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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. Analgesics - antipyretic - small anticoagulation
when on steriods watch for
Ego integrity Vs despair
Superficial thrombophlebitis
Acetaminophen
2. 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
Infiltration
inflammation
milliliter
Shock
3. Bile in urine
Medications for perioperative
Choluria
Na+
Catapres
4. 1cc
CVL
cathartic
Logrolling
1 ml
5. Shake med - have pt breathe out - when starts to inhale press down - have the pt hold breath for 10 seconds - wait 1 min befroe next dose
pyridoxine hydrochloride (vitamin B6)
metered dose inhaler
ototoxicity
Decision Tree Step 2?
6. No more than 750-1000ml's can be taken out at a time or will cause shock
Bacteremia
sudafed
urine
Metabolic alkalosis
7. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
inserting an NG tube
Spinal anesthetic
ted hose
Decision Tree Step 4?
8. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
lithium toxicity
1 pt
Patient controlled analgesia
Splenic Sequestration
9. 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
Restraints
ataxia
catheter embolus
Hypernatremia
10. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.
health screening
Infiltration
sacs (or pockets)
sterile wound irrigation
11. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
heart failure
nthelminthic enema
diverticular disease
Immediate Post - Op Care
12. Acetone in urine
Vaso - occlusive (thrombotic crisis)
inflammation
Infiltration
Acetonuria
13. 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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14. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Shock
Decision Tree Step 3?
burns Stage IV
transdermal patch
15. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness
fluid congestion
Cl
catheter embolus
depressant
16. 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
Nursing care during IV infusions
African Americans
Bacteremia
Side - lying
17. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Immediate Post - Op Care
Abduction
Apply heat or cold day of surgery?
Sponge bath
18. Do not give more than 3 consecutive bouts
enema
meds used for antipyretic - inflamm - and analgesia
Pons lesion
What are symptoms of Mennengitis?
19. 6 oz.
when mixing insulins
Pineal gland Lesion
What are signs of an Infant addicted to Herion?
1 teacup
20. Given right befor meals to control blood sugar
narrow spectrum
tube feeding
NSAIDS
most insulins
21. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.
medically controlled coma
Aplastic Crisis
On
Benefit of turning patient to Right side?
22. Increases heart rate
What does Atropine Sulfate do?
Bethanechol (Urecholine)
platelets
Addison's Disease
23. Motor dysphasia
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24. Common for debriding
burns Stage I
What are symptoms of Mennengitis?
aspirin (acetylsalicylic acid)
wet to dry dressing
25. Instruct client to avoid ingesting alcohol when taking drug
Supine
adverse reaction of INH is hepatitis
larger to smaller
nephrotoxicity
26. 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
Cardiogenic Shock
TB testing
epilepsy
27. Down and back
ear meds/ 3 and under
single voided urine specimen
Asphyxia
hypertension
28. 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
Immediate Post - Op Care
sterile wound irrigation
Negligence
transdermal meds
29. Caused by a decrease in peripheral resistance - vasoconstriction
aspirin toxicity
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
burns Stage IV
pyridoxine hydrochloride (vitamin B6)
30. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
dramamine
1 ml
s/sx of hypoglycemia
acute appendicitis
31. Holding one's breath & attempt to exhale - Done during exercise - heavy lifting - birth delivery - coughing - sneezing - straining when urinating - defecating - vomiting. May cause cardiac arrest with a weakened heart - Encourage proper breathing whe
off
alsalva manuever
vasoconstrictor
PEP
32. Receptive dysphasia
sickling
Neuromas Tumors (primary)
before surgery the pt. should stop using
Superficial parietal lobe lesion
33. 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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34. The ___ is generally printed on the package of the IV infusion set.
drip rate
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
tetracycline
lanolin
35. 1 kg
2.2lbs.
Hypovolemic shock
Decison Tree Step 5?
6 rights of medication administration
36. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
thrombocytopenia
Thalamus Lesion
Regular insulin
Infiltration
37. Meds used to treat constipation
alsalva manuever
dexamethasone
cathartic
RACE
38. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Sylvian aqueduct syndrome
Blood Gas Values
wet to dry dressings
administer 2L O2 when
39. 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
suctioning
Metabolic acidosis
Circulatory overload
Change in mental status and confusion
40. Straight back
ear meds/3 and over
Where are the Tricuspid heart sounds located?
Narcotic analgesics
fleets enema
41. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
Hyperkalemia
tube feeding
Aldosterone
chronic obstructive pulmonary disease
42. 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
Ankyloses
Bacteremia
Sickle Cell Crisis
Superficial parietal lobe lesion
43. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
Cardiogenic Shock
bilirubin
antidote for heparin
Vitamin B12 Deficiency Anemia
44. Is a centrally acting alpha - adrenergic used to treat hypertension; apply to nonhairy site every 7 days; side effects include drowsiness - sedation - orthostatic hypotension; heart failure
Catapres
checking NG tube placement
Shock
Air embolism
45. Calcium Gluconate
Antidote for Mag Sulfate?
1 T
heart failure
polycythemia vera
46. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.
Cardiogenic Shock
before surgery the pt. should stop using
fluid congestion
ear meds/3 and over
47. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Osmotic pressure
bicarbonate
Malpractice
Precentral gyrus lesion
48. 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.
nthelminthic enema
Respiratory acidosis
Vitamin B12 Deficiency Anemia
Hemophilia
49. Treatment of CHF associated with an acute MI - relievs anginal attacks
nitroglycerin
polycythemia vera
Respiratory acidosis
1 pt
50. 3 tsp
Respiratory acidosis
1 T
morphine
Spinal anesthetic