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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. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
platelets
Trendelenburg
Inderal
Internal capsule lesion
2. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Narcan or Noloxene
Informed consent
Respiratory acidosis
Isotonic
3. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.
Jacksonian seizures
Anuria
glossitis
Infiltration
4. Only insulin that can be given IV
Regular insulin
1 pt
pyridoxine hydrochloride (vitamin B6)
checking NG tube placement
5. Look at all options as true/false
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6. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
Blood Gas Values
Circulatory overload
Air embolism
aspirin toxicity
7. 85 - 115 mEq/l
Cl
Vaso - occlusive (thrombotic crisis)
when on lasix
Glioblastoma Multiform Tumors (primary)
8. Resp. depression
Shock
first sign of narcotic OD
NG tube
lanolin
9. 120 ml most common - prep for colon exams
Prone
On
Pel Epstein fever
fleets enema
10. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long
Tylenol with codeine and Benadryl
single voided urine specimen
alsalva manuever
Narcotic Antagonist: Naloxone (Narcan)
11. 1 tab with 5 min not exceeding 3 doses
Hypovolemic shock
K+
nitroglycerin
endometriosis
12. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.
milliliter
Choluria
bacteriacidal
Prone
13. Postexposure protocol
PEP
narrow spectrum
Regular insulin
Decision Tree Step 3?
14. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
Standard (Universal) Precautions
Neuromas Tumors (primary)
medically controlled coma
Hyperkalemia
15. 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
autonomic dysreflexia
Neuromas Tumors (primary)
Epidural anesthetic
1 lb
16. To slow formation of scar tissue
rotate injection sites
medically controlled coma
Pancrelipase (Pancrease capsules
side effects of barbituates
17. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach
phenazopyridine
phlebitis r/t IV
Asphyxia
prilosec
18. 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
herpes
Logrolling
Inderal
Diffusion
19. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
polycythemia vera
Hyponatremia
ataxia
20. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine
antidote foe coumadin
Lantus
Bethanechol (Urecholine)
Decision Tree Step 3?
21. 2 pt
glossitis
sudafed
ototoxicity
1 qt
22. 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
suctioning
captopril
Hypernatremia
Respiratory alkalosis
23. Inability to look in a particular direction of gaze (both eyes signals a brain disease)
gaze palsy
Gardasil vaccine
ear meds/ 3 and under
Local cold
24. Has regular insulin in it already
NPH
leukemia
causes of hyperglycemia
MDI
25. 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
ear meds/ 3 and under
Circulatory overload
causes of hypoglycemia
26. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
1 L
neurologic symptoms
cathartic
Osmotic pressure
27. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
Hypernatremia
Respiratory alkalosis
administer 2L O2 when
cleansing enema
28. Routine tasks b. Routine vital signs
Nursing assistant
Respiratory alkalosis
Low - Fowler's
Maslow's hierarchy of needs
29. The 55-yr - old male client has recently been diagnosed with ___. The nurse recognizes that this dx increases the client's risk of coronary heart disease - myocardial infarction - and peripheral vascular disease.
Bacteremia
diabetes mellitus (DM)
transdermal patch
nephrotoxicity
30. Antihistamine and antiemetic - used to treat motion sickness
Humulog
Hypokalemia
sliding scale
dramamine
31. Infection
Osmotic pressure
Spread of Infection
Cardiogenic Shock
when on steriods watch for
32. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.
emphysema
tamoxifen
polyuria
herpes
33. Produced by adrenal cortex. Target most cells to promote breakdown of glycogen - fats - and proteins as energy sources; raise blood level of glucose.Cortisol and Cortisone are types of these hormones.
Sponge bath
glucocorticoids
Aspirin
ototoxicity
34. Instruct client to avoid ingesting alcohol when taking drug
Precentral gyrus lesion
adverse reaction of INH is hepatitis
bacteriostatic
deltoid muscle
35. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
PEP
MDI
wet to dry dressing
Spinal anesthetic
36. Coma - dilated pupils - extensor posturing - Cheyne Stokes respirations (progressively deeper breathing followed by apnea)
Na+
Hemophilia
Registered Nurse
midbrain syndrome
37. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
Insulin
neurologic symptoms
Jacksonian seizures
Decison Tree Step 5?
38. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.
fluid congestion
with ear meds if there are 2 differant meds
Pineal gland Lesion
most insulins
39. Inability to coordinate voluntary muscle movements
Hodgkin's Lymphoma
bicarbonate
ataxia
Blood Gas Values
40. 60 gtt
HPV
1 tsp
Ego integrity Vs despair
1 kg
41. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
sudafed
Regular insulin
6 rights of medication administration
s/sx of hypoglycemia
42. Apply heat to improve circulation and healing
apply heat or cold day after surgery?
Immediate Post - Op Care
inflammation
nitroglycerin
43. On left side with lower arm behind the back 2. Good position for administering enema
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44. Excessive thirst (as in cases of diabetes or kidney dysfunction)
polydipsia
s/sx of hyperglycemia
Ego integrity Vs despair
Osmotic pressure
45. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
administer 2L O2 when
Reed - Sternberg cell
Cheyenne Strokes
Hypotonic
46. Hang bag above stomach - clamp tubing - fill bag with formula - prime tubing - reclamp tube - attach to tube and open clamp - adjust flow - flush tube with water - disconnect
Bolus feeding
1 ml
Thalamus Lesion
s/sx of hyperglycemia
47. Vit B12 Defiency Anemia is caused from a lack of liver meats - other meats - eggs - milk - increased need - tapeworms and ___.
On
impaired asbsorption
ataxia
Addison disease
48. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
Neuromas Tumors (primary)
septicemia
cleansing enema
digitalis
49. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
Metabolic alkalosis
nursing interventions for hypoglycemia
CVL
Internal capsule lesion
50. Bloodstream infection: if becomes very bas pt may have a red line along arm
Splenic Sequestration
Hyponatremia
septicemia
Inderal
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