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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. 16 oz.
phenazopyridine
fluid congestion
Bacteremia
1 lb
2. 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
Decision Tree Step 3?
NSAIDS
Splenic Sequestration
1 ft
3. Apply heat to improve circulation and healing
phlebitis
Insulin
apply heat or cold day after surgery?
burns Stage III
4. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
diverticular disease
transdermal patch
thrombocytopenic purpura
Informed consent
5. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.
Choluria
herpes
burns Stage II
wet to dry dressing
6. 2 pt
Changes during aging
phenazopyridine
1 qt
hypertension
7. 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
wet to dry dressing
enema
Pons lesion
Hyponatremia
8. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
What should you NEVER pick as an answer on the NCLEX exam?
Decison Tree Step 5?
polyuria
Addison's Disease
9. 50% of all primary tumors - linked to specific genetic mutations
Glioblastoma Multiform Tumors (primary)
topical agents
Circulatory overload
general anesthesia
10. The goal of ___ in care of the client with herpes is to prevent spread of the virus.
catecholamine
6 rights of medication administration
Anuria
standard precautions
11. Caused by a midbrain lesion; vertical gaze center impaired. Sx's: no vertical gaze - dilated and irregular pupils - eyelid abnormalities and impaired convergence. - characterized by impaired upward vertical gaze and loss of the pupillary light reflex
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12. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
when on steriods watch for
Respiratory acidosis
depression
anus - cervix - penis - and vulva
13. Drowsiness - mood change - depression
Spinal anesthetic
Antidote for Mag Sulfate?
'silent'
side effects of barbituates
14. Increases heart rate
Supine
What does Atropine Sulfate do?
Nursing care during IV infusions
Lithotomy
15. Inflamm of the vessel: caused by irritaition of vessel by needle - cannula - meds. S/S are warnth - swelling - tenderness. IV must be dc'd - warm compress to decrease discomfort
Malpractice
1 L
tamoxifen
phlebitis r/t IV
16. 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
Osmosis
Change in mental status and confusion
Hyperkalemia
polycythemia vera
17. 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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18. 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
larger to smaller
anus - cervix - penis - and vulva
Internal capsule lesion
What is the Decision Tree Step 1?
19. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
broad spectrum
aspirin (acetylsalicylic acid)
1 lb
thrombocytopenia
20. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
single voided urine specimen
opiate
Regular insulin
catheter embolus
21. Chronic syndrome resulting in a deficiency of hormonal secretion of the adrenal cortex with darkening of skin - loss of appetite - and depression
Addison disease
1 pt
phenazopyridine
Pineal gland Lesion
22. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
antidote foe coumadin
tube feeding
nitroglycerin
Metabolic acidosis
23. Local anemia in a given body part sometimes resulting from vasoconstriction or thrombosis or embolism - to hold back blood; decreased blood flow to tissue caused by constriction or occlusion of a blood vessel
ischemia
foley catheter(woman)
Medications for perioperative
tube feeding
24. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
NG tube
s/sx of hyperglycemia
Immediate Post - Op Care
causes of hyperglycemia
25. 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
Negligence
Hypovolemic shock
Superficial thrombophlebitis
Decision Tree Step 3?
26. Routine tasks b. Routine vital signs
1 lb
Heat
Pineal gland Lesion
Nursing assistant
27. 10 degree angle - 25-27G needle - 5/8-1/2' needle - barely cover bevel under skin - do not do near a vein - do to the side - used for PPD&allergy testing
Intradermal injections
What should you NEVER pick as an answer on the NCLEX exam?
homonymous hemianopsia
Benefit of turning patient to Right side?
28. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Catapres
dexamethasone
homonymous hemianopsia
Lantus
29. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
ototoxicity
burns Stage III
Narcan or Noloxene
causes of hypoglycemia
30. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Standard (Universal) Precautions
Trendelenburg
Supine
oil retention enema
31. Loss of defective memory
Amnesia
beefy red tongue
Shock
NSAIDS
32. Jacksonian szs - generalized szs - hemiparesis
Precentral gyrus lesion
Respiratory acidosis
glossitis
Strategy for 'Select all that apply' on the NCLEX exam
33. Constrict blood vessels
Infiltration
herpes
pyridoxine hydrochloride (vitamin B6)
vasoconstrictor
34. Slows down mental/physical processes
depressant
What should you NEVER pick as an answer on the NCLEX exam?
Blood Gas Values
aspirin (acetylsalicylic acid)
35. The ___ is generally printed on the package of the IV infusion set.
drip rate
NSAIDS
administer 2L O2 when
sliding scale
36. Excessive mucous and high pitched cry but happens later after birth(16hrs)
Decison Tree Step 5?
Sylvian aqueduct syndrome
Metabolic acidosis
What are signs of an Infant addicted to Herion?
37. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
High - Fowler's
eye meds(opthalmic)
Metabolic acidosis
s/sx of hyperglycemia
38. 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
Occipital Lobe Lesion
NSAIDS
endometriosis
Hypernatremia
39. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
platelets
Supine
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
NPH
40. Hypertension is sometimes called a ___ disease because many clients are symptom free until complications arise - which can occur decades after the hypertension first begins.
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41. On the person's abdomen 2. Prevents hip flexion contractures
carbon dioxide levels
larger to smaller
Narcotic Antagonist: Naloxone (Narcan)
Prone
42. A decrease in total blood volume such as hemorrhage - transfusions
inflammation
Intradermal injections
checking NG tube placement
Hypovolemic shock
43. Only insulin that can be given IV
nephrotoxicity
Regular insulin
Circulatory overload
hypoxia
44. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair
Jacksonian seizures
foley catheter(woman)
Inderal
Wheel Chair Positioning
45. Neurotransmitters that play important role in body's stress response
milliliter
Apply heat or cold day of surgery?
catecholamine
Addison disease
46. 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 -
HPV
Apply heat or cold day of surgery?
inserting an NG tube
enema
47. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
What is the Decision Tree Step 1?
Air embolism
Acetonuria
48. 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.
epidural
Glioblastoma Multiform Tumors (primary)
lanolin
heart failure
49. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Aspirin
TB testing
carbon dioxide levels
wet to dry dressing
50. Befor administering squeeze a small amount out and apply thin layer - blink
lanolin
1 qt
eye ointments
Benefit of turning patient to Right side?