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NCLEX Practice Exam 14 (20 Questions)

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Introduction   Topics Various topics Questions In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. You are given 1 minute per question. Practice Mode: This is an interactive version of the Text Mode. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. No time limit for this exam. In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a print out. Questions 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? A. Increased urinary output. B. Decreased edema. C. Decreased pain. D. Decreased blood pressure. 2. There are a number of risk factors associated

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Drug Dosage Calculations NCLEX Exam 5 (20 Items)

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Introduction Another set of 20 dosage calculations NCLEX practice questions. Topics Dosage Calculations Questions In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. You are given 1 minute per question. Practice Mode: This is an interactive version of the Text Mode. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. No time limit for this exam. In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a print out. 1. You need to administer prochlorperazine (Compazine) 10 mg IM to a nauseated patient. You have on hand Compazine 5 mg/mL. How should you prepare the correct dose? A. 5 mL B. 2 mL C. 1

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Drug Dosage Calculations NCLEX Exam 6 (20 Items)

Video Shows Patient Attacking Nurses with Metal Bar

Drug Dosage Calculations NCLEX Exam 7 (20 Items)

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Introduction Here’s another set of 20 item NCLEX practice exam about drug dosage calculation and IV infusion rate calculations. For more NCLEX exams, visit NCLEX Practice Questions For Free. Topics Conversions Dosage Calculation IV Infusion Rate Calculations Questions In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. You are given 1 minute per question. Practice Mode: This is an interactive version of the Text Mode. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. No time limit for this exam. In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a print out. 1. Phenobarbital is supplied as 60 mg/mL. You need to administer 160

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Drug Dosage Calculations NCLEX Exam 8 (20 Items)

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Introduction You know? If you finish this series, you’ll be answering actual drug calculations in the NCLEX as if you were just breathing. So here’s another 20-question practice exam! Topics Conversions Dosage Calculation IV Infusion Rate Calculations Questions In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. You are given 1 minute per question. Practice Mode: This is an interactive version of the Text Mode. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. No time limit for this exam. In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a print out. 1. A patient has a primary IV of dextrose in water

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INFOGRAPHIC: Career Paths for RNs

Updated: UK Needs 554 Filipino Nurses this 2014, Here’s How to Apply


1,000 Nurses Needed in UK by Medicare Staffing Ltd

Drug Dosage Calculations NCLEX Exam 9 (20 Items)

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Introduction Here’s the part 9 of the drug dosage calculation NCLEX exam series! Ready for another 20 item practice exam? Go! Topics Conversions Dosage Calculation IV Infusion Rate Calculations Questions In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. You are given 1 minute per question. Practice Mode: This is an interactive version of the Text Mode. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. No time limit for this exam. In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a print out. 1. Your patient needs 12,000 units of heparin SC. You have on hand 5000 units/mL. How much will you

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Room Assignments for November 2014 Nurse Licensure Exam (NLE)

‘Keep Nursing On’ is a Creative Parody of ‘Shake it Off’

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Nursing is indeed an art and this YouTube video by BSN student Cassidy Sigouin proves it!

“Keep Nursing On” is an LSS-inducing version of Taylor Swift’s pop song “Shake it Off”. As part of her project for one of her nursing classes, Sigouin (who surprisingly looks like Swift) rewrote the lyrics “so it would relate to nursing, nurses, and nursing students.”

Keep nursing on, Cassidy! Great job! 

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Six Nurses Stabbed to Death at Chinese Hospital

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Image via Depositphotos

BEIJING – Seven people, six of them nurses, and one security officer, were stabbed to death Thursday in a hospital in northern China in the latest episode of violence in Chinese hospitals.

The man who carried out the attack was named Li Xiaolong, 27, has been detained and told police he had “a history of mental illness,” state news agency Xinhua said.

The suspect said he received treatment in Beijing and the nearby city of Tangshan in 2006.

In addition to the seven dead, another nurse was seriously injured during the early Thursday attack “In the women’s staff dormitory at the 281 Hospital in Beidaihe,” said in an online post.

Chinese hospitals have seen a series of violent attacks, but are more often carried out by angry patients rather than medical staff.

There is an alarming trend affecting the national health sector in which, according to the Chinese Hospital Association, 96 percent of workers suffered verbal violence in 2012 and 63 percent physical violence.

Over 70,000 disputes were recorded in Chinese hospitals last year, and at least 11 major incidents were reported in which a total of seven physicians were killed and 28 injured.

Motives behind most of the attacks are usually dissatisfaction over treatment or disagreements over bills as most Chinese do not have health insurance.

In April a 45-year-old man unhappy with his circumcision stabbed a doctor to death in the eastern province of Jiangsu. Three months earlier a man was sentenced to death for killing an ear, nose and throat specialist in neighbouring Zhejiang.

Doctors also acknowledge that such incidents stem from a lack of confidence in the underfunded health care system.

Previously, the Chinese government responded with new laws increasing penalties for those who attack, insults doctors or nurses publicly, or cause damage to the facilities.

Source: Aljazeera 

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INFOGRAPHIC: The Future of Nursing

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Future-of-Nursing-Infographic

The nursing profession is facing multiple challenges in the years ahead. From the Affordable Care Act and its focus on the introduction of electronic medical records, to the aging US population, many people question what healthcare will look like in the future.

What remains certain, however, is the future of nursing is bright. Nurses are a vital part of the health care system and a valuable resource for our society.

What can nurses and nursing industry expect in the years ahead?

At this point in time:

  • One third of nurses are over 50 years old.
  • 1/3 of the current workforce will reach retirement within the next decade or so.
  • Nurses work more hours now than they did in 2000.

How the Health Care Reform Will Affect Nurses

Nurses will be prepared to take on more responsibility than they currently have.

This will be helpful, since:

  • Within 15 years, the country will be short 150,000 doctors.
  • Primary Care Physicians (PCP) will be in the greatest demand, with an estimated 45,000 needed by 2020.
  • Millions of new patients are expected to flood the healthcare system as new insurance takes hold.
  • More nurses will work in rural areas where the nurse may be the only health care provider available.

Ever-Changing Technology

As we move into the future, nursing will change thanks to new technology, such as:

  • The Computerized Provider Order Entry (CPOE) will reduce medication errors by about 55%.
  • Medication will be scanned before the patient takes it, to ensure correct dosage and type.
  • Transcriptions can be replaced by CPOE.
  • Electronic medical records will link hospitals, physician’s practices and home healthcare agencies.

To learn more about the future of nursing, checkout the infographic below created by Norwich University’s Online Master of Science in Nursing program.

NU-FON-preview04

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Black Friday and Cyber Monday Deals for Nurses this Holiday

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Amazing Black Friday Deals for Nurses!

Now all that running and leg training when answering a bed alarm will pay off! If you are one of the many nurses who plan to snag a few sweet deals this Black Friday and Cyber Monday, check our list of the best deals you can buy: from scrubs, to stethoscopes, nursing books, electronics and more, all in bargain prices! In this post you’ll find our collection of special coupons and deals for nurses shopping this Black Friday and Cyber Monday.

Amazon

Prestige Medical Nylon Organizer Kit for $15.05 (regular at $19.95, save $4.90).

Prestige Medical Nylon Organizer Kit for $15.05 (regular at $19.95, save $4.90).

Black Friday offers of Amazon include exciting Lightning Deals, and Deals of the Day to save on your favorite electronics, clothes, and more! New deals start as often as every 10 minutes. Here are also a few good deals that nurses may find useful:

Books

  • American Nurses Association (ANA) is giving a 15% discount on every book in their catalog through December 31. Simply use the discount code HOLIDAY15 at the checkout. Orders also come with a free book light!
  • NursingKnowledge.org — Not really a Black Friday sale but has a wide catalogue of interesting nursing books.

NurseWatches.com

Lydia’s Uniforms

Microsoft Store

Nursing students would love these Black Friday deals from the Microsoft Store. Fancy gifting a Surface Proto your family? Check out the Black Friday Deals at MicrosoftStore.com now!

AllHeart.com

Solestruck

Everything Else

 

This post is constantly being updated. Please check later for more exclusive deals! Happy shopping!

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5 Principles in Answering Therapeutic Communication Questions

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Therapeutic-Communication-Questions

Getting the client’s response or the way you communicate with them are mainstay of the local boards, be it the NCLEX or the NLE. The psychosocial focus has been a central thread throughout all of the clinical areas: medical-surgical nursing, maternity and pediatric nursing, and most especially psychiatric nursing. It just shows that effective communication is key in establishing therapeutic relationships. These type of questions are relatively easy to answer especially if you read these five principles on answering therapeutic communication questions: 

1. Responses that focus on the client’s feelings

Most clients at some time find it difficult to express their feelings whether they have a terminal illness, pregnant, or are scheduled for surgery. Any nursing response that elicits these feelings would be therapeutic. Listen and attend to those client cues. For example the question below:

SITUATION: A 20 year old college student is admitted to the medical ward because of sudden onset of paralysis of both legs. Nikki reveals that the boyfriend has been pressuring her to engage in premarital sex. The most therapeutic response by the nurse is:

a. “I can refer you to a spiritual counselor if you like.”
b. “You shouldn’t allow anyone to pressure you into sex.”
c. “It sounds like this problem is related to your paralysis.”
d. “How do you feel about being pressured into sex by your boyfriend?”

For this question, the correct answer is D. The statement focuses on the expression of feelings and is therapeutic. Option A is is not therapeutic because the nurse passes the responsibility to the counselor. Option B. is giving advice is not therapeutic as it virtually terminates the conversation. Option C is not also therapeutic because if confronts the underlying cause.

When it seems as if clients would like to discuss fears, concerns, angry feelings, then encourage their expression.

2. Responses that are honest and direct

It is important that the nurse is honest with her responses to encourage trust and build a therapeutic relationship. Honesty will support a trustful and a firm relationship.

3. Responses that involve active listening

Encouraging clients to talk through verbal and nonverbal techniques is supportive and serves to further the relationship.

The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety?

A. “I guess you’re worried about something, aren’t you?
B. “Can I get you some medication to help calm you?”
C. “Have you been pacing for a long time?”
D. “I notice that you’re pacing. How are you feeling?”

The answer here is D. By acknowledging the observed behavior and asking the client to express his feelings the nurse can best assist the client to become aware of his anxiety. In option A, the nurse is offering an interpretation that may or may not be accurate; the nurse is also asking a question that may be answered by a “yes” or “no” response, which is not therapeutic. In option B, the nurse is intervening before accurately assessing the problem. Option C, which also encourages a “yes” or “no” response, avoids focusing on the client’s anxiety, which is the reason for his pacing.

4. Responses that indicate acceptance of the client

Accept the client whatever or how he is regardless of his condition and verbalizations. Additionally, you would not want to reject the client even if you could not condone or accept his behavior.

A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from nurse Julia?

A. “Why didn’t you get someone else to drive you?”
B. “Tell me how you feel about the accident.”
C. “You should know better than to drink and drive.”
D. “I recommend that you attend an Alcoholics Anonymous meeting.”

Choosing option A would make the client feel defensive and intimidated. Option C is judgemental, remember any judgemental approach is not therapeutic. Option D is about giving advice and here, the nurse suggests that the client isn’t capable of making decisions, thus fostering dependency. For this question, option B is the correct answer as it encourages the widest range of client response and makes the client be an active participant in the conversation.

5. Responses that pick up or relate to to the client’s cues

Responding to an important cue is essential therapeutic technique if the nurse is to focus on the client and maintain a goal-focused interaction.

Situation: An old woman was brought for evaluation due to the hospital for evaluation due to increasing forgetfulness and limitations in daily function. She says to the nurse who offers her breakfast, “Oh no, I will wait for my husband. We will eat together” The therapeutic response by the nurse is:

a. “Your husband is dead. Let me serve you your breakfast.”
b. “I’ve told you several times that he is dead. It’s time to eat.”
c. “You’re going to have to wait a long time.”
d. “What made you say that your husband is alive?

The correct answer is option A. Since the client has signs of dementia, she should be reoriented to reality and be focused on there here and now. Option B is not a helpful approach because of the short term memory of the client. Option C indicates a pompous response. Option D is cognitive limitation of the client makes the client incapable of giving explanation.

Have any tips? Share them with us via the comments section below. 

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IELTS for Nurses: An Ultimate Guide

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IELTS-for-Nurses

For nurses who are aiming to work abroad, there are certain mandatory registration standards that are required to be met before registration can be completed. There is a need for nurse applicants to take extra licensure and English competency exams to be able to practice the profession overseas. For people who want to study, work or migrate to countries where English is spoken as a first language, taking the IELTS exam is almost always mandatory.

What is IELTS?

The IELTS, which stands for International English Language Testing System, tests a person’s proficiency with the English language in four bands: speaking, reading, writing and listening. It is the world’s most popular high stakes English language test. It is the test that opens doors to a world of academic and professional opportunity in Australia, Canada, New Zealand, the UK, USA and many other places around the world where English is a language in the workplace or the classroom.

IELTS is accepted by more than 6,000 organisations worldwide. These include universities, immigration departments, government agencies, professional bodies and multinational companies. It is jointly owned by British Council, IDP: IELTS Australia and Cambridge English Language Assessment and offered through more than 1,000 test centres and locations in over 140 countries.

Exam Formats

There are two versions of the IELTS exam: the academic version and the general training version.

The academic version is for people who want to pursue higher education in universities or other institutions or for professionals such as doctors and nurses who want to practice in a country that primarily speaks English.

The general training version is for people who want to undergo training or gain work experience, or for those who are planning to migrate.

Nurse applicants who want to practice the profession overseas should register for the academic version.

Exam Parts

The IELTS test has four parts – Listening, Reading, Writing, and Speaking. Examinees are required to accomplish all four parts to receive an IELTS result. The total test time is 2 hours and 45 minutes.

Listening

The Listening Module or the first past of the exam has 4 sections for 40 items to be accomplished in 30 minutes. For this part of the test, examinees need to be very attentive to the conversation played on the audio device. There will be no repetition, meaning, the test takers are not allowed for second chances. Try to catch up with every item as fast as you can if you do not want to get left behind.

Reading

The Academic Reading Module or the second part of the exam has 3 sections for 40 items to be accomplished in 60 minutes. This part of the exam examines your reading comprehension skills. Examinees are given 1 hour to complete this exam.
You can skim the questions first if you believe you can answer them, unless the section is unfamiliar to you. Reading and understanding at the same time is really a must because of the time constraint.

Writing

The Academic Writing Module or the third part of the exam has 2 tasks to be accomplished in 60 minutes. Here, you get to exhibit your writing skills on paper. There are 2 questions. For the first question, you should allow yourself to use at least 150 words. And for the last one, you should express your thoughts in 250 words. The second question is worth more in points than the first question.

Speaking

The last part of the exam is the speaking test where you will be interviewed by a native English speaker. This one-on-one interview will last for 15 minutes. This module is delivered in such a way that it does not allow examinees to rehearse set responses beforehand. Allow yourself to relax, be comfortable, so you can respond sensibly to the interviewer.

Listening, Reading and Writing must be completed in one day. The Speaking test may be offered on the same day or up to a week before or after the other parts.

Required Passing Rates

The highest score that can be obtained is 9.0 while the lowest score is 0. There is no passing or failing grade, but most institutions requiring the IELTS exam will ask for a grade of higher than 5.5. A profile score is reported for each skill. The four individual scores are averaged and rounded to produce an Overall Band Score. Overall Band Scores and scores for each sub-test (Listening, Reading, Writing and Speaking) are reported in whole bands or half bands.

For Australia

All international qualified nurses and midwives applying for registration in Australia, must demonstrate English language proficiency.

You must complete the academic version of the IELTS test and achieve:

  • Completed the international English language testing system (IELTS) examination (academic module) and achieved a minimum score of 7.0 in each of the four components.
  • Results must have been obtained within the two years prior to applying for registration.
  • An IELTS (or approved equivalent) test report form more than two years old will be accepted as evidence of present level ability, if accompanied by proof that a candidate has actively maintained employment as a medical practitioner, in a country where English is the native or first language.
  • For the purpose of exemption the Medical Board of Australia requires a minimum score of 7.0 in each of the four components of the academic module of the IELTS examination.
  • To prove English proficiency an applicant can also complete the NZREX.
  • To prove English proficiency an applicant can also complete the PLAB test.
  • Please note that the applicant bares all test and registration fees.

For New Zealand

The Nursing Council of New Zealand (the Council) has deferred making changes to the English language standards until research conducted by Dr. Leslie Hawthorn (commissioned by AHPRA) is available. This means the English language requirements remain at a 7 in all bands of IELTS and a B or A in all bands of an OET. The scores can be achieved over a succession of tests within 12 months of first sitting the test.

When a nurse who is registered with an overseas authority applies to the Council for registration in New Zealand, each application is assessed on an individual basis. The Council operates a system of reciprocal registration with Australia.

For UK

All non EU trained applicants to the nurses or midwives part of the register must complete and provide evidence of the International English Language Test (IELTS) before submitting their application to the Nursing and Midwifery Council (NMC).

You must complete the academic version of the IELTS test and achieve:

  • At least 7.0 in the listening and reading sections
  • At least 7.0 in the writing and speaking sections
  • At least 7.0 (out of a possible 9) overall
  • NMC will not accept applicants who score lower than this standard.

Exam Fees

The payment for the exam depends on the test centre location, but you should bring more than that amount in case the agency asks for additional fees. IELTS has more than 1,000 test centres and locations in more than 140 countries. Here are the common exam fees for some countries:

  • In the Philippines, the payment for the exam ranges from P8,640 to P9,000 depending on test centre location;
  • India: ranges from INR 9300 to INR 9,900 depending on test centre location;
  • Indonesia: USD$195; China: ¥ 1700; Japan: Yen 24,675;
  • Malaysia: ranges from MYR 610.00 (630RM from April 2014);
  • Singapore: S$310 to S$320 depending on test centre location;
  • Vietnam: VND 3,200,000 to VND 3,500,000 depending on test centre location;
  • Brazil: R$500.00.

To find out upcoming test dates and the test fees on various countries, click here.

Documentary Requirements

  • Accomplished IELTS Application Form
  • (2) passport size colored pictures
  • At least (1) photocopy of a valid national ID (passport, PRC ID, SSS, GSIS, driver’s license or any other national ID such as a Voter’s ID and Postal ID).
  • Bring the same passport or national identity card that you entered on the IELTS Application Form on the day of your exam.

Preparation for IELTS

Make sure you are ready

It is essential to enlighten yourself with every possible detail about the exam. The exam itself, its format, and further information on the content of the exam.

Know the IELTS rules and regulations

Be knowledgeable about the IELTS rules and regulations. These are laid out in the Notice to Candidates which is included with the application form.

Register as soon as possible

As soon as you started reading this article, you are one step closer to applying for the exam. When you feel you are ready to take the test, you need to register with your nearest IELTS centre. Follow the steps below.

Application Process

To register for an IELTS test, follow these six simple steps. You can also download the Information for candidates booklet (PDF, 935KB). IELTS centres have friendly, helpful staff who will help you with the registration process.

Step 1. Locate the nearest IELTS centre in your place and check the test dates to find options that suit you. Note the deadline for registering for each test date. You can also see the cost of the test at your centre in local currency on the IELTS Worldwide Search.

Step 2. Check with your organisation or on the Global Recognition System whether you need to sit an Academic or General Training test. Nurse applicants who want to practice the profession overseas should register for the Academic version.

Step 3. Print out the IELTS Application Form (PDF, 273KB) or ask your test centre for a copy. Read the information for candidates, terms and conditions, complete the form and sign it. Please make sure you have a valid postal address and use the same name as on your passport.

Applicants shall accomplish the official IELTS application form which can be downloaded through the IELTS website. Download the Application Form here.

In some centres, candidates may be able to register for the test online. Please refer to the test centre’s website for further information.

Step 4. Take a photocopy of your current passport – this must be valid and not expired. (Some centres will accept a national identity card.)

Step 5. If you want your results to be sent automatically to a university or educational institution, include the correct details in the section on the IELTS Application Form (PDF, 273KB).

Step 6. Take your application into your IELTS test centre with your money. If you send it by mail, please talk to your centre about the method of payment.

Exam Schedule

Once you have registered, the test centre will confirm your IELTS test date, time and venue. Please note the Speaking test can be up to 7 days before or after the test date.

On the test day, you must bring the same passport or national identity card that you entered on the IELTS Application Form.

Exam Results

Usually, the results will be available 13 days following the examination date. Other test centres issue the results via mail on the 13th day. You can go through the results online by entering your candidate number, id number, date of birth and the date of the exam. Test centres are not permitted to give results out over the phone or by fax or email. If you are not satisfied with your score, you can file for a re-mark.

How to apply for a re-mark

To file for a re-mark, you must fill out the Enquiry on Results Application Form and send it to the address displayed on the form. The Enquiry on Results Application Form and the original IELTS Test Report Form, must be submitted within 6 weeks of completing the written tests.

You also need to pay an amount for the re-mark request. The amount is more or less two thirds the price of the IELTS exam. This amount will be refunded to you in case the re-mark is successful. The result of the re-mark request will arrive in 6 to 8 weeks after the IELTS governing body has received the form.

Test Report Form validity

Your IELTS score will only be valid within 2 years following its release. It would be necessary for you to utilize it within that time frame or take another exam when it reaches the expiration.

Re-taking the Exam

There are no limits on re-taking IELTS. If you are not satisfied with the result you got, you can apply and register for another exam as soon as you feel you are ready to do so. Please be mindful that your score is unlikely to increase unless you make a significant effort to improve your English before re-taking the test.

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10 Nursing School Tips for Starters

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10-Nursing-School-Tips-for-Starters
Whether it’s your first week in nursing school, beginning a career, or returning for an advanced degree, the pressure and the feeling of uneasiness would always be present. It’s normal fella! In fact, successful nurses and even your clinical instructors and mentors have been there.

In most instances, people experience greater success when they know what to expect and what to do when starting a career.

Here are some extreme tips and advice from nurses who have been in your shoes. Always keep in mind that these keys may vary for each individual. There are some general propositions which hold true.

1. Accept the Fact It’s Happening!

Breathe In, Breathe Out. Accept the fact that you are no longer dealing with the basics! Although some might think that college is simply one step above high school, there are several differences between the two, and one must be prepared for what’s ahead. How to deal with it? Serve yourself a little amount of maturity and a bunch of responsibility. In that way, you are accepting reality.

2. Take Responsibility

You don’t have to be a superhero to embrace this key. All you have to do is to run your inner “program” to function in a best possible way, to enable yourself to grow and expand. There is nothing more important as taking full responsibility for what happens during this stage of your life. A lot of what we describe as success in life flows directly from it. Sometimes we have to be steady, and give up stuffs that we used to do when we are younger. A responsible person allows him or herself to get to the next level of personal development.

3. Adjust Your Character

Part of your education and career is to learn how to adapt to different personalities, teaching styles, and expectations. With this, you really don’t have to change a lot about yourself. You just have to adjust and adapt on whatever comes your way. Develop an invested interest in things that you don’t usually do. Plus, learning how to deal with different types of people is a good skill to cultivate in any discipline. In this way you are learning to adjust your attitude in a mature and perfect way! Also, be prepared to say no to friends and stand your ground if you have things that really need to be done. Rest assured your buddies and pals will get your point and will possibly be admiring your dedication. There are free time plus weekends anyway.

4. Attend in Every Class

Be present even in the most boring lecture. The key to a good image is striving to be that which you wish to appear. Most of your instructors just need to see you over and over again rather than get used to an empty seat. When you miss classes, you miss lectures, notes, class discussions, homework explanations, and assignments. You may also miss in-class quizzes and even tests. Never get used to copying someone else’s notes or running toward a xerox copy machine just to replace or satisfy your flaw. If you want to succeed and become a more active learner, you must attend every class — not almost every class, EVERY class.

Don’t settle on being just a “face in the crowd.” It would be an advantage if you introduce yourself to your instructors. Learn to communicate and don’t hesitate to approach your instructor whenever you have a concern, problem, or question.

5. Submit Projects, Reports and Requirements

Attending to your regular classes isn’t enough. Being a nursing student is harder than being a nurse in many ways. There would be various projects, reports and requirements almost every day so be prepared and take time to accomplish them just right in time. Always remember that these things represent your eagerness to succeed in nursing and your instructor is perfectly justified in taking it into consideration when assigning a grade.

You don’t have to skip meals or sacrifice your favorite TV show just to finish all the stuffs. Time management may be a great help!

6. Manage Your Time Well

Time management is a must for all college students and for people starting a career. It is, however, substantial for those who have other commitments like job, sports, or any other errands. It’s normal to panic at first, but when you learn to manage your time properly, everything will go smooth. If you feel that you are doing more than you can handle, look for ways to make your life more manageable, and try to make some changes.

Time for Friends. After a week of stress and hard work, why not commit yourself to your friends. If budget allows, invite a friend along for a lunch out. Also, an overnight with your closest buddies isn’t bad if you feel like it’s helpful in recharging yourself for another busy week ahead. Even if your schedules are varied, set some time aside regularly for spending time together–not only will it help keep you closer, but you may also find that it’s a great stress reliever!

Time for Family. Instead of worrying about how to get in with your family, try to find something that works for your situation. See if you can get everyone together for breakfast once or twice a week. If you are in a night shift, perhaps you can plan a lunch together. Or if you are lucky to be dismissed earlier than the usual, go out to dinner instead of staying home. It doesn’t matter if the only available member is your sister or your brother. Invite him or her for an ice cream treat and the like. Keep trying new things until you figure out what works for your family.

Time for Self. Sometimes there is the misperception that if you take responsibility, you put yourself on the least priority. Creating a little personal time each day isn’t bad either. With study and work time all demanding your attention, you are constantly juggling your day-to-day responsibilities. Finding as little as 15-30 minutes a day of uninterrupted, relaxing “me” time is challenging at best.

7. Learn Your Own Style of Studying

Effective studying is very important. Set up an area where you can focus free from distractions. Decide on and adopt study strategies that work best for you. Review where you succeed and where you are challenged. Keep in mind that you want to be an active learner, not a passive one. The more you use and manipulate the information, the better you will understand it. Using and manipulating information in as many ways as possible also maximizes your ability to access your memory.

One effective technique for most nursing students is to study from concept to detail, not the other way around. It will be much easier to learn the details if you take the time to learn the concept and theory first. The least efficient approach to studying is to attempt to memorize your notes from beginning to end. It’s not the words which are important — it’s on how you understand a certain topic.

8. Do Well on Exams

Listening to your favorite down to your least-favorite instructors during discussion plays a very important role in starting your career. He or she may not be the perfect example of an instructor who knows everything in Nursing, but the best thing to do is to takes notes and listen. Tests usually cover material that the instructor has presented in class. These may help you do less in reading multiple pages on your books and handouts. Take time to look over your notes during your free time while routinely playing your favorite music which for many people is vital and stay as comfortable as you are until the day of your exam.

If you need to take issue with the instructor over a point on a test, do it. Or when the instructor and the text conflict, offer both answers on the test when possible. Remember, not all instructors are terror. Don’t forget to relax, it’s just an exam. If you feel that you have done your part, there is nothing to worry about. Let us help you ace those exams with these tips.

9. Blossom in Clinicals

Develop ways on how to uplift yourself during your shift. You need not to know everything. Remember that you are just starting. It’s okay to make mistakes at first and learn from it afterwards. Focus on where you are going, what you will learn and not on how much or little you know now.

One of the many things that student nurses must learn is on how to construct their own Nursing Care Plans. If you are struggling in making your own, try our Nursing Care Plans and make your work more comprehensive.

Keep in mind that one thing most professionals regret is that they failed to take things lighter than what it should be. We are often occupied by the pressure and we tend to forget that everyone begins clinicals at different levels of experience. However, one thing that we should always be mindful of is that it’s better to learn the hard way than the easy way. In this way you are going through the process of learning, growing, making your mistakes and expanding your mind.

10 Enjoy!

Suffer now and enjoy later. This is obvious and a little cliché but what I mean is that as students and starters, you don’t have to suffer and forget about the enjoyment of being in a nursing school. You are absolutely awesome if you do your part as nursing student and at the same time enjoying life to the fullest. This time of your life is a time of transformations and findings, and while not everyone’s experience is the same, this does not prevent college from being a fascinating time in our lives.

Nursing school offers a great opportunity to meet new people from all walks of life. You will be sharing a campus with diverse people from others countries, cultures, other religions and languages. You will get to know and meet all sorts of interesting people, and while not all of them may be to your liking you are bound to leave college a better rounded, well-bred and more experienced individual.

Have any tips? Feel free to share them with us via the comments section below.

The post 10 Nursing School Tips for Starters appeared first on Nurseslabs.

40 Gift Ideas for Nurses That Are Uniquely Awesome

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Finding a right gift for any person is not as easy as we would like it to be. It often takes a lot of time and research in order to find the right present that other person will enjoy. This is especially true when it comes to buying a gift for nurses. Fortunately, there are plenty of great ideas that will make this gift season memorable for your nurse friend. That being said, let’s take a look at the list of the best 40 gift ideas you can buy for a nurse:

1. Nurse Cross with Nurse’s Prayer

1-nursecross

This Nurse’s Prayer Cross is made of fine polystone for a hand-carved stone look. Nurse’s prayer reads: God, grant me the compassion to give patient, loving care, To help the sick and injured, and bring comfort to despair. At the end of every busy day, as I lay my head to rest, Please give me peace within my heart to know I’ve done my best.

Buy at Amazon

2. “I’m A Nurse. What’s Your Super Power?” Mug

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A mug that every nurse can proudly use! Hand painted ceramic decal message mug and has gift box.

More colors available at Amazon

3. Don’t Mess With Me I Get Paid To Stab People With Sharp Objects

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Want another funny idea? Purchase this magnet with a funny phrase on it.

Available at CafePress.com

4. Showcase How Proud They Are

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This is more of a reminder of what great of a service nurses do. You can purchase this personalized sign that says the following message: “I save lives for a living. What do you do? Proud to be a nurse.” Your nurse friend will definitely appreciate it.

Purchase it from Etsy

5. Retractable Badge Holder

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A cute heart stethoscope made of white felt machine embroidered with white, black, grey and red thread throughout.

Buy from Etsy

6. ‘Super Nurse’ Travel Mug

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This is yet another handy gift that will be used on daily basis by nurses. Perfect for cold and hot beverages (in short coffee).

Only at Amazon

7. Nurse’s Knee ‘Sock It To Me’

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Everyone wears socks. Why not wear those that truly relate to a nurse?

Available at Amazon

8. Heartbeat Nurse Socks

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Nothing says “I lub dub” you than these heartbeat nurse socks.

Purchasable via Amazon

9. I Wasn’t Strong Like This When I Started Out: True Stories of Becoming a Nurse

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Perfect way to showcase experiences of other nurses. Purchase the book and whoever receives this definitely will appreciate not only the book but their profession as a nurse as well.

Available at Amazon $11.64 (Paperback) | $8.69 (Kindle)

10. Nurses Rock Keychain

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Everyone has keys. Why not get a nurse keys?

Buy at Etsy

11. Cute Enough To Stop Your Heart; Skilled Enough To Restart It

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Funny and cute gift idea that nurses will love.

Purchase it at Etsy

12. Nurses Need Shots Too

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Nurses do call the shots but nurses do need shots as well.

More colors available at Etsy

13. Nurse Practitioner Charm Necklace

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If your friend is into jewelry and things of this sort, then she will love it.

Buy it at Etsy

14. Nurse Assist Clipboard

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This clipboard is the perfect quick reference tool for nurses! It has a clock, timer, alarm, and calculator functions. The board itself features 13 different diagnostic and assessment guides.

Buy from Amazon

15. Nurse Jewelry Heart Personalized

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Why not give a personalized gift with their name on it?

Buy at Etsy (custom orders available)

16. Be Safe Drink With Nurse

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Almost everyone loves wine. Why not make sure we are safe while drinking?

Buy at Etsy (other colors available)

17. Heartbeat Necklace

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Perfect gift that symbolizes life and nursing.

Buy at Etsy

18. Heartbeat Earrings

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For those who like earrings more than necklace. Or why not gift both!

Buy at Etsy (custom orders available)

19. I Am A Nurse, What Is Your Superpower?

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An embroidery design that can be used to jazz up your project.

Buy at Etsy

20. Nurse Watches

Nursewatches

These nurse watches are ideal for nurses! Instead of wearing them on your wrist, they clip on to your uniform and are compliant to the Bare Below Elbows (BBE) policy that requires medical professionals to have nothing on their arms below the elbow.

More designs available only at NurseWatches.com

21. Chicken Soup for the Nurse’s Soul

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A collection of true stories that champions the daily contribution, commitment, and sacrifices of nurses.

Buy at Amazon

22. I Found This Humerus

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Another “humerus” idea for a gift.

Buy at Etsy

23. Hero Nurse Poster

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Nurses are heroes! What a great way to show this via this poster that says “Save one life: you are a hero. Save 100 lives: you are a nurse.”

Price starts at $10, Buy from Etsy

24. Emergency Meal Transport Insulated Tote

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This insulate tote will keep your precious lunch (if nurses ever get one) prepped and ready to transplant right in to your waiting stomach!

Buy at Amazon

25. Nurse Ornament

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These ornaments come with a silhouette of a nurse and a “dare to care” print at the back. Perfect for Christmas trees!

Buy at Etsy

26. Cute Badge Holder

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A cute badge and ID holder that can accentuate your plain scrubs.

Buy at Etsy

27. RN Jacket

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Give to that nurse whom you think needs to stay warm.

Buy at Etsy

28. Nurse Call The Shots

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Yet another perfect Christmas ornament.

Buy at Etsy

29. Nursing Is Work Of Heart

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Perfect cup for water or drinks that describes nursing as a work of heart. And of course it is!

Buy at Etsy

30. Nurse Shirt

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Shirts are always memorable because everyone loves them. Get perfect shirt for your nurse.

Buy at Etsy

31. Nurse Mason Jar

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This beautifully designed mason jar includes a screw on lid and a straw. Great for hot and cold beverages!

Buy from Amazon

32. Nursing Clipboard

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We all know how important it is for nurses to take notes. This pink nursing clipboard will be a perfect gift for your friend. It has a handy storage area where they can put their belongings. It also has a smooth writing surface and features a premium low profile clip that holds up to 1/2″ of paper securely

Buy it from Amazon

33. Keep Calm and Nurse On

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Want something funny and memorable? We are all familiar with keep calm and carry on but why not buy a mug that says keep calm and nurse on? It is a perfect gift for a nurse this holiday season.

Available via Zazzle

34. Please Do Not Disturb: Nurse Sleeping

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We all know how much nurses work and how often they don’t sleep. This sign may give your giftee a 0.01% chance to get more sleep. But hey, it’s still worth it!

Buy at Etsy

35. Funny Poster

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Another gift that nurses may find funny. It says “I am here to save your ass…not to kiss it.”

Buy at Etsy

36. Sexy Nurse Outfit

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You may want to buy this one as a prank/funny gift. Take sexiness to the next level. (Not for those with latex allergy).

Buy at Etsy (other sizes available)

37. 3M Littmann Classic Stethoscope

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This is one of the best Stethoscopes available for nurses according to The Nerdy Nurse. It’s cheap and does its job well and comes with a variety of colors.

Buy at Amazon

38.Nurse Bookmark Metal with Nurses Hat Charm

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A sterling bookmark for nurses. Doubles as a nurse bling too!

Available at Amazon

39. Stick Nurse Tote Bag

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A water-resistant bag perfect for nurses who carry a lot of stuff and a sucker for cute things.

Buy at Amazon

40. Chantilly Lane Singing Bear

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A female bear in scrubs that sings “I’ll Be There.”

Buy at Amazon

There are many nurse ideas that will make your friend special. The list above will definitely help you find something that is funny and memorable gift for your nurse.

 

The post 40 Gift Ideas for Nurses That Are Uniquely Awesome appeared first on Nurseslabs.

ABG Analysis NCLEX Exam 1 (10 Items)

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Are you an expert in interpreting ABGs? Once you have finished doing this activity, you’ll be doing actual ABG analysis in the NCLEX with fun and excitement. So here’s a 10-question practice exam!

Topics

  • ABG Analysis
  • Acid-Base Balance/Imbalance
  • Respiratory Acidosis/Alkalosis
  • Metabolic Acidosis/Alkalosis

Questions

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ABG Analysis NCLEX Exam 1 (10 Items)

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Practice Mode

Practice Mode: This is an interactive version of the Text Mode. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. No time limit for this exam.

ABG Analysis NCLEX Exam 1 (10 Items)

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Congratulations - you have completed ABG Analysis NCLEX Exam 1 (10 Items).

You scored %%SCORE%% out of %%TOTAL%%.

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Text Mode

In Text Mode: All questions and answers are given for reading and answering at your own pace. You can also copy this exam and make a print out.

1. George Kent is a 54 year old widower with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. He has difficulty in communicating because of his inability to complete a sentence. One of his sons, Jacob, says he has been unwell for three days. Upon examination, crackles and wheezes can be heard in the lower lobes; he has a tachycardia and a bounding pulse. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg. How would you interpret this?

A. Respiratory Acidosis, Uncompensated
B. Respiratory Acidosis, Partially Compensated
C. Metabolic Alkalosis, Uncompensated
D. Metabolic Acidosis, Partially Compensated

2. Carl, an elementary student, was rushed to the hospital due to vomiting and a decreased level of consciousness. The patient displays slow and deep (Kussmaul breathing), and he is lethargic and irritable in response to stimulation. He appears to be dehydrated—his eyes are sunken and mucous membranes are dry—and he has a two week history of polydipsia, polyuria, and weight loss. Measurement of arterial blood gas shows pH 7.0, PaO2 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results are Na+ 126 mmol/L, K+ 5 mmol/L, and Cl- 95 mmol/L. What is your assessment?

A. Respiratory Acidosis, Uncompensated
B. Respiratory Acidosis, Partially Compensated
C. Metabolic Alkalosis, Uncompensated
D. Metabolic Acidosis, Partially, Compensated

3. A cigarette vendor was brought to the emergency department of a hospital after she fell into the ground and hurt her left leg. She is noted to be tachycardic and tachypneic. Painkillers were carried out to lessen her pain. Suddenly, she started complaining that she is still in pain and now experiencing muscle cramps, tingling, and paraesthesia. Measurement of arterial blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L. What does this mean?

A. Respiratory Alkalosis, Uncompensated
B. Respiratory Acidosis, Partially Compensated
C. Metabolic Alkalosis, Uncompensated
D. Metabolic Alkalosis, Partially Compensated

4. Ricky’s grandmother is suffering from persistent vomiting for two days now. She appears to be lethargic and weak and has myalgia. She is noted to have dry mucus membranes and her capillary refill takes >4 seconds. She is diagnosed as having gastroenteritis and dehydration. Measurement of arterial blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What acid-base disorder is shown?

A. Respiratory Alkalosis, Uncompensated
B. Respiratory Acidosis, Partially Compensated
C. Metabolic Alkalosis, Uncompensated
D. Metabolic Alkalosis, Partially Compensated

5. Mrs. Johansson, who had undergone surgery in the post-anesthesia care unit (PACU), is difficult to arouse two hours following surgery. Nurse Florence in the PACU has been administering Morphine Sulfate intravenously to the client for complaints of post-surgical pain. The client’s respiratory rate is 7 per minute and demonstrates shallow breathing. The patient does not respond to any stimuli! The nurse assesses the ABCs (remember Airway, Breathing, Circulation!) and obtains ABGs STAT! Measurement of arterial blood gas shows pH 7.10, PaCO2 70 mm Hg and HCO3 24 mEq/L. What does this mean?

A. Respiratory Alkalosis, Partially Compensated
B. Respiratory Acidosis, Uncompensated
C. Metabolic Alkalosis, Partially Compensated
D. Metabolic Acidosis, Uncompensated

6. Baby Angela was rushed to the Emergency Room following her mother’s complaint that the infant has been irritable, difficult to breastfeed and has had diarrhea for the past 3 days. The infant’s respiratory rate is elevated and the fontanels are sunken. The Emergency Room physician orders ABGs after assessing the ABCs. The results from the ABG results show pH 7.39, PaCO2 27 mmHg and HCO3 19 mEq/L. What does this mean?

A. Respiratory Alkalosis, Fully Compensated
B. Metabolic Acidosis, Uncompensated
C. Metabolic Acidosis, Fully Compensated
D. Respiratory Acidosis, Uncompensated

7. Mr. Wales, who underwent post-abdominal surgery, has a nasogastric tube. The nurse on duty notes that the nasogastric tube (NGT) is draining a large amount (900 cc in 2 hours) of coffee ground secretions. The client is not oriented to person, place, or time. The nurse contacts the attending physician and STAT ABGs are ordered. The results from the ABGs show pH 7.57, PaCO2 37 mmHg and HCO3 30 mEq/L. What is your assessment?

A. Metabolic Acidosis, Uncompensated
B. Metabolic Alkalosis, Uncompensated
C. Respiratory Alkalosis, Uncompensated
D. Metabolic Alkalosis, Partially Compensated

8. Client Z is admitted to the hospital and is to undergo brain surgery. The client is very anxious and scared of the upcoming surgery. He begins to hyperventilate and becomes very dizzy. The client loses consciousness and the STAT ABGs reveal pH 7.61, PaCO2 22 mmHg and HCO3 25 mEq/L. What is the ABG interpretation based on the findings?

A. Metabolic Acidosis, Uncompensated
B. Respiratory Alkalosis, Partially Compensated
C. Respiratory Alkalosis, Uncompensated
D. Metabolic Alkalosis, Partially Compensated

9. Three-year-old Adrian is admitted to the hospital with a diagnosis of asthma and respiratory distress syndrome. The mother of the child reports to the nurse on duty that she has witnessed slight tremors and behavioral changes in her child over the past four days. The attending physician orders routine ABGs following an assessment of the ABCs. The ABG results are pH 7.35, PaCO2 72 mmHg and HCO3 38 mEq/L. What acid-base disorder is shown?

A. Respiratory Acidosis, Uncompensated
B. Respiratory Acidosis, Fully Compensated
C. Respiratory Alkalosis, Fully Compensated
D. Metabolic Alkalosis, Partially Compensated

10. Anne, who is drinking beer at a party, falls and hits her head on the ground. Her friend Liza dials “911” because Anne is unconscious, depressed ventilation (shallow and slow respirations), rapid heart rate, and is profusely bleeding from both ears. Which primary acid-base imbalance is Anne at risk for if medical attention is not provided?

A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Acidosis
D. Respiratory Alkalosis

Answers and Rationale

1. Answer: B. Respiratory Acidosis, Partially Compensated

The patient has respiratory acidosis (raised carbon dioxide) resulting from an acute exacerbation of chronic obstructive pulmonary disease, with partial compensation.

2. Answer: D. Metabolic Acidosis, Partially, Compensated

The student was diagnosed having diabetes mellitus. The results show that he has metabolic acidosis (low HCO3 -) with respiratory compensation (low CO2).

3. Answer: A. Respiratory Alkalosis, Uncompensated

The primary disorder is acute respiratory alkalosis (low CO2) due to the pain and anxiety causing her to hyperventilate. There has not been time for metabolic compensation.

4. Answer: D. Metabolic Alkalosis, Partially Compensated

The primary disorder is partially compensated metabolic alkalosis (high HCO3 -). As CO2 is the strongest driver of respiration, it generally will not allow hypoventilation as compensation for metabolic alkalosis.

5. Answer: B. Respiratory Acidosis, Uncompensated

The results show that Mrs. Johansson has respiratory acidosis because of decreased pH and increased PaCO2 which mean acidic in nature. Meanwhile, it is uncompensated because HCO3 is within the normal range.

6. Answer: C. Metabolic Acidosis, Fully Compensated

Baby Angela has metabolic acidosis due to decreased HCO3 and slightly acidic pH. Her pH value is within the normal range which made the result fully compensated.

7. Answer: B. Metabolic Alkalosis, Uncompensated

The postoperative client’s ABG results show that he has metabolic alkalosis because of an increased pH and HCO3. It is uncompensated due to the normal PaCO2 which is within 35 to 45 mmHg.

8. Answer: C. Respiratory Alkalosis, Uncompensated

The results show that client Z has respiratory alkalosis since there is an increase in the pH value and a decrease in PaCO2 which are both basic. It is uncompensated due to the normal HCO3 which is within 22-26 mEq/L.

9. Answer: B. Respiratory Acidosis, Fully Compensated

The patient has respiratory acidosis (raised carbon dioxide) resulting from asthma and respiratory distress syndrome, with compensation having normal pH value within 7.35to 7.45, increased PaCO2 which is acidic and increased HCO3 which is basic.

10. Answer: C. Respiratory Acidosis

One of the risk factors of having respiratory acidosis is hypoventilation which may be due to brain trauma, coma, and hypothyroidism or myxedema. Other risk factors include COPD, Respiratory conditions such as pneumothorax, pneumonia and status asthmaticus. Drugs such as Morphine and MgSO4 toxicity are also risk factors of respiratory acidosis.

The post ABG Analysis NCLEX Exam 1 (10 Items) appeared first on Nurseslabs.

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