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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. Produced by adrenal cortex. Target most cells to promote breakdown of glycogen - fats - and proteins as energy sources; raise blood level of glucose.Cortisol and Cortisone are types of these hormones.
glucocorticoids
Narcan or Noloxene
inserting an NG tube
Side - lying
2. Contralateral thalamus pain - contralateral hemisensory loss.
ischemia
Respiratory acidosis
Thalamus Lesion
when on lasix
3. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Trendelenburg
CVL
1 qt
Decision Tree Step 2?
4. No longer than 10-20 seconds at a time - allow pt to rest between suctioning - flush cath with NS between suctionings - 80-100 mm is normal adult suction
ear meds/ 3 and under
suctioning
aspirin (acetylsalicylic acid)
Addison disease
5. 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
Aspirin
Tylenol with codeine and Benadryl
Bacteremia
dry sterile dressing
6. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Bacteremia
traumatic brain injury
Spread of Infection
nitroglycerin
7. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
Standard (Universal) Precautions
health screening
burns Stage II
epilepsy
8. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Osmotic pressure
Apply heat or cold day of surgery?
Spinal anesthetic
urine
9. Always given with short acting insulin such as reg/ humulog
Negligence
sliding scale
fluid congestion
checking NG tube placement
10. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.
with ear meds if there are 2 differant meds
diabetes insipidus
postexposure protocol (PEP)
bicarbonate
11. Stop feeding q 4-8 hrs to check residual - flush q 4-6
nitroglycerin
Inderal
phenelzine sulfate
continuous feeding tube(pump)
12. 1 kg
Hyponatremia
Local cold
ear meds/3 and over
2.2lbs.
13. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
diabetes insipidus
edema
platelets
systemic hypoxia
14. Fever that waxes and wanes - is associated with Hodgkins Lymphoma
Prone
inflammation
Decision Tree Step 4?
Pel Epstein fever
15. To move AWAY from midline
Abduction
eye meds(opthalmic)
burns Stage IV
Adduction
16. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Narcan or Noloxene
homonymous hemianopsia
Respiratory alkalosis
Modified Trendelenburg
17. 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
death
Shock
Thalamus Lesion
1 kg
18. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
oil retention enema
Nursing care during IV infusions
suctioning
Immediate Post - Op Care
19. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Narcotic analgesics
Blood Gas Values
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
phlebitis
20. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
NPH
Choluria
Informed consent
Lantus
21. Wasting
On
Atrophy
herpes
when on digoxin
22. Patient is likely to be taking isoniazid (INH); INH is a mainstay in prevention and treatment of tuberculosis - used in combination with other antitubercular drugs if the disease is active; vitamin B6 is given to prevent the peripheral neuropathy - d
Lithotomy
pyridoxine hydrochloride (vitamin B6)
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Shock
23. 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
Decision Tree Step 2?
hormone replacement therapy (HRT)
edema
1 teacup
24. Patient on side 2. Prevents aspiration when patient is not fully alert
Side - lying
Respiratory alkalosis
anus - cervix - penis - and vulva
NPH
25. 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.
tetracycline
traumatic brain injury
aspirin (acetylsalicylic acid)
TB testing
26. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
Decision Tree Step 4?
Cardiogenic Shock
Hypovolemic shock
Restraints
27. Parinaud's syndrome.
Sylvian aqueduct syndrome
heart failure
milliliter
ototoxicity
28. No more than 750-1000ml's can be taken out at a time or will cause shock
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
nursing interventions for hypoglycemia
urine
edema
29. Patient - time - dose - route - medication - documentation
6 rights of medication administration
Logrolling
Infiltration
ataxia
30. Deficient oxygen in the blood.
systemic hypoxia
Local cold
epidural
sterile wound irrigation
31. Monitor K+
thrombocytopenia
polydipsia
ear meds/3 and over
when on lasix
32. 1 tsp
120 gtts of water
tetracycline
Broca's area lesion
eye ointments
33. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Ego integrity Vs despair
Pel Epstein fever
Modified Trendelenburg
1 L
34. 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
Splenic Sequestration
digitalis
Cl
dermatitis
35. Answers starting with 'I'll or Why.'
vasoconstrictor
autonomic dysreflexia
1000mg
What should you NEVER pick as an answer on the NCLEX exam?
36. Wait 5-10 mins inbetween meds
acute appendicitis
with ear meds if there are 2 differant meds
1 pt
RACE
37. 2 pt
digitalis
1 qt
Sylvian aqueduct syndrome
nephrotoxicity
38. Do not give more than 3 consecutive bouts
Hypokalemia
enema
sacs (or pockets)
carbon dioxide levels
39. 16-18 F is standard adult size - children are standard 5-12F
NG tube
Metabolic acidosis
Decision Tree Step 3?
phlebitis r/t IV
40. Salicylates - NSAIDs
captopril
Antidote for Mag Sulfate?
meds used for antipyretic - inflamm - and analgesia
lanolin
41. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Nursing assistant
nthelminthic enema
1 pinch
42. Increasing dyspnea with periods of apnea
neurologic symptoms
Benefit of turning patient to Right side?
tetracycline
Cheyenne Strokes
43. Pain relievers r/t opium
Cardiogenic Shock
African Americans
fleets enema
opiate
44. 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
Modified Trendelenburg
ototoxicity
transdermal meds
Cooling blanket
45. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Spinal anesthetic
Isotonic
pentamidine isethionate
causes of hypoglycemia
46. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
drip rate
Choluria
Basal ganglia lesion
parasthesia
47. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.
Risk Factors for operations
health screening
Adduction
inserting an NG tube
48. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
general anesthesia
Modified Trendelenburg
eye meds(opthalmic)
Anuria
49. Nausea and vomiting that come before abdominal pain
valium
before surgery the pt. should stop using
ear meds/ 3 and under
gastroenteritis
50. Stiff joints
Pineal gland Lesion
Ankyloses
infiltration r/t IV
Diffusion
Sorry!:) No result found.
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