risk-free and should be considered based on the risk of the disease in question.</div>
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<b>17. Answer: B</b></div>
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The patient may be experiencing an anaphylactic reaction. The most urgent action is to maintain an airway, particularly with visible oral swelling, followed by the administration of epinephrine by subcutaneous injection. The physician will see the patient as soon as possible with the above actions underway. Oral diphenhydramine is indicated for mild allergic reactions and is not appropriate for anaphylaxis.</div>
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<b>18. Answer: A, B, and D</b></div>
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ADHD in children is frequently treated with CNS stimulant medications, which increase focus and improve concentration. Children often experience insomnia, agitation, and decreased appetite. Sleepiness is not a side effect of stimulants.</div>
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<b>19. Answer: D</b></div>
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Abnormal facial movements and tongue protrusion in a patient taking haloperidol is most likely due to tardive dyskinesia, an adverse reaction to the antipsychotic. Depression may occur along with schizophrenia and would be characterized by such symptoms as loss of affect, appetite and/or sleep changes, and anhedonia. These depressive changes and lack of volition are part of the negative symptoms of schizophrenia. Psychotic hallucinations may be visual or auditory but do not include abnormal movements.</div>
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<b>20. Answer: B</b></div>
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Hypoglycemia in diabetes mellitus causes confusion, indicating the need for carbohydrates. Polydipsia, blurred vision, and polyphagia are symptoms of hyperglycemia.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-88975904517215396752013-10-23T06:55:00.003-07:002013-10-23T06:55:29.885-07:00NCLEX exam sample questions <div dir="ltr" style="text-align: left;" trbidi="on">
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<b>1. A patient arrives at the emergency department complaining of mid-sternal chest pain. Which of the following nursing action should take priority?</b></div>
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A. A complete history with emphasis on preceding events.<br />B. An electrocardiogram.<br />C. Careful assessment of vital signs.<br />D. Chest exam with auscultation.</div>
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<b>2. A patient has been hospitalized with pneumonia and is about to be discharged. A nurse provides discharge instructions to a patient and his family. Which misunderstanding by the family indicates the need for more detailed information?</b></div>
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A. The patient may resume normal home activities as tolerated but should avoid physical exertion and get adequate rest.<br />B. The patient should resume a normal diet with emphasis on nutritious, healthy foods.<br />C. The patient may discontinue the prescribed course of oral antibiotics once the symptoms have completely resolved.<br />D. The patient should continue use of the incentive spirometer to keep airways open and free of secretions.</div>
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<b>3. A nurse is caring for an elderly Vietnamese patient in the terminal stages of lung cancer. Many family members are in the room around the clock performing unusual rituals and bringing ethnic foods. Which of the following actions should the nurse take?</b></div>
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A. Restrict visiting hours and ask the family to limit visitors to two at a time.<br />B. Notify visitors with a sign on the door that the patient is limited to clear fluids only with no solid food allowed.<br />C. If possible, keep the other bed in the room unassigned to provide privacy and comfort to the family.<br />D. Contact the physician to report the unusual rituals and activities.</div>
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<b>4. The charge nurse on the cardiac unit is planning assignments for the day. Which of the following is the most appropriate assignment for the float nurse that has been reassigned from labor and delivery?</b></div>
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A. A one-week postoperative coronary bypass patient, who is being evaluated for placement of a pacemaker prior to discharge.<br />B. A suspected myocardial infarction patient on telemetry, just admitted from the Emergency Department and scheduled for an angiogram.<br />C. A patient with unstable angina being closely monitored for pain and medication titration.<br />D. A post-operative valve replacement patient who was recently admitted to the unit because all surgical beds were filled.</div>
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<b>5. A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?</b></div>
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A. Glucagon enhances the effect of insulin in case the blood sugar remains high one hour after injection.<br />B. Glucagon treats hypoglycemia resulting from insulin overdose.<br />C. Glucagon treats lipoatrophy from insulin injections.<br />D. Glucagon prolongs the effect of insulin, allowing fewer injections.</div>
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<b>6. A patient on the cardiac telemetry unit unexpectedly goes into ventricular fibrillation. The advanced cardiac life support team prepares to defibrillate. Which of the following choices indicates the correct placement of the conductive gel pads?</b></div>
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A. The left clavicle and right lower sternum.<br />B. Right of midline below the bottom rib and the left shoulder.<br />C. The upper and lower halves of the sternum.<br />D. The right side of the sternum just below the clavicle and left of the precordium.</div>
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<b>7. The nurse performs an initial abdominal assessment on a patient newly admitted for abdominal pain. The nurse hears what she describes as "clicks and gurgles in all four quadrants" as well as "swishing or buzzing sound heard in one or two quadrants." Which of the following statements is correct?</b></div>
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A. The frequency and intensity of bowel sounds varies depending on the phase of digestion.<br />B. In the presence of intestinal obstruction, bowel sounds will be louder and higher pitched.<br />C. A swishing or buzzing sound may represent the turbulent blood flow of a bruit and is not normal.<br />D. All of the above.</div>
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<b>8. A patient arrives in the emergency department and reports splashing concentrated household cleaner in his eye. Which of the following nursing actions is a priority?</b></div>
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A. Irrigate the eye repeatedly with normal saline solution.<br />B. Place fluorescein drops in the eye.<br />C. Patch the eye.<br />D. Test visual acuity.</div>
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<b>9. A nurse is caring for a patient who has had hip replacement. The nurse should be most concerned about which of the following findings?</b></div>
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A. Complaints of pain during repositioning.<br />B. Scant bloody discharge on the surgical dressing.<br />C. Complaints of pain following physical therapy.<br />D. Temperature of 101.8 F (38.7 C).</div>
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<b>10. A child is admitted to the hospital with an uncontrolled seizure disorder. The admitting physician writes orders for actions to be taken in the event of a seizure. Which of the following actions would NOT be included?</b></div>
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A. Notify the physician.<br />B. Restrain the patient's limbs.<br />C. Position the patient on his/her side with the head flexed forward.<br />D. Administer rectal diazepam.</div>
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<b>11. Emergency department triage is an important nursing function. A nurse working the evening shift is presented with four patients at the same time. Which of the following patients should be assigned the highest priority?</b></div>
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A. A patient with low-grade fever, headache, and myalgias for the past 72 hours.<br />B. A patient who is unable to bear weight on the left foot, with swelling and bruising following a running accident.<br />C. A patient with abdominal and chest pain following a large, spicy meal.<br />D. A child with a one-inch bleeding laceration on the chin but otherwise well after falling while jumping on his bed.</div>
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<b>12. A patient is admitted to the hospital with a calcium level of 6.0 mg/dL. Which of the following symptoms would you NOT expect to see in this patient?</b></div>
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A. Numbness in hands and feet.<br />B. Muscle cramping.<br />C. Hypoactive bowel sounds.<br />D. Positive Chvostek's sign.</div>
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<b>13. A nurse cares for a patient who has a nasogastric tube attached to low suction because of a suspected bowel obstruction. Which of the following arterial blood gas results might be expected in this patient?</b></div>
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A. pH 7.52, PCO2 54 mm Hg.<br />B. pH 7.42, PCO2 40 mm Hg.<br />C. pH 7.25, PCO2 25 mm Hg.<br />D. pH 7.38, PCO2 36 mm Hg.</div>
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<b>14. A patient is admitted to the hospital for routine elective surgery. Included in the list of current medications is Coumadin (warfarin) at a high dose. Concerned about the possible effects of the drug, particularly in a patient scheduled for surgery, the nurse anticipates which of the following actions?</b></div>
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A. Draw a blood sample for prothrombin (PT) and international normalized ratio (INR) level.<br />B. Administer vitamin K.<br />C. Draw a blood sample for type and crossmatch and request blood from the blood bank.<br />D. Cancel the surgery after the patient reports stopping the Coumadin one week previously.</div>
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<b>15. The follow lab results are received for a patient. Which of the following results are abnormal? Note: More than one answer may be correct.</b></div>
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A. Hemoglobin 10.4 g/dL.<br />B. Total cholesterol 340 mg/dL.<br />C. Total serum protein 7.0 g/dL.<br />D. Glycosylated hemoglobin A1C 5.4%.</div>
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<b>16. A nurse is performing routine assessment of an IV site in a patient receiving both IV fluids and medications through the line. Which of the following would indicate the need for discontinuation of the IV line as the next nursing action?</b></div>
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A. The patient complains of pain on movement.<br />B. The area proximal to the insertion site is reddened, warm, and painful.<br />C. The IV solution is infusing too slowly, particularly when the limb is elevated.<br />D. A hematoma is visible in the area of the IV insertion site.</div>
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<b>17. A hospitalized patient has received transfusions of 2 units of blood over the past few hours. A nurse enters the room to find the patient sitting up in bed, dyspneic and uncomfortable. On assessment, crackles are heard in the bases of both lungs, probably indicating that the patient is experiencing a complication of transfusion. Which of the following complications is most likely the cause of the patient's symptoms?</b></div>
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A. Febrile non-hemolytic reaction.<br />B. Allergic transfusion reaction.<br />C. Acute hemolytic reaction.<br />D. Fluid overload.</div>
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<b>18. A patient in labor and delivery has just received an amniotomy. Which of the following is correct? Note: More than one answer may be correct.</b></div>
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A. Frequent checks for cervical dilation will be needed after the procedure.<br />B. Contractions may rapidly become stronger and closer together after the procedure.<br />C. The FHR (fetal heart rate) will be followed closely after the procedure due to the possibility of cord compression.<br />D. The procedure is usually painless and is followed by a gush of amniotic fluid.</div>
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<b>19. A nurse is counseling the mother of a newborn infant with hyperbilirubinemia. Which of the following instructions by the nurse is NOT correct?</b></div>
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A. Continue to breastfeed frequently, at least every 2-4 hours.<br />B. Follow up with the infant's physician within 72 hours of discharge for a recheck of the serum bilirubin and exam.<br />C. Watch for signs of dehydration, including decreased urinary output and changes in skin turgor.<br />D. Keep the baby quiet and swaddled, and place the bassinet in a dimly lit area.</div>
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<b>20. A nurse is giving discharge instructions to the parents of a healthy newborn. Which of the following instructions should the nurse provide regarding car safety and the trip home from the hospital?</b></div>
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A. The infant should be restrained in an infant car seat, properly secured in the back seat in a rear-facing position.<br />B. The infant should be restrained in an infant car seat, properly secured in the front passenger seat.<br />C. The infant should be restrained in an infant car seat facing forward or rearward in the back seat.<br />D. For the trip home from the hospital, the parent may sit in the back seat and hold the newborn.</div>
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Answer Key</div>
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<b>1. Answer: C</b></div>
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The priority nursing action for a patient arriving at the ED in distress is always assessment of vital signs. This indicates the extent of physical compromise and provides a baseline by which to plan further assessment and treatment. A thorough medical history, including onset of symptoms, will be necessary and it is likely that an electrocardiogram will be performed as well, but these are not the first priority. Similarly, chest exam with auscultation may offer useful information after vital signs are assessed.</div>
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<b>2. Answer: C</b></div>
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It is always critical that patients being discharged from the hospital take prescribed medications as instructed. In the case of antibiotics, a full course must be completed even after symptoms have resolved to prevent incomplete eradication of the organism and recurrence of infection. The patient should resume normal activities as tolerated, as well as a nutritious diet. Continued use of the incentive spirometer after discharge will speed recovery and improve lung function.</div>
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<b>3. Answer: C</b></div>
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When a family member is dying, it is most helpful for nursing staff to provide a culturally sensitive environment to the degree possible within the hospital routine. In the Vietnamese culture, it is important that the dying be surrounded by loved ones and not left alone. Traditional rituals and foods are thought to ease the transition to the next life. When possible, allowing the family privacy for this traditional behavior is best for them and the patient. Answers A, B, and D are incorrect because they create unnecessary conflict with the patient and family.</div>
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<b>4. Answer: A</b></div>
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The charge nurse planning assignments must consider the skills of the staff and the needs of the patients. The labor and delivery nurse who is not experienced with the needs of cardiac patients should be assigned to those with the least acute needs. The patient who is one-week post-operative and nearing discharge is likely to require routine care. A new patient admitted with suspected MI and scheduled for angiography would require continuous assessment as well as coordination of care that is best carried out by experienced staff. The unstable patient requires staff that can immediately identify symptoms and respond appropriately. A post-operative patient also requires close monitoring and cardiac experience.</div>
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<b>5. Answer: B</b></div>
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Glucagon is given to treat insulin overdose in an unresponsive patient. Following Glucagon administration, the patient should respond within 15-20 minutes at which time oral carbohydrates should be given. Glucagon reverses rather than enhances or prolongs the effects of insulin. Lipoatrophy refers to the effect of repeated insulin injections on subcutaneous fat.</div>
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<b>6. Answer: D</b></div>
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One gel pad should be placed to the right of the sternum, just below the clavicle and the other just left of the precordium, as indicated by the anatomic location of the heart. To defibrillate, the paddles are placed over the pads. Options A, B, and C are not consistent with the position of the heart and are therefore incorrect responses.</div>
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<b>7. Answer: D</b></div>
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All of the statements are true. The gurgles and clicks described in the question represent normal bowel sounds, which vary with the phase of digestion. Intestinal obstruction causes the sounds to intensify as the normal flow is blocked by the obstruction. The swishing and buzzing sound of turbulent blood flow may be heard in the abdomen in the presence of abdominal aortic aneurism, for example, and should always be considered abnormal.</div>
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<b>8. Answer: A</b></div>
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Emergency treatment following a chemical splash to the eye includes immediate irrigation with normal saline. The irrigation should be continued for at least 10 minutes. Fluorescein drops are used to check for scratches on the cornea due to their fluorescent properties and are not part of the initial care of a chemical splash, nor is patching the eye. Following irrigation, visual acuity will be assessed.</div>
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<b>9. Answer: D</b></div>
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Post-surgical nursing assessment after hip replacement should be principally concerned with the risk of neurovascular complications and the development of infection. A temperature of 101.8 F (38.7 C) postoperatively is higher than the low grade that is to be expected and should raise concern. Some pain during repositioning and following physical therapy is to be expected and can be managed with analgesics. A small amount of bloody drainage on the surgical dressing is a result of normal healing.</div>
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<b>10. Answer: B</b></div>
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During a witnessed seizure, nursing actions should focus on securing the patient's safely and curtailing the seizure. Restraining the limbs is not indicated because strong muscle contractions could cause injury. A side-lying position with head flexed forward allows for drainage of secretions and prevents the tongue from falling back, blocking the airway. Rectal diazepam may be a treatment ordered by the physician, who should be notified of the seizure.</div>
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<b>11. Answer: C</b></div>
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Emergency triage involves quick patient assessment to prioritize the need for further evaluation and care. Patients with trauma, chest pain, respiratory distress, or acute neurological changes are always classified number one priority. Though the patient with chest pain presented in the question recently ate a spicy meal and may be suffering from heartburn, he also may be having an acute myocardial infarction and require urgent attention. The patient with fever, headache and muscle aches (classic flu symptoms) should be classified as non-urgent. The patient with the foot injury may have sustained a sprain or fracture, and the limb should be x-rayed as soon as is practical, but the damage is unlikely to worsen if there is a delay. The child's chin laceration may need to be sutured but is also non-urgent.</div>
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<b>12. Answer: C</b></div>
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Normal serum calcium is 8.5 - 10 mg/dL. The patient is hypocalcemic. Increased gastric motility, resulting in hyperactive (not hypoactive) bowel sounds, abdominal cramping and diarrhea is an indication of hypocalcemia. Numbness in hands and feet and muscle cramps are also signs of hypocalcemia. Positive Chvostek's sign refers to the sustained twitching of facial muscles following tapping in the area of the cheekbone and is a hallmark of hypocalcemia.</div>
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<b>13. Answer: A</b></div>
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A patient on nasogastric suction is at risk of metabolic alkalosis as a result of loss of hydrochloric acid in gastric fluid. Of the answers given, only answer A (pH 7.52, PCO2 54 mm Hg) represents alkalosis. Answer B is a normal blood gas. Answer C represents respiratory acidosis. Answer D is borderline normal with slightly low PCO2.</div>
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<b>14. Answer: A</b></div>
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The effect of Coumadin is to inhibit clotting. The next step is to check the PT and INR to determine the patient's anticoagulation status and risk of bleeding. Vitamin K is an antidote to Coumadin and may be used in a patient who is at imminent risk of dangerous bleeding. Preparation for transfusion, as described in option C, is only indicated in the case of significant blood loss. If lab results indicate an anticoagulation level that would place the patient at risk of excessive bleeding, the surgeon may choose to delay surgery and discontinue the medication.</div>
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<b>15. Answer: A and B</b></div>
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Normal hemoglobin in adults is 12 - 16 g/dL. Total cholesterol levels of 200 mg/dL or below are considered normal. Total serum protein of 7.0-g/dL and glycosylated hemoglobin A1c of 5.4% are both normal levels.</div>
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<b>16. Answer: B</b></div>
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An IV site that is red, warm, painful and swollen indicates that phlebitis has developed and the line should be discontinued and restarted at another site. Pain on movement should be managed by maneuvers such as splinting the limb with an IV board or gently shifting the position of the catheter before making a decision to remove the line. An IV line that is running slowly may simply need flushing or repositioning. A hematoma at the site is likely a result of minor bleeding at the time of insertion and does not require discontinuation of the line.</div>
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<b>17. Answer: D</b></div>
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Fluid overload occurs when then the fluid volume infused over a short period is too great for the vascular system, causing fluid leak into the lungs. Symptoms include dyspnea, rapid respirations, and discomfort as in the patient described. Febrile non-hemolytic reaction results in fever. Symptoms of allergic transfusion reaction would include flushing, itching, and a generalized rash. Acute hemolytic reaction may occur when a patient receives blood that is incompatible with his blood type. It is the most serious adverse transfusion reaction and can cause shock and death.</div>
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<b>18. Answer: B, C, and D</b></div>
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Uterine contractions typically become stronger and occur more closely together following amniotomy. The FHR is assessed immediately after the procedure and followed closely to detect changes that may indicate cord compression. The procedure itself is painless and results in the quick expulsion of amniotic fluid. Following amniotomy, cervical checks are minimized because of the risk of infection</div>
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<b>19. Answer: D</b></div>
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An infant discharged home with hyperbilirubinemia (newborn jaundice) should be placed in a sunny rather than dimly lit area with skin exposed to help process the bilirubin. Frequent feedings will help to metabolize the bilirubin. A recheck of the serum bilirubin and a physical exam within 72 hours will confirm that the level is falling and the infant is thriving and is well hydrated. Signs of dehydration, including decreased urine output and skin changes, indicate inadequate fluid intake and will worsen the hyperbilirubinemia.</div>
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<b>20. Answer: A</b></div>
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All infants under 1 year of age weighing less than 20 lbs. should be placed in a rear-facing infant car seat secured properly in the back seat. Infant car seats should never be placed in the front passenger seat. Infants should always be placed in an approved car seat during travel, even on that first ride home from the hospital.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-44916999373170788642013-10-23T06:52:00.001-07:002013-10-23T06:52:13.579-07:00NCLEX exam preparation <div dir="ltr" style="text-align: left;" trbidi="on">
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<strong style="font-style: inherit;">Before the exam</strong></div>
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Before you are able to take the NCLEX-RN, you must obtain an Authorization to Test or ATT. In order to get this, you'll have apply to the nursing board and then complete registration with Pearson VUE, which will cost approximately $200. Plan to start this process well before your planned testing date. Don't schedule your exam until you have obtained the Pearson Registration and ATT as well as an eligibility letter from the nursing board.</div>
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As a portion of the preparation process, review the NCLEX-RN Candidate Bulletin and become familiar with the testing format. Keep in mind that many testing centers fill up their testing dates quickly. Don't wait until your ATT is about to expire before you plan to schedule your exam. You may end up having to re-register and re-pay if this happens. Once you have your testing date and location, familiarize yourself with this location.</div>
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<strong style="font-style: inherit;">Exam day</strong></div>
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Pearson Professional Centers provide candidate exam day process and rules information. Make sure to review it fully before your exam day. Here are a few key points to keep in mind for the exam.</div>
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<li style="list-style: disc; margin: 0px 0px 0px 25px; padding: 0px;"><span style="font-style: inherit;">Be prepared.</span> When you arrive for the NCLEX-RN, you'll need to present a photo ID and the ATT.</li>
<li style="list-style: disc; margin: 0px 0px 0px 25px; padding: 0px;"><span style="font-style: inherit;">Dress comfortably.</span> You'll have to leave all outerwear (coats, hats, gloves, etc.) outside of the room where the test will be administered.</li>
<li style="list-style: disc; margin: 0px 0px 0px 25px; padding: 0px;"><span style="font-style: inherit;">Arrive early.</span> Plan to arrive at the testing center a half an hour before the exam will start.</li>
<li style="list-style: disc; margin: 0px 0px 0px 25px; padding: 0px;"><span style="font-style: inherit;">Provide biometrics.</span> The following biometrics will be collected before the exam: palm vein scan, fingerprints and signature.</li>
<li style="list-style: disc; margin: 0px 0px 0px 25px; padding: 0px;"><span style="font-style: inherit;">Obtain materials.</span> This exam is administered on the computer. You will not need any paper or writing implements. Your computer screen will include a calculator and erasable note board.</li>
<li style="list-style: disc; margin: 0px 0px 0px 25px; padding: 0px;"><span style="font-style: inherit;">Pace yourself appropriately.</span> You'll have six hours to complete the NCLEX-RN. This time frame includes a brief tutorial and two optional breaks, one after two hours of testing and another after three and a half hours of testing. Read each question carefully, as you cannot return to previous questions after you have moved on in the test.</li>
<li style="list-style: disc; margin: 0px 0px 0px 25px; padding: 0px;"><span style="font-style: inherit;">Finish up. </span>The test concludes with a brief computerized survey. When you have completed it, raise your hand and wait to be dismissed.</li>
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<strong style="font-style: inherit;">After the exam</strong></div>
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Remember that while the exam is graded as you complete it, all scores will be reviewed with Pearson VUE afterward and will not be available for test takers until a later date. You will receive your score in the mail appropriately one month after you took the NCLEX-RN.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-59138768553009557712013-10-23T06:49:00.003-07:002013-10-23T06:49:45.317-07:00NCLEX exam questions online<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Pharmacological and Parenteral Therapies is a subsection of the Physiological Integrity part of your NCLEX-RN® exam. The </span><em style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Pharmacological and Parenteral Therapies</em><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> represent 15% of your test score. Therefore, be sure you allocate roughly this amount of your preparation to this area of the NCSBN® test.</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Here are some free NCLEX-RN exam practice questions for the Pharmacology and Parenteral Nutrition to help you prepare.</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">1.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Your patient has a new prescription for zolpidem, also known as Ambien. She should report which possible effect while taking this medication?</b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A. Discolored urine</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B. Irregular heart beat</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C. Sudden headache</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D. Sleepiness during the day </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">2.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Drug toxicity is a serious problem associated with which diagnosis? </b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"></span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A. Acute renal failure</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B. Diverticulitis</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C. Pancreatic cancer</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D. Stomach ulcers </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">3.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A patient has an order for SL Nitro prn chest pain. Standard protocol allows that: </b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"></span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A. One nitro may be administered under the tongue. If chest pain continues, begin CPR. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B. One nitro may be administered every 5 minutes, up to 3 total doses, or until chest pain subsides. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C. Vitals must be checked after administration since BP will rise. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D. Up to 3 nitro tablets may be administered sub lingual at the same time. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">4.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">An oral medication is to be administered based on a child’s weight. You are to give 2 mg’s per kg. There are 10 mg per five cc’s. The child weighs 45 pounds. You will give: </b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"></span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A. 20 ml</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B. 30 cc</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C. 22 cc</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D. 40 ml</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">5.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">When preparing to change a right subclavian vein TPN bag and tubing, the patient instructions must include: </b><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A. Inhale deeply, hold it, and bear down</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B. Breathe normally</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C. Exhale slowly and hold it</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D. Turning the head to the left</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">6.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Total Parenteral Nutrition (TPN) may not have any medications added to it except: </b><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A. Xanax</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B. Phenergan</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C. Insulin</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D. Demerol </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">7.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A patient receiving parenteral nutrition may have it administered via the following routes except: </b><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A. PICC (Peripherally inserted central catheter) line</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B. Peg tube</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C. Subclavian line</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D. Central Venous Catheter </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">8.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Parenteral nutrition differs from enteral nutrition because: </b><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A. Parenteral nutrition can be given through the digestive system</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B. Either type of nutrition can be given through an IV</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C. Parenteral nutrition bypasses the digestive system</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D. Enteral nutrition bypasses the digestive system</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br />
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<span style="color: #a60000; font-family: Times New Roman; font-size: medium;"><b>Free NCLEX-RN Practice Test And Review Questions Online: Answers and Rationals</b></span></center>
<br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Use the answers to these </span><u style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"><a href="http://www.teachingsolutions.org/nclex-rn-preparation" style="color: #000066; margin: 0px; outline: none; padding: 0px; text-decoration: none;">NCLEX preparation questions</a></u><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> to improve your mastery of exam content.</span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">1.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Correct answer: D</b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> If daytime sleepiness is a problem, the physician should be consulted. The medication dose may need to be decreased, or is not being properly metabolized which could signal kidney or liver problems. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A – Ambien induces sleep and does not discolor urine. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B – This medication has no adverse effect on heart rate or regularity. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C – Ambien has not been shown to cause headache. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">2.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Correct answer: A</b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> Drugs are carried out of the body via urine. In the case of renal failure, the kidneys do not filter. Therefore, medications can build up to toxic levels. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B – Diverticulitis is an inflammation of the intestine that does not cause a buildup of medication in the body. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C – Drug toxicity is not caused by pancreatic cancer; however, drugs and alcohol can contribute to the development of this cancer. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D – Though many drugs can cause stomach ulcers, this condition does not cause drug toxicity. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">3.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Correct answer: B </b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">When a patient is having chest pain, one nitroglycerin tablet is placed under the tongue to dissolve. If the pain is not completely gone in 5 minutes, another may be given. Once 5 more minutes pass, if pain has not significantly subsided, another may be administered. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A – This is not the protocol for sub lingual nitro use. CPR is never begun on a patient whose heart is beating. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C – Vitals must be checked, but blood pressure is lowered by nitro. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D – No more than one nitro tablet is given at a time. This is a powerful drug that can dangerously lower the blood pressure in a matter of minutes, slow the heart, and cause death. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">4.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Correct answer: A</b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> Pounds are changed to kilograms. (45/2.2=20.4kg or 20kg) There are 2mg per cc of medication. One cc per kg = 20 cc’s. One cc is equal to one ml. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B – Poor calculation – you have overdosed the child. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C – Calculation is off a small amount – but you are still headed for an incident report. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D – Double dose – the damage done will depend on the medication. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">5.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Correct answer: A</b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> This procedure helps build pressure to keep air from entering the vein. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B – Normal breathing will increase the risk of a dangerous amount of air entering the vein. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C – This procedure will not produce the positive pressure needed to repel outside air. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D – Turning the head is not necessary, though the patient may prefer it. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">6.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Correct answer: C</b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> Insulin is an acceptable additive for patients who need it with their TPN or PPN. No other additive or component is acceptable through the parenteral line. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A - Xanax cannot be given via a PN line, as it must pass through the digestive system. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B - Phenergan, and many other drugs, can cause precipitation in the TPN formulation. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D – Demerol cannot be administered with TPN. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">7.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Correct answer: B</b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> A peg tube empties formula directly into the stomach to be digested. Parenteral nutrition bypasses the digestive system by administration to the bloodstream. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A – A PICC line is inserted into a peripheral vein, but is long enough to empty into the large veins going directly into the heart. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">C – A subclavian line empties directly into the large vein of the heart, reducing risk of damage to smaller veins. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D – A CVC also empties just above the heart muscle to be distributed. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">8.) </span><b style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Correct answer C:</b><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;"> Parenteral nutrition is formulated to be administered directly into the bloodstream of patients whose digestive system is non-functional. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">A – Parenteral nutrition goes directly into the bloodstream, bypassing the digestive system. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">B – Enteral nutrition cannot be given IV as it must go through the digestive system to be processed. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">D – Enteral nutrition is processed through the digestive system, usually through a tube that empties into the stomach. </span><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><br style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;" /><span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify;">Want more NCLEX review questions, classes, books and prep courses to pass your NCLEX Pharmacological and Parenteral Therapies and other sections of your registered nurse test? </span></div>
Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-541661259096584890.post-50129225008758314992013-10-23T06:48:00.001-07:002013-10-23T06:48:21.710-07:00nclex exam top 5 facts to achieve RN Score<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="color: #a60000; font-family: Times New Roman; font-size: large;"><b>“NCLEX Exam Questions To Ask Yourself To Pass Your NCSBN Nursing Test”</b></span></center>
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<span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">NCLEX exam success and a registered nursing career you can be proud of begins with understanding basic facts of your nursing test. That is, how to register, the format and categories of this test. In this way your test preparation and test taking experience will be much easier and more successful. You can avoid common NCLEX-RN exam prep frustrations and wasting precious time. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">The biggest waste of time in preparing for the NCLEX exam is getting a failing score and having to start all over again from scratch. Therefore, the purpose of the information below is for you to pass on the first try. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><center style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; white-space: normal;">
<span style="color: #a60000; font-family: Times New Roman; font-size: medium;"><b>NCSBN NCLEX-RN Exam Facts You Must Know</b></span></center>
<br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">The National Council Licensure Examination For Registered Nurses® (NCLEX-RN®) exam is developed and administered by the National Council Of State Boards of Nursing® (NCSBN®). It’s purpose is to ensure that each entry level nurse has the knowledge needed to perform in a safe and effective manner. The NCLEX exam is administered across fifty states, four U.S. territories and the District of Columbia. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><center style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; white-space: normal;">
<span style="color: #a60000; font-family: Times New Roman; font-size: medium;"><b>How To Register For Your Registered Nurse Exam</b></span></center>
<br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">In order to register for this assessment, a registered nursing candidate should apply to the National Council of State Boards of Nursing for licensure eligibility. Once your eligibility has been confirmed the board will provide an Authorization to Test (ATT) number. At the same time the candidate should register with Pearson VUE, the contracted test provider. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">There are three ways to register with Pearson VUE: online, by telephone, or by mail. The cost of the exam is $200 and can be paid using a credit or debit card (VISA, MasterCard, or American Express). It is also possible to pay using a money order, cashier’s check, or certified check. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><center style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; white-space: normal;">
<span style="color: #a60000; font-family: Times New Roman; font-size: medium;"><b>Scheduling Your NCLEX-RN Exam Date</b></span></center>
<br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">NCLEX test centers are available throughout the United States and can be scheduled through</span><a href="http://www.pearsonvue.com/nclex" style="color: #000066; font-family: Arial, sans-serif; font-size: 14px; margin: 0px; outline: none; padding: 0px; text-align: justify; text-decoration: none; white-space: normal;">Pearson Vue</a><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">. Upon arrival at the testing center, you’ll be asked for your ATT number and valid identification. It’s important to arrive on time, if you are more than 30 minutes late you may have to forfeit your examination. Paper or writing instruments are not permitted in the test center however an on screen calculator and notepad are provided. </span></h3>
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<span style="color: #a60000; font-family: Times New Roman; font-size: medium;"><b>NCLEX Review Course: 4 Major Categories Of The NCSBN Exam</b></span></center>
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<span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Prepare for your NCLEX RN exam with a clear understanding of the purpose of this assessment. It is determine how well a registered nurse candidate can use their critical thinking skills when making professional judgments in real life nurse practice. Don’t just memorize in the course of your RN review sessions. You must be able to apply the knowledge you learned in 4 years of college to scenarios a professional registered nurse will likely face. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Before signing-up for any </span><strong style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">NCLEX exam</strong><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;"> review class, make sure it covers the four major categories which are The Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. The categories are meant to encompass patient needs throughout a human life span. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><ul style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; padding-left: 35px !important; text-align: justify; white-space: normal;">
<li>The Safe and Effective Care Environment section represents 17-23 percent of the NCLEX-RN exam. </li>
<br />It includes both Management and Care, Safety and Infection control. Some of the categories covered in Management and Care are Advocacy, Client Rights, and Ethical practice. Various categories covered in Safety and Control include Accident Prevention, Hazardous Materials and the Use of Restraints. Be sure your <strong>NCLEX review books</strong> have a lot of practice questions for this section.<br /><br />
<li>Health Promotion and Maintenance represent 6-12 percent of the test. Some of the concepts covered in this section include the Aging Process, Disease Prevention, and High Risk Behaviors.</li>
<br />Discipline yourself in your NCLEX exam preparation to review areas of the exam you dislike and are probably weak in. By doing that you’ll get the maximum amount of test score improvements output with the least amount of time input.<br /><br />
<li>The Psychology Integrity section accounts for 6-12 percent of the test.</li>
<br />Your NCLEX exam review must include: Coping Mechanisms, Mental Health Concepts and Stress Management.<br /><br />
<li>The last section is Physiological Integrity. It’s the largest part of the exam and accounts for 38-62 percent of the questions.</li>
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<span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Be sure to cover these 4 sections in your NCLEX practice: Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction of Risk Potential, and Physiological Adaptation. If you feel overwhelmed and frustrated, take a </span><strong style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">NCLEX review course</strong><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;"> online or a local prep class to sort out the overwhelming amount of medications you’re required to know. </span></h3>
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<span style="color: #a60000; font-family: Times New Roman; font-size: medium;"><b>How The NCLEX Results And Pass Rates Are Determined</b></span></center>
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<span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">The NCLEX-RN is a pass/fail exam. NCSBN exam questions are tailored to each candidate’s competencies calculated in real time by computer during testing. The interactive computer adaptive system (CAT) selects the next question for the test taker based on the skill level demonstrated in previous answers and alternates between easy and difficult to establish an accurate range of professional competency. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">As you do </span><strong style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">NCLEX exam</strong><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;"> practice questions, keep in mind the length of the real exam is six hours and contains 265 questions. NCSBN test questions are offered in a multiple choice format with four possible answers. Some versions of the examination also include multiple responses, hot spots, fill-in-the-blank, drag and drop, and charts. Fifteen questions will not be scored as they are for statistical purposes. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">NCLEX-RN testing concludes when at least 75 questions have been answered and a minimum competency is demonstrated, at least 75 questions have been answered and a lack of competency is demonstrated, all 265 questions have been answered, or the six hours have passed. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">The </span><em style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">best NCLEX RN exam</em><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;"> practice means understanding how your test is scored. A numerical score is not provided. The test results will be available through the State Board of Nursing approximately 4 weeks after the test has been completed. If your nursing board participates in the Quick Results Service, unofficial results may be available within 48 hours. In the event of a fail, a diagnostic evaluation will be sent that will highlight problem areas. If you failed, then use to focus exactly where you need to spend your time in your NCLEX -RN exam study guide. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Unfortunately, the pass rate on the first attempt is low as most candidates fail the first time. However, while paying continuous testing fees is expensive, it’s possible to retake the test after a 45-90 day waiting period. </span></h3>
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<span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">The best way a registered nurse candidate can reduce anxiety and worry in test taking is start reviewing for 2-3 months before the exam date. Overconfidence, procrastination and squandering limited preparation time are leading cause of testing failure. Choosing the best RN review books, practice exams and possibly a tutor (preferably a registered nurse who passed) can make all difference between pass or fail. If you’re not sure what are the best NCLEX-RN books then ask someone who already took the exam and passed or click on the links on this page for more prep help. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">You should create a test study plan starting at least 6-8 weeks before your exam date. If you have more time between now and your test date then leverage that to your advantage and begin preparing now without delay.</span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Don’t take any chances. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">This is the nursing career you’ve been dedicating your life and a small fortune in college tuition to achieve. You may very well need a few extra weeks of solid review time in order to pass. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Schedule review time for the NCLEX exam at least 5 days per week and at least 1-2 hours each preparation session. It’s more productive if you take at least one day off each week to clear your mind and recharge your mental batteries. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Review areas of NCLEX-RN test where you’re the weakest in the first 3 weeks. An investment of time in your weaker areas will often help boost your score two or three times faster than going over areas you’re more comfortable with. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><center style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; white-space: normal;">
<span style="color: #a60000; font-family: Times New Roman; font-size: medium;"><b>2 NCLEX Practice Tips For The Most Productive Review Sessions</b></span></center>
<br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">A candidate who can maintain focus and motivation during preparation for the NCLEX exam is more likely to succeed. Constantly visualize your ultimate goal of passing during your NCLEX-RN review. Create a peak performance mindset and program your mind for success. To do this continuously seeing yourself taking your test with confidence, competence and getting a passing score. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Don’t think negative. Don’t doubt yourself and don’t dwell on the anxiety or you’ll end up conditioning your mind for failure. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Visualize living your dream life helping others. See yourself achieving personal success in your own life with your registered nurse license. Feel how good it feels to be working to improve your life during your review for the NCLEX-RN exam. Be willing to pay the price of success and study. Use this to discipline you to study even when you don’t feel like it. See the bigger picture. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Schedule blocks of uninterrupted time when reviewing for your NCLEX test date. The reason avoiding interruptions is so important is that once your concentration is broken, it can take you up to 30 minutes to get your brain warmed up again and get into the same flow of concentration you need for highly effective test prep. If you get interrupted often you’re productivity will be cut in half. It could take you twice as long to study in order to </span><u style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;"><a href="http://www.teachingsolutions.org/pass-nclex-rn" style="color: #000066; margin: 0px; outline: none; padding: 0px; text-decoration: none;">pass your registered nursing test</a></u><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">. More over, you don’t want to risk not being prepared because your NCLEX review was subpar. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Get the support of family and friends. Explain what you’re trying to accomplish and get them to work with you, not against you. Explain you can’t be disturbed during these schedule blocks of time and how important this to you. Ask them in advance for their support. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Retrain yourself not to react to short-term urgencies of the moment like a ringing cellphone, a text message, checking your emails, Facebook or turning on the TV. Do this to avoid losing your limited NCLEX exam review time due to interruptions. </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Next time you’re struggling to block out interruptions, ask yourself, “Is this text message, Facebook update, TV show, phone call worth failing my nursing test and delaying the career?” </span><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><br style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;" /><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">Make your </span><strong style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;">NCLEX-RN review</strong><span style="color: #333333; font-family: Arial, sans-serif; font-size: 14px; text-align: justify; white-space: normal;"> easier and more productive. Turn off your phone and computer so you won’t be tempted with Facebook, phone calls, text messages, email alerts and anything else in your world that could drag your practice for the NCLEX to failure. Again force yourself to think long-term on your goal of getting a passing score and all the success you’ll have once your a registered nurse. </span></h3>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-85405950609543040402013-10-05T04:16:00.004-07:002013-10-05T04:16:44.508-07:00Once infertile, woman gives birth after surgery<div dir="ltr" style="text-align: left;" trbidi="on">
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The experimental technique was only tried in a small group of Japanese women with a specific kind of infertility problem, but scientists hope it can also help women in their early 40s who have trouble getting pregnant because of their age.</div>
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The new mother gave birth to a son in Tokyo last December, and she and the child continue to be healthy, said Dr. Kazuhiro Kawamura of the St. Marianna University School of Medicine in Kawasaki, Japan. He and others describe the technique in a report published online Monday by the Proceedings of the National Academy of Sciences.</div>
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The mother, who was not identified, had been diagnosed with primary ovarian insufficiency, an uncommon form of infertility sometimes called premature menopause. It appears in about 1 percent of women of childbearing age. The cause of most cases is unknown, but the outcome is that the ovary has trouble producing eggs.</div>
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That leaves women with only a 5 percent to 10 percent chance of having a baby unless they get treated. The standard treatment is using donor eggs.</div>
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After the experimental procedure, Kawamura and colleagues were able to recover eggs from five of their 27 patients. One woman went on to have a miscarriage, one did not get pregnant, and two more have not yet attempted pregnancy, Kawamura said in an email.</div>
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The approach differs from what has been done to preserve fertility in some cancer patients, who had normal ovarian tissue removed and stored while they underwent cancer treatments, and then put back. The new work involved ovaries that were failing to function normally.</div>
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In the ovary, eggs mature in structures called follicles. For women with the condition the new study targeted, the follicles are either missing or failing to produce eggs. The experimental treatment was designed to stimulate dormant follicles.</div>
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First, the women’s ovaries were removed and cut into strips, which were frozen. Later the strips were thawed and cut into tiny cubes, a step intended to stimulate maturation of the follicles. Then the cubes were treated with drugs to stimulate further development of the follicles. Cubes were then transplanted just under the surface of the women’s fallopian tubes.</div>
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Within six months, eight women showed signs of follicle maturation, and five of them produced eggs for fertilization in the lab with their husbands’ sperm. The fertilized eggs were grown into early embryos, which were frozen for preservation. In the three attempts at pregnancy, one or two embryos were implanted in the women.</div>
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The researchers found that half the 27 patients had no follicles at all, which meant the treatment could not help them, said Aaron Hsueh of Stanford University, senior author of the study. He also said researchers hope to find a way to stimulate follicles without removing the ovaries.</div>
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Dr. Sherman Silber of the Infertility Centre of St. Louis criticized the approach, saying he has had success by using drugs rather than surgery to treat the condition. He also disagreed with the researchers’ explanation for why their treatment worked.</div>
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Some other experts said treatment with drugs often does not work. The new results, experts cautioned, must be viewed as preliminary.</div>
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“It shows a lot of promise (but) I don’t think it’s even close to being ready” for routine use, said Dr. Mark Sauer of the Columbia University Medical Center in New York. Dr. Amber Cooper of Washington University in St. Louis called the technique “very much an experimental method.”</div>
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The reported efficiency is very low, and the possible health risk to babies born from the method is unknown, said David Albertini of the University of Kansas Medical Centre.</div>
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“One success does not mean we have a treatment.... Stay tuned,” he said.</div>
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He and others were also skeptical of the researcher’s suggestion that the procedure would help women between ages 40 and 45. Eggs from women of that age often show genetic abnormalities, many of which would prevent a live birth, said Dr. Marcelle Cedars of the University of California, San Francisco Medical Centre. Stimulating egg production wouldn’t overcome that problem, she said.</div>
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Kawamura released a photo of himself holding the newborn shortly after he delivered him. He said the mother hopes to have another child with one of the frozen embryos in storage from her treatment.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-48724420094648565792013-10-05T03:53:00.002-07:002013-10-05T03:53:19.721-07:00SUGAR - Toxin<div dir="ltr" style="text-align: left;" trbidi="on">
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Everybody loves a good villain. Diets that focus on one clear bad guy have gotten traction even as the bad guy has changed: fat, carbohydrates, animal products, cooked food, gluten. And now Robert Lustig, a paediatric endocrinologist at the University of California at San Francisco, is adding sugar to the list.</div>
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His book “Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity, and Disease” makes the case that sugar is almost single-handedly responsible for Americans’ excess weight and the illnesses that go with it.</div>
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“Sugar is the biggest perpetrator of our present health crisis,” Lustig says, blaming it for not just obesity and diabetes but also for insulin resistance, cardiovascular disease, stroke and even cancer. “Sugar is a toxin,” he says. “Pure and simple.”</div>
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His target is one particular sugar: fructose, familiar for its role in making fruit sweet. Fruit, though, is not the problem; the natural sugar in whole foods, which generally comes in small quantities, is blameless. The fructose in question is in sweeteners — table sugar, high-fructose corn syrup, maple syrup, honey and others — which are all composed of the simple sugars fructose and glucose, in about equal proportions.</div>
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Although glucose can be metabolised by every cell in the body, fructose is metabolised almost entirely by the liver. There it can result in the generation of free radicals (damaged cells that can damage other cells) and uric acid (which can lead to kidney disease or gout), and it can kick off a process called “de novo lipogenesis”, which generates fats that can find their way into the bloodstream or be deposited on the liver itself.</div>
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These by-products are linked to obesity, insulin resistance and the group of risk factors linked to diabetes, heart disease and stroke. (Lustig gives a detailed explanation of fructose metabolism in a well-viewed YouTube video called “Sugar: The Bitter Truth”.)</div>
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Everyone agrees that fructose can be metabolised that way, but not that it always is metabolised that way when people consume it in moderate amounts. In rats, the link between fructose and metabolic diseases is so well established that researchers who want to study insulin-resistant rats feed them fructose to get them to that state.</div>
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Fructose metabolism research in people, though, is limited by scientists’ inability to kill their human subjects in order to dissect their livers and is further complicated by variation from human to human: Race, gender, exercise, melatonin, probiotics and antioxidants, among other things, affect how our bodies deal with fructose.</div>
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In some human studies, large doses of fructose have certainly been shown to do harm, and alarmingly quickly. One 2009 study fed 16 men a controlled diet, then that same diet plus a fructose supplement that added 35 per cent to their calorie consumption, and found fat deposits on their livers, increased triglycerides and insulin sensitivity after just one week.</div>
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But as the fructose dose decreases, so does the strength of the link to disease. Luc Tappy of the University of Lausanne in Switzerland concluded in a recent paper that, although large doses of fructose undoubtedly cause problems, “there is no solid evidence that fructose, when consumed in moderate amounts, has deleterious effects”.</div>
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Tappy, one of the prominent participants in the fructose debate that Lustig ignited, gives voice to the position that many doctors and scientists share: Sugar is a bad guy, but not the one, overarching bad guy.</div>
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“Telling people the problem is all fructose is completely wrong,” says Walter Willett, chair of the nutrition department at the Harvard School of Public Health. “In the amounts being consumed, sugar can lead to serious damage and premature death. I think it’s fair to say that’s toxic,” he says. “But it doesn’t mean everything else is good”.</div>
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Read Lustig’s book carefully, and it is clear that his position isn’t as radical as his sound bite implies: He believes that moderate consumption of fructose is safe. The “likely” safe threshold, he says, is 50 grams per day — which translates to 100 grams, or a quarter-cup, of sugar that is half fructose. Average daily American consumption of added sweeteners, according to the USDA, is 95 grams — just under Lustig’s threshold. And our consumption is decreasing, down from a peak of 111 grams in 1999.</div>
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Lustig’s colleagues may be less frustrated by his assessment of fructose than they are by his campaign to vilify it. He chooses not to emphasise his position that the average American intake of fructose is safe: He mentions it once in his book and not at all in his 90-minute video. He is also familiar with all the fructose research and concedes that the evidence for its toxicity isn’t ironclad.</div>
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Yet he is willing to call it a poison because he believes that waiting for a fuller understanding is not a responsible option.</div>
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Lustig works with obese children; he is deeply concerned about their health and their prospects, and he wants to tackle head-on the problem he believes is at the root of their suffering. “The only thing that matters is fixing it,” he says. “The fact is that everyone, whether they believe the mechanism or not, is saying we need to reduce our sugar intake.”</div>
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Asked whether he uses words such as “poison” and “toxin” to attract attention to the problem of sugar, he says, “In part, of course.” And it is a strategy that is working. The fructose controversy has been featured in prominent media outlets, including the “New York Times Magazine”, “Scientific American” and “National Geographic”, which put the story on its cover.</div>
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But there is a downside to Lustig’s tactics. A recent editorial in the journal “Nature” acknowledged the resonance of simple messages and addressed the problem of sacrificing nuance to get attention: “It is risky to oversimplify science for the sake of a clear public-health message ... [S]imple messages and themes are seductive ... Black-and-white messages can cause confusion of their own.”</div>
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Frank Hu, an epidemiologist at the Harvard School of Public Health who studies the link between sugar and health, gives Lustig credit “for raising awareness about sugar”, but he shares other scientists’ concerns: “People think if they take care of fructose, their diet is healthy.”</div>
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Tappy believes that, given the complexities of how foods interact with each other and with the human body, focusing on any single nutrient is a mistake: “An approach to fight obesity has to be targeted at multiple components of our diet and lifestyle.” Willett agrees, saying, “We have to find a way to say something is a big problem, a serious problem, but only part of the bigger picture.”</div>
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Until we do, we will have to be content with the idea that sugar is a big problem, a serious problem, but only part of the bigger picture.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-541661259096584890.post-54709576980975555072013-07-18T04:34:00.000-07:002013-07-18T04:34:10.191-07:00AIIMS Staff Nurse Recruitment 2013 Jobs Online Application Form<div dir="ltr" style="text-align: left;" trbidi="on">
<b style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;">AIIMS Staff Nurse <span class="IL_AD" id="IL_AD4" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(89, 57, 170) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(89, 57, 170) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">Recruitment 2013</span>:</b><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;"> All India Institute of Medical Sciences (AIIMS) Patna invites applications for </span><a href="http://recruitmentnjobsonline.blogspot.com/2013/07/aiims-staff-nurse-recruitment-2013-jobs.html" style="background-color: white; color: #e69138; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify; text-decoration: none;" target="_blank"><i><b>AIIMS Staff Nurse</b></i></a><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;"> </span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;">Recruitment 2013</span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;">. Recruit to filling up 831 Staff Nurse Jobs. This vacancy details are officially published at online website. In the same way AIIMS is invites AIIMS Staff Nurse </span><a href="http://recruitmentnjobsonline.blogspot.com/2013/07/aiims-staff-nurse-recruitment-2013-jobs.html" style="background-color: white; color: #e69138; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify; text-decoration: none;" target="_blank"><i><b>Recruitment</b></i></a><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;"> 2013 Jobs </span><span class="IL_AD" id="IL_AD1" style="background-attachment: scroll !important; background-color: white; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(89, 57, 170) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(89, 57, 170) !important; cursor: pointer !important; display: inline !important; float: none !important; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; padding: 0px 0px 1px !important; position: static; text-align: justify; text-decoration: underline !important;">Online Application Form</span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;"> through this notification. Who are interested and eligible candidates are follow the </span><span class="IL_AD" id="IL_AD6" style="background-attachment: scroll !important; background-color: white; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(89, 57, 170) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(89, 57, 170) !important; cursor: pointer !important; display: inline !important; float: none !important; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; padding: 0px 0px 1px !important; position: static; text-align: justify; text-decoration: underline !important;">official website</span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;"> www.aiimspatna.org to download the AIIMS Staff Nurse Jobs </span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;">Recruitment 2013</span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;"> </span><a href="http://recruitmentnjobsonline.blogspot.com/2013/07/aiims-staff-nurse-recruitment-2013-jobs.html" style="background-color: white; color: #e69138; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify; text-decoration: none;" target="_blank"><i><b>Online Application Form</b></i></a><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;">, the candidates are duly filled and submit the </span><span class="IL_AD" id="IL_AD3" style="background-attachment: scroll !important; background-color: white; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(89, 57, 170) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(89, 57, 170) !important; cursor: pointer !important; display: inline !important; float: none !important; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; padding: 0px 0px 1px !important; position: static; text-align: justify; text-decoration: underline !important;">application forms</span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;"> on or before closing date. We are arranging some important data like Age, Qualifications and </span><span class="IL_AD" id="IL_AD5" style="background-attachment: scroll !important; background-color: white; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(89, 57, 170) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(89, 57, 170) !important; cursor: pointer !important; display: inline !important; float: none !important; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; padding: 0px 0px 1px !important; position: static; text-align: justify; text-decoration: underline !important;">How to Apply</span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-align: justify;">.</span><br />
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<b style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">AIIMS vacancy deratils:</b><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><b style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">No. of vacancies: 631</b><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><b style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">Name of the post: Staff Nurse</b><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><b style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">Age Limit:</b><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;"> Candidates age limit is 30 to 40 years as on 31-07-2013. Relaxation is applicable as per rules.</span><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><br />
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<b>Educational Qualifications:</b> Candidates must possess B.Sc Nursing / post Basic B.Sc Nursing Degree and Matriculation from a recognized university / Board with certificates in General Nursing.</div>
<br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><b style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">Selection Process:</b><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;"> Candidates will be selected based on </span><span class="IL_AD" id="IL_AD7" style="background-attachment: scroll !important; background-color: white; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(89, 57, 170) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(89, 57, 170) !important; cursor: pointer !important; display: inline !important; float: none !important; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">written test</span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;"> interview and skill test.</span><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><br />
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<b>How to Apply:</b> Interested candidates can <span class="IL_AD" id="IL_AD2" style="background-attachment: scroll !important; background-color: transparent !important; background-image: none !important; background-position: 0% 50%; background-repeat: repeat repeat !important; border-bottom-color: rgb(89, 57, 170) !important; border-bottom-style: solid !important; border-bottom-width: 1px !important; color: rgb(89, 57, 170) !important; cursor: pointer !important; display: inline !important; float: none !important; padding: 0px 0px 1px !important; position: static; text-decoration: underline !important;">apply online</span> through the website www.aiimspatna.org by filling all mandatory details from 27-06-2013 to 31-07-2013.</div>
<br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">For more details about AIIMS Staff Nurse </span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">Recruitment 2013</span><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;"> click below given link</span><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><a href="http://www.aiimspatna.org/" style="background-color: white; color: #e69138; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-decoration: none;" target="_blank"><i><b>Click here for Recruitment & Application Form</b></i></a><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><b style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">AIIMS Staff Nurse Recruitment 2013 important dates:</b><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><b style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">Closing date for submission of online application form: 31-07-2013.</b><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">More </span><a href="http://recruitmentnjobsonline.blogspot.com/2013/07/aiims-staff-nurse-recruitment-2013-jobs.html" style="background-color: white; color: #e69138; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-decoration: none;" target="_blank">AIIMS Recruitment's</a><br style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #444444; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px;">More </span><a href="http://recruitmentnjobsonline.blogspot.com/2013/07/aiims-staff-nurse-recruitment-2013-jobs.html" style="background-color: white; color: #e69138; font-family: 'Trebuchet MS', Trebuchet, sans-serif; font-size: 13px; line-height: 18px; text-decoration: none;" target="_blank">Staff Nurse Jobs</a></div>
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