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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. Inflammation or redness of the tongue. Often seen in malnutrition.






2. Act on local tissue






3. The pain usually comes prior to nausea and vomiting;






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.






5. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process






6. No more than 750-1000ml's can be taken out at a time or will cause shock






7. Able to kill bacteria






8. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.






9. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.






10. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other






11. Hormone Replacement Therapy






12. Put air into cloudy first - then clear






13. Inability to look in a particular direction of gaze (both eyes signals a brain disease)






14. Atbs that are effective agaist a few mo's






15. O2 sat is less than 93






16. Look at all options as true/false

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17. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss






18. Full thickness skin loss involving subcutaneous damage or necrosis






19. 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






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






21. On left side with lower arm behind the back 2. Good position for administering enema

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22. Another name for head injury which is any trauma to the head that can cause soft tissue damage or internal injury to the brain - and often occurs as a result of motor veh crashes - falls and sports.






23. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2






24. Treatment of CHF associated with an acute MI - relievs anginal attacks






25. Vit B12 Defiency Anemia is caused from a lack of liver meats - other meats - eggs - milk - increased need - tapeworms and ___.






26. Total suppression of urine






27. 22 - 29 mEq/l






28. 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






29. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.






30. Hypertension is sometimes called a ___ disease because many clients are symptom free until complications arise - which can occur decades after the hypertension first begins.

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31. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine






32. Motor dysphasia

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33. 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






34. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.






35. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up






36. 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






37. Given in small amounts bc is retained






38. Coma - dilated pupils - extensor posturing - Cheyne Stokes respirations (progressively deeper breathing followed by apnea)






39. 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






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






41. 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






42. 1000 g






43. Deficient oxygen in the blood.






44. Jacksonian szs - generalized szs - hemiparesis






45. Apply heat to improve circulation and healing






46. The ___ is generally printed on the package of the IV infusion set.






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






48. Commonly used diuretic (trade name Lasix) used to treat hypertension and edema






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






50. Manifestations 1) Hypotension - cyanosis - tachycardia 2) Increased venous pressure - loss of consciousness b. Prevention 1) Run fluid through tubing and needle or catheter to force air out before starting infusion 2) When using glass bottle - change