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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. Head injury is one of the most common causes of ___ and disability in the U.S.






2. Caused by a decrease in peripheral resistance - vasoconstriction






3. Headache - rash - sensitivity to light






4. Calcium Gluconate






5. 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.






6. 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






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






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






9. 50% of all primary tumors - linked to specific genetic mutations






10. Can you Identify the topic of the question? If yes - cont to step 2 - if no read answer choices for clues and the go to step 2






11. The pain usually comes prior to nausea and vomiting;






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






13. To move AWAY from midline






14. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.






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






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






17. Early hydrocephalus - papillary abnormalities - Parinaud's Syndrome






18. 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






19. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)






20. Suffocation






21. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26






22. Extracellular fluid volume deficit 1. Causes: Loosing more fluid than is taken in a. Vomiting b. Diarrhea c. Diuretics d. Increased respirations e. Insufficient I.V. fluid replacement or PO 2. Manifestations a. Weight loss b. Poor skin turgor c. Dry






23. 5th Intercostal space - left side sternal border






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






25. 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






26. 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






27. 1 tab with 5 min not exceeding 3 doses






28. Human papilloma virus






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






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






31. Straight back






32. 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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33. Manifestations 1) Muscle weakness 2) Weak pulse and ECG changes b. Causes 1) Potassium depleting diuretics 2) Burns 3) Diarrhea - colitis 4) Vomiting c. Management: Potassium replacement -- DO Not give Digoxin






34. Caused by a decrease in peripheral resistance - vasoconstriction






35. Down and back






36. Check balloon for patency - non dom hand open labia - dom hand cleans - insert cath 2-3' until urine returns - inflate balloon - pull back - push 1 more ' - document






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






38. Commonly used diuretic (trade name Lasix) used to treat hypertension and edema






39. Given right befor meals to control blood sugar






40. Up and back






41. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water






42. The ___ is generally printed on the package of the IV infusion set.






43. 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






44. 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






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






46. Has regular insulin in it already






47. Decision maker b. Can do complex procedures c. Can give medications via all routes that nurses can give meds d. Is best person for teaching e. Coordinates care f. Performs admission assessments






48. Salicylates - NSAIDs






49. Is the condition in which endometrial tissue grows outside of the uterine cavity - most commonly in the pelvic cavity and responds to hormonal changes of the menstrual cycle.






50. 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







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