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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. Fluid balance - acid - base - nerve conduction a. Causes 1) Increased perspiration 2) Drinking only tap water 3) GI losses: diarrhea - vomiting - suction 4) Diuretics b - Manifestations 1) Confusion 2) Hypotension 3) Oliguria 4) Muscle weakness 5) Co
topical agents
Immediate Post - Op Care
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Hyponatremia
2. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
anus - cervix - penis - and vulva
Ego integrity Vs despair
Acetaminophen
acute appendicitis
3. Straight back
Cardiogenic Shock
ear meds/3 and over
gaze palsy
Circulatory overload
4. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
HRT
Aldosterone
retrovirus
dexamethasone
5. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
dexamethasone
beefy red tongue
Insulin
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
6. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Spread of Infection
bacteriacidal
Blood pressure
Acetonuria
7. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage
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8. Coma - dilated pupils - extensor posturing - Cheyne Stokes respirations (progressively deeper breathing followed by apnea)
tube feeding
HPV
Jacksonian seizures
midbrain syndrome
9. 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
CVL
Logrolling
anus - cervix - penis - and vulva
fluid congestion
10. O2 sat is less than 93
Loss of bone density
administer 2L O2 when
1 lb
CVL
11. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
when mixing insulins
Prone
Local cold
thrombocytopenic purpura
12. Analgesics - antipyretic - anticoagulant - anti - inflammatory
NSAIDS
nursing interventions for hypoglycemia
s/sx of hyperglycemia
aspirin toxicity
13. Human papilloma virus
broad spectrum
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
fluid congestion
HPV
14. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
Antidiuretic Hormone (ADH)
dramamine
Catapres
15. Dermatitis is an ___ of the skin that produces an itchy - red rash.
Circulatory overload
inflammation
nitroglycerin
Infiltration
16. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
Hypertonic
1 L
emphysema
Anuria
17. 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
NSAIDS
Change in mental status and confusion
burns Stage I
Modified Trendelenburg
18. Anticoagulants predispose to hemorrhage; discontinue 1-2 weeks before surgery 2. Aminoglycosides (streptomycin - gentamicin) can cause neuromuscular blockade. Anesthesiologist must know. 3. Diuretics may cause electrolyte imbalances and respiratory d
sterile wound irrigation
Medications for perioperative
epidural
Hypovolemic shock
19. 1cc
Amnesia
pentamidine isethionate
Apply heat or cold day of surgery?
1 ml
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
lasix
Metabolic acidosis
Narcotic analgesics
Tylenol with codeine and Benadryl
21. Chronic syndrome resulting in a deficiency of hormonal secretion of the adrenal cortex with darkening of skin - loss of appetite - and depression
alsalva manuever
Addison disease
Metabolic acidosis
ischemia
22. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Na+
sterile wound irrigation
checking NG tube placement
Blood Gas Values
23. Motor dysphasia
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24. Manifestations 1) Tenderness and pain in vein 2) Edema and redness at site 3) Warmth b. Management 1) Cold compresses immediately to relieve pain and inflammation 2) Follow with moist warm compresses to stimulate circulation and promote absorption
Superficial thrombophlebitis
sudafed
phenelzine sulfate
Changes during aging
25. 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
ted hose
Sterile Field
transdermal meds
Bacteremia
26. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Aspirin
Loss of bone density
Acetonuria
27. 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.
Change in mental status and confusion
Epidural anesthetic
lanolin
Bethanechol (Urecholine)
28. 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
butorphanol tartrate
inserting an NG tube
1 lb
Narcotic Antagonist: Naloxone (Narcan)
29. To slow formation of scar tissue
rotate injection sites
Vaso - occlusive (thrombotic crisis)
Air embolism
Bacteremia
30. Atbs that are effective agaist a few mo's
narrow spectrum
epidural
2.2lbs.
sliding scale
31. Acetone in urine
nephrotoxicity
captopril
Acetonuria
Aspirin
32. Outside of arachnoidal tissue - usually benign and slow growing
cathartic
endometriosis
What should you NEVER pick as an answer on the NCLEX exam?
Meningiomas Tumors (primary)
33. Resp. depression
Aldosterone
Addison disease
first sign of narcotic OD
Supine
34. A decrease in total blood volume such as hemorrhage - transfusions
Decision Tree Step 3?
Hypovolemic shock
IM meds
sliding scale
35. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
nursing interventions for severe hypoglycemia
2.2lbs.
milliliter
Respiratory alkalosis
36. Partial thickness loss of skin involving epidermis and/or part of dermis
bacteriostatic
burns Stage II
Shock
bicarbonate
37. 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
ototoxicity
eye meds(opthalmic)
thrombocytopenic purpura
Changes during aging
38. Ake with meals to reduce side effects of the drug -- e.g. - nausea - vomiting - anorexia - abdominal cramps - fatigue; these effects tend to be mild and to resolve as therapy continues
bicarbonate
digitalis
metformin (Glucophage).
CVL
39. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
dermatitis
Metabolic alkalosis
s/sx of hypoglycemia
Spread of Infection
40. Inflammation or redness of the tongue. Often seen in malnutrition.
Spinal anesthetic
glossitis
urine
nitroglycerin
41. 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 -
bacteriostatic
butorphanol tartrate
Bolus feeding
meds used for antipyretic - inflamm - and analgesia
42. Meds used to treat constipation
Choluria
Bacteremia
cathartic
Cardiogenic Shock
43. Check order - set up tube feed equip/suction - positon in fowlers - place towel - measure tube length - wipe face - ask about diff breathing through one nostril - apply lub. - flex head forward - insert gently until coughs - have swallow water - ch -
Neuromas Tumors (primary)
wet to dry dressings
inserting an NG tube
systemic hypoxia
44. 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
What is the Decision Tree Step 1?
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Bolus feeding
TB testing
45. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
Negligence
chronic obstructive pulmonary disease
tamoxifen
lanolin
46. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other
aspirin (acetylsalicylic acid)
Risk Factors for operations
Trendelenburg
prilosec
47. Sudden onset of extensive ___ - caused by conditions that cause local or systemic hypoxemia Pain is the most common symptom. Skin changes pallor or cyanosis. Not iron deficient. Open sores and ulcers from poor tissue perfusion. UA has proteins - poor
Diffusion
anus - cervix - penis - and vulva
sickling
ear meds/adult
48. Excessive mucous and high pitched cry but happens later after birth(16hrs)
What are signs of an Infant addicted to Herion?
s/sx of hypoglycemia
Immediate Post - Op Care
standard precautions
49. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
phenazopyridine
eye meds(opthalmic)
midbrain syndrome
gaze palsy
50. Increasing dyspnea with periods of apnea
Cheyenne Strokes
Adduction
Anuria
heparin/lovanox
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