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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. 16 oz
1 pt
antidote for heparin
pentamidine isethionate
Tylenol with codeine and Benadryl
2. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach
prilosec
K+
Reed - Sternberg cell
single voided urine specimen
3. Capsule can be opened since contents are enteric - coated microspheres; contents should be mixed into a small amount of cool - soft food such as applesauce and the applesauce should then be swallowed immediately without chewing; swallowing whole ensu
1000mg
nursing interventions for hypoglycemia
Pancrelipase (Pancrease capsules
NPH
4. 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
Shock
epidural
Pons lesion
5. Down and back
phlebitis r/t IV
Occipital Lobe Lesion
bacteriacidal
ear meds/ 3 and under
6. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
tube feeding
Negligence
Semi - Fowler's
neurologic symptoms
7. 85 - 115 mEq/l
rotate injection sites
Lantus
acute appendicitis
Cl
8. A decrease in total blood volume such as hemorrhage - transfusions
Hyponatremia
Hypovolemic shock
ear meds/adult
causes of hyperglycemia
9. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.
Sickle Cell Crisis
thrombocytopenic purpura
sudafed
hormone replacement therapy (HRT)
10. Given in small amounts bc is retained
1 pt
before surgery the pt. should stop using
oil retention enema
1 kg
11. Narcotic
Sterile Field
morphine
antidote for heparin
sickling
12. Parinaud's syndrome.
Maslow's hierarchy of needs
Sylvian aqueduct syndrome
transdermal patch
s/sx of hyperglycemia
13. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Isotonic
nephrotoxicity
Gardasil vaccine
1 ml
14. 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
foley cath(male)
Antidote for Mag Sulfate?
1000mg
suctioning
15. Full thickness skin loss involving subcutaneous damage or necrosis
septicemia
Regular insulin
emphysema
burns Stage III
16. Check lung sounds q shift for crackles
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17. Painful - tissue engorgement
sterile wound irrigation
epidural
1 ml
Vaso - occlusive (thrombotic crisis)
18. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
Aplastic Crisis
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Glucotrol
Change in mental status and confusion
19. Bruising will occur aroun inj. sites - apply pressure for at least 30 seconds - check for bleeding gums - stools - sheck V/S for internal bleeding with anticoagulants
Logrolling
wet to dry dressing
heparin/lovanox
Glucotrol
20. 5th Intercostal space - left side sternal border
hypertension
Respiratory acidosis
Gardasil vaccine
Where are the Tricuspid heart sounds located?
21. 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
1 lb
Pons lesion
thrombocytopenic purpura
Shock
22. Retards bacteria growth
NSAIDS
most insulins
bacteriostatic
estrogen and progestin
23. What disease occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone? This condition is characterized by chronic - worsening fatigue and muscle weakness - loss of appetite - and weight loss.
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24. On left side with lower arm behind the back 2. Good position for administering enema
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25. 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
1 ml
thrombocytopenic purpura
Heat
hypertension
26. 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
Restraints
Circulatory overload
What is the Guaiac Test?
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
27. 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.
Intradermal injections
phenelzine sulfate
infiltration r/t IV
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
28. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.
smaller to larger
postexposure protocol (PEP)
antidote foe coumadin
before surgery the pt. should stop using
29. Pain relievers r/t opium
phenelzine sulfate
Change in mental status and confusion
opiate
herpes
30. 3.5 - 5.5 mEq/l
Hyponatremia
K+
Internal capsule lesion
valium
31. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine
Bethanechol (Urecholine)
Prone
pentamidine isethionate
Medications for perioperative
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. Up and back
homonymous hemianopsia
postexposure protocol (PEP)
ear meds/adult
Humulog
34. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
Pons lesion
'silent'
dexamethasone
anus - cervix - penis - and vulva
35. 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)
phlebitis r/t IV
Sim's
milliliter
Infiltration
36. Head injury is one of the most common causes of ___ and disability in the U.S.
Cardiogenic Shock
Jacksonian seizures
death
depression
37. Cardiotonic
Prone
digitalis
Acetaminophen
Cooling blanket
38. Do not give more than 3 consecutive bouts
wet to dry dressings
enema
2.2lbs.
butorphanol tartrate
39. Put air into cloudy first - then clear
Immediate Post - Op Care
Ankyloses
Strategy for 'Select all that apply' on the NCLEX exam
when mixing insulins
40. 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
CVL
valium
Vaso - occlusive (thrombotic crisis)
checking NG tube placement
41. 10 degree angle - 25-27G needle - 5/8-1/2' needle - barely cover bevel under skin - do not do near a vein - do to the side - used for PPD&allergy testing
Asphyxia
Intradermal injections
first sign of narcotic OD
Apply heat or cold day of surgery?
42. Is a condition in which Bp is abnormally high. In adults - ___ is dx with Bp readings higher than 140 mmHg systolic or 90 mmHg diastolic after 3 separate readings that are recorded several weeks apart.
TB testing
Hypertonic
hypertension
gaze palsy
43. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
beefy red tongue
phlebitis
sudafed
sickling
44. Bloodstream infection: if becomes very bas pt may have a red line along arm
Addison disease
Bethanechol (Urecholine)
1 lb
septicemia
45. Dermatitis is an ___ of the skin that produces an itchy - red rash.
Nursing assistant
Negligence
inflammation
Side - lying
46. Answers starting with 'I'll or Why.'
Cheyenne Strokes
sudafed
What should you NEVER pick as an answer on the NCLEX exam?
Inderal
47. 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
Hypokalemia
Bacteremia
Pancrelipase (Pancrease capsules
glossitis
48. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
ototoxicity
dramamine
Sponge bath
homonymous hemianopsia
49. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
Narcotic Antagonist: Naloxone (Narcan)
bilirubin
Aspirin
Parinaud's syndrome
50. 12 in.
Hypovolemic shock
1 ft
Change in mental status and confusion
Hemophilia