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Test your basic knowledge |
NCLEX General
Start Test
Study First
Subjects
:
nclex
,
health-sciences
,
nursing
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. Monitor apical pulse for 1 full minute
medically controlled coma
vasoconstrictor
when on digoxin
phenelzine sulfate
2. Look at all options as true/false
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3. Check lung sounds q shift for crackles
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4. 0.45 kg
stool testing
1 L
1 lb
HRT
5. Gown - mask - gloves
tetracycline
Sylvian aqueduct syndrome
On
aspirin (acetylsalicylic acid)
6. 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
Sim's
Hyperkalemia
when on steriods watch for
CVL
7. 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
broad spectrum
nthelminthic enema
IM meds
Sickle Cell Crisis
8. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P
Epidural anesthetic
antidote for heparin
Circulatory overload
Metabolic alkalosis
9. 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
diabetes insipidus
Diffusion
burns Stage III
1 ml
10. 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
glucocorticoids
Shock
foley cath(male)
tube feeding
11. 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
Aldosterone
first sign of narcotic OD
Decision Tree Step 2?
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
12. Act on local tissue
fleets enema
NSAIDS
topical agents
Air embolism
13. Human papilloma virus
lanolin
HPV
Pons lesion
Narcotic Antagonist: Naloxone (Narcan)
14. Drowsiness - mood change - depression
Thalamus Lesion
Immediate Post - Op Care
fluid congestion
side effects of barbituates
15. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
septicemia
s/sx of hyperglycemia
Glioblastoma Multiform Tumors (primary)
Wheel Chair Positioning
16. Given right befor meals to control blood sugar
most insulins
Nursing assistant
butorphanol tartrate
MDI
17. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine
ted hose
Dehydration
alsalva manuever
Bethanechol (Urecholine)
18. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body
pernicious anemia
bicarbonate
Blood Gas Values
health screening
19. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
Hypotonic
Hypovolemic shock
parasthesia
Tylenol with codeine and Benadryl
20. Being ___ is acting in accordance with a set of standards of conduct. Nursing organizations have established a code of conduct that provides ethical guidelines for nursing practice.
Tylenol with codeine and Benadryl
What should you NEVER pick as an answer on the NCLEX exam?
Hypokalemia
ethical
21. Total suppression of urine
What are signs of an Infant addicted to Herion?
Anuria
epidural
1 ft
22. 50% of all primary tumors - linked to specific genetic mutations
Glioblastoma Multiform Tumors (primary)
diverticular disease
aspirin toxicity
metformin (Glucophage).
23. Receptive dysphasia
Superficial parietal lobe lesion
Broca's area lesion
valium
Medications for perioperative
24. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
Broca's area lesion
Nursing care during IV infusions
phenazopyridine
morphine
25. 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
Addison disease
Bacteremia
glucocorticoids
digitalis
26. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Addisonian crisis
catheter embolus
Anuria
Neuromas Tumors (primary)
27. 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
Pel Epstein fever
Hypovolemic shock
meds used for antipyretic - inflamm - and analgesia
Change in mental status and confusion
28. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle
CVL
sub - q injections
Addison's Disease
Sickle Cell Crisis
29. Toxicity due to blood and protien in the urine
chronic obstructive pulmonary disease
nephrotoxicity
Superficial parietal lobe lesion
Narcotic Antagonist: Naloxone (Narcan)
30. Retards bacteria growth
Superficial thrombophlebitis
bacteriostatic
morphine
Pineal gland Lesion
31. Constrict blood vessels
Nursing care during IV infusions
bacteriacidal
Risk Factors for operations
vasoconstrictor
32. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Regular insulin
Spinal anesthetic
Acetaminophen
Reed - Sternberg cell
33. 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.
sub - q injections
Reed - Sternberg cell
TB testing
chronic obstructive pulmonary disease
34. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.
Medications for perioperative
antidote for heparin
general anesthesia
lasix
35. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Hyperkalemia
Blood Gas Values
nthelminthic enema
topical agents
36. Act by altering perception of and response to pain 2. Act on the central nervous system 3. Adverse reactions a. Depress respirations b. Decrease alertness c. Decrease coughing d. Decrease blood pressure and pulse e. Slow peristalsis f. Constrict pupi
Respiratory alkalosis
burns Stage I
phlebitis
Narcotic analgesics
37. Local anemia in a given body part sometimes resulting from vasoconstriction or thrombosis or embolism - to hold back blood; decreased blood flow to tissue caused by constriction or occlusion of a blood vessel
emphysema
ischemia
transdermal meds
What are NSAIDs mainly given for
38. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Vaso - occlusive (thrombotic crisis)
Respiratory acidosis
checking NG tube placement
apply heat or cold day after surgery?
39. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days
Nursing assistant
Acetonuria
dry sterile dressing
causes of hyperglycemia
40. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
CVL
checking NG tube placement
epilepsy
Aldosterone
41. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
Modified Trendelenburg
inserting an NG tube
bilirubin
Changes during aging
42. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
Decision Tree Step 3?
smaller to larger
Anuria
Splenic Sequestration
43. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
ear meds/3 and over
Modified Trendelenburg
Vitamin B12 Deficiency Anemia
Malpractice
44. Full thickness skin loss involving subcutaneous damage or necrosis
Registered Nurse
Respiratory alkalosis
s/sx of hypoglycemia
burns Stage III
45. 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
Supine
Bethanechol (Urecholine)
Sim's
Cooling blanket
46. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Narcotic analgesics
Metabolic acidosis
Infiltration
foley catheter(woman)
47. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
120 gtts of water
Pel Epstein fever
Cheyenne Strokes
Trendelenburg
48. Monitor K+
Trendelenburg
when on lasix
midbrain syndrome
Neuromas Tumors (primary)
49. 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
cathartic
Hypokalemia
Air embolism
Registered Nurse
50. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation
Occipital Lobe Lesion
phlebitis r/t IV
Changes during aging
dexamethasone