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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. Manifestations 1) Tenderness and pain in vein 2) Edema and redness at site 3) Warmth b. Management 1) Cold compresses immediately to relieve pain and inflammation 2) Follow with moist warm compresses to stimulate circulation and promote absorption






2. 10 degree angle - 25-27G needle - 5/8-1/2' needle - barely cover bevel under skin - do not do near a vein - do to the side - used for PPD&allergy testing






3. 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






4. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host






5. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.






6. 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






7. Only insulin that can be given IV






8. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis






9. Answers starting with 'I'll or Why.'






10. Is a condition in which Bp is abnormally high. In adults - ___ is dx with Bp readings higher than 140 mmHg systolic or 90 mmHg diastolic after 3 separate readings that are recorded several weeks apart.






11. 120 ml most common - prep for colon exams






12. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering






13. Routine tasks b. Routine vital signs






14. 6 oz.






15. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician






16. 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






17. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -






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






19. 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






20. Cardiotonic






21. Mask symptoms of hypoglycemia - removing your body's early warning systembeta - blockers bind beta - adrenergic receptor sites - which prevents adrenaline from causing symptoms and glycogenolysis






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






23. Instruct client to avoid ingesting alcohol when taking drug






24. Head at 90 degrees 2. Used for persons with COPD

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25. 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






26. 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






27. Shake med - have pt breathe out - when starts to inhale press down - have the pt hold breath for 10 seconds - wait 1 min befroe next dose






28. Apply cold to prevent swelling - bleeding and relive pain






29. Bile in urine






30. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai






31. 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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32. Outside of arachnoidal tissue - usually benign and slow growing






33. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's






34. Atbs that are effective against many organisms






35. 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.






36. Calcium Gluconate






37. 16 oz






38. 85 - 115 mEq/l






39. O2 sat is less than 93






40. Human papilloma virus






41. Up and back






42. Pain relievers r/t opium






43. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time






44. Instruct pt to clean genitalia with soap and water and void approx 60 ml






45. 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.






46. Bloodstream infection: if becomes very bas pt may have a red line along arm






47. Salicylates - NSAIDs






48. Cause drowsiness; maintain client safety






49. Ake with meals to reduce side effects of the drug -- e.g. - nausea - vomiting - anorexia - abdominal cramps - fatigue; these effects tend to be mild and to resolve as therapy continues






50. Act on local tissue