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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.
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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. 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
Stage IV
Acetaminophen
Sterile Field
2. 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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3. Acts of both omission and commission. 2. Failure to provide care that a reasonably prudent heath care professional would provide in the given circumstances. 3. Failure to provide care that meets the accepted standards of care - or giving care that re
Bacteremia
Cooling blanket
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Negligence
4. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Cooling blanket
Day of Injury
Antidiuretic Hormone (ADH)
Metabolic acidosis
5. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long
Respiratory acidosis
Hypokalemia
Narcotic Antagonist: Naloxone (Narcan)
RACE
6. 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
Changes during aging
Spread of Infection
Risk Factors for operations
Semi - Fowler's
7. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P
Day of Injury
Hypokalemia
Osmotic pressure
Circulatory overload
8. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
Hypotonic
Shock
Day of Injury
Hypokalemia
9. Movement of particles from higher to lower concentration
Narcotic Antagonist: Naloxone (Narcan)
Heat
Isotonic
Diffusion
10. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Diffusion
Logrolling
Immediate Post - Op Care
Hypotonic
11. 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
Hypovolemic shock
Day after
Na+
12. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Nursing care during IV infusions
Low - Fowler's
Loss of bone density
Blood Gas Values
13. Analgesics - antipyretic - small anticoagulation
Hyperkalemia
Acetaminophen
Isotonic
Narcotic analgesics
14. 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
Na+
Risk Factors for operations
Superficial thrombophlebitis
Side - lying
15. 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
Narcotic analgesics
Side - lying
Prone
Informed consent
16. 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)
Standard (Universal) Precautions
Risk Factors for operations
Epidural anesthetic
Infiltration
17. 22 - 29 mEq/l
Respiratory alkalosis
Day of Injury
Sim's
bicarbonate
18. 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
Superficial thrombophlebitis
Low - Fowler's
Hypertonic
K+
19. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Hypovolemic shock
Trendelenburg
Cardiogenic Shock
Dehydration
20. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Heat
Respiratory alkalosis
Spread of Infection
Blood Gas Values
21. Routine tasks b. Routine vital signs
Nursing assistant
Malpractice
Spinal anesthetic
CVL
22. Can do sterile procedures b. Can give medications except IV meds
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Hypernatremia
Hyperkalemia
Sterile Field
23. 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:
Bacteremia
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Standard (Universal) Precautions
Patient controlled analgesia
24. On the person's back 2. Maintains alignment
Supine
Malpractice
Hypotonic
Narcotic Antagonist: Naloxone (Narcan)
25. On the person's abdomen 2. Prevents hip flexion contractures
Patient controlled analgesia
Isotonic
Hypokalemia
Prone
26. 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
Stage III
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Air embolism
Ego integrity Vs despair
27. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Spread of Infection
Dehydration
Blood Gas Values
Respiratory acidosis
28. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Local cold
Day of Injury
Semi - Fowler's
Chronic Pain
29. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Heat
Respiratory alkalosis
Hypovolemic shock
Epidural anesthetic
30. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Na+
Isotonic
Circulatory overload
Respiratory alkalosis
31. On left side with lower arm behind the back 2. Good position for administering enema
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32. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Circulatory overload
Diffusion
Respiratory acidosis
Shock
33. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
Stage I
Sterile Field
Superficial thrombophlebitis
Blood Gas Values
34. Rescue Alarm Contain Evacuate
Wheel Chair Positioning
RACE
bicarbonate
High - Fowler's
35. 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
Trendelenburg
Lithotomy
Changes during aging
Modified Trendelenburg
36. Full thickness skin loss involving subcutaneous damage or necrosis
Changes during aging
Stage III
High - Fowler's
Dehydration
37. 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
Bacteremia
Shock
Hypokalemia
Nursing assistant
38. 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
Wheel Chair Positioning
Hypernatremia
NSAIDS
K+
39. 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
Acute Pain
CVL
Hypernatremia
Ego integrity Vs despair
40. 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
Bacteremia
Chronic Pain
CVL
Hypernatremia
41. 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
Aspirin
Informed consent
Shock
Spread of Infection
42. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Patient controlled analgesia
Malpractice
Hyperkalemia
Semi - Fowler's
43. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Side - lying
Aldosterone
Diffusion
Wheel Chair Positioning
44. 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
Medications for perioperative
Hyperkalemia
Nursing care during IV infusions
Hyponatremia
45. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Logrolling
Infiltration
Ego integrity Vs despair
High - Fowler's
46. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Blood pressure
Dehydration
Risk Factors for operations
Air embolism
47. Partial thickness loss of skin involving epidermis and/or part of dermis
Stage II
Circulatory overload
Osmosis
Acetaminophen
48. 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
Restraints
Modified Trendelenburg
Nursing care during IV infusions
Metabolic acidosis
49. 85 - 115 mEq/l
Aspirin
Registered Nurse
Cl
Sponge bath
50. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
Narcotic Antagonist: Naloxone (Narcan)
Informed consent
Antidiuretic Hormone (ADH)
Supine
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