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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. Common for debriding
herpes
1 teacup
phenelzine sulfate
wet to dry dressing
2. 16 oz.
nitroglycerin
Anuria
CVL
1 lb
3. A rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys)characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst
traumatic brain injury
polydipsia
diabetes insipidus
Hypokalemia
4. No more than 750-1000ml's can be taken out at a time or will cause shock
PEP
Standard (Universal) Precautions
urine
Medications for perioperative
5. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Cheyenne Strokes
Metabolic alkalosis
IM meds
causes of hyperglycemia
6. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
first sign of narcotic OD
aspirin toxicity
Informed consent
retrovirus
7. Narcotic
Ego integrity Vs despair
morphine
first sign of narcotic OD
Loss of bone density
8. Gloves - mask - gown
Hemophilia
acute appendicitis
hypertension
off
9. Quickly absorbed - 90 degree angle - 19-23 G needle - 1-2' length - average adult:11/2 - 22G - mandatory to aspirate - purpose is to deposit meds into deep muscle for quick absorption
Immediate Post - Op Care
depressant
IM meds
2.2lbs.
10. Partial thickness loss of skin involving epidermis and/or part of dermis
heart failure
burns Stage II
Decision Tree Step 2?
Respiratory acidosis
11. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Glioblastoma Multiform Tumors (primary)
with ear meds if there are 2 differant meds
diverticular disease
Local cold
12. 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
sudafed
wet to dry dressings
Wheel Chair Positioning
Metabolic acidosis
13. Act on local tissue
Spinal anesthetic
1 lb
topical agents
Hypertonic
14. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
before surgery the pt. should stop using
nitroglycerin
Respiratory acidosis
tube feeding
15. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
thrombocytopenia
Immediate Post - Op Care
Acetaminophen
Respiratory acidosis
16. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
pyridoxine hydrochloride (vitamin B6)
platelets
acute appendicitis
Catapres
17. 3.5 - 5.5 mEq/l
burns Stage II
K+
Respiratory acidosis
NPH
18. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
with ear meds if there are 2 differant meds
What are NSAIDs mainly given for
eye meds(opthalmic)
Basal ganglia lesion
19. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs
ted hose
antidote for heparin
1 pt
carbon dioxide levels
20. 1 tsp
120 gtts of water
Meningiomas Tumors (primary)
air embolus
Antidiuretic Hormone (ADH)
21. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
nitroglycerin
rotate injection sites
beefy red tongue
phlebitis
22. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
Decison Tree Step 5?
with ear meds if there are 2 differant meds
Gardasil vaccine
first sign of narcotic OD
23. In the elderly - change in mental status - particularly confusion - is very often the presenting symptom of infection; fever may be absent even when bacteremia or pneumonia are present
when on digoxin
opiate
Change in mental status and confusion
Sim's
24. 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
Regular insulin
1000mg
Hypertonic
Narcotic analgesics
25. Rescue Alarm Contain Evacuate
Aspirin
RACE
larger to smaller
beefy red tongue
26. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
urine
Heat
Vitamin B12 Deficiency Anemia
Addisonian crisis
27. Sudden onset of extensive ___ - caused by conditions that cause local or systemic hypoxemia Pain is the most common symptom. Skin changes pallor or cyanosis. Not iron deficient. Open sores and ulcers from poor tissue perfusion. UA has proteins - poor
sickling
edema
1 T
death
28. An antagonist for estrogen that is used in the treatment of breast cancer
traumatic brain injury
tamoxifen
dry sterile dressing
ethical
29. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days
causes of hyperglycemia
diabetes mellitus (DM)
Blood Gas Values
edema
30. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
parasthesia
single voided urine specimen
Medications for perioperative
Circulatory overload
31. 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
Asphyxia
CVL
Shock
s/sx of hypoglycemia
32. 1 kg
Inderal
Antidote for Mag Sulfate?
2.2lbs.
Nursing care during IV infusions
33. Has regular insulin in it already
NPH
Immediate Post - Op Care
Prone
Circulatory overload
34. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Humulog
Acetaminophen
infiltration r/t IV
Metabolic acidosis
35. Caused by poor heart action.- drugs that make heart beat more effectively
Change in mental status and confusion
standard precautions
Cardiogenic Shock
Spinal anesthetic
36. Promotes circulation
What are NSAIDs mainly given for
Cheyenne Strokes
Benefit of turning patient to Left side?
metformin (Glucophage).
37. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Ego integrity Vs despair
septicemia
morphine
catecholamine
38. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie
Adduction
wet to dry dressing
Inderal
Patient controlled analgesia
39. The pain usually comes prior to nausea and vomiting;
estrogen and progestin
Aplastic Crisis
administer 2L O2 when
acute appendicitis
40. Inflammation or redness of the tongue. Often seen in malnutrition.
infiltration r/t IV
Local cold
glossitis
Ego integrity Vs despair
41. Analgesics - antipyretic - small anticoagulation
Decison Tree Step 5?
Circulatory overload
Sterile Field
Acetaminophen
42. Can you Identify the topic of the question? If yes - cont to step 2 - if no read answer choices for clues and the go to step 2
Respiratory acidosis
parasthesia
ethical
What is the Decision Tree Step 1?
43. Anesthesia is the partial or complete loss of sensation - and general anesthesia produces a complete loss of sensation (unconsciousneess). It is also referred to as ___.
Inderal
s/sx of hypoglycemia
Catapres
medically controlled coma
44. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
cathartic
butorphanol tartrate
Pons lesion
lasix
45. Contralateral thalamus pain - contralateral hemisensory loss.
morphine
foley catheter(woman)
1 ft
Thalamus Lesion
46. Apply cold to prevent swelling - bleeding and relive pain
Lantus
standard precautions
Apply heat or cold day of surgery?
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
47. Only insulin that can be given IV
when on lasix
Trendelenburg
Regular insulin
emphysema
48. On the person's abdomen 2. Prevents hip flexion contractures
Superficial thrombophlebitis
vasoconstrictor
metformin (Glucophage).
Prone
49. 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
dry sterile dressing
eye ointments
Sponge bath
Circulatory overload
50. 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
What are signs of an Infant addicted to Herion?
Decision Tree Step 2?
Standard (Universal) Precautions