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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. Flush daily with saline or heparin to prevent clots from forming B. Change dressing three times per week C. Check for infection D. Discard 5-10 ml when drawing blood E. In multilumen catheters use ports for designated purpose F. Valsalva's maneuver w
s/sx of hyperglycemia
CVL
phenazopyridine
foley catheter(woman)
2. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
wet to dry dressings
CVL
tetracycline
nitroglycerin
3. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Antidote for Mag Sulfate?
Vaso - occlusive (thrombotic crisis)
Blood pressure
Anuria
4. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation
Respiratory alkalosis
Epidural anesthetic
thrombocytopenia
captopril
5. 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.
sliding scale
adverse reaction of INH is hepatitis
hypertension
Respiratory acidosis
6. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
Internal capsule lesion
beefy red tongue
general anesthesia
Decision Tree Step 3?
7. Bloodstream infection: if becomes very bas pt may have a red line along arm
septicemia
oil retention enema
Registered Nurse
chronic obstructive pulmonary disease
8. Painful - tissue engorgement
Parinaud's syndrome
1 T
African Americans
Vaso - occlusive (thrombotic crisis)
9. —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
Metabolic alkalosis
when on digoxin
Pineal gland Lesion
10. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
inserting an NG tube
Metabolic acidosis
Blood pressure
'silent'
11. Vitamin k
Hyponatremia
antidote foe coumadin
digitalis
What are signs of an Infant addicted to Herion?
12. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
Benefit of turning patient to Left side?
thrombocytopenia
morphine
Hypovolemic shock
13. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
eye meds(opthalmic)
Immediate Post - Op Care
1 lb
meds used for antipyretic - inflamm - and analgesia
14. 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.
Decision Tree Step 3?
heparin/lovanox
epidural
sickling
15. 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.
Meningiomas Tumors (primary)
Regular insulin
glossitis
Epidural anesthetic
16. 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
Isotonic
polydipsia
suctioning
Ankyloses
17. Act on local tissue
Changes during aging
inflammation
topical agents
Insulin
18. Chronic syndrome resulting in a deficiency of hormonal secretion of the adrenal cortex with darkening of skin - loss of appetite - and depression
Addison disease
septicemia
autonomic dysreflexia
septicemia
19. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
Respiratory acidosis
Neuromas Tumors (primary)
Respiratory alkalosis
Decison Tree Step 5?
20. Down and back
ear meds/ 3 and under
Modified Trendelenburg
TB testing
Choluria
21. Bruising will occur aroun inj. sites - apply pressure for at least 30 seconds - check for bleeding gums - stools - sheck V/S for internal bleeding with anticoagulants
heparin/lovanox
emphysema
Infiltration
Anuria
22. On left side with lower arm behind the back 2. Good position for administering enema
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23. Antihistamine medications are often prescribed for ___ - and the nurse should advise clients that these medications can cause drowsiness and the lcient should avoid operating any type of eqpt (including driving).
Prone
Standard (Universal) Precautions
adverse reaction of INH is hepatitis
dermatitis
24. Full thickness skin loss involving subcutaneous damage or necrosis
impaired asbsorption
burns Stage III
Where are the Tricuspid heart sounds located?
Glucotrol
25. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
nitroglycerin
chronic obstructive pulmonary disease
Spinal anesthetic
systemic hypoxia
26. Instruct client to avoid ingesting alcohol when taking drug
depression
adverse reaction of INH is hepatitis
Choluria
depressant
27. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
Hypotonic
dry sterile dressing
What are signs of an Infant addicted to Herion?
health screening
28. 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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29. Holding one's breath & attempt to exhale - Done during exercise - heavy lifting - birth delivery - coughing - sneezing - straining when urinating - defecating - vomiting. May cause cardiac arrest with a weakened heart - Encourage proper breathing whe
nursing interventions for severe hypoglycemia
1 T
alsalva manuever
nitroglycerin
30. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery
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31. 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
pernicious anemia
Blood Gas Values
phlebitis r/t IV
Side - lying
32. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
Hypotonic
vasoconstrictor
phlebitis
diverticular disease
33. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
Medications for perioperative
burns Stage I
antidote foe coumadin
gaze palsy
34. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
nursing interventions for severe hypoglycemia
Atrophy
Sponge bath
ethical
35. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
suctioning
foley cath(male)
Restraints
Glucotrol
36. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray
Aplastic Crisis
checking NG tube placement
when mixing insulins
tetracycline
37. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
enema
chronic obstructive pulmonary disease
Infiltration
phlebitis
38. Decreases RR
morphine
Aldosterone
ear meds/3 and over
Bethanechol (Urecholine)
39. Drowsiness - mood change - depression
s/sx of hypoglycemia
RACE
bacteriostatic
side effects of barbituates
40. Patient on side 2. Prevents aspiration when patient is not fully alert
nthelminthic enema
Hemophilia
Where are the Tricuspid heart sounds located?
Side - lying
41. The ___ is generally printed on the package of the IV infusion set.
bicarbonate
Low - Fowler's
bilirubin
drip rate
42. Given right befor meals to control blood sugar
Ego integrity Vs despair
most insulins
Infiltration
Broca's area lesion
43. Jacksonian szs - generalized szs - hemiparesis
Side - lying
120 gtts of water
Precentral gyrus lesion
phenelzine sulfate
44. Head at 90 degrees 2. Used for persons with COPD
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45. 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
1 kg
What is the Decision Tree Step 1?
wet to dry dressing
Basal ganglia lesion
46. In the elderly - change in mental status - particularly confusion - is very often the presenting symptom of infection; fever may be absent even when bacteremia or pneumonia are present
Change in mental status and confusion
traumatic brain injury
Cl
postexposure protocol (PEP)
47. Wasting
when on lasix
Atrophy
thrombocytopenic purpura
What should you NEVER pick as an answer on the NCLEX exam?
48. 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
Wheel Chair Positioning
eye meds(opthalmic)
TB testing
Splenic Sequestration
49. 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
dramamine
causes of hypoglycemia
Gardasil vaccine
50. 1000 g
phlebitis r/t IV
Metabolic acidosis
1 kg
depression