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NCLEX General

  • Answer 50 questions in 15 minutes.
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  • Match each statement with the correct term.
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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. 80% to 90% of brain tumors - named for What part of the nerve cell affected.

2. 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.

3. Cause drowsiness; maintain client safety

4. Can cause respiratory depression by decreasing rate and depth of respirations; analgesic used for moderate to severe pain; side effects include change in BP - bradycardia -

5. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin

6. Instruct client to avoid ingesting alcohol when taking drug

7. 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

8. Ake with meals to reduce side effects of the drug -- e.g. - nausea - vomiting - anorexia - abdominal cramps - fatigue; these effects tend to be mild and to resolve as therapy continues

9. Caused by poor heart action.- drugs that make heart beat more effectively

10. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine

11. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water

12. 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

13. 60 gtt

14. Partial thickness loss of skin involving epidermis and/or part of dermis

15. 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

16. 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

17. Most common problem: when fluid or med leaks out of vein into tissue - edema occurs - feels cool - fluid in tissue will reabsorb eithin 24 hrs.

18. The nurse teaches the client with ___ ways to change diet and lifestyle habits in order to control the condition.

19. Slows down mental/physical processes

20. Only used for 1-2 ml of med b/c is smaller muscle

21. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.

22. An antagonist for estrogen that is used in the treatment of breast cancer

23. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss

24. Bile in urine

25. Caused by a decrease in peripheral resistance - vasoconstriction

26. Act on local tissue

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

28. Vitamin k

29. 16 oz

30. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present

31. Parinaud's syndrome.

32. Read 48-72 hrs later - inject 0.1 ml - assess for induration(hard bump) - measure in mm - greater than 5 mm is queestionable - 5-10 need CXR - redness indicates localized reaction not a concern - problem is induration

33. Coma - dilated pupils - extensor posturing - Cheyne Stokes respirations (progressively deeper breathing followed by apnea)

34. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body

35. 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

36. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.

37. Place in semi - fowler's - open sterile suction cath - gloves as ordered - pick up sterile cath and connect to suction tubing - moisten cath with saline - insert through nostril with no suction - suction about 10 seconds - repeat

38. Inability to look in a particular direction of gaze (both eyes signals a brain disease)

39. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations

40. Helps destroy intestinal parasites

41. 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.

42. Check lung sounds q shift for crackles

43. 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

44. Bruising will occur aroun inj. sites - apply pressure for at least 30 seconds - check for bleeding gums - stools - sheck V/S for internal bleeding with anticoagulants

45. Fever that waxes and wanes - is associated with Hodgkins Lymphoma

46. Is a condition in which Bp is abnormally high. In adults - ___ is dx with Bp readings higher than 140 mmHg systolic or 90 mmHg diastolic after 3 separate readings that are recorded several weeks apart.

47. Headache - rash - sensitivity to light

48. Do not give more than 3 consecutive bouts

49. 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

50. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia