NCLEX Boards for Hannah

Hannah has her nursing board in the morning at 8 a.m. ~ PRAY, PRAY and PRAY!

After graduating from college and the nursing program, nurses still have to take a national exam and it is called NCLEX. Hannah has been studying non-stop for 4 weeks straight. We have always heard that the exam is tough ~ not just information in and info out. It is very subjective. Well, we kept telling Hannah "just keep on studying and you will do great". Well, I asked her the other day, "can you give me an example of one of the questions on the test"? Well.....here it is:


Debilitating anginal pain can be decreased in some clients by the administration of beta blocking agents, such as Nadolol (Corgard). Which client requires the nurse to use extreme caution when administering Nadolol (Corgard)?


a. A 56-year old air traffic controller who had bypass sugery 2 years ago

b. A 47-year old kindergarten teacher diagnosed with asthma 40 years ago

c. A 52-year old unemployed stock broker who refuses treatment for alcoholism

d. A 60-year old retired librarian who takes a diuretic daily for hypertension


Answer: B


Rationale:

The client with asthma must be carefully monitored because Nadolol blocks beta adrenergic receptors within the heart, decreasing sympathetic stimulation in the myocardium, which decreases excitability and cardiac output. It must be used with extreme caution in clients who have congestive heart failure or respiratory problems because it can induce cardiogenic shock and reduce bronchodilation efforts. Corgard is indicated in the management of clients with symptoms as identified in A and D. It is not contra-indicated for clients with symptoms as identified in C.



Yep, yep.....B would be the answer.


WHAT???????????!!!!!!!!!!!!!!!!!!!!!!!!???????????????!!!!!!!!!!!!!!!!!!!!!!


Our comment now is:

We're praying for you Hannah!!!!!!!!!! She would certainly appreciate your prayers. :) Her prayer is "God, help me to GUESS right!!!!!!!"

Hannah has done so well with "healthy days" of studying...........she would watch a morning show, exercise, study at home or at Barnes and Noble sipping her coffee, watch a movie, and in the midst had her birthday and enjoyed friends.

A chain made for her..............with a week left. :)

Enjoying dinner out for her birthday

Way to go Hannah ~ we appreciate all your hard work and look forward to your test being BEHIND you.

YAHOO! We're cheering for you all the way!