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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. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%






2. Slows down mental/physical processes






3. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing






4. 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






5. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water






6. To slow formation of scar tissue






7. 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






8. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.






9. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present






10. Contralateral dystonia - Contralateral choreoathetosis






11. Promotes circulation






12. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations






13. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.






14. Total suppression of urine






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 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






17. 16-18 F is standard adult size - children are standard 5-12F






18. Pain relievers r/t opium






19. Do not give more than 3 consecutive bouts






20. Increasing dyspnea with periods of apnea






21. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound






22. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer






23. 120 ml most common - prep for colon exams






24. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover






25. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm






26. Caused by a decrease in peripheral resistance - vasoconstriction






27. Fluid buildup in tissues - palpate areas for tenderness/consistency






28. 1 tab with 5 min not exceeding 3 doses






29. Caused by poor heart action.- drugs that make heart beat more effectively






30. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures






31. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis






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






33. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)






34. Caused by poor heart action.- drugs that make heart beat more effectively






35. Wait 5-10 mins inbetween meds






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






37. Place in semi - fowler's - open sterile suction cath - gloves as ordered - pick up sterile cath and connect to suction tubing - moisten cath with saline - insert through nostril with no suction - suction about 10 seconds - repeat






38. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious






39. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.






40. 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






41. 3 tsp






42. Patient - time - dose - route - medication - documentation






43. Head injury is one of the most common causes of ___ and disability in the U.S.






44. Stop feeding q 4-8 hrs to check residual - flush q 4-6






45. The loss of the right or left half of the field of vision in both eyes.






46. Antihistamine and antiemetic - used to treat motion sickness






47. Act on local tissue






48. Increases heart rate






49. Decision maker b. Can do complex procedures c. Can give medications via all routes that nurses can give meds d. Is best person for teaching e. Coordinates care f. Performs admission assessments






50. 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