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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. Is a centrally acting alpha - adrenergic used to treat hypertension; apply to nonhairy site every 7 days; side effects include drowsiness - sedation - orthostatic hypotension; heart failure
wet to dry dressings
emphysema
Sim's
Catapres
2. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.
Restraints
pyridoxine hydrochloride (vitamin B6)
estrogen and progestin
Strategy for 'Select all that apply' on the NCLEX exam
3. Instruct pt to clean genitalia with soap and water and void approx 60 ml
single voided urine specimen
drip rate
Jacksonian seizures
edema
4. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long
endometriosis
nitroglycerin
Narcotic Antagonist: Naloxone (Narcan)
Bacteremia
5. Also known as pernicious anemia - is characterized by an interruption in the formation of RBC precursor cells. Interruption in the formation of RBC precursor cells - will result in a high number of large - immature cells.
prilosec
What are signs of an Infant addicted to Herion?
Vitamin B12 Deficiency Anemia
oil retention enema
6. Atbs that are effective against many organisms
broad spectrum
Diffusion
nitroglycerin
What are NSAIDs mainly given for
7. Excessive thirst (as in cases of diabetes or kidney dysfunction)
sudafed
aspirin (acetylsalicylic acid)
polydipsia
phenelzine sulfate
8. Homonymous hemianopsia - partial szs w/limited visual phenomena
Pineal gland Lesion
causes of hypoglycemia
eye ointments
Occipital Lobe Lesion
9. The nurse teaches the client with ___ ways to change diet and lifestyle habits in order to control the condition.
aspirin (acetylsalicylic acid)
diverticular disease
Choluria
morphine
10. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2
air embolus
epilepsy
Hypotonic
Risk Factors for operations
11. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
Splenic Sequestration
s/sx of hyperglycemia
fluid congestion
Pancrelipase (Pancrease capsules
12. The goal of ___ in care of the client with herpes is to prevent spread of the virus.
platelets
tamoxifen
standard precautions
Hyperkalemia
13. Chronic syndrome resulting in a deficiency of hormonal secretion of the adrenal cortex with darkening of skin - loss of appetite - and depression
Addison disease
What are signs of an Infant addicted to Herion?
topical agents
anus - cervix - penis - and vulva
14. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Ego integrity Vs despair
1 lb
sudafed
Sim's
15. 135 - 145 mEq/l
PEP
Na+
Wheel Chair Positioning
enema
16. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body
pernicious anemia
infiltration r/t IV
foley catheter(woman)
Epidural anesthetic
17. Decreases RR
Tylenol with codeine and Benadryl
phlebitis r/t IV
suctioning
morphine
18. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
neurologic symptoms
African Americans
Cl
Lithotomy
19. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness
wet to dry dressings
catheter embolus
Pancrelipase (Pancrease capsules
Hemophilia
20. Reverses effects of other narcotics
wet to dry dressing
Narcan or Noloxene
Splenic Sequestration
Spread of Infection
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
Decision Tree Step 2?
Shock
Na+
Dehydration
22. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
Neuromas Tumors (primary)
Sim's
Hypotonic
before surgery the pt. should stop using
23. Meds used to treat constipation
Cardiogenic Shock
Metabolic acidosis
cathartic
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
24. 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
sickling
catecholamine
'silent'
checking NG tube placement
25. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
Pancrelipase (Pancrease capsules
Spinal anesthetic
Medications for perioperative
phenazopyridine
26. 16 oz.
Change in mental status and confusion
sub - q injections
1 lb
Aplastic Crisis
27. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
Cardiogenic Shock
Change in mental status and confusion
dexamethasone
ototoxicity
28. Outside of arachnoidal tissue - usually benign and slow growing
Meningiomas Tumors (primary)
broad spectrum
1000mg
Glioblastoma Multiform Tumors (primary)
29. Always given with short acting insulin such as reg/ humulog
Basal ganglia lesion
sliding scale
1 tsp
ototoxicity
30. Read 48-72 hrs later - inject 0.1 ml - assess for induration(hard bump) - measure in mm - greater than 5 mm is queestionable - 5-10 need CXR - redness indicates localized reaction not a concern - problem is induration
TB testing
1 L
Occipital Lobe Lesion
lanolin
31. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
eye meds(opthalmic)
diverticular disease
bacteriostatic
Cardiogenic Shock
32. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
Isotonic
Side - lying
What does Atropine Sulfate do?
Regular insulin
33. 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
Hyperkalemia
Epidural anesthetic
causes of hypoglycemia
Circulatory overload
34. A dangerous condition in which the body tissues and cells do not have enough oxygen
checking NG tube placement
1 L
6 rights of medication administration
hypoxia
35. Dermatitis is an ___ of the skin that produces an itchy - red rash.
medically controlled coma
glucocorticoids
inflammation
gaze palsy
36. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
Vaso - occlusive (thrombotic crisis)
thrombocytopenia
Decision Tree Step 2?
acute appendicitis
37. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
Benefit of turning patient to Left side?
epilepsy
retrovirus
nitroglycerin
38. 1 kg
platelets
medically controlled coma
2.2lbs.
anus - cervix - penis - and vulva
39. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.
What should you NEVER pick as an answer on the NCLEX exam?
Hemophilia
homonymous hemianopsia
when mixing insulins
40. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
What are symptoms of Mennengitis?
Ankyloses
Decision Tree Step 4?
nthelminthic enema
41. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
IM meds
rotate injection sites
thrombocytopenia
Local cold
42. Are the answers assessments or implementations? If their a mix of both - read the stem to see if you should assess or implement first and then select answer
milliliter
Cl
On
Decision Tree Step 2?
43. 5th Intercostal space - left side sternal border
1 qt
Where are the Tricuspid heart sounds located?
prilosec
What should you NEVER pick as an answer on the NCLEX exam?
44. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Lantus
smaller to larger
epilepsy
depression
45. 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
Atrophy
quickest absorption
6 rights of medication administration
Wheel Chair Positioning
46. Salicylates - NSAIDs
PEP
septicemia
meds used for antipyretic - inflamm - and analgesia
depression
47. Gown - mask - gloves
On
IM meds
Addison's Disease
High - Fowler's
48. 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
sacs (or pockets)
Pancrelipase (Pancrease capsules
Hypokalemia
before surgery the pt. should stop using
49. 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
suctioning
thrombocytopenic purpura
hypoxia
lithium toxicity
50. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
Circulatory overload
Patient controlled analgesia
nursing interventions for hypoglycemia
catheter embolus
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