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NCLEX General

  • Answer 50 questions in 15 minutes.
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  • 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. Given right befor meals to control blood sugar

2. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium

3. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery

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

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

6. 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

7. A decrease in total blood volume such as hemorrhage - transfusions

8. Contralateral dystonia - Contralateral choreoathetosis

9. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists

10. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water

11. 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 -

12. Stop feeding q 4-8 hrs to check residual - flush q 4-6

13. The goal of ___ in care of the client with herpes is to prevent spread of the virus.

14. Antianginal med used in heart attacks

15. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis

16. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea

17. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu

18. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body

19. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.

20. Jacksonian szs - generalized szs - hemiparesis

21. 80% to 90% of brain tumors - named for What part of the nerve cell affected.

22. 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 ___.

23. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis

24. Decreases RR

25. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days

26. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.

27. Routine tasks b. Routine vital signs

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

29. A dangerous condition in which the body tissues and cells do not have enough oxygen

30. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle

31. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles

32. Apply cold to prevent swelling - bleeding and relive pain

33. Movement of particles from higher to lower concentration

34. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness

35. Wait 5-10 mins inbetween meds

36. 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

37. Testing for blood in the stools of an infant

38. 6 oz.

39. Do not give more than 3 consecutive bouts

40. Apply heat to improve circulation and healing

41. Left

42. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)

43. 1 tab with 5 min not exceeding 3 doses

44. 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.

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

46. To move AWAY from midline

47. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts

48. Increases heart rate

49. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow

50. 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: