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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. Aspirin






2. 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.






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






4. Jacksonian szs - generalized szs - hemiparesis






5. 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






6. No red meat - radishes - beets - etc... for 3 days prior to test






7. 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






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






9. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time






10. Inflammation and pain






11. Atb






12. 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






13. 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






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






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






16. Headache - rash - sensitivity to light






17. Bloodstream infection: if becomes very bas pt may have a red line along arm






18. 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.






19. Gloves - mask - gown






20. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer






21. No more than 750-1000ml's can be taken out at a time or will cause shock






22. 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






23. Stiff joints






24. 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.






25. Gown - mask - gloves






26. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present






27. Place in semi - fowler's - open sterile suction cath - gloves as ordered - pick up sterile cath and connect to suction tubing - moisten cath with saline - insert through nostril with no suction - suction about 10 seconds - repeat






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. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml






30. Does Maslow Fit? If NO - alre all answers physical or are all answers pschosocial? If yes - eliminate psychosocial - Does the physical needs make sense? Then apply your ABC's






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






32. Administer bronchodilators before other meds






33. 6 oz.






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






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






36. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.






37. 1/8 tsp






38. 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






39. 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






40. Caused by a decrease in peripheral resistance - vasoconstriction






41. Also known as a 'health screening' is a test to assess specific areas of physical growth - development - and health status. Different health screenings are done at each age/development stage.






42. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.






43. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).






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






45. Motor dysphasia

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46. Promotes circulation






47. Capsule can be opened since contents are enteric - coated microspheres; contents should be mixed into a small amount of cool - soft food such as applesauce and the applesauce should then be swallowed immediately without chewing; swallowing whole ensu






48. Is a centrally acting alpha - adrenergic used to treat hypertension; apply to nonhairy site every 7 days; side effects include drowsiness - sedation - orthostatic hypotension; heart failure






49. Right






50. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.