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






2. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis






3. 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






4. Manifestations 1) Muscle weakness 2) Weak pulse and ECG changes b. Causes 1) Potassium depleting diuretics 2) Burns 3) Diarrhea - colitis 4) Vomiting c. Management: Potassium replacement -- DO Not give Digoxin






5. —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






6. Movement of particles from higher to lower concentration






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






8. Slows down mental/physical processes






9. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.






10. 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.






11. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia






12. Human papilloma virus






13. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.






14. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures






15. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.






16. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.






17. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26






18. Pain relievers r/t opium






19. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus






20. 3.5 - 5.5 mEq/l






21. 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 -






22. Stiff joints






23. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)






24. 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.






25. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation






26. 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






27. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound






28. Total suppression of urine






29. 22 - 29 mEq/l






30. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.






31. 1 tab with 5 min not exceeding 3 doses






32. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.






33. Given in small amounts bc is retained






34. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray






35. 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






36. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia






37. 1cc






38. Apply heat to improve circulation and healing






39. 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






40. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.






41. 1 g






42. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation






43. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.






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






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






47. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.






48. Hormone Replacement Therapy






49. Check balloon for patency - non dom hand open labia - dom hand cleans - insert cath 2-3' until urine returns - inflate balloon - pull back - push 1 more ' - document






50. Inflammation and pain