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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. Can do sterile procedures b. Can give medications except IV meds
PEP
inflammation
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Pineal gland Lesion
2. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
single voided urine specimen
urine
Malpractice
Shock
3. Only insulin that can be given IV
Regular insulin
Lithotomy
Adduction
Vaso - occlusive (thrombotic crisis)
4. Always given with short acting insulin such as reg/ humulog
Apply heat or cold day of surgery?
Addison's Disease
sliding scale
nursing interventions for severe hypoglycemia
5. Left
epilepsy
High - Fowler's
smaller to larger
Bolus feeding
6. Shake med - have pt breathe out - when starts to inhale press down - have the pt hold breath for 10 seconds - wait 1 min befroe next dose
metered dose inhaler
captopril
Shock
single voided urine specimen
7. Hormone Replacement Therapy
Antidiuretic Hormone (ADH)
bacteriostatic
administer 2L O2 when
HRT
8. Jacksonian szs - generalized szs - hemiparesis
septicemia
s/sx of hyperglycemia
Atrophy
Precentral gyrus lesion
9. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
health risk appraisal
Risk Factors for operations
Pons lesion
10. Most common problem: when fluid or med leaks out of vein into tissue - edema occurs - feels cool - fluid in tissue will reabsorb eithin 24 hrs.
infiltration r/t IV
Addisonian crisis
What does Atropine Sulfate do?
Dehydration
11. Outside of arachnoidal tissue - usually benign and slow growing
Meningiomas Tumors (primary)
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Medications for perioperative
MDI
12. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
lasix
phlebitis
Supine
Semi - Fowler's
13. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.
autonomic dysreflexia
Precentral gyrus lesion
1 kg
depression
14. On the person's back 2. Maintains alignment
midbrain syndrome
Supine
smaller to larger
general anesthesia
15. Patient - time - dose - route - medication - documentation
foley cath(male)
dry sterile dressing
6 rights of medication administration
cathartic
16. Instruct client to avoid ingesting alcohol when taking drug
adverse reaction of INH is hepatitis
cleansing enema
Circulatory overload
quickest absorption
17. The ___ has been proven to be effective in preventing two of the strains of human papilloma virus (HPV) responsible for a large percentage of cervical cancer cases.
1 pinch
Gardasil vaccine
African Americans
infiltration r/t IV
18. Monitor K+
when on steriods watch for
ataxia
Malpractice
when on lasix
19. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
most insulins
Humulog
stool testing
20. Contralateral thalamus pain - contralateral hemisensory loss.
aspirin (acetylsalicylic acid)
lithium toxicity
Thalamus Lesion
Cooling blanket
21. 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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22. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
platelets
Parinaud's syndrome
Hypovolemic shock
Blood Gas Values
23. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
Glucotrol
retrovirus
Osmosis
Occipital Lobe Lesion
24. Gown - mask - gloves
PEP
Addisonian crisis
On
first sign of narcotic OD
25. 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
On
diverticular disease
Sterile Field
26. Given in small amounts bc is retained
oil retention enema
Antidote for Mag Sulfate?
Nursing care during IV infusions
glucocorticoids
27. 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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28. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine
lithium toxicity
IM meds
Bethanechol (Urecholine)
dermatitis
29. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
Aldosterone
Hypotonic
s/sx of hypoglycemia
transdermal meds
30. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
hypertension
Blood pressure
Respiratory alkalosis
Immediate Post - Op Care
31. Inflammation and pain
beefy red tongue
impaired asbsorption
What are NSAIDs mainly given for
sterile wound irrigation
32. 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
metformin (Glucophage).
Basal ganglia lesion
inflammation
1 lb
33. 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
suctioning
checking NG tube placement
6 rights of medication administration
34. Atb
Semi - Fowler's
tetracycline
Lantus
Local cold
35. 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.
leukemia
epidural
1 L
eye ointments
36. Increasing dyspnea with periods of apnea
Ego integrity Vs despair
Ego integrity Vs despair
Cheyenne Strokes
when on lasix
37. 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
alsalva manuever
narrow spectrum
Hypovolemic shock
K+
38. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
burns Stage IV
Regular insulin
impaired asbsorption
Logrolling
39. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.
fluid congestion
hormone replacement therapy (HRT)
phlebitis r/t IV
Cardiogenic Shock
40. Total suppression of urine
Anuria
Jacksonian seizures
Occipital Lobe Lesion
Thalamus Lesion
41. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
hormone replacement therapy (HRT)
tube feeding
Hypokalemia
butorphanol tartrate
42. Loss of defective memory
Amnesia
Abduction
HRT
Sim's
43. Wasting
Lantus
Aldosterone
lanolin
Atrophy
44. 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
opiate
Amnesia
Anuria
What is the Decision Tree Step 1?
45. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P
acute appendicitis
foley cath(male)
wet to dry dressings
Circulatory overload
46. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2
Risk Factors for operations
alsalva manuever
Jacksonian seizures
continuous feeding tube(pump)
47. Patient is moved all at once so there is no twisting of spine B. One person moves the head and shoulders C. Second person moves the feet and legs at the same time D. Turning sheet may be helpful E. Place the bed in a high position to promote good bod
Logrolling
neurologic symptoms
Malpractice
general anesthesia
48. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie
aspirin (acetylsalicylic acid)
Hypokalemia
phenelzine sulfate
Patient controlled analgesia
49. Being ___ is acting in accordance with a set of standards of conduct. Nursing organizations have established a code of conduct that provides ethical guidelines for nursing practice.
Tylenol with codeine and Benadryl
ethical
eye meds(opthalmic)
health screening
50. 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
1 ft
when on digoxin
Narcotic Antagonist: Naloxone (Narcan)
Basal ganglia lesion