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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. 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
epilepsy
infiltration r/t IV
Intradermal injections
fleets enema
2. Human papilloma virus
Pel Epstein fever
HPV
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Insulin
3. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Lithotomy
Decision Tree Step 4?
'silent'
health screening
4. 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.
Epidural anesthetic
retrovirus
Logrolling
wet to dry dressings
5. 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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6. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
1 ml
Malpractice
Abduction
tamoxifen
7. Able to kill bacteria
1 L
anus - cervix - penis - and vulva
bacteriacidal
1 pt
8. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
CVL
depression
sacs (or pockets)
cleansing enema
9. Antihistamine and antiemetic - used to treat motion sickness
dramamine
Standard (Universal) Precautions
On
inflammation
10. Wasting
Atrophy
administer 2L O2 when
metformin (Glucophage).
antidote for heparin
11. May occur when changing bags - opening line
Pineal gland Lesion
K+
air embolus
1 lb
12. 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
cathartic
Epidural anesthetic
IM meds
Basal ganglia lesion
13. 1/8 tsp
Ego integrity Vs despair
1 pinch
adverse reaction of INH is hepatitis
s/sx of hyperglycemia
14. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
air embolus
s/sx of hypoglycemia
neurologic symptoms
15. 1000 ml
Cardiogenic Shock
Superficial thrombophlebitis
1 L
Hypokalemia
16. 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.
when on steriods watch for
Aplastic Crisis
causes of hyperglycemia
Inderal
17. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
Internal capsule lesion
tamoxifen
dermatitis
pyridoxine hydrochloride (vitamin B6)
18. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short
Metabolic acidosis
Malpractice
nitroglycerin
Humulog
19. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
sickling
Restraints
Pancrelipase (Pancrease capsules
s/sx of hyperglycemia
20. The ___ has been proven to be effective in preventing two of the strains of human papilloma virus (HPV) responsible for a large percentage of cervical cancer cases.
Respiratory acidosis
Gardasil vaccine
health screening
Acetonuria
21. 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
Logrolling
What does Atropine Sulfate do?
ear meds/adult
Restraints
22. 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:
Acetonuria
phlebitis r/t IV
Standard (Universal) Precautions
CVL
23. Analgesics - antipyretic - small anticoagulation
Acetaminophen
1000mg
Shock
Superficial thrombophlebitis
24. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
1 tsp
Negligence
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Addisonian crisis
25. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.
Basal ganglia lesion
Hemophilia
Decision Tree Step 4?
Hypernatremia
26. Atbs that are effective agaist a few mo's
narrow spectrum
Prone
Logrolling
Regular insulin
27. Antihistamine medications are often prescribed for ___ - and the nurse should advise clients that these medications can cause drowsiness and the lcient should avoid operating any type of eqpt (including driving).
Low - Fowler's
Insulin
dermatitis
Modified Trendelenburg
28. 12 in.
1 ft
Side - lying
septicemia
inserting an NG tube
29. A decrease in total blood volume such as hemorrhage - transfusions
Hypovolemic shock
adverse reaction of INH is hepatitis
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
infiltration r/t IV
30. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
diabetes mellitus (DM)
phenazopyridine
Aspirin
Hypernatremia
31. Common for debriding
wet to dry dressing
Gardasil vaccine
cleansing enema
causes of hypoglycemia
32. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Ankyloses
when on digoxin
Spinal anesthetic
Tylenol with codeine and Benadryl
33. 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)
Infiltration
causes of hyperglycemia
Respiratory acidosis
broad spectrum
34. Glaucoma and cataracts (lens becomes opaque) occur frequently 2. Presbyopia (farsightedness of aging) occurs in almost all persons as they age Difficulty seeing in dim light due to loss of light responsiveness Presbycussis: progressive hearing loss a
Changes during aging
ethical
health risk appraisal
epidural
35. Dermatologic
CVL
ear meds/adult
lanolin
burns Stage III
36. Painful - tissue engorgement
Vaso - occlusive (thrombotic crisis)
What should you NEVER pick as an answer on the NCLEX exam?
120 gtts of water
wet to dry dressings
37. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation
Antidote for Mag Sulfate?
dexamethasone
NPH
6 rights of medication administration
38. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Patient controlled analgesia
Blood pressure
Bethanechol (Urecholine)
Medications for perioperative
39. Do not give more than 3 consecutive bouts
enema
heart failure
opiate
postexposure protocol (PEP)
40. Anesthesia is the partial or complete loss of sensation - and general anesthesia produces a complete loss of sensation (unconsciousneess). It is also referred to as ___.
Hypokalemia
medically controlled coma
ted hose
Malpractice
41. To slow formation of scar tissue
Sponge bath
polycythemia vera
Pineal gland Lesion
rotate injection sites
42. Cardiotonic
digitalis
foley catheter(woman)
continuous feeding tube(pump)
lanolin
43. 1 tsp
Immediate Post - Op Care
death
Benefit of turning patient to Right side?
120 gtts of water
44. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
phlebitis
1 qt
nthelminthic enema
Bethanechol (Urecholine)
45. 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.
general anesthesia
Reed - Sternberg cell
fluid congestion
quickest absorption
46. Head injury is one of the most common causes of ___ and disability in the U.S.
Hodgkin's Lymphoma
death
aspirin (acetylsalicylic acid)
Tylenol with codeine and Benadryl
47. 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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48. Instruct pt to clean genitalia with soap and water and void approx 60 ml
nthelminthic enema
single voided urine specimen
TB testing
Respiratory alkalosis
49. Too much insulin - no food - too much/intense exercise - onset - sudden
adverse reaction of INH is hepatitis
Glucotrol
K+
causes of hypoglycemia
50. Analgesics - antipyretic - anticoagulant - anti - inflammatory
carbon dioxide levels
Loss of bone density
NSAIDS
Decision Tree Step 3?
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