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NCLEX General

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






2. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.






3. Instruct pt to clean genitalia with soap and water and void approx 60 ml






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






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.






6. Atbs that are effective against many organisms






7. Excessive thirst (as in cases of diabetes or kidney dysfunction)






8. Homonymous hemianopsia - partial szs w/limited visual phenomena






9. The nurse teaches the client with ___ ways to change diet and lifestyle habits in order to control the condition.






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






11. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious






12. The goal of ___ in care of the client with herpes is to prevent spread of the virus.






13. Chronic syndrome resulting in a deficiency of hormonal secretion of the adrenal cortex with darkening of skin - loss of appetite - and depression






14. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life






15. 135 - 145 mEq/l






16. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body






17. Decreases RR






18. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis






19. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness






20. Reverses effects of other narcotics






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






22. 80% to 90% of brain tumors - named for What part of the nerve cell affected.






23. Meds used to treat constipation






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






25. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.






26. 16 oz.






27. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss






28. Outside of arachnoidal tissue - usually benign and slow growing






29. Always given with short acting insulin such as reg/ humulog






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






31. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus






32. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short






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






34. A dangerous condition in which the body tissues and cells do not have enough oxygen






35. Dermatitis is an ___ of the skin that produces an itchy - red rash.






36. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process






37. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.






38. 1 kg






39. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.






40. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's






41. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound






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






43. 5th Intercostal space - left side sternal border






44. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined






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






46. Salicylates - NSAIDs






47. Gown - mask - gloves






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






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






50. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists







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