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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. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
pentamidine isethionate
wet to dry dressings
Trendelenburg
Glioblastoma Multiform Tumors (primary)
2. The 55-yr - old male client has recently been diagnosed with ___. The nurse recognizes that this dx increases the client's risk of coronary heart disease - myocardial infarction - and peripheral vascular disease.
diabetes mellitus (DM)
dexamethasone
Antidiuretic Hormone (ADH)
ethical
3. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Addisonian crisis
meds used for antipyretic - inflamm - and analgesia
Low - Fowler's
Respiratory acidosis
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
suctioning
retrovirus
nursing interventions for severe hypoglycemia
Cheyenne Strokes
5. 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
Restraints
Loss of bone density
checking NG tube placement
autonomic dysreflexia
6. Is the condition in which endometrial tissue grows outside of the uterine cavity - most commonly in the pelvic cavity and responds to hormonal changes of the menstrual cycle.
endometriosis
phenazopyridine
RACE
ischemia
7. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Local cold
MDI
Aldosterone
Shock
8. Drowsiness - mood change - depression
side effects of barbituates
CVL
tamoxifen
Hypertonic
9. 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
hypoxia
Decision Tree Step 2?
Pel Epstein fever
urine
10. Head at 90 degrees 2. Used for persons with COPD
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11. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Superficial thrombophlebitis
Blood Gas Values
Air embolism
depression
12. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.
Vaso - occlusive (thrombotic crisis)
What are symptoms of Mennengitis?
Hyponatremia
milliliter
13. Homonymous hemianopsia - partial szs w/limited visual phenomena
Narcotic Antagonist: Naloxone (Narcan)
Cardiogenic Shock
Occipital Lobe Lesion
epidural
14. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
thrombocytopenic purpura
2.2lbs.
Osmosis
CVL
15. Receptive dysphasia
polydipsia
Immediate Post - Op Care
prilosec
Superficial parietal lobe lesion
16. Too much insulin - no food - too much/intense exercise - onset - sudden
causes of hypoglycemia
NPH
Blood pressure
aspirin toxicity
17. 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
when mixing insulins
Sterile Field
IM meds
tamoxifen
18. Most common problem: when fluid or med leaks out of vein into tissue - edema occurs - feels cool - fluid in tissue will reabsorb eithin 24 hrs.
death
chronic obstructive pulmonary disease
infiltration r/t IV
prilosec
19. Pain relievers r/t opium
Ego integrity Vs despair
ear meds/3 and over
opiate
Semi - Fowler's
20. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Osmosis
Medications for perioperative
narrow spectrum
Immediate Post - Op Care
21. Do not give more than 3 consecutive bouts
Cl
Decision Tree Step 3?
autonomic dysreflexia
enema
22. Higher osmotic pressure than blood serum; causes cells to shrink; pulls fluid out of cells into blood stream a. Dextrose 5% or higher in saline b. Dextrose stronger than 5% in water c. Albumin
Hypertonic
estrogen and progestin
Supine
6 rights of medication administration
23. Dispose of sharps in puncture - resistant containers B. Do not recap used needles C. Wear protective barriers (gloves - gowns - masks - eyewear) when at risk for exposure to body fluids D. Clean blood spills with soap and water or household bleach 1:
Standard (Universal) Precautions
wet to dry dressing
retrovirus
Apply heat or cold day of surgery?
24. Can cause respiratory depression by decreasing rate and depth of respirations; analgesic used for moderate to severe pain; side effects include change in BP - bradycardia -
midbrain syndrome
anus - cervix - penis - and vulva
butorphanol tartrate
Wheel Chair Positioning
25. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
1 T
phlebitis
NSAIDS
depressant
26. 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.
depression
heart failure
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
foley cath(male)
27. Given right befor meals to control blood sugar
heparin/lovanox
fluid congestion
most insulins
Low - Fowler's
28. —pentamidine is an antiprotozoal agent used to prevent and/or treat Pneumocystis carinii pneumonia (PCP) - a common opportunistic infection in AIDS patients; manifestations of PCP usually include coughing - fever - dyspnea - fatigue - and weight loss
infiltration r/t IV
pentamidine isethionate
Bacteremia
rotate injection sites
29. Inability to coordinate voluntary muscle movements
'silent'
sudafed
ataxia
Dehydration
30. Headache - rash - sensitivity to light
What are symptoms of Mennengitis?
Ankyloses
Immediate Post - Op Care
platelets
31. 1 tsp
heparin/lovanox
CVL
Blood Gas Values
120 gtts of water
32. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
impaired asbsorption
Heat
retrovirus
On
33. Instruct pt to clean genitalia with soap and water and void approx 60 ml
single voided urine specimen
Thalamus Lesion
nitroglycerin
K+
34. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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35. Acetone in urine
1 pinch
Regular insulin
Reed - Sternberg cell
Acetonuria
36. Nausea and vomiting that come before abdominal pain
Acetonuria
Tylenol with codeine and Benadryl
gastroenteritis
Vitamin B12 Deficiency Anemia
37. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O
1 ml
Sterile Field
Choluria
health screening
38. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
Tylenol with codeine and Benadryl
Reed - Sternberg cell
tube feeding
Hodgkin's Lymphoma
39. This is an acute episode of severe symptoms - brought on by fever - dehydration altitude - vomiting - emotional distress - fatigue - alcohol consumption - pregnancy or excessive physical activity. Precipitated by hypoxia; provide pain relief - provid
bacteriostatic
dermatitis
Sickle Cell Crisis
transdermal patch
40. Up and back
fleets enema
ear meds/adult
What are NSAIDs mainly given for
Bacteremia
41. Needle does not puncture dura. Spinal headache unlikely. 2. Once sensation and motion return patient may be in any position that is satisfactory for the procedure.
Epidural anesthetic
Hypertonic
lasix
before surgery the pt. should stop using
42. To slow formation of scar tissue
Superficial parietal lobe lesion
rotate injection sites
depression
Hypertonic
43. Increasing dyspnea with periods of apnea
Isotonic
gaze palsy
Cheyenne Strokes
What should you NEVER pick as an answer on the NCLEX exam?
44. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
tamoxifen
Spinal anesthetic
What does Atropine Sulfate do?
Glucotrol
45. #1 is abdomen - #2 is arm - #3 is buttock
quickest absorption
tube feeding
standard precautions
Narcan or Noloxene
46. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry
1 qt
Aspirin
sterile wound irrigation
Spinal anesthetic
47. Vitamin k
'silent'
glucocorticoids
antidote foe coumadin
Restraints
48. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
Regular insulin
1 ml
Sterile Field
ear meds/ 3 and under
49. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe
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50. Analgesics - antipyretic - small anticoagulation
Acetaminophen
foley cath(male)
nthelminthic enema
catheter embolus