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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. The loss of the right or left half of the field of vision in both eyes.
Loss of bone density
Hyponatremia
epilepsy
homonymous hemianopsia
2. 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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3. 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
autonomic dysreflexia
Bacteremia
Blood Gas Values
Nursing care during IV infusions
4. 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
1 lb
glucocorticoids
metered dose inhaler
5. Read 48-72 hrs later - inject 0.1 ml - assess for induration(hard bump) - measure in mm - greater than 5 mm is queestionable - 5-10 need CXR - redness indicates localized reaction not a concern - problem is induration
transdermal patch
TB testing
Catapres
Addisonian crisis
6. 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
suctioning
CVL
polydipsia
alsalva manuever
7. 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
Narcotic Antagonist: Naloxone (Narcan)
IM meds
aspirin toxicity
1 teacup
8. Too much insulin - no food - too much/intense exercise - onset - sudden
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
health screening
causes of hypoglycemia
with ear meds if there are 2 differant meds
9. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Pineal gland Lesion
Aldosterone
1 T
Aspirin
10. Contralateral dystonia - Contralateral choreoathetosis
butorphanol tartrate
Basal ganglia lesion
Na+
2.2lbs.
11. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
Addisonian crisis
Circulatory overload
Neuromas Tumors (primary)
quickest absorption
12. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Respiratory acidosis
narrow spectrum
Anuria
On
13. Look at all options as true/false
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14. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
1 qt
Benefit of turning patient to Right side?
Low - Fowler's
Trendelenburg
15. Commonly used diuretic (trade name Lasix) used to treat hypertension and edema
lasix
Aspirin
Narcotic analgesics
Tylenol with codeine and Benadryl
16. Resp. depression
120 gtts of water
Hypotonic
6 rights of medication administration
first sign of narcotic OD
17. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.
with ear meds if there are 2 differant meds
herpes
Cheyenne Strokes
polyuria
18. Excessive mucous and high pitched cry but happens later after birth(16hrs)
urine
What are signs of an Infant addicted to Herion?
burns Stage II
Addison's Disease
19. The nurse teaches the client with ___ ways to change diet and lifestyle habits in order to control the condition.
smaller to larger
antidote for heparin
urine
diverticular disease
20. Act by altering perception of and response to pain 2. Act on the central nervous system 3. Adverse reactions a. Depress respirations b. Decrease alertness c. Decrease coughing d. Decrease blood pressure and pulse e. Slow peristalsis f. Constrict pupi
endometriosis
Narcotic analgesics
sacs (or pockets)
1 pinch
21. Human papilloma virus
causes of hyperglycemia
burns Stage III
Semi - Fowler's
HPV
22. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
K+
apply heat or cold day after surgery?
Metabolic acidosis
Shock
23. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
cathartic
checking NG tube placement
1 T
Blood Gas Values
24. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Isotonic
emphysema
Catapres
Metabolic acidosis
25. 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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26. 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
Sterile Field
Sylvian aqueduct syndrome
Hypernatremia
1 lb
27. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
acute appendicitis
lithium toxicity
thrombocytopenia
K+
28. Increasing dyspnea with periods of apnea
Addison's Disease
before surgery the pt. should stop using
Cheyenne Strokes
ataxia
29. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Aldosterone
Air embolism
stool testing
Standard (Universal) Precautions
30. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Broca's area lesion
broad spectrum
polycythemia vera
burns Stage IV
31. Glaucoma and cataracts (lens becomes opaque) occur frequently 2. Presbyopia (farsightedness of aging) occurs in almost all persons as they age Difficulty seeing in dim light due to loss of light responsiveness Presbycussis: progressive hearing loss a
thrombocytopenia
postexposure protocol (PEP)
death
Changes during aging
32. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long
wet to dry dressing
parasthesia
Narcotic Antagonist: Naloxone (Narcan)
apply heat or cold day after surgery?
33. 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 -
butorphanol tartrate
lanolin
Reed - Sternberg cell
Vitamin B12 Deficiency Anemia
34. 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
Metabolic acidosis
edema
Inderal
6 rights of medication administration
35. 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:
pentamidine isethionate
burns Stage III
Standard (Universal) Precautions
single voided urine specimen
36. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
Strategy for 'Select all that apply' on the NCLEX exam
Low - Fowler's
sudafed
wet to dry dressings
37. An antagonist for estrogen that is used in the treatment of breast cancer
morphine
tamoxifen
gaze palsy
Pancrelipase (Pancrease capsules
38. 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
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
1 pt
sterile wound irrigation
septicemia
39. Hang bag above stomach - clamp tubing - fill bag with formula - prime tubing - reclamp tube - attach to tube and open clamp - adjust flow - flush tube with water - disconnect
dermatitis
metformin (Glucophage).
Bolus feeding
ear meds/ 3 and under
40. 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
Broca's area lesion
Circulatory overload
bilirubin
CVL
41. 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
causes of hyperglycemia
Shock
butorphanol tartrate
Humulog
42. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
glossitis
health screening
What should you NEVER pick as an answer on the NCLEX exam?
Decision Tree Step 4?
43. Apply cold to prevent swelling - bleeding and relive pain
ototoxicity
Spinal anesthetic
Side - lying
Apply heat or cold day of surgery?
44. Atbs that are effective against many organisms
broad spectrum
dramamine
general anesthesia
heart failure
45. Common for debriding
wet to dry dressing
1 ml
tamoxifen
pentamidine isethionate
46. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
Nursing assistant
thrombocytopenia
polycythemia vera
hypertension
47. Anesthesia is the partial or complete loss of sensation - and general anesthesia produces a complete loss of sensation (unconsciousneess). It is also referred to as ___.
medically controlled coma
Blood Gas Values
ted hose
Hemophilia
48. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Immediate Post - Op Care
nitroglycerin
causes of hyperglycemia
aspirin toxicity
49. 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
tamoxifen
Regular insulin
antidote foe coumadin
Sickle Cell Crisis
50. Cause drowsiness; maintain client safety
Thalamus Lesion
Tylenol with codeine and Benadryl
IM meds
Insulin
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