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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. Being ___ is acting in accordance with a set of standards of conduct. Nursing organizations have established a code of conduct that provides ethical guidelines for nursing practice.
Benefit of turning patient to Right side?
wet to dry dressing
ethical
sacs (or pockets)
2. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
Shock
Logrolling
pyridoxine hydrochloride (vitamin B6)
3. Contralateral dystonia - Contralateral choreoathetosis
leukemia
What are signs of an Infant addicted to Herion?
causes of hypoglycemia
Basal ganglia lesion
4. The ___ has been proven to be effective in preventing two of the strains of human papilloma virus (HPV) responsible for a large percentage of cervical cancer cases.
larger to smaller
butorphanol tartrate
glossitis
Gardasil vaccine
5. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
aspirin (acetylsalicylic acid)
1 ml
Blood Gas Values
Aspirin
6. Acetone in urine
herpes
Loss of bone density
Acetonuria
causes of hypoglycemia
7. Bloodstream infection: if becomes very bas pt may have a red line along arm
anus - cervix - penis - and vulva
nursing interventions for hypoglycemia
ted hose
septicemia
8. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
causes of hyperglycemia
meds used for antipyretic - inflamm - and analgesia
sudafed
topical agents
9. Place in semi - fowler's - open sterile suction cath - gloves as ordered - pick up sterile cath and connect to suction tubing - moisten cath with saline - insert through nostril with no suction - suction about 10 seconds - repeat
HPV
African Americans
suctioning
Spread of Infection
10. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
Insulin
Isotonic
bilirubin
polycythemia vera
11. 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
diabetes insipidus
On
HPV
Informed consent
12. Inflamm of the vessel: caused by irritaition of vessel by needle - cannula - meds. S/S are warnth - swelling - tenderness. IV must be dc'd - warm compress to decrease discomfort
Pel Epstein fever
1 lb
phlebitis r/t IV
African Americans
13. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
nursing interventions for severe hypoglycemia
Hemophilia
larger to smaller
dramamine
14. Answers starting with 'I'll or Why.'
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Cheyenne Strokes
single voided urine specimen
What should you NEVER pick as an answer on the NCLEX exam?
15. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
s/sx of hypoglycemia
Change in mental status and confusion
Infiltration
transdermal meds
16. 2 pt
Acetonuria
1 qt
Bolus feeding
nephrotoxicity
17. 60 gtt
1 tsp
metered dose inhaler
Sickle Cell Crisis
Malpractice
18. Painful - tissue engorgement
hormone replacement therapy (HRT)
suctioning
chronic obstructive pulmonary disease
Vaso - occlusive (thrombotic crisis)
19. The pain usually comes prior to nausea and vomiting;
acute appendicitis
homonymous hemianopsia
1 teacup
burns Stage I
20. 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
Bacteremia
Basal ganglia lesion
foley cath(male)
Decision Tree Step 4?
21. 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.
infiltration r/t IV
before surgery the pt. should stop using
Meningiomas Tumors (primary)
bacteriacidal
22. Atb
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
health screening
Osmotic pressure
tetracycline
23. Cause drowsiness; maintain client safety
Epidural anesthetic
Tylenol with codeine and Benadryl
continuous feeding tube(pump)
parasthesia
24. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage
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183
25. Inflammation or redness of the tongue. Often seen in malnutrition.
HPV
Respiratory acidosis
glossitis
Negligence
26. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
tamoxifen
1 ml
burns Stage IV
Aplastic Crisis
27. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
eye meds(opthalmic)
anus - cervix - penis - and vulva
Semi - Fowler's
Metabolic acidosis
28. 85 - 115 mEq/l
retrovirus
Circulatory overload
Internal capsule lesion
Cl
29. Routine tasks b. Routine vital signs
Nursing assistant
catheter embolus
cleansing enema
Acetaminophen
30. 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
polycythemia vera
catheter embolus
ischemia
Hypernatremia
31. 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
nursing interventions for severe hypoglycemia
urine
autonomic dysreflexia
Bacteremia
32. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
hypoxia
nitroglycerin
Prone
Blood pressure
33. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
infiltration r/t IV
nitroglycerin
Thalamus Lesion
Respiratory acidosis
34. Do not give more than 3 consecutive bouts
2.2lbs.
general anesthesia
enema
epidural
35. Dermatitis is an ___ of the skin that produces an itchy - red rash.
inflammation
Wheel Chair Positioning
metered dose inhaler
thrombocytopenic purpura
36. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
infiltration r/t IV
nursing interventions for hypoglycemia
Anuria
Isotonic
37. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
ted hose
Bethanechol (Urecholine)
when on digoxin
38. Drowsiness - mood change - depression
Spinal anesthetic
Respiratory acidosis
side effects of barbituates
retrovirus
39. 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
heparin/lovanox
Sterile Field
apply heat or cold day after surgery?
ear meds/adult
40. Head injury is one of the most common causes of ___ and disability in the U.S.
Sickle Cell Crisis
metered dose inhaler
Humulog
death
41. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
Vaso - occlusive (thrombotic crisis)
Internal capsule lesion
lithium toxicity
ear meds/3 and over
42. Caused by poor heart action.- drugs that make heart beat more effectively
Cardiogenic Shock
tamoxifen
fluid congestion
Meningiomas Tumors (primary)
43. 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
phlebitis
autonomic dysreflexia
1 tsp
Ankyloses
44. Topical agents designed to absorb through skin for systemic effects
Hypovolemic shock
catecholamine
transdermal meds
Decision Tree Step 4?
45. Protamine sulfate
Change in mental status and confusion
antidote for heparin
impaired asbsorption
suctioning
46. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Ego integrity Vs despair
Standard (Universal) Precautions
tamoxifen
traumatic brain injury
47. 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
Negligence
ear meds/adult
fleets enema
septicemia
48. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
phlebitis
air embolus
bicarbonate
Circulatory overload
49. Loss of defective memory
Parinaud's syndrome
Amnesia
Apply heat or cold day of surgery?
when on digoxin
50. Patient - time - dose - route - medication - documentation
fluid congestion
1 qt
6 rights of medication administration
cathartic