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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. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles






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






3. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness






4. Onset:1-4hr. - cloudy - peak:6-10hrs. - duration:10-16 - up to 24 hrs. - cannot mix!!






5. Aspirin






6. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists






7. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






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






9. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






10. Decreases RR






11. Right






12. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair






13. 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






14. 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






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






16. Look at all options as true/false

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17. 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






18. Narcotic






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






20. Protamine sulfate






21. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site






22. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.






23. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering






24. 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






25. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation






26. Tom move TOWARDS the midline






27. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return






28. A dangerous condition in which the body tissues and cells do not have enough oxygen






29. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia






30. The goal of ___ in care of the client with herpes is to prevent spread of the virus.






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






32. 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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33. 135 - 145 mEq/l






34. Meds used to treat constipation






35. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.






36. 22 - 29 mEq/l






37. 85 - 115 mEq/l






38. Contralateral dystonia - Contralateral choreoathetosis






39. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.






40. 50% of all primary tumors - linked to specific genetic mutations






41. Wasting






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






43. Administer bronchodilators before other meds






44. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time






45. Straight back






46. Treatment of CHF associated with an acute MI - relievs anginal attacks






47. Antihistamine medications are often prescribed for ___ - and the nurse should advise clients that these medications can cause drowsiness and the lcient should avoid operating any type of eqpt (including driving).






48. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2






49. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)






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