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. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
High - Fowler's
Aspirin
Respiratory alkalosis
Chronic Pain
2. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
Hyponatremia
Sponge bath
Wheel Chair Positioning
Chronic Pain
3. Lasts more than 6 months B. Appears to serve no useful purpose C. May persist after injury heals D. No autonomic nervous system symptoms
Informed consent
Epidural anesthetic
Patient controlled analgesia
Chronic Pain
4. Rescue Alarm Contain Evacuate
Informed consent
Low - Fowler's
NSAIDS
RACE
5. Apply heat to improve circulation and healing
Day after
Hypovolemic shock
Ego integrity Vs despair
Registered Nurse
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)
Cooling blanket
Risk Factors for operations
Infiltration
Hypotonic
7. 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
Circulatory overload
Hypernatremia
Cooling blanket
Narcotic analgesics
8. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Antidiuretic Hormone (ADH)
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Medications for perioperative
Spinal anesthetic
9. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
Stage I
Hypotonic
Spinal anesthetic
Sponge bath
10. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Blood Gas Values
Spread of Infection
Osmotic pressure
Circulatory overload
11. 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
Loss of bone density
Modified Trendelenburg
Cooling blanket
Isotonic
12. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Osmotic pressure
Blood Gas Values
Aspirin
Cl
13. Patient on side 2. Prevents aspiration when patient is not fully alert
Narcotic Antagonist: Naloxone (Narcan)
Side - lying
Ego integrity Vs despair
Heat
14. 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
Cooling blanket
Circulatory overload
Negligence
K+
15. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
Antidiuretic Hormone (ADH)
Stage IV
Nursing assistant
Circulatory overload
16. Apply cold to prevent swelling - bleeding and relive pain
NSAIDS
Osmotic pressure
Day of Injury
Hypovolemic shock
17. 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
Hypovolemic shock
Cooling blanket
Informed consent
Changes during aging
18. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Hypovolemic shock
Hypotonic
Circulatory overload
Blood Gas Values
19. 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
Ego integrity Vs despair
Respiratory alkalosis
Stage I
20. 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
Nursing care during IV infusions
Narcotic Antagonist: Naloxone (Narcan)
Infiltration
Cooling blanket
21. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Aldosterone
Stage IV
Metabolic acidosis
Sim's
22. 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
Acute Pain
Spread of Infection
Shock
23. Head at 90 degrees 2. Used for persons with COPD
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
24. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Epidural anesthetic
Modified Trendelenburg
Metabolic alkalosis
Ego integrity Vs despair
25. 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
Informed consent
Semi - Fowler's
Hypokalemia
Nursing care during IV infusions
26. 22 - 29 mEq/l
Logrolling
Chronic Pain
Dehydration
bicarbonate
27. 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
Dehydration
Day after
Nursing care during IV infusions
Modified Trendelenburg
28. Can do sterile procedures b. Can give medications except IV meds
Registered Nurse
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Circulatory overload
Restraints
29. 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
Patient controlled analgesia
Informed consent
Trendelenburg
Isotonic
30. 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
Air embolism
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
RACE
Local cold
31. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Isotonic
Hypokalemia
Hyperkalemia
Spread of Infection
32. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Epidural anesthetic
Negligence
Modified Trendelenburg
Blood pressure
33. 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
Nursing assistant
Stage III
Chronic Pain
34. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Blood pressure
Osmotic pressure
Circulatory overload
Cl
35. 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
Acetaminophen
Hypokalemia
Lithotomy
36. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Risk Factors for operations
Metabolic alkalosis
Hyponatremia
Cardiogenic Shock
37. 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
Osmotic pressure
Acute Pain
Stage I
Hyperkalemia
38. Short duration B. Serves as a warning C. Subsides as healing occurs D. Autonomic nervous system symptoms frequently present
Metabolic acidosis
Acute Pain
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Day of Injury
39. 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
Informed consent
Stage III
Patient controlled analgesia
Logrolling
40. On the person's back 2. Maintains alignment
Blood Gas Values
Hypokalemia
Supine
Air embolism
41. 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
Cl
Nursing care during IV infusions
Semi - Fowler's
42. Analgesics - antipyretic - anticoagulant - anti - inflammatory
Supine
NSAIDS
Hypokalemia
Nursing assistant
43. 85 - 115 mEq/l
High - Fowler's
Cl
Nursing assistant
Dehydration
44. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Side - lying
Lithotomy
Standard (Universal) Precautions
Hypernatremia
45. 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
Heat
Bacteremia
Cooling blanket
Hypovolemic shock
46. 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
47. 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
Registered Nurse
Patient controlled analgesia
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Isotonic
48. 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:
Spinal anesthetic
Sponge bath
Circulatory overload
Standard (Universal) Precautions
49. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Day of Injury
Hypernatremia
Metabolic acidosis
Aspirin
50. Caused by poor heart action.- drugs that make heart beat more effectively
Cardiogenic Shock
Day after
High - Fowler's
Dehydration