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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. Helps destroy intestinal parasites
1000mg
nthelminthic enema
Superficial parietal lobe lesion
Semi - Fowler's
2. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
s/sx of hypoglycemia
first sign of narcotic OD
sterile wound irrigation
depression
3. Straight back
polyuria
deltoid muscle
Sickle Cell Crisis
ear meds/3 and over
4. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
Hyperkalemia
ethical
Addisonian crisis
1 tsp
5. 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
Addisonian crisis
Sylvian aqueduct syndrome
Splenic Sequestration
lasix
6. 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.
infiltration r/t IV
Registered Nurse
suctioning
smaller to larger
7. 16-18 F is standard adult size - children are standard 5-12F
NG tube
valium
Infiltration
2.2lbs.
8. 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
suctioning
narrow spectrum
Bacteremia
NPH
9. 1000 g
K+
adverse reaction of INH is hepatitis
gastroenteritis
1 kg
10. Homonymous hemianopsia - partial szs w/limited visual phenomena
Humulog
platelets
Diffusion
Occipital Lobe Lesion
11. 85 - 115 mEq/l
morphine
Cl
Local cold
Change in mental status and confusion
12. —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
pentamidine isethionate
transdermal patch
Bacteremia
Adduction
13. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Decision Tree Step 4?
Lantus
Narcan or Noloxene
epilepsy
14. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
1 tsp
urine
1 lb
Decision Tree Step 4?
15. Acetone in urine
Acetonuria
Circulatory overload
heart failure
Spread of Infection
16. 1000 ml
1 L
rotate injection sites
Standard (Universal) Precautions
polyuria
17. Administer bronchodilators before other meds
Patient controlled analgesia
Reed - Sternberg cell
MDI
Negligence
18. Jacksonian szs - generalized szs - hemiparesis
Precentral gyrus lesion
Sim's
Hyponatremia
Nursing assistant
19. 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
Change in mental status and confusion
Diffusion
autonomic dysreflexia
Risk Factors for operations
20. Inability to coordinate voluntary muscle movements
Sponge bath
Hyponatremia
What are symptoms of Mennengitis?
ataxia
21. Patient on side 2. Prevents aspiration when patient is not fully alert
Acetaminophen
impaired asbsorption
Side - lying
Hypovolemic shock
22. Antihistamine and antiemetic - used to treat motion sickness
dramamine
Pineal gland Lesion
Metabolic alkalosis
traumatic brain injury
23. What disease occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone? This condition is characterized by chronic - worsening fatigue and muscle weakness - loss of appetite - and weight loss.
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24. 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.
sterile wound irrigation
when on lasix
epidural
aspirin toxicity
25. 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
traumatic brain injury
Sickle Cell Crisis
Hypernatremia
nephrotoxicity
26. 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.
metformin (Glucophage).
Bethanechol (Urecholine)
chronic obstructive pulmonary disease
endometriosis
27. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other
Aldosterone
when on lasix
aspirin (acetylsalicylic acid)
tube feeding
28. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
ear meds/3 and over
phenazopyridine
Hypotonic
Respiratory acidosis
29. 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.
Reed - Sternberg cell
deltoid muscle
hypoxia
Addisonian crisis
30. 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.
Where are the Tricuspid heart sounds located?
hypertension
fluid congestion
Asphyxia
31. Emergency care can be given to stabilize patient who is not able to give consent. 2. Age of majority is eighteen 3. Unconscious adults need permission for care by parents or spouse if married. 4. Persons who are not alert or have been given mind alte
infiltration r/t IV
Circulatory overload
Informed consent
Hypovolemic shock
32. 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
What is the Decision Tree Step 1?
pernicious anemia
High - Fowler's
leukemia
33. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)
Infiltration
Medications for perioperative
RACE
diabetes insipidus
34. 1 tsp
1 lb
What are symptoms of Mennengitis?
120 gtts of water
causes of hyperglycemia
35. 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
thrombocytopenia
Risk Factors for operations
Immediate Post - Op Care
suctioning
36. Atb
Infiltration
Local cold
causes of hyperglycemia
tetracycline
37. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair
butorphanol tartrate
tamoxifen
Wheel Chair Positioning
eye ointments
38. Movement of particles from higher to lower concentration
sliding scale
Diffusion
Asphyxia
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
39. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
causes of hyperglycemia
carbon dioxide levels
Local cold
lanolin
40. Instruct client to avoid ingesting alcohol when taking drug
adverse reaction of INH is hepatitis
when on lasix
causes of hyperglycemia
bacteriacidal
41. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Modified Trendelenburg
health risk appraisal
Metabolic alkalosis
TB testing
42. Tom move TOWARDS the midline
hormone replacement therapy (HRT)
Adduction
Medications for perioperative
aspirin toxicity
43. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
sudafed
Acetaminophen
morphine
neurologic symptoms
44. Too much insulin - no food - too much/intense exercise - onset - sudden
foley catheter(woman)
1 tsp
causes of hypoglycemia
drip rate
45. 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.
Cardiogenic Shock
Respiratory acidosis
Choluria
Epidural anesthetic
46. Receptive dysphasia
Epidural anesthetic
Sickle Cell Crisis
Superficial parietal lobe lesion
Registered Nurse
47. 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
Intradermal injections
What are symptoms of Mennengitis?
Neuromas Tumors (primary)
Hypertonic
48. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
epilepsy
NPH
Epidural anesthetic
Addisonian crisis
49. Painful - tissue engorgement
Trendelenburg
1 qt
fleets enema
Vaso - occlusive (thrombotic crisis)
50. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
impaired asbsorption
bilirubin
Spinal anesthetic
gastroenteritis