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Test your basic knowledge |
NCLEX Essential Concepts
Start Test
Study First
Subjects
:
nclex
,
health-sciences
,
nursing
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Short duration B. Serves as a warning C. Subsides as healing occurs D. Autonomic nervous system symptoms frequently present
Narcotic analgesics
Osmosis
Acute Pain
K+
2. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Nursing care during IV infusions
Negligence
3. Movement of particles from higher to lower concentration
Diffusion
Patient controlled analgesia
Medications for perioperative
Cl
4. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing
Bacteremia
Antidiuretic Hormone (ADH)
Nursing care during IV infusions
Side - lying
5. Analgesics - antipyretic - small anticoagulation
Restraints
Stage I
Acetaminophen
Acute Pain
6. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
K+
Hypotonic
Isotonic
Aspirin
7. Analgesics - antipyretic - anticoagulant - anti - inflammatory
Day of Injury
NSAIDS
Dehydration
Circulatory overload
8. Caused by a decrease in peripheral resistance - vasoconstriction
Hyponatremia
Prone
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Metabolic alkalosis
9. Lasts more than 6 months B. Appears to serve no useful purpose C. May persist after injury heals D. No autonomic nervous system symptoms
Aldosterone
Metabolic acidosis
Chronic Pain
Hypovolemic shock
10. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Lithotomy
Sim's
Nursing assistant
Aspirin
11. 135 - 145 mEq/l
Osmotic pressure
K+
Na+
Infiltration
12. 85 - 115 mEq/l
Spread of Infection
Superficial thrombophlebitis
Cl
Antidiuretic Hormone (ADH)
13. Apply cold to prevent swelling - bleeding and relive pain
Day of Injury
Hyperkalemia
Infiltration
Na+
14. A decrease in total blood volume such as hemorrhage - transfusions
Blood pressure
High - Fowler's
Osmotic pressure
Hypovolemic shock
15. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair
Metabolic alkalosis
Wheel Chair Positioning
Malpractice
Side - lying
16. Emergency care can be given to stabilize patient who is not able to give consent. 2. Age of majority is eighteen 3. Unconscious adults need permission for care by parents or spouse if married. 4. Persons who are not alert or have been given mind alte
High - Fowler's
Informed consent
Restraints
Sim's
17. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
Spread of Infection
Risk Factors for operations
Osmosis
Loss of bone density
18. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Hypertonic
Stage IV
Negligence
Dehydration
19. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
Hyperkalemia
Sponge bath
Narcotic Antagonist: Naloxone (Narcan)
Na+
20. Glaucoma and cataracts (lens becomes opaque) occur frequently 2. Presbyopia (farsightedness of aging) occurs in almost all persons as they age Difficulty seeing in dim light due to loss of light responsiveness Presbycussis: progressive hearing loss a
Osmosis
Spread of Infection
Changes during aging
Sponge bath
21. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Stage I
Epidural anesthetic
Metabolic alkalosis
Circulatory overload
22. Needle does not puncture dura. Spinal headache unlikely. 2. Once sensation and motion return patient may be in any position that is satisfactory for the procedure.
Nursing care during IV infusions
Epidural anesthetic
Sterile Field
Narcotic analgesics
23. A generalized reaction to contaminated equipment or solutions a. Manifestations 1) Chills and fever 30-60 minutes after start of infusion 2) Flushing - sudden pulse increase 3) Backache - headache 4) Nausea - vomiting 5) Hypotension - vascular collap
Bacteremia
Heat
Cardiogenic Shock
Hypotonic
24. Manifestations 1) Hypotension - cyanosis - tachycardia 2) Increased venous pressure - loss of consciousness b. Prevention 1) Run fluid through tubing and needle or catheter to force air out before starting infusion 2) When using glass bottle - change
Wheel Chair Positioning
Hypovolemic shock
Air embolism
Lithotomy
25. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Prone
Lithotomy
Aspirin
26. Head at 90 degrees 2. Used for persons with COPD
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27. On the person's back 2. Maintains alignment
CVL
Heat
Prone
Supine
28. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Respiratory alkalosis
Acetaminophen
CVL
Aldosterone
29. 3.5 - 5.5 mEq/l
Osmotic pressure
Narcotic Antagonist: Naloxone (Narcan)
K+
Supine
30. Full thickness skin loss involving subcutaneous damage or necrosis
Hypertonic
Supine
Stage III
Blood Gas Values
31. Patient on side 2. Prevents aspiration when patient is not fully alert
Heat
Supine
Side - lying
Changes during aging
32. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Osmotic pressure
Standard (Universal) Precautions
Metabolic acidosis
Respiratory acidosis
33. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O
Blood pressure
Cl
Sterile Field
Osmotic pressure
34. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Respiratory acidosis
Sponge bath
Cl
Blood Gas Values
35. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe
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36. Act by altering perception of and response to pain 2. Act on the central nervous system 3. Adverse reactions a. Depress respirations b. Decrease alertness c. Decrease coughing d. Decrease blood pressure and pulse e. Slow peristalsis f. Constrict pupi
Aldosterone
Hypotonic
Narcotic analgesics
NSAIDS
37. Manifestations 1) Tenderness and pain in vein 2) Edema and redness at site 3) Warmth b. Management 1) Cold compresses immediately to relieve pain and inflammation 2) Follow with moist warm compresses to stimulate circulation and promote absorption
Superficial thrombophlebitis
Diffusion
High - Fowler's
Aspirin
38. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
RACE
Local cold
Acetaminophen
Osmotic pressure
39. On left side with lower arm behind the back 2. Good position for administering enema
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40. Partial thickness loss of skin involving epidermis and/or part of dermis
Isotonic
Dehydration
Malpractice
Stage II
41. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Risk Factors for operations
Metabolic acidosis
Spread of Infection
Aspirin
42. Extracellular volume excess 1. Causes a. Too many I.V. fluids too quickly b. Decreased kidney or heart function 2. Manifestations a. Cough - dyspnea - rales - tachypnea b. Increased blood pressure c. Increased CVP d. Neck vein distention e. Tachycard
Bacteremia
Circulatory overload
RACE
Medications for perioperative
43. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie
Prone
Risk Factors for operations
Day of Injury
Patient controlled analgesia
44. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)
Narcotic Antagonist: Naloxone (Narcan)
K+
Superficial thrombophlebitis
Infiltration
45. Rescue Alarm Contain Evacuate
Epidural anesthetic
Wheel Chair Positioning
Side - lying
RACE
46. Routine tasks b. Routine vital signs
Nursing assistant
Side - lying
Narcotic analgesics
Day of Injury
47. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Hypernatremia
Registered Nurse
Respiratory acidosis
Side - lying
48. On the person's abdomen 2. Prevents hip flexion contractures
Nursing care during IV infusions
Loss of bone density
Prone
Superficial thrombophlebitis
49. Caused by poor heart action.- drugs that make heart beat more effectively
Respiratory alkalosis
Cardiogenic Shock
Local cold
Trendelenburg
50. Dispose of sharps in puncture - resistant containers B. Do not recap used needles C. Wear protective barriers (gloves - gowns - masks - eyewear) when at risk for exposure to body fluids D. Clean blood spills with soap and water or household bleach 1:
Metabolic acidosis
Hypotonic
Supine
Standard (Universal) Precautions