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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. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
nephrotoxicity
Ego integrity Vs despair
apply heat or cold day after surgery?
Dehydration
2. May occur when changing bags - opening line
Ego integrity Vs despair
diabetes mellitus (DM)
aspirin toxicity
air embolus
3. Follow physician's orders B. Do not apply without order except in emergency C. Use least restraint possible D. Each unit should have a written protocol E. Check patient frequently for safety F. Loosen restraints every 2 hours G. Do not use as punishm
Change in mental status and confusion
apply heat or cold day after surgery?
Restraints
Supine
4. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
Regular insulin
foley catheter(woman)
nursing interventions for severe hypoglycemia
causes of hyperglycemia
5. Check order - set up tube feed equip/suction - positon in fowlers - place towel - measure tube length - wipe face - ask about diff breathing through one nostril - apply lub. - flex head forward - insert gently until coughs - have swallow water - ch -
Reed - Sternberg cell
Side - lying
inserting an NG tube
dry sterile dressing
6. Is the in ability of the heart to pump sufficient blood to meet the body's needs. Symptoms include SOB - cold and pale extremities - and a persistent - dry cough due to fluid congestion in the lungs.
medically controlled coma
bacteriostatic
heart failure
cleansing enema
7. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
1 lb
Spinal anesthetic
diabetes insipidus
general anesthesia
8. Partial thickness loss of skin involving epidermis and/or part of dermis
burns Stage II
Infiltration
alsalva manuever
Hyponatremia
9. Hormone Replacement Therapy
HRT
Hyponatremia
transdermal patch
burns Stage IV
10. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
Metabolic alkalosis
before surgery the pt. should stop using
bilirubin
Medications for perioperative
11. A decrease in total blood volume such as hemorrhage - transfusions
estrogen and progestin
Hypovolemic shock
health screening
High - Fowler's
12. 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
Reed - Sternberg cell
midbrain syndrome
IM meds
cleansing enema
13. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
sudafed
suctioning
wet to dry dressings
Cheyenne Strokes
14. Fluid buildup in tissues - palpate areas for tenderness/consistency
Glucotrol
Spinal anesthetic
edema
when on lasix
15. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Narcan or Noloxene
Lithotomy
Pancrelipase (Pancrease capsules
Blood Gas Values
16. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
urine
neurologic symptoms
Immediate Post - Op Care
1 lb
17. The pain usually comes prior to nausea and vomiting;
aspirin (acetylsalicylic acid)
acute appendicitis
Wheel Chair Positioning
Respiratory acidosis
18. 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
antidote for heparin
most insulins
Precentral gyrus lesion
Bacteremia
19. 1 tab with 5 min not exceeding 3 doses
1 L
nitroglycerin
bilirubin
NSAIDS
20. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
carbon dioxide levels
single voided urine specimen
sterile wound irrigation
opiate
21. Gown - mask - gloves
heparin/lovanox
On
beefy red tongue
prilosec
22. 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
Bacteremia
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
ted hose
diabetes insipidus
23. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.
when on digoxin
postexposure protocol (PEP)
Logrolling
Anuria
24. 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
Apply heat or cold day of surgery?
antidote for heparin
Hypokalemia
s/sx of hyperglycemia
25. Also known as pernicious anemia - is characterized by an interruption in the formation of RBC precursor cells. Interruption in the formation of RBC precursor cells - will result in a high number of large - immature cells.
Hypertonic
catecholamine
Vitamin B12 Deficiency Anemia
Informed consent
26. Instruct client to avoid ingesting alcohol when taking drug
adverse reaction of INH is hepatitis
heart failure
nitroglycerin
diabetes mellitus (DM)
27. Head at 90 degrees 2. Used for persons with COPD
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183
28. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
ethical
glossitis
broad spectrum
29. Emergency life - threatening condition which can occur with spinal cord injuries above T6 after spinal shock resolves - which is 1 to 6 weeks after injury; causes include visceral distension and noxious stimuli such as skin pressure - temperature ext
Immediate Post - Op Care
Medications for perioperative
autonomic dysreflexia
metformin (Glucophage).
30. Cardiotonic
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
digitalis
leukemia
Gardasil vaccine
31. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
foley cath(male)
Anuria
emphysema
when on steriods watch for
32. 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
Cl
Decision Tree Step 2?
bilirubin
Insulin
33. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
Standard (Universal) Precautions
aspirin toxicity
Change in mental status and confusion
phenelzine sulfate
34. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
Splenic Sequestration
Decision Tree Step 4?
Abduction
Ankyloses
35. 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
Changes during aging
Medications for perioperative
Sim's
36. Anticoagulants predispose to hemorrhage; discontinue 1-2 weeks before surgery 2. Aminoglycosides (streptomycin - gentamicin) can cause neuromuscular blockade. Anesthesiologist must know. 3. Diuretics may cause electrolyte imbalances and respiratory d
Medications for perioperative
stool testing
HRT
nitroglycerin
37. Vitamin k
estrogen and progestin
with ear meds if there are 2 differant meds
phlebitis r/t IV
antidote foe coumadin
38. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
Decision Tree Step 3?
Modified Trendelenburg
quickest absorption
Glucotrol
39. Bile in urine
apply heat or cold day after surgery?
Regular insulin
Choluria
1 qt
40. Promotes circulation
Choluria
Spinal anesthetic
Sylvian aqueduct syndrome
Benefit of turning patient to Left side?
41. Patient - time - dose - route - medication - documentation
Ankyloses
tamoxifen
6 rights of medication administration
butorphanol tartrate
42. 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.
Neuromas Tumors (primary)
Osmotic pressure
ethical
platelets
43. Painful - tissue engorgement
Vaso - occlusive (thrombotic crisis)
Trendelenburg
phenelzine sulfate
nitroglycerin
44. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Atrophy
1 L
Semi - Fowler's
Osmotic pressure
45. 16 oz.
nthelminthic enema
1 lb
Cardiogenic Shock
Air embolism
46. 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.
RACE
general anesthesia
burns Stage IV
Change in mental status and confusion
47. 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.
Cardiogenic Shock
milliliter
glucocorticoids
inflammation
48. 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
alsalva manuever
Logrolling
Supine
morphine
49. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Vitamin B12 Deficiency Anemia
heart failure
catheter embolus
50. 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.
Changes during aging
depressant
120 gtts of water
traumatic brain injury