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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. 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
Logrolling
sliding scale
Hypovolemic shock
Hyperkalemia
2. Is a route of parenteral medication adm near the base of the spine - most commonly used for administering an anesthetic for pain management. Most commonly used in first and second stages of labor and for pain relief.
epidural
Hyponatremia
1 ft
Narcan or Noloxene
3. 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.
traumatic brain injury
Cooling blanket
1 kg
depression
4. Instruct pt to clean genitalia with soap and water and void approx 60 ml
Circulatory overload
Sterile Field
Prone
single voided urine specimen
5. 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
Antidote for Mag Sulfate?
Decision Tree Step 3?
ear meds/ 3 and under
inserting an NG tube
6. 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
Cooling blanket
Narcotic Antagonist: Naloxone (Narcan)
Ego integrity Vs despair
1 L
7. Increasing dyspnea with periods of apnea
Cheyenne Strokes
1 ml
dexamethasone
autonomic dysreflexia
8. Contralateral thalamus pain - contralateral hemisensory loss.
with ear meds if there are 2 differant meds
Thalamus Lesion
phlebitis r/t IV
deltoid muscle
9. 16 oz.
What are signs of an Infant addicted to Herion?
1 lb
Hyponatremia
Osmotic pressure
10. Contralateral dystonia - Contralateral choreoathetosis
Immediate Post - Op Care
NSAIDS
Basal ganglia lesion
first sign of narcotic OD
11. Tom move TOWARDS the midline
Pancrelipase (Pancrease capsules
Adduction
Benefit of turning patient to Right side?
Acetonuria
12. Neurotransmitters that play important role in body's stress response
catecholamine
Blood Gas Values
dry sterile dressing
Reed - Sternberg cell
13. Monitor apical pulse for 1 full minute
CVL
when on digoxin
acute appendicitis
antidote for heparin
14. Drowsiness - mood change - depression
side effects of barbituates
Decision Tree Step 3?
Metabolic alkalosis
general anesthesia
15. Caused by a midbrain lesion; vertical gaze center impaired. Sx's: no vertical gaze - dilated and irregular pupils - eyelid abnormalities and impaired convergence. - characterized by impaired upward vertical gaze and loss of the pupillary light reflex
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16. 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.
Jacksonian seizures
Risk Factors for operations
general anesthesia
postexposure protocol (PEP)
17. 1/8 tsp
Standard (Universal) Precautions
1 L
1 pinch
Where are the Tricuspid heart sounds located?
18. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Lithotomy
Metabolic acidosis
morphine
infiltration r/t IV
19. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
depression
Decison Tree Step 5?
traumatic brain injury
Neuromas Tumors (primary)
20. 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).
health screening
dermatitis
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Low - Fowler's
21. Routine tasks b. Routine vital signs
Supine
Nursing assistant
general anesthesia
most insulins
22. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
sacs (or pockets)
enema
midbrain syndrome
urine
23. Partial thickness loss of skin involving epidermis and/or part of dermis
butorphanol tartrate
ethical
burns Stage II
MDI
24. Hormone Replacement Therapy
emphysema
topical agents
platelets
HRT
25. 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
1 qt
tube feeding
Immediate Post - Op Care
Decision Tree Step 2?
26. Jacksonian szs - generalized szs - hemiparesis
Sylvian aqueduct syndrome
Precentral gyrus lesion
drip rate
Hyponatremia
27. 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)
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Strategy for 'Select all that apply' on the NCLEX exam
Infiltration
antidote foe coumadin
28. Receptive dysphasia
Intradermal injections
retrovirus
endometriosis
Superficial parietal lobe lesion
29. Instruct client to avoid ingesting alcohol when taking drug
sliding scale
nursing interventions for severe hypoglycemia
adverse reaction of INH is hepatitis
drip rate
30. Analgesics - antipyretic - small anticoagulation
dry sterile dressing
carbon dioxide levels
Pons lesion
Acetaminophen
31. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
wet to dry dressing
when on digoxin
carbon dioxide levels
nitroglycerin
32. Headache - rash - sensitivity to light
NSAIDS
What are symptoms of Mennengitis?
CVL
Metabolic acidosis
33. Gloves - mask - gown
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
impaired asbsorption
off
Bolus feeding
34. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Blood pressure
estrogen and progestin
1 ft
single voided urine specimen
35. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
Amnesia
ear meds/adult
anus - cervix - penis - and vulva
sudafed
36. Testing for blood in the stools of an infant
Glioblastoma Multiform Tumors (primary)
Ego integrity Vs despair
valium
What is the Guaiac Test?
37. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
Nursing assistant
Parinaud's syndrome
s/sx of hypoglycemia
Local cold
38. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
aspirin toxicity
Nursing assistant
Trendelenburg
Sterile Field
39. 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
deltoid muscle
Jacksonian seizures
Shock
Circulatory overload
40. Atbs that are effective against many organisms
Antidote for Mag Sulfate?
nursing interventions for severe hypoglycemia
Pel Epstein fever
broad spectrum
41. Inflamm of the vessel: caused by irritaition of vessel by needle - cannula - meds. S/S are warnth - swelling - tenderness. IV must be dc'd - warm compress to decrease discomfort
PEP
Humulog
Logrolling
phlebitis r/t IV
42. A dangerous condition in which the body tissues and cells do not have enough oxygen
fleets enema
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
hypoxia
heparin/lovanox
43. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
causes of hypoglycemia
phenazopyridine
phlebitis r/t IV
Malpractice
44. Inability to coordinate voluntary muscle movements
Choluria
ataxia
What does Atropine Sulfate do?
urine
45. 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
Air embolism
Osmosis
Occipital Lobe Lesion
Hypovolemic shock
46. 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
Jacksonian seizures
Sponge bath
Hemophilia
What is the Decision Tree Step 1?
47. Vitamin k
What should you NEVER pick as an answer on the NCLEX exam?
Epidural anesthetic
lasix
antidote foe coumadin
48. Antianginal med used in heart attacks
Sim's
IM meds
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
nitroglycerin
49. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
phlebitis
parasthesia
aspirin (acetylsalicylic acid)
with ear meds if there are 2 differant meds
50. Always given with short acting insulin such as reg/ humulog
Addison disease
sliding scale
polyuria
Superficial parietal lobe lesion