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Ways to pass RN exmas & RN QA(Question, Answers)

Click on http://groups.google.com/group/IROR-Nurse/web/rn-exam?hl=en -
or copy & paste it into your browser's address bar if that doesn't
work.

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NCLEX Advice: Studying with a partner

Studying with a partner or group of students can be an excellent way
to energize your studying. Working with a partner allows you to test
each other on the material you've viewed. Your partner can give you
encouragement and motivation. Perhaps most important, working with a
partner can provide a welcome break from solitary studying.

Exercise some care with choosing a study partner or assembling a study
group. A partner who doesn't fit your needs won't help you make the
most of your study time. Look for a partner who:

possesses similar goals to yours. For example, someone taking the
NCLEX at approximately the same date who feels the same sense of
urgency as you do might make an excellent partner.

possesses about the same level of knowledge as you. Tutoring someone
can sometimes help you learn, but partnering should be give-and-take
so both partners can gain knowledge.

can study without excess chatting or interruptions. Socializing is an
important part of creative study but, remember, you still have to pass
the NCLEX--so stay serious!

Source: NCLEX-RN Review Made Incredibly Easy!, 4th edition, Lippincott
Williams & Wilkins, 2008.

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RN Questions (Part 1)

1. Which condition can cause a hiatal hernia?
1. increased intrathroacic pressure
2. weakness of the esophageal muscle
3. increased esophageal muscle pressure
4. weakness of the diaphragmatic muscle
2. A client who is started on metformin and glyburide would have
initially presented with which symptoms?
1. polydipsia, polyuria, and weight loss
2. weight gain, tiredness, and bradycardia
3. irritability, diaphoresis, and tachycardia
4. diarrhea, abdominal pain, and weight loss
3. Which statement best explains why it's important to empty the bowel
before treatment with intracavitary radiation for cancer of the
cervix?
1. Feces in the bowel increase the risk for ileus.
2. An empty bowel allows the applicator to be positioned with little
or no discomfort.
3. Bowel movements increase the risk of inadvertent contamination of
the vagina and urethra.
4. Pressure changes in the pelvis associated with bowel movements
can alter the position of the applicator and the radiation source.
4. Adequate nutrition is essential for a burn client. Which statement
is correct about the nutritional needs of a burn client?
1. The client needs 100 cal/kg throughout hospitalization.
2. The hypermetabolic state after a burn injury contributes to poor
healing.
3. A cool environment decreases caloric demand.
4. Maintaining a hypermetabolic rate decreases the client's risk of
infection.
5. A 50-year-old client is scheduled for electroconvulsive therapy
(ECT). ECT is most commonly prescribed for which condition?
1. major depression
2. antisocial personality disorder
3. chronic schizophrenia
4. somatoform disorder

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RN Answers (Part 1)

1. 4 A hiatal hernia is caused by weakness of the diaphragmatic muscle
and increased intra-abdominal--not intrathoracic--pressure. This
weakness allows the stomach to slide into the esophagus. The
esophageal supports weaken, but esophageal muscle pressure isn't a
factor in hiatal hernia.
2. 1 Symptoms of hyperglycemia include polydipisa, polyuria, and
weight loss. Metformin and sulfonylureas are commonly ordered
medications. Weight gain, tiredness, and bradycardia are symptoms of
hypothyroidism. Irritability, diaphoresis, and tachycardia are
symptoms of hypoglycemia. Symptoms of Crohn's disease include
diarrhea, abdominal pain, and weight loss.
3. 4 A position change of the radioactive implant could deliver more
radiation to healthy tissue and less to the malignant lesion. This
increases the risk of injury to healthy tissue and decreases the
effectiveness of treatment on the cancer. Feces in the bowel increase
the likelihood of a bowel movement, which can change the position of
the applicator and radiation source. Feces in the bowel don't increase
the risk of ileus or inadvertent contamination of the vagina and
urethra from bowel movement. Applicators are usually inserted under
anesthesia in the operating room.
4. 2 A burn injury causes a hypermetabolic state resulting in protein
and lipid catabolism that affects wound healing. Calories need to be
1½ to 2 times the basal metabolic rate, with at least 1.5 to 2 g/kg of
body weight of protein daily. An environmental temperature within
normal range lets the body function efficiently and devote caloric
expenditure to healing and normal physiologic processes. If the
temperature is too warm or too cold, the body gives energy to warming
or cooling, which takes away from energy used for tissue repair. High
metabolic rates increase the risk of infection.
5. 1 ECT is most commonly used for the treatment of major depression
in clients who haven't responded to antidepressants or who have
medical problems that contraindicate the use of antidepressants. ECT
isn't commonly used for treatment of personality disorders. ECT
doesn't appear to be of value to individuals with chronic
schizophrenia and isn't the treatment of choice for clients with
somatoform disorders.