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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. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr

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2. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer






3. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h






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






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






6. 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






7. 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






8. The loss of the right or left half of the field of vision in both eyes.






9. Stop feeding q 4-8 hrs to check residual - flush q 4-6






10. Infection






11. Cause drowsiness; maintain client safety






12. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea






13. 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






14. 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






15. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray






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






17. Routine tasks b. Routine vital signs






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






19. Can cause respiratory depression by decreasing rate and depth of respirations; analgesic used for moderate to severe pain; side effects include change in BP - bradycardia -






20. 3 tsp






21. 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.






22. Topical agents designed to absorb through skin for systemic effects






23. 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






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






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






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






27. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV






28. Manifestations 1) Tenderness and pain in vein 2) Edema and redness at site 3) Warmth b. Management 1) Cold compresses immediately to relieve pain and inflammation 2) Follow with moist warm compresses to stimulate circulation and promote absorption






29. Act on local tissue






30. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time






31. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -






32. 1 tsp






33. Wait 5-10 mins inbetween meds






34. In the elderly - change in mental status - particularly confusion - is very often the presenting symptom of infection; fever may be absent even when bacteremia or pneumonia are present






35. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml






36. Meds used to treat constipation






37. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.






38. Befor administering squeeze a small amount out and apply thin layer - blink






39. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow






40. 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






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






42. Cardiotonic






43. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis






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






45. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery

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46. Painful - tissue engorgement






47. Generalized infection throughout body






48. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.






49. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up






50. Only insulin that can be given IV