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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. No red meat - radishes - beets - etc... for 3 days prior to test
1000mg
sliding scale
stool testing
Dehydration
2. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
1 teacup
lanolin
ear meds/3 and over
Osmosis
3. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
phlebitis r/t IV
carbon dioxide levels
sliding scale
polydipsia
4. Treatment of CHF associated with an acute MI - relievs anginal attacks
Spinal anesthetic
nitroglycerin
NSAIDS
Respiratory acidosis
5. Resp. depression
endometriosis
Internal capsule lesion
Circulatory overload
first sign of narcotic OD
6. 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
Blood Gas Values
Bacteremia
Wheel Chair Positioning
aspirin toxicity
7. 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
RACE
Air embolism
Cardiogenic Shock
Broca's area lesion
8. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
when mixing insulins
retrovirus
tube feeding
Jacksonian seizures
9. Given in small amounts bc is retained
Spinal anesthetic
leukemia
sterile wound irrigation
oil retention enema
10. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
phlebitis
foley cath(male)
Broca's area lesion
first sign of narcotic OD
11. Too much insulin - no food - too much/intense exercise - onset - sudden
burns Stage II
Infiltration
administer 2L O2 when
causes of hypoglycemia
12. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short
glucocorticoids
Humulog
before surgery the pt. should stop using
Bethanechol (Urecholine)
13. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle
sub - q injections
Informed consent
impaired asbsorption
foley catheter(woman)
14. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Sterile Field
Loss of bone density
fleets enema
Meningiomas Tumors (primary)
15. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Immediate Post - Op Care
burns Stage IV
off
Benefit of turning patient to Left side?
16. Gown - mask - gloves
Registered Nurse
general anesthesia
thrombocytopenia
On
17. Decreases RR
Shock
morphine
Infiltration
emphysema
18. 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
Inderal
High - Fowler's
sickling
Decison Tree Step 5?
19. Renal disorder characterized by the production of large volumes of pale dilute urine
bilirubin
polyuria
1 tsp
Superficial parietal lobe lesion
20. 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
leukemia
Pons lesion
Nursing care during IV infusions
heart failure
21. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation
Acetonuria
prilosec
Sponge bath
dexamethasone
22. Atbs that are effective agaist a few mo's
narrow spectrum
Hypokalemia
sterile wound irrigation
Reed - Sternberg cell
23. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
TB testing
ischemia
Respiratory alkalosis
Hemophilia
24. An antagonist for estrogen that is used in the treatment of breast cancer
epidural
Changes during aging
Neuromas Tumors (primary)
tamoxifen
25. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness
catheter embolus
Ego integrity Vs despair
nursing interventions for hypoglycemia
hypertension
26. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.
depression
Blood pressure
captopril
digitalis
27. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
with ear meds if there are 2 differant meds
bicarbonate
Aldosterone
ear meds/adult
28. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
Respiratory alkalosis
epilepsy
What is the Decision Tree Step 1?
causes of hyperglycemia
29. 1 tab with 5 min not exceeding 3 doses
1 lb
nitroglycerin
cathartic
herpes
30. Does Maslow Fit? If NO - alre all answers physical or are all answers pschosocial? If yes - eliminate psychosocial - Does the physical needs make sense? Then apply your ABC's
Respiratory alkalosis
Apply heat or cold day of surgery?
PEP
Decision Tree Step 3?
31. Extracellular volume excess 1. Causes a. Too many I.V. fluids too quickly b. Decreased kidney or heart function 2. Manifestations a. Cough - dyspnea - rales - tachypnea b. Increased blood pressure c. Increased CVP d. Neck vein distention e. Tachycard
Circulatory overload
Trendelenburg
1 pinch
ototoxicity
32. Straight back
Hypertonic
Metabolic acidosis
side effects of barbituates
ear meds/3 and over
33. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Bethanechol (Urecholine)
Aldosterone
metered dose inhaler
Spinal anesthetic
34. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.
RACE
milliliter
apply heat or cold day after surgery?
estrogen and progestin
35. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Malpractice
thrombocytopenia
phenelzine sulfate
single voided urine specimen
36. Check order - set up tube feed equip/suction - positon in fowlers - place towel - measure tube length - wipe face - ask about diff breathing through one nostril - apply lub. - flex head forward - insert gently until coughs - have swallow water - ch -
1 pt
burns Stage III
inserting an NG tube
Aspirin
37. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
Occipital Lobe Lesion
causes of hypoglycemia
nitroglycerin
thrombocytopenic purpura
38. Neurotransmitters that play important role in body's stress response
catecholamine
Cheyenne Strokes
Where are the Tricuspid heart sounds located?
ototoxicity
39. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
Aldosterone
nursing interventions for severe hypoglycemia
nitroglycerin
Local cold
40. 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).
Modified Trendelenburg
Strategy for 'Select all that apply' on the NCLEX exam
dermatitis
Low - Fowler's
41. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
systemic hypoxia
Gardasil vaccine
NSAIDS
42. Answers starting with 'I'll or Why.'
Cl
parasthesia
What should you NEVER pick as an answer on the NCLEX exam?
cleansing enema
43. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.
captopril
Aplastic Crisis
narrow spectrum
Meningiomas Tumors (primary)
44. Do not give more than 3 consecutive bouts
heart failure
Glucotrol
enema
Registered Nurse
45. Monitor apical pulse for 1 full minute
when on digoxin
'silent'
general anesthesia
Where are the Tricuspid heart sounds located?
46. Has regular insulin in it already
Gardasil vaccine
prilosec
adverse reaction of INH is hepatitis
NPH
47. Patient - time - dose - route - medication - documentation
suctioning
Decision Tree Step 2?
6 rights of medication administration
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
48. 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
Air embolism
Narcan or Noloxene
Bacteremia
meds used for antipyretic - inflamm - and analgesia
49. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
Decison Tree Step 5?
Heat
postexposure protocol (PEP)
Respiratory alkalosis
50. Slows down mental/physical processes
Bacteremia
1 T
depressant
hypertension
Can you answer 50 questions in 15 minutes?
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