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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. 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.
Respiratory acidosis
Aplastic Crisis
2.2lbs.
Modified Trendelenburg
2. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Reed - Sternberg cell
eye meds(opthalmic)
Metabolic alkalosis
Respiratory alkalosis
3. 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)
bicarbonate
bacteriacidal
Infiltration
6 rights of medication administration
4. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.
foley cath(male)
depression
burns Stage III
urine
5. Can do sterile procedures b. Can give medications except IV meds
anus - cervix - penis - and vulva
wet to dry dressings
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Hyperkalemia
6. 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
Air embolism
Pancrelipase (Pancrease capsules
What are NSAIDs mainly given for
lanolin
7. Full thickness skin loss involving subcutaneous damage or necrosis
Bacteremia
burns Stage III
rotate injection sites
1 tsp
8. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
homonymous hemianopsia
Parinaud's syndrome
Glucotrol
What does Atropine Sulfate do?
9. Dispose of sharps in puncture - resistant containers B. Do not recap used needles C. Wear protective barriers (gloves - gowns - masks - eyewear) when at risk for exposure to body fluids D. Clean blood spills with soap and water or household bleach 1:
Hypokalemia
Standard (Universal) Precautions
1 teacup
carbon dioxide levels
10. 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
IM meds
Logrolling
Local cold
heart failure
11. Holding one's breath & attempt to exhale - Done during exercise - heavy lifting - birth delivery - coughing - sneezing - straining when urinating - defecating - vomiting. May cause cardiac arrest with a weakened heart - Encourage proper breathing whe
ethical
Precentral gyrus lesion
alsalva manuever
when mixing insulins
12. Gloves - mask - gown
off
Choluria
What does Atropine Sulfate do?
enema
13. 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
antidote for heparin
suctioning
pentamidine isethionate
epidural
14. Anticoagulants predispose to hemorrhage; discontinue 1-2 weeks before surgery 2. Aminoglycosides (streptomycin - gentamicin) can cause neuromuscular blockade. Anesthesiologist must know. 3. Diuretics may cause electrolyte imbalances and respiratory d
burns Stage III
Medications for perioperative
Isotonic
transdermal meds
15. 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
quickest absorption
septicemia
Informed consent
What is the Decision Tree Step 1?
16. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.
stool testing
general anesthesia
polydipsia
Semi - Fowler's
17. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
Occipital Lobe Lesion
polycythemia vera
Pons lesion
MDI
18. This is an acute episode of severe symptoms - brought on by fever - dehydration altitude - vomiting - emotional distress - fatigue - alcohol consumption - pregnancy or excessive physical activity. Precipitated by hypoxia; provide pain relief - provid
butorphanol tartrate
Hemophilia
Sickle Cell Crisis
HRT
19. Caused by a midbrain lesion; vertical gaze center impaired. Sx's: no vertical gaze - dilated and irregular pupils - eyelid abnormalities and impaired convergence. - characterized by impaired upward vertical gaze and loss of the pupillary light reflex
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20. 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
Benefit of turning patient to Right side?
Wheel Chair Positioning
6 rights of medication administration
120 gtts of water
21. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
dermatitis
Intradermal injections
carbon dioxide levels
Benefit of turning patient to Left side?
22. Left
smaller to larger
most insulins
sub - q injections
What should you NEVER pick as an answer on the NCLEX exam?
23. Answers starting with 'I'll or Why.'
burns Stage I
What should you NEVER pick as an answer on the NCLEX exam?
IM meds
NG tube
24. Atbs that are effective against many organisms
sickling
Nursing assistant
Sickle Cell Crisis
broad spectrum
25. Follow physician's orders B. Do not apply without order except in emergency C. Use least restraint possible D. Each unit should have a written protocol E. Check patient frequently for safety F. Loosen restraints every 2 hours G. Do not use as punishm
Restraints
Lantus
larger to smaller
1000mg
26. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry
Dehydration
neurologic symptoms
inserting an NG tube
sterile wound irrigation
27. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.
carbon dioxide levels
Jacksonian seizures
nthelminthic enema
High - Fowler's
28. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
s/sx of hyperglycemia
nitroglycerin
foley catheter(woman)
Blood pressure
29. Quickly absorbed - 90 degree angle - 19-23 G needle - 1-2' length - average adult:11/2 - 22G - mandatory to aspirate - purpose is to deposit meds into deep muscle for quick absorption
phlebitis
nitroglycerin
IM meds
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
30. Befor administering squeeze a small amount out and apply thin layer - blink
eye ointments
apply heat or cold day after surgery?
causes of hyperglycemia
Humulog
31. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
Regular insulin
sacs (or pockets)
Strategy for 'Select all that apply' on the NCLEX exam
deltoid muscle
32. Generalized infection throughout body
Apply heat or cold day of surgery?
septicemia
retrovirus
digitalis
33. 3 tsp
Regular insulin
Metabolic alkalosis
apply heat or cold day after surgery?
1 T
34. 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
neurologic symptoms
when mixing insulins
African Americans
Negligence
35. Rescue Alarm Contain Evacuate
RACE
Low - Fowler's
first sign of narcotic OD
neurologic symptoms
36. 1/8 tsp
1 pinch
Lantus
sub - q injections
Aldosterone
37. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis
Wheel Chair Positioning
leukemia
Addison disease
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
38. 2 pt
off
sudafed
Prone
1 qt
39. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
ischemia
meds used for antipyretic - inflamm - and analgesia
rotate injection sites
40. Administer bronchodilators before other meds
Hypotonic
Precentral gyrus lesion
stool testing
MDI
41. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial
Immediate Post - Op Care
impaired asbsorption
Insulin
when on steriods watch for
42. 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
burns Stage III
when mixing insulins
Internal capsule lesion
43. Fever that waxes and wanes - is associated with Hodgkins Lymphoma
heart failure
depression
Parinaud's syndrome
Pel Epstein fever
44. 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
transdermal patch
Bacteremia
Malpractice
Patient controlled analgesia
45. Promotes circulation
ted hose
Where are the Tricuspid heart sounds located?
Epidural anesthetic
Benefit of turning patient to Left side?
46. 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
ted hose
Circulatory overload
IM meds
enema
47. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
thrombocytopenia
larger to smaller
Sim's
eye meds(opthalmic)
48. 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
Bacteremia
Air embolism
alsalva manuever
bacteriostatic
49. Higher osmotic pressure than blood serum; causes cells to shrink; pulls fluid out of cells into blood stream a. Dextrose 5% or higher in saline b. Dextrose stronger than 5% in water c. Albumin
Acetaminophen
Hypertonic
hypoxia
Negligence
50. Cause drowsiness; maintain client safety
Tylenol with codeine and Benadryl
health screening
Cardiogenic Shock
dry sterile dressing
Sorry!:) No result found.
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