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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. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Trendelenburg
Spinal anesthetic
NSAIDS
Hypertonic
2. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
Loss of bone density
Aspirin
Sponge bath
Supine
3. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Immediate Post - Op Care
Shock
Respiratory acidosis
Semi - Fowler's
4. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2
Malpractice
Antidiuretic Hormone (ADH)
Cardiogenic Shock
Risk Factors for operations
5. Full thickness skin loss involving subcutaneous damage or necrosis
Day after
Dehydration
Stage III
Medications for perioperative
6. 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)
Stage IV
Osmotic pressure
Na+
Infiltration
7. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Osmotic pressure
Circulatory overload
Sponge bath
Lithotomy
8. Follow physician's orders B. Do not apply without order except in emergency C. Use least restraint possible D. Each unit should have a written protocol E. Check patient frequently for safety F. Loosen restraints every 2 hours G. Do not use as punishm
Ego integrity Vs despair
Blood pressure
Informed consent
Restraints
9. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Changes during aging
Aspirin
Restraints
Hypokalemia
10. 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
Heat
Sim's
Hyperkalemia
Trendelenburg
11. 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
Patient controlled analgesia
Trendelenburg
Semi - Fowler's
CVL
12. 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
Sterile Field
Day of Injury
Prone
Heat
13. Analgesics - antipyretic - anticoagulant - anti - inflammatory
Metabolic alkalosis
Spread of Infection
Medications for perioperative
NSAIDS
14. Routine tasks b. Routine vital signs
Local cold
Aldosterone
Day of Injury
Nursing assistant
15. Head at 90 degrees 2. Used for persons with COPD
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16. Patient is moved all at once so there is no twisting of spine B. One person moves the head and shoulders C. Second person moves the feet and legs at the same time D. Turning sheet may be helpful E. Place the bed in a high position to promote good bod
CVL
Cooling blanket
Logrolling
Shock
17. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Changes during aging
Local cold
Shock
Medications for perioperative
18. 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
Changes during aging
Diffusion
Isotonic
Blood pressure
19. 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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20. Lasts more than 6 months B. Appears to serve no useful purpose C. May persist after injury heals D. No autonomic nervous system symptoms
Chronic Pain
Malpractice
Hypovolemic shock
Patient controlled analgesia
21. Caused by a decrease in peripheral resistance - vasoconstriction
Medications for perioperative
Immediate Post - Op Care
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Sim's
22. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Circulatory overload
Standard (Universal) Precautions
Isotonic
Ego integrity Vs despair
23. Higher osmotic pressure than blood serum; causes cells to shrink; pulls fluid out of cells into blood stream a. Dextrose 5% or higher in saline b. Dextrose stronger than 5% in water c. Albumin
Semi - Fowler's
Hypertonic
Acetaminophen
CVL
24. 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
Malpractice
Day after
Superficial thrombophlebitis
Informed consent
25. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Bacteremia
Blood Gas Values
Restraints
Day of Injury
26. Apply cold to prevent swelling - bleeding and relive pain
Day of Injury
Hypokalemia
Sterile Field
Cooling blanket
27. Caused by poor heart action.- drugs that make heart beat more effectively
Trendelenburg
Semi - Fowler's
Stage I
Cardiogenic Shock
28. On the person's abdomen 2. Prevents hip flexion contractures
Na+
Hypotonic
Prone
Hyponatremia
29. 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
Bacteremia
Narcotic analgesics
Blood pressure
Narcotic Antagonist: Naloxone (Narcan)
30. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Sponge bath
Loss of bone density
Shock
Bacteremia
31. Short duration B. Serves as a warning C. Subsides as healing occurs D. Autonomic nervous system symptoms frequently present
Spinal anesthetic
Diffusion
bicarbonate
Acute Pain
32. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
Dehydration
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Sim's
Osmosis
33. 3.5 - 5.5 mEq/l
K+
Hypovolemic shock
Aspirin
Respiratory acidosis
34. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
Semi - Fowler's
Respiratory acidosis
Epidural anesthetic
35. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Blood pressure
K+
Modified Trendelenburg
Hypertonic
36. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Metabolic acidosis
RACE
Spread of Infection
bicarbonate
37. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
K+
Local cold
Metabolic acidosis
Narcotic Antagonist: Naloxone (Narcan)
38. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Cooling blanket
Hyponatremia
Stage IV
Osmotic pressure
39. 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
Osmosis
Negligence
Modified Trendelenburg
40. A decrease in total blood volume such as hemorrhage - transfusions
Blood pressure
Hyperkalemia
Na+
Hypovolemic shock
41. Anticoagulants predispose to hemorrhage; discontinue 1-2 weeks before surgery 2. Aminoglycosides (streptomycin - gentamicin) can cause neuromuscular blockade. Anesthesiologist must know. 3. Diuretics may cause electrolyte imbalances and respiratory d
Nursing assistant
Medications for perioperative
Immediate Post - Op Care
Sim's
42. Movement of particles from higher to lower concentration
Infiltration
Diffusion
Sim's
Stage III
43. Analgesics - antipyretic - small anticoagulation
bicarbonate
Day after
Acetaminophen
Spinal anesthetic
44. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Narcotic Antagonist: Naloxone (Narcan)
Medications for perioperative
Trendelenburg
Malpractice
45. 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:
Side - lying
bicarbonate
Hypokalemia
Standard (Universal) Precautions
46. Apply heat to improve circulation and healing
Hypotonic
Day after
Changes during aging
Spinal anesthetic
47. Flush daily with saline or heparin to prevent clots from forming B. Change dressing three times per week C. Check for infection D. Discard 5-10 ml when drawing blood E. In multilumen catheters use ports for designated purpose F. Valsalva's maneuver w
Heat
Bacteremia
Stage II
CVL
48. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Osmosis
Blood pressure
Malpractice
Sim's
49. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
Modified Trendelenburg
Antidiuretic Hormone (ADH)
Aldosterone
Changes during aging
50. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Stage IV
Heat
Aldosterone
Wheel Chair Positioning