Nursing MCQ
Practice questions for NCLEX RN. Everyday one MCQ will be posted on channel.
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Antidote for heparin isAnonymous voting
- A. protamine sulphate
- B. acetylcysteine
- C. sodium bicarbonate
- D. Selenium
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The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client for manifestations of which disorder that the client is at risk for?Anonymous voting
- 1. Metabolic acidosis
- 2. Metabolic alkalosis
- 3. Respiratory acidosis
- 4. Respiratory alkalosis
A child with a new diagnosis of celiac disease is being discharged. The nurse provides education to the parents, including appropriate nutrition for their child. The nurse will instruct the parents to follow aAnonymous voting
- 1.lactose-free diet.
- 2.phosphorus-restricted diet.
- 3.fat-restricted diet.
- 4.gluten-free diet.
A client has a nephrostomy tube. When the nurse assists the client to ambulate, which is the best way to keep the tube safe?Anonymous voting
- 1.Attach the tube to a leg collection bag.
- 2.Ask the client to hold the drainage bag.
- 3.Use a walker and tie the drainage bag.
- 4.Clamp the tube during ambulation.
When preparing a client for the removal of the nasogastric (NG) tube, which instruction to the client is correct?Anonymous voting
- 1. "Take a deep breath and hold it."
- 2. "Take short, shallow breaths."
- 3. "I want you to just breathe normally."
- 4. "I need you to exhale very slowly."
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🩸Fibrinolytic therapy [Used in 🫀chest pain that has developed within the previous 12 or preferably 6 hours⌚ with either development of new 📈📉🫀left bundle branch block (LBBB) or STEMI]📈📉🫀:
🦠💉Streptokinase: 💉1.5 million International Units (IU) by IV infusion over 30-60 minutes⌚. If blood pressure🩸🥴 falls due to 💉infusion, the rate should be reduced🎚️📉 or stopped temporarily and 🎚️restarted at a dose 💉of half the previous rate.
💉Alteplase: 15 mg IV bolus;
💉0.75 mg/kg IV over 30 minutes⌚ (maximum 50 mg💉), followed by 💉0.5 mg/kg IV over 60 minutes⌚ (maximum 35 mg💉).
💉Reteplase: 💉10 units+💉10 units IV bolus given 30 minutes apart⌚
💉Tenecteplase: Single IV bolus:
💉30 mg (6000 IU) if < 60 kg📟;
💉35 mg (7000 IU) if 60 to < 70 kg📟;
💉40 mg (8000 IU) if 70 to <80 kg📟;
💉45 mg (9000 IU) if 80 to < 90 kg;📟
💉50 mg (10000 IU) if ≥ 90 kg📟;
it is recommended to reduce🎚️📉💉 to the half dose in patients ≥ 75 years👴🏻👵🏻.
For mild or moderate allergic reactions🤧 to 🦠💉Streptokinase:
• 💉Promethazine: 25 mg IV
Or
• 💉Hydrocortisone: 100 mg IV
For severe allergy:
• 💉 Adrenaline: 1 in 1,000 solution, 0.5-1 ml (0.5-1 mg) IV over 5 minutes
If response is poor:
• 💉 Adrenaline: 1 in 1,000 solution 2-5 ml (2-5 mg) IV over 5 minutes
And should be added:
• 💉Promethazine: 25 mg IV
Or
• 💉Hydrocortisone: 100 mg IV
C. Management in the post-infarct period🫀😮💨
i. 💊Beta-blockers (continued indefinitely)
• 💊Atenolol: 25-100 mg orally👄 daily🗓️
Or
• 💊 Propranolol: 40-80 mg orally👄 2-3 times daily🗓️
ii. 💊Angiotensin-converting enzyme inhibitors (ACEIs)
• 💊Enalapril: 5-40 mg orally👄 daily🗓️
iii.💊 Statins
📚Clinical trials have supported a combination of 🧘🏻♂️🧘🏻♀️⛹🏻♂️⛹🏻♀️🏓🏸🚴🏻♂️🚴🏻♀️🏃🏻♂️🏃🏻♀️lifestyle modification and continuous treatment with 💊Aspirin, 💊beta-blocker, a 💊statin, and, in many cases, 💊ACEIs in the treatment of myocardial infarction🫀📈📉.
Citation📕🌐
a, b Ibanez B, James S, Agewall S et al. 2017 🇪🇺🫀ESC Guidelines for the management of acute myocardial infarction🫀📈📉 in patients presenting with ST-segment elevation🫀📈📉: The Task Force for the management of acute myocardial infarction🫀📈📉 in patients presenting with ST-segment elevation🫀📈📉 of the 🇪🇺European Society of Cardiology 🫀(ESC). Eur Heart J. 2018;39(2):119-177. doi: https://doi.org/10.1093/eurheartj/ehx393
https://academic.oup.com/eurheartj/article/39/2/119/4095042
2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC)
The disclosure forms of all experts involved in the development of these guidelines are available on the ESC website www.escardio.org/guidelines
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