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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. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P
milliliter
CVL
narrow spectrum
Circulatory overload
2. 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
Superficial thrombophlebitis
Air embolism
acute appendicitis
butorphanol tartrate
3. Cause drowsiness; maintain client safety
thrombocytopenia
Tylenol with codeine and Benadryl
suctioning
Insulin
4. No more than 750-1000ml's can be taken out at a time or will cause shock
Broca's area lesion
Antidote for Mag Sulfate?
Cardiogenic Shock
urine
5. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle
autonomic dysreflexia
Narcotic Antagonist: Naloxone (Narcan)
Cardiogenic Shock
sub - q injections
6. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
burns Stage III
Metabolic acidosis
Modified Trendelenburg
broad spectrum
7. 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.
glucocorticoids
tamoxifen
autonomic dysreflexia
broad spectrum
8. Stiff joints
Sickle Cell Crisis
Registered Nurse
Heat
Ankyloses
9. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
platelets
Hypotonic
transdermal meds
TB testing
10. Increasing dyspnea with periods of apnea
phlebitis
Superficial thrombophlebitis
Cheyenne Strokes
1 ml
11. Patient is likely to be taking isoniazid (INH); INH is a mainstay in prevention and treatment of tuberculosis - used in combination with other antitubercular drugs if the disease is active; vitamin B6 is given to prevent the peripheral neuropathy - d
1 pinch
Maslow's hierarchy of needs
pyridoxine hydrochloride (vitamin B6)
Epidural anesthetic
12. The ___ is generally printed on the package of the IV infusion set.
drip rate
Cooling blanket
burns Stage I
Respiratory alkalosis
13. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Blood Gas Values
Osmosis
Logrolling
Cl
14. 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
single voided urine specimen
Ankyloses
phlebitis r/t IV
Wheel Chair Positioning
15. Inability to look in a particular direction of gaze (both eyes signals a brain disease)
Jacksonian seizures
eye ointments
gaze palsy
glossitis
16. 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 -
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
butorphanol tartrate
antidote foe coumadin
Vitamin B12 Deficiency Anemia
17. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
transdermal meds
Local cold
Hodgkin's Lymphoma
Aldosterone
18. The goal of ___ in care of the client with herpes is to prevent spread of the virus.
antidote foe coumadin
standard precautions
platelets
Bolus feeding
19. Act on local tissue
Air embolism
health risk appraisal
120 gtts of water
topical agents
20. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
Metabolic alkalosis
Blood pressure
tube feeding
gaze palsy
21. Apply cold to prevent swelling - bleeding and relive pain
Apply heat or cold day of surgery?
Parinaud's syndrome
hypertension
Jacksonian seizures
22. Patient is moved all at once so there is no twisting of spine B. One person moves the head and shoulders C. Second person moves the feet and legs at the same time D. Turning sheet may be helpful E. Place the bed in a high position to promote good bod
gaze palsy
Logrolling
Metabolic alkalosis
Air embolism
23. Nausea and vomiting that come before abdominal pain
nthelminthic enema
Risk Factors for operations
Adduction
gastroenteritis
24. 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
burns Stage II
Superficial thrombophlebitis
Regular insulin
Risk Factors for operations
25. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
burns Stage II
septicemia
Spinal anesthetic
dexamethasone
26. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
retrovirus
Air embolism
Pel Epstein fever
Respiratory alkalosis
27. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
Trendelenburg
nursing interventions for hypoglycemia
Narcotic Antagonist: Naloxone (Narcan)
opiate
28. 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
Air embolism
Basal ganglia lesion
enema
CVL
29. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
foley catheter(woman)
Sponge bath
Gardasil vaccine
Metabolic alkalosis
30. Drowsiness - mood change - depression
systemic hypoxia
autonomic dysreflexia
side effects of barbituates
sudafed
31. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
drip rate
Nursing assistant
Antidiuretic Hormone (ADH)
Metabolic alkalosis
32. Painful - tissue engorgement
Circulatory overload
prilosec
Vaso - occlusive (thrombotic crisis)
oil retention enema
33. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
Cheyenne Strokes
medically controlled coma
Spread of Infection
Osmosis
34. On the person's abdomen 2. Prevents hip flexion contractures
Blood Gas Values
Aplastic Crisis
captopril
Prone
35. 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.
Aplastic Crisis
suctioning
foley cath(male)
suctioning
36. 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
Shock
Informed consent
Spinal anesthetic
before surgery the pt. should stop using
37. 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
side effects of barbituates
first sign of narcotic OD
On
Change in mental status and confusion
38. 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.
Apply heat or cold day of surgery?
Cheyenne Strokes
Hypernatremia
diabetes mellitus (DM)
39. Jacksonian szs - generalized szs - hemiparesis
Pineal gland Lesion
CVL
Blood Gas Values
Precentral gyrus lesion
40. Put air into cloudy first - then clear
What is the Guaiac Test?
Where are the Tricuspid heart sounds located?
when mixing insulins
causes of hypoglycemia
41. Dermatologic
Internal capsule lesion
NG tube
ear meds/adult
lanolin
42. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Benefit of turning patient to Left side?
Logrolling
Addisonian crisis
Respiratory acidosis
43. Befor administering squeeze a small amount out and apply thin layer - blink
Loss of bone density
Registered Nurse
eye ointments
Glioblastoma Multiform Tumors (primary)
44. Also known as a 'health screening' is a test to assess specific areas of physical growth - development - and health status. Different health screenings are done at each age/development stage.
Jacksonian seizures
health risk appraisal
Standard (Universal) Precautions
Benefit of turning patient to Left side?
45. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Negligence
Risk Factors for operations
Metabolic alkalosis
Cardiogenic Shock
46. Bile in urine
Choluria
bacteriostatic
postexposure protocol (PEP)
adverse reaction of INH is hepatitis
47. Aspirin
Jacksonian seizures
Acetonuria
before surgery the pt. should stop using
MDI
48. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
catecholamine
Neuromas Tumors (primary)
Blood Gas Values
checking NG tube placement
49. 6 oz.
Maslow's hierarchy of needs
1 teacup
Cardiogenic Shock
digitalis
50. 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.
inserting an NG tube
ethical
Apply heat or cold day of surgery?
gastroenteritis