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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. No red meat - radishes - beets - etc... for 3 days prior to test






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






3. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.






4. Treatment of CHF associated with an acute MI - relievs anginal attacks






5. Resp. depression






6. 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






7. 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






8. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai






9. Given in small amounts bc is retained






10. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin






11. Too much insulin - no food - too much/intense exercise - onset - sudden






12. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short






13. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle






14. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone






15. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures






16. Gown - mask - gloves






17. Decreases RR






18. 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






19. Renal disorder characterized by the production of large volumes of pale dilute urine






20. 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






21. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation






22. Atbs that are effective agaist a few mo's






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






24. An antagonist for estrogen that is used in the treatment of breast cancer






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






26. 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.






27. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






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






29. 1 tab with 5 min not exceeding 3 doses






30. Does Maslow Fit? If NO - alre all answers physical or are all answers pschosocial? If yes - eliminate psychosocial - Does the physical needs make sense? Then apply your ABC's






31. 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






32. Straight back






33. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






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






35. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.






36. Check order - set up tube feed equip/suction - positon in fowlers - place towel - measure tube length - wipe face - ask about diff breathing through one nostril - apply lub. - flex head forward - insert gently until coughs - have swallow water - ch -






37. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3






38. Neurotransmitters that play important role in body's stress response






39. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.






40. 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).






41. Caused by a decrease in peripheral resistance - vasoconstriction






42. Answers starting with 'I'll or Why.'






43. 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.






44. Do not give more than 3 consecutive bouts






45. Monitor apical pulse for 1 full minute






46. Has regular insulin in it already






47. Patient - time - dose - route - medication - documentation






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






49. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.






50. Slows down mental/physical processes






Can you answer 50 questions in 15 minutes?



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