SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
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. 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
Hypertonic
Hyperkalemia
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
2. 3.5 - 5.5 mEq/l
Stage II
Prone
Sterile Field
K+
3. Full thickness skin loss involving subcutaneous damage or necrosis
Stage III
Registered Nurse
Trendelenburg
Day after
4. Partial thickness loss of skin involving epidermis and/or part of dermis
Stage II
Shock
Hyponatremia
Na+
5. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Shock
Spread of Infection
Stage IV
Ego integrity Vs despair
6. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Aldosterone
Hyperkalemia
Respiratory alkalosis
Blood Gas Values
7. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Medications for perioperative
Prone
Local cold
Immediate Post - Op Care
8. Analgesics - antipyretic - small anticoagulation
Antidiuretic Hormone (ADH)
Acetaminophen
Cooling blanket
Semi - Fowler's
9. 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
Medications for perioperative
Hypokalemia
Side - lying
Registered Nurse
10. 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
Risk Factors for operations
Metabolic alkalosis
Respiratory acidosis
Side - lying
11. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Blood Gas Values
Logrolling
Superficial thrombophlebitis
Restraints
12. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Stage II
Logrolling
Restraints
Spinal anesthetic
13. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Spread of Infection
Acetaminophen
Logrolling
Loss of bone density
14. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
15. Sheet between patient and cooling blanket b. Prevent skin damage c. Change position frequently d. No shivering: Muscle relaxant may be given if patient shivering
Prone
Cooling blanket
Acute Pain
Ego integrity Vs despair
16. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Trendelenburg
Hyponatremia
Superficial thrombophlebitis
Respiratory alkalosis
17. 135 - 145 mEq/l
Logrolling
Nursing assistant
Narcotic Antagonist: Naloxone (Narcan)
Na+
18. On the person's abdomen 2. Prevents hip flexion contractures
Cooling blanket
Diffusion
Bacteremia
Prone
19. Apply cold to prevent swelling - bleeding and relive pain
Day of Injury
Cl
Hypokalemia
Diffusion
20. 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
Negligence
Narcotic analgesics
Changes during aging
Stage I
21. Lasts more than 6 months B. Appears to serve no useful purpose C. May persist after injury heals D. No autonomic nervous system symptoms
Hypotonic
Chronic Pain
Registered Nurse
Blood Gas Values
22. Rescue Alarm Contain Evacuate
Aspirin
RACE
Hypertonic
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
23. Routine tasks b. Routine vital signs
Bacteremia
Nursing assistant
Dehydration
CVL
24. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
25. 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
Metabolic alkalosis
Changes during aging
Isotonic
Modified Trendelenburg
26. 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
Logrolling
Stage II
Spinal anesthetic
Osmosis
27. 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
Respiratory alkalosis
Circulatory overload
Supine
Narcotic analgesics
28. Can do sterile procedures b. Can give medications except IV meds
Negligence
Patient controlled analgesia
Wheel Chair Positioning
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
29. 85 - 115 mEq/l
Maslow's hierarchy of needs
Malpractice
Spread of Infection
Cl
30. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Shock
Superficial thrombophlebitis
Metabolic alkalosis
Na+
31. Patient on side 2. Prevents aspiration when patient is not fully alert
Side - lying
Diffusion
Prone
Circulatory overload
32. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Bacteremia
Acetaminophen
Trendelenburg
Loss of bone density
33. 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
Nursing care during IV infusions
Chronic Pain
Air embolism
Osmotic pressure
34. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Medications for perioperative
Malpractice
Immediate Post - Op Care
Supine
35. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Blood pressure
Negligence
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
K+
36. 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
Circulatory overload
Day of Injury
Patient controlled analgesia
Metabolic alkalosis
37. Extracellular fluid volume deficit 1. Causes: Loosing more fluid than is taken in a. Vomiting b. Diarrhea c. Diuretics d. Increased respirations e. Insufficient I.V. fluid replacement or PO 2. Manifestations a. Weight loss b. Poor skin turgor c. Dry
Dehydration
Restraints
Antidiuretic Hormone (ADH)
Standard (Universal) Precautions
38. Movement of particles from higher to lower concentration
Logrolling
Stage I
Informed consent
Diffusion
39. 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
Spinal anesthetic
Hypotonic
K+
40. Decision maker b. Can do complex procedures c. Can give medications via all routes that nurses can give meds d. Is best person for teaching e. Coordinates care f. Performs admission assessments
Stage IV
Registered Nurse
Restraints
Stage I
41. Apply heat to improve circulation and healing
Osmosis
Negligence
Stage II
Day after
42. 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
Aldosterone
Changes during aging
Maslow's hierarchy of needs
43. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
CVL
Medications for perioperative
Antidiuretic Hormone (ADH)
Trendelenburg
44. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Cl
Modified Trendelenburg
Na+
Aldosterone
45. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Air embolism
Local cold
Respiratory acidosis
Trendelenburg
46. 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
CVL
Modified Trendelenburg
Respiratory alkalosis
Stage I
47. 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
Shock
Hyponatremia
Day of Injury
Hyperkalemia
48. Inadequate blood supply to the vital organs: the brain - heart and kidneys; inadequate circulating volume. Manifestations A. Pulse pressure decreases B. Blood pressure deceases C. Urine output decreases (ADH and Aldosterone) D. Pulse increases E. Res
Circulatory overload
Dehydration
Na+
Shock
49. 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
Shock
Logrolling
Sterile Field
Changes during aging
50. On left side with lower arm behind the back 2. Good position for administering enema
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183