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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. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
Shock
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
sudafed
Superficial thrombophlebitis
2. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
sterile wound irrigation
stool testing
'silent'
Antidiuretic Hormone (ADH)
3. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Circulatory overload
Blood pressure
causes of hyperglycemia
tetracycline
4. 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
nursing interventions for hypoglycemia
Decision Tree Step 4?
IM meds
when on lasix
5. 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
Shock
lithium toxicity
morphine
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. 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
impaired asbsorption
diabetes insipidus
tetracycline
continuous feeding tube(pump)
8. Nausea and vomiting that come before abdominal pain
Metabolic acidosis
stool testing
gastroenteritis
CVL
9. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
aspirin toxicity
causes of hypoglycemia
Maslow's hierarchy of needs
gaze palsy
10. Infection
edema
topical agents
polycythemia vera
when on steriods watch for
11. 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
1 lb
Abduction
Addison's Disease
Hypernatremia
12. Human papilloma virus
HPV
Sterile Field
Benefit of turning patient to Right side?
s/sx of hypoglycemia
13. 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.
Decison Tree Step 5?
infiltration r/t IV
Occipital Lobe Lesion
phenazopyridine
14. Parinaud's syndrome.
Vaso - occlusive (thrombotic crisis)
dramamine
Meningiomas Tumors (primary)
Sylvian aqueduct syndrome
15. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
phenelzine sulfate
bilirubin
foley cath(male)
traumatic brain injury
16. Headache - rash - sensitivity to light
What are symptoms of Mennengitis?
Decision Tree Step 2?
Metabolic acidosis
Shock
17. Monitor K+
larger to smaller
NG tube
broad spectrum
when on lasix
18. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
Immediate Post - Op Care
leukemia
s/sx of hyperglycemia
Ego integrity Vs despair
19. Able to kill bacteria
sliding scale
Cooling blanket
bacteriacidal
CVL
20. Commonly used diuretic (trade name Lasix) used to treat hypertension and edema
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
lasix
infiltration r/t IV
Immediate Post - Op Care
21. 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
Patient controlled analgesia
glossitis
Sylvian aqueduct syndrome
IM meds
22. No longer than 10-20 seconds at a time - allow pt to rest between suctioning - flush cath with NS between suctionings - 80-100 mm is normal adult suction
Hemophilia
suctioning
digitalis
Metabolic alkalosis
23. 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
Cardiogenic Shock
Hypokalemia
polyuria
antidote for heparin
24. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Sim's
Abduction
120 gtts of water
Aldosterone
25. 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
captopril
Sickle Cell Crisis
hypoxia
acute appendicitis
26. Neurotransmitters that play important role in body's stress response
catecholamine
captopril
nitroglycerin
Patient controlled analgesia
27. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
septicemia
Immediate Post - Op Care
Blood Gas Values
first sign of narcotic OD
28. Vit B12 Defiency Anemia is caused from a lack of liver meats - other meats - eggs - milk - increased need - tapeworms and ___.
pernicious anemia
systemic hypoxia
Spread of Infection
impaired asbsorption
29. Patient - time - dose - route - medication - documentation
Pineal gland Lesion
Inderal
traumatic brain injury
6 rights of medication administration
30. 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
polyuria
infiltration r/t IV
Occipital Lobe Lesion
Narcotic analgesics
31. Partial thickness loss of skin involving epidermis and/or part of dermis
estrogen and progestin
causes of hyperglycemia
Respiratory alkalosis
burns Stage II
32. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
vasoconstrictor
Sponge bath
nitroglycerin
Circulatory overload
33. The loss of the right or left half of the field of vision in both eyes.
homonymous hemianopsia
ear meds/3 and over
deltoid muscle
endometriosis
34. Administer bronchodilators before other meds
Respiratory alkalosis
MDI
Diffusion
Decision Tree Step 2?
35. Caused by poor heart action.- drugs that make heart beat more effectively
emphysema
phenazopyridine
Cardiogenic Shock
dry sterile dressing
36. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial
Insulin
Parinaud's syndrome
ear meds/adult
neurologic symptoms
37. Left
ted hose
Infiltration
smaller to larger
African Americans
38. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
larger to smaller
dramamine
1000mg
Blood Gas Values
39. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis
What does Atropine Sulfate do?
glossitis
1 kg
leukemia
40. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Trendelenburg
1 ml
burns Stage IV
sterile wound irrigation
41. Aspirin
suctioning
before surgery the pt. should stop using
Pons lesion
glossitis
42. 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
Glioblastoma Multiform Tumors (primary)
bacteriostatic
Nursing care during IV infusions
Malpractice
43. Apply heat to improve circulation and healing
Malpractice
phlebitis
Benefit of turning patient to Right side?
apply heat or cold day after surgery?
44. 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
Catapres
CVL
Respiratory alkalosis
wet to dry dressing
45. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray
epilepsy
checking NG tube placement
Glucotrol
medically controlled coma
46. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
transdermal patch
ataxia
Nursing assistant
health screening
47. Homonymous hemianopsia - partial szs w/limited visual phenomena
Occipital Lobe Lesion
chronic obstructive pulmonary disease
Cooling blanket
Medications for perioperative
48. 1 tab with 5 min not exceeding 3 doses
nitroglycerin
drip rate
Superficial thrombophlebitis
Decision Tree Step 3?
49. Atb
carbon dioxide levels
parasthesia
nursing interventions for hypoglycemia
tetracycline
50. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
Regular insulin
thrombocytopenia
dry sterile dressing
tamoxifen