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NCLEX General

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. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation






2. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs






3. Outside of arachnoidal tissue - usually benign and slow growing






4. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26






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






6. Monitor K+






7. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short






8. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).






9. 1 tab with 5 min not exceeding 3 doses






10. Manifestations 1) Hypotension - cyanosis - tachycardia 2) Increased venous pressure - loss of consciousness b. Prevention 1) Run fluid through tubing and needle or catheter to force air out before starting infusion 2) When using glass bottle - change






11. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone






12. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts






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






14. Hypertension is sometimes called a ___ disease because many clients are symptom free until complications arise - which can occur decades after the hypertension first begins.

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15. 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






16. 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






17. 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






18. 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






19. 3 tsp






20. Extracellular fluid volume deficit 1. Causes: Loosing more fluid than is taken in a. Vomiting b. Diarrhea c. Diuretics d. Increased respirations e. Insufficient I.V. fluid replacement or PO 2. Manifestations a. Weight loss b. Poor skin turgor c. Dry






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






22. Is a route of parenteral medication adm near the base of the spine - most commonly used for administering an anesthetic for pain management. Most commonly used in first and second stages of labor and for pain relief.






23. 16-18 F is standard adult size - children are standard 5-12F






24. Capsule can be opened since contents are enteric - coated microspheres; contents should be mixed into a small amount of cool - soft food such as applesauce and the applesauce should then be swallowed immediately without chewing; swallowing whole ensu






25. Resp. depression






26. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray






27. O2 sat is less than 93






28. Dermatitis is an ___ of the skin that produces an itchy - red rash.






29. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm






30. Given in small amounts bc is retained






31. 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.






32. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h






33. 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 -






34. 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






35. Protamine sulfate






36. Emergency life - threatening condition which can occur with spinal cord injuries above T6 after spinal shock resolves - which is 1 to 6 weeks after injury; causes include visceral distension and noxious stimuli such as skin pressure - temperature ext






37. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O






38. Parinaud's syndrome.






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






40. Administer bronchodilators before other meds






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






42. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial






43. Hormone Replacement Therapy






44. 60 gtt






45. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.






46. Emergency care can be given to stabilize patient who is not able to give consent. 2. Age of majority is eighteen 3. Unconscious adults need permission for care by parents or spouse if married. 4. Persons who are not alert or have been given mind alte






47. Fluid balance - acid - base - nerve conduction a. Causes 1) Increased perspiration 2) Drinking only tap water 3) GI losses: diarrhea - vomiting - suction 4) Diuretics b - Manifestations 1) Confusion 2) Hypotension 3) Oliguria 4) Muscle weakness 5) Co






48. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia






49. 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






50. Head at 90 degrees 2. Used for persons with COPD

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