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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. 1cc






2. Tom move TOWARDS the midline






3. Analgesics - antipyretic - small anticoagulation






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






5. Testing for blood in the stools of an infant






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






7. 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






8. Excessive mucous and high pitched cry but happens later after birth(16hrs)






9. 16 oz.






10. Anticoagulants predispose to hemorrhage; discontinue 1-2 weeks before surgery 2. Aminoglycosides (streptomycin - gentamicin) can cause neuromuscular blockade. Anesthesiologist must know. 3. Diuretics may cause electrolyte imbalances and respiratory d






11. 1 kg






12. 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 -






13. Decreases RR






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






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






16. Look at all options as true/false

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17. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm






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






19. Do not give more than 3 consecutive bouts






20. 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.






21. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process






22. The pain usually comes prior to nausea and vomiting;






23. Inadequate blood supply to the vital organs: the brain - heart and kidneys; inadequate circulating volume. Manifestations A. Pulse pressure decreases B. Blood pressure deceases C. Urine output decreases (ADH and Aldosterone) D. Pulse increases E. Res






24. 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






25. Neurotransmitters that play important role in body's stress response






26. Gown - mask - gloves






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






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






29. 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.






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






31. 0.45 kg






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






33. Able to kill bacteria






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






35. Inflammation or redness of the tongue. Often seen in malnutrition.






36. 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)






37. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%






38. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness






39. Retards bacteria growth






40. Check lung sounds q shift for crackles

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41. 22 - 29 mEq/l






42. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's






43. 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






44. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.






45. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV






46. Instruct pt to clean genitalia with soap and water and void approx 60 ml






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






48. Prevent circulation






49. 2 pt






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