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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. Sheet between patient and cooling blanket b. Prevent skin damage c. Change position frequently d. No shivering: Muscle relaxant may be given if patient shivering






2. 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






3. 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






4. Acetone in urine






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. Caused by poor heart action.- drugs that make heart beat more effectively






7. 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






8. #1 is abdomen - #2 is arm - #3 is buttock






9. Right






10. 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.






11. 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.






12. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm






13. Gloves - mask - gown






14. 3.5 - 5.5 mEq/l






15. Slows down mental/physical processes






16. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.






17. Narcotic






18. 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






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






20. Antianginal med used in heart attacks






21. 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)






22. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover






23. 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.






24. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2






25. Excessive mucous and high pitched cry but happens later after birth(16hrs)






26. Left






27. 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






28. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.






29. 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






30. Tom move TOWARDS the midline






31. A large multinucleated or multilobed cell with inclusion body- like nucleoli surrounded by a halo of clear nucleoplasm and must be present to dx Hodgkin's Lymphoma.






32. Contralateral thalamus pain - contralateral hemisensory loss.






33. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing






34. Parinaud's syndrome.






35. Look at all options as true/false

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






37. 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






38. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine






39. Apply cold to prevent swelling - bleeding and relive pain






40. 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.






41. A rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys)characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst






42. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose






43. Another name for head injury which is any trauma to the head that can cause soft tissue damage or internal injury to the brain - and often occurs as a result of motor veh crashes - falls and sports.






44. 6 oz.






45. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.






46. Atbs that are effective against many organisms






47. Movement of particles from higher to lower concentration






48. Bloodstream infection: if becomes very bas pt may have a red line along arm






49. Act on local tissue






50. 85 - 115 mEq/l