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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. 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
Hypertonic
Shock
Cooling blanket
2. 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)
Local cold
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Nursing assistant
Infiltration
3. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Immediate Post - Op Care
Shock
Diffusion
Stage IV
4. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
Aspirin
Respiratory acidosis
Cooling blanket
Hypotonic
5. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery
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6. Fluid balance - acid - base - nerve conduction a. Causes 1) Increased perspiration 2) Drinking only tap water 3) GI losses: diarrhea - vomiting - suction 4) Diuretics b - Manifestations 1) Confusion 2) Hypotension 3) Oliguria 4) Muscle weakness 5) Co
Hyponatremia
Narcotic analgesics
Logrolling
Heat
7. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Blood pressure
Respiratory alkalosis
Bacteremia
Dehydration
8. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Narcotic Antagonist: Naloxone (Narcan)
Bacteremia
Aspirin
Lithotomy
9. 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
Na+
Osmotic pressure
10. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Loss of bone density
Heat
Sim's
Narcotic Antagonist: Naloxone (Narcan)
11. 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
High - Fowler's
Hyponatremia
Air embolism
Dehydration
12. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Sterile Field
NSAIDS
Immediate Post - Op Care
Patient controlled analgesia
13. 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
Spinal anesthetic
Informed consent
Ego integrity Vs despair
Stage III
14. Analgesics - antipyretic - small anticoagulation
Acetaminophen
Spread of Infection
Restraints
Hyperkalemia
15. Rescue Alarm Contain Evacuate
K+
Lithotomy
bicarbonate
RACE
16. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water
Hypernatremia
Local cold
Stage I
Respiratory acidosis
17. On the person's abdomen 2. Prevents hip flexion contractures
Trendelenburg
Day of Injury
Aldosterone
Prone
18. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Informed consent
Metabolic alkalosis
Respiratory alkalosis
Hypertonic
19. 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
Air embolism
Epidural anesthetic
Ego integrity Vs despair
20. 135 - 145 mEq/l
Hypokalemia
Na+
Loss of bone density
Hypernatremia
21. Partial thickness loss of skin involving epidermis and/or part of dermis
Osmotic pressure
Risk Factors for operations
Semi - Fowler's
Stage II
22. 22 - 29 mEq/l
Local cold
RACE
Metabolic acidosis
bicarbonate
23. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Infiltration
Circulatory overload
Aldosterone
Loss of bone density
24. 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
Blood Gas Values
Hyponatremia
Standard (Universal) Precautions
Medications for perioperative
25. On left side with lower arm behind the back 2. Good position for administering enema
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26. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Loss of bone density
Medications for perioperative
Lithotomy
Circulatory overload
27. 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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28. On the person's back 2. Maintains alignment
Metabolic acidosis
Supine
Osmosis
Stage IV
29. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Air embolism
Logrolling
Isotonic
Circulatory overload
30. Caused by poor heart action.- drugs that make heart beat more effectively
Aldosterone
Low - Fowler's
Cardiogenic Shock
NSAIDS
31. 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
Lithotomy
Side - lying
Trendelenburg
Hypertonic
32. Head at 90 degrees 2. Used for persons with COPD
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33. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Respiratory acidosis
Changes during aging
Blood Gas Values
Metabolic acidosis
34. Manifestations 1) Muscle weakness 2) Weak pulse and ECG changes b. Causes 1) Potassium depleting diuretics 2) Burns 3) Diarrhea - colitis 4) Vomiting c. Management: Potassium replacement -- DO Not give Digoxin
Restraints
Hypokalemia
Cardiogenic Shock
Supine
35. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Side - lying
Circulatory overload
Blood Gas Values
Aspirin
36. 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
NSAIDS
Spread of Infection
CVL
Hypertonic
37. Apply heat to improve circulation and healing
Informed consent
Dehydration
CVL
Day after
38. 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
Bacteremia
Circulatory overload
Logrolling
Shock
39. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Low - Fowler's
NSAIDS
Side - lying
Lithotomy
40. 3.5 - 5.5 mEq/l
Antidiuretic Hormone (ADH)
Risk Factors for operations
Informed consent
K+
41. 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
K+
Hyperkalemia
Superficial thrombophlebitis
Spinal anesthetic
42. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
Antidiuretic Hormone (ADH)
Isotonic
Low - Fowler's
Blood Gas Values
43. Can do sterile procedures b. Can give medications except IV meds
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Circulatory overload
Heat
44. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Osmotic pressure
Narcotic analgesics
Standard (Universal) Precautions
Epidural anesthetic
45. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
Semi - Fowler's
Stage I
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Hypovolemic shock
46. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Cooling blanket
Changes during aging
Day after
Modified Trendelenburg
47. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Bacteremia
Spinal anesthetic
Circulatory overload
Epidural anesthetic
48. 85 - 115 mEq/l
Blood Gas Values
Cl
Stage III
Narcotic Antagonist: Naloxone (Narcan)
49. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Nursing care during IV infusions
Informed consent
Trendelenburg
Respiratory alkalosis
50. 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
Blood Gas Values
Hypernatremia
Maslow's hierarchy of needs