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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. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
postexposure protocol (PEP)
Metabolic acidosis
Shock
Cooling blanket
2. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
sickling
Addisonian crisis
1 kg
traumatic brain injury
3. 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
vasoconstrictor
Internal capsule lesion
glossitis
4. Able to kill bacteria
Abduction
fleets enema
bacteriacidal
6 rights of medication administration
5. Caused by a decrease in peripheral resistance - vasoconstriction
Addison's Disease
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
What should you NEVER pick as an answer on the NCLEX exam?
Hyponatremia
6. 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
Nursing care during IV infusions
inserting an NG tube
Hypovolemic shock
Pel Epstein fever
7. Given right befor meals to control blood sugar
gaze palsy
most insulins
Maslow's hierarchy of needs
burns Stage IV
8. Narcotic
morphine
quickest absorption
ear meds/ 3 and under
emphysema
9. Right
aspirin (acetylsalicylic acid)
Spinal anesthetic
Hypotonic
larger to smaller
10. Cardiotonic
gaze palsy
Sim's
gastroenteritis
digitalis
11. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
Pel Epstein fever
Anuria
parasthesia
Negligence
12. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery
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13. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other
aspirin (acetylsalicylic acid)
Hypernatremia
Decision Tree Step 3?
Cooling blanket
14. Patient on side 2. Prevents aspiration when patient is not fully alert
lithium toxicity
Supine
Blood pressure
Side - lying
15. The pain usually comes prior to nausea and vomiting;
Decision Tree Step 3?
Semi - Fowler's
acute appendicitis
Isotonic
16. Fluid buildup in tissues - palpate areas for tenderness/consistency
Acetonuria
edema
Side - lying
nursing interventions for severe hypoglycemia
17. Jacksonian szs - generalized szs - hemiparesis
1 kg
Epidural anesthetic
Precentral gyrus lesion
Pancrelipase (Pancrease capsules
18. Bloodstream infection: if becomes very bas pt may have a red line along arm
foley cath(male)
tube feeding
CVL
septicemia
19. Retards bacteria growth
bacteriostatic
1 pt
systemic hypoxia
Sickle Cell Crisis
20. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
with ear meds if there are 2 differant meds
Aldosterone
dry sterile dressing
What does Atropine Sulfate do?
21. Up and back
adverse reaction of INH is hepatitis
ear meds/adult
Hypovolemic shock
metformin (Glucophage).
22. 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
antidote for heparin
Ankyloses
Air embolism
Choluria
23. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
platelets
chronic obstructive pulmonary disease
heparin/lovanox
fluid congestion
24. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
burns Stage IV
Cooling blanket
Cl
Broca's area lesion
25. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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26. 85 - 115 mEq/l
Cl
Abduction
1 pinch
Low - Fowler's
27. Onset:1-4hr. - cloudy - peak:6-10hrs. - duration:10-16 - up to 24 hrs. - cannot mix!!
NPH
Tylenol with codeine and Benadryl
phlebitis r/t IV
Medications for perioperative
28. Administer bronchodilators before other meds
wet to dry dressings
Metabolic acidosis
MDI
phenazopyridine
29. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Neuromas Tumors (primary)
Superficial thrombophlebitis
Spinal anesthetic
homonymous hemianopsia
30. Fever that waxes and wanes - is associated with Hodgkins Lymphoma
1 L
What are NSAIDs mainly given for
hypoxia
Pel Epstein fever
31. Needle does not puncture dura. Spinal headache unlikely. 2. Once sensation and motion return patient may be in any position that is satisfactory for the procedure.
enema
continuous feeding tube(pump)
Epidural anesthetic
antidote for heparin
32. Apply cold to prevent swelling - bleeding and relive pain
neurologic symptoms
Addisonian crisis
health screening
Apply heat or cold day of surgery?
33. Caused by poor heart action.- drugs that make heart beat more effectively
hormone replacement therapy (HRT)
Cardiogenic Shock
sub - q injections
Ankyloses
34. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)
African Americans
nephrotoxicity
Cheyenne Strokes
edema
35. Human papilloma virus
Hypokalemia
Change in mental status and confusion
HPV
K+
36. Aspirin
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
when on digoxin
before surgery the pt. should stop using
Benefit of turning patient to Right side?
37. 1/8 tsp
pyridoxine hydrochloride (vitamin B6)
polydipsia
tamoxifen
1 pinch
38. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
Cooling blanket
1 ft
wet to dry dressings
Strategy for 'Select all that apply' on the NCLEX exam
39. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
Hypotonic
Respiratory alkalosis
Immediate Post - Op Care
Acetonuria
40. 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
Addison disease
Maslow's hierarchy of needs
urine
Decision Tree Step 3?
41. Rescue Alarm Contain Evacuate
RACE
checking NG tube placement
heparin/lovanox
urine
42. Renal disorder characterized by the production of large volumes of pale dilute urine
Decision Tree Step 2?
transdermal patch
Hemophilia
polyuria
43. Manifestations 1) Muscle weakness 2) Weak pulse and ECG changes b. Causes 1) Potassium depleting diuretics 2) Burns 3) Diarrhea - colitis 4) Vomiting c. Management: Potassium replacement -- DO Not give Digoxin
catheter embolus
Hypokalemia
fluid congestion
TB testing
44. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
Splenic Sequestration
Osmosis
Ego integrity Vs despair
Basal ganglia lesion
45. Act on local tissue
enema
anus - cervix - penis - and vulva
topical agents
Sterile Field
46. Act by altering perception of and response to pain 2. Act on the central nervous system 3. Adverse reactions a. Depress respirations b. Decrease alertness c. Decrease coughing d. Decrease blood pressure and pulse e. Slow peristalsis f. Constrict pupi
autonomic dysreflexia
Narcotic analgesics
health risk appraisal
Amnesia
47. 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
gaze palsy
polyuria
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
pyridoxine hydrochloride (vitamin B6)
48. 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
Decision Tree Step 2?
What are symptoms of Mennengitis?
Antidiuretic Hormone (ADH)
suctioning
49. Patient - time - dose - route - medication - documentation
6 rights of medication administration
Gardasil vaccine
Cardiogenic Shock
infiltration r/t IV
50. Look at all options as true/false
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