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Test your basic knowledge |
NCLEX General
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. Topical agents designed to absorb through skin for systemic effects
transdermal meds
Narcotic analgesics
first sign of narcotic OD
phlebitis
2. Is the in ability of the heart to pump sufficient blood to meet the body's needs. Symptoms include SOB - cold and pale extremities - and a persistent - dry cough due to fluid congestion in the lungs.
ataxia
ear meds/adult
Amnesia
heart failure
3. Local anemia in a given body part sometimes resulting from vasoconstriction or thrombosis or embolism - to hold back blood; decreased blood flow to tissue caused by constriction or occlusion of a blood vessel
Hypokalemia
What is the Decision Tree Step 1?
CVL
ischemia
4. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
MDI
narrow spectrum
emphysema
Low - Fowler's
5. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation
infiltration r/t IV
dexamethasone
drip rate
heparin/lovanox
6. Caused by a midbrain lesion; vertical gaze center impaired. Sx's: no vertical gaze - dilated and irregular pupils - eyelid abnormalities and impaired convergence. - characterized by impaired upward vertical gaze and loss of the pupillary light reflex
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7. On the person's abdomen 2. Prevents hip flexion contractures
Prone
s/sx of hypoglycemia
drip rate
butorphanol tartrate
8. 16 oz
sterile wound irrigation
Aldosterone
1 pt
Metabolic acidosis
9. 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
valium
glossitis
CVL
Shock
10. Mask symptoms of hypoglycemia - removing your body's early warning systembeta - blockers bind beta - adrenergic receptor sites - which prevents adrenaline from causing symptoms and glycogenolysis
Inderal
adverse reaction of INH is hepatitis
depression
Pons lesion
11. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
carbon dioxide levels
NSAIDS
nursing interventions for severe hypoglycemia
hypoxia
12. 0.45 kg
parasthesia
dexamethasone
1 lb
Superficial thrombophlebitis
13. Gloves - mask - gown
Osmosis
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
off
Meningiomas Tumors (primary)
14. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.
K+
Broca's area lesion
Circulatory overload
depression
15. 1000 ml
endometriosis
Decison Tree Step 5?
1 L
Sponge bath
16. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry
sterile wound irrigation
phlebitis r/t IV
TB testing
Addison's Disease
17. Antidepressant.......MAOI inhibitor.....Relieves depression......Nardil..food without tyramine
epilepsy
hypoxia
Metabolic alkalosis
phenelzine sulfate
18. Analgesics - antipyretic - anticoagulant - anti - inflammatory
pernicious anemia
causes of hyperglycemia
Bolus feeding
NSAIDS
19. A decrease in total blood volume such as hemorrhage - transfusions
Hypovolemic shock
dry sterile dressing
lithium toxicity
pernicious anemia
20. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.
Hemophilia
antidote foe coumadin
Asphyxia
Benefit of turning patient to Right side?
21. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days
Pancrelipase (Pancrease capsules
Acetaminophen
causes of hyperglycemia
1 L
22. Needle does not puncture dura. Spinal headache unlikely. 2. Once sensation and motion return patient may be in any position that is satisfactory for the procedure.
Epidural anesthetic
ear meds/3 and over
Aspirin
'silent'
23. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Immediate Post - Op Care
wet to dry dressings
administer 2L O2 when
Medications for perioperative
24. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.
Hemophilia
postexposure protocol (PEP)
1 ml
Gardasil vaccine
25. 1 g
Air embolism
sterile wound irrigation
when mixing insulins
1000mg
26. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Metabolic acidosis
Respiratory acidosis
Bacteremia
glucocorticoids
27. Fluid buildup in tissues - palpate areas for tenderness/consistency
Spinal anesthetic
quickest absorption
edema
vasoconstrictor
28. Postexposure protocol
when on lasix
Tylenol with codeine and Benadryl
carbon dioxide levels
PEP
29. Given right befor meals to control blood sugar
Lantus
Sim's
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
most insulins
30. Hormone Replacement Therapy
HRT
NG tube
Cardiogenic Shock
smaller to larger
31. 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
Malpractice
estrogen and progestin
morphine
32. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
Respiratory alkalosis
depression
retrovirus
metered dose inhaler
33. Fever that waxes and wanes - is associated with Hodgkins Lymphoma
ear meds/3 and over
Aspirin
Pel Epstein fever
Asphyxia
34. Caused by poor heart action.- drugs that make heart beat more effectively
Respiratory alkalosis
transdermal meds
emphysema
Cardiogenic Shock
35. 1/8 tsp
Infiltration
1 pinch
Precentral gyrus lesion
Insulin
36. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Semi - Fowler's
Superficial parietal lobe lesion
Addisonian crisis
midbrain syndrome
37. This is an acute episode of severe symptoms - brought on by fever - dehydration altitude - vomiting - emotional distress - fatigue - alcohol consumption - pregnancy or excessive physical activity. Precipitated by hypoxia; provide pain relief - provid
aspirin toxicity
Glucotrol
when mixing insulins
Sickle Cell Crisis
38. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage
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39. Also known as pernicious anemia - is characterized by an interruption in the formation of RBC precursor cells. Interruption in the formation of RBC precursor cells - will result in a high number of large - immature cells.
aspirin toxicity
Precentral gyrus lesion
Vitamin B12 Deficiency Anemia
bicarbonate
40. Hang bag above stomach - clamp tubing - fill bag with formula - prime tubing - reclamp tube - attach to tube and open clamp - adjust flow - flush tube with water - disconnect
diabetes insipidus
Bolus feeding
What is the Guaiac Test?
PEP
41. The loss of the right or left half of the field of vision in both eyes.
fluid congestion
homonymous hemianopsia
stool testing
Sterile Field
42. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.
Glucotrol
general anesthesia
continuous feeding tube(pump)
Standard (Universal) Precautions
43. Outside of arachnoidal tissue - usually benign and slow growing
general anesthesia
before surgery the pt. should stop using
Sim's
Meningiomas Tumors (primary)
44. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
Acetonuria
thrombocytopenic purpura
ear meds/3 and over
smaller to larger
45. 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
Medications for perioperative
when on steriods watch for
Standard (Universal) Precautions
Acetaminophen
46. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
diabetes insipidus
bacteriacidal
aspirin toxicity
HPV
47. No red meat - radishes - beets - etc... for 3 days prior to test
pernicious anemia
stool testing
rotate injection sites
retrovirus
48. Motor dysphasia
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49. 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
depressant
when mixing insulins
Cooling blanket
Anuria
50. Meds used to treat constipation
Air embolism
What are NSAIDs mainly given for
Acetonuria
cathartic