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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. 1 kg






2. 1 tab with 5 min not exceeding 3 doses






3. 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






4. To slow formation of scar tissue






5. Patient - time - dose - route - medication - documentation






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






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






8. Also known as pernicious anemia - is characterized by an interruption in the formation of RBC precursor cells. Interruption in the formation of RBC precursor cells - will result in a high number of large - immature cells.






9. What disease occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone? This condition is characterized by chronic - worsening fatigue and muscle weakness - loss of appetite - and weight loss.

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10. May occur when changing bags - opening line






11. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's






12. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.






13. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water






14. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.






15. Increasing dyspnea with periods of apnea






16. Stiff joints






17. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia






18. Is a condition in which Bp is abnormally high. In adults - ___ is dx with Bp readings higher than 140 mmHg systolic or 90 mmHg diastolic after 3 separate readings that are recorded several weeks apart.






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






20. Homonymous hemianopsia - partial szs w/limited visual phenomena






21. Has regular insulin in it already






22. The nurse teaches the client with ___ ways to change diet and lifestyle habits in order to control the condition.






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






24. Emergency life - threatening condition which can occur with spinal cord injuries above T6 after spinal shock resolves - which is 1 to 6 weeks after injury; causes include visceral distension and noxious stimuli such as skin pressure - temperature ext






25. 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 -






26. Atbs that are effective against many organisms






27. Monitor apical pulse for 1 full minute






28. Quickly absorbed - 90 degree angle - 19-23 G needle - 1-2' length - average adult:11/2 - 22G - mandatory to aspirate - purpose is to deposit meds into deep muscle for quick absorption






29. Emergency care can be given to stabilize patient who is not able to give consent. 2. Age of majority is eighteen 3. Unconscious adults need permission for care by parents or spouse if married. 4. Persons who are not alert or have been given mind alte






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






31. 12 in.






32. 50% of all primary tumors - linked to specific genetic mutations






33. 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






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






35. Onset:1-4hr. - cloudy - peak:6-10hrs. - duration:10-16 - up to 24 hrs. - cannot mix!!






36. 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.






37. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short






38. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation






39. Bile in urine






40. 1000 g






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






42. Is the in ability of the heart to pump sufficient blood to meet the body's needs. Symptoms include SOB - cold and pale extremities - and a persistent - dry cough due to fluid congestion in the lungs.






43. Retards bacteria growth






44. Fluid buildup in tissues - palpate areas for tenderness/consistency






45. 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






46. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone






47. Monitor K+






48. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short






49. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose






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