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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. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles
lithium toxicity
continuous feeding tube(pump)
valium
cathartic
2. A dangerous condition in which the body tissues and cells do not have enough oxygen
High - Fowler's
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
gastroenteritis
hypoxia
3. Analgesic - antipyretic - anticoagulant - anti - inflammatory
1 qt
Nursing assistant
Aspirin
Immediate Post - Op Care
4. Partial thickness loss of skin involving epidermis and/or part of dermis
Sponge bath
Hypertonic
morphine
burns Stage II
5. Do not give more than 3 consecutive bouts
Decision Tree Step 3?
enema
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
nitroglycerin
6. Produced by adrenal cortex. Target most cells to promote breakdown of glycogen - fats - and proteins as energy sources; raise blood level of glucose.Cortisol and Cortisone are types of these hormones.
glucocorticoids
Occipital Lobe Lesion
Na+
Respiratory alkalosis
7. 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
eye ointments
transdermal patch
Medications for perioperative
nitroglycerin
8. 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
before surgery the pt. should stop using
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
autonomic dysreflexia
Choluria
9. Monitor K+
1 pt
anus - cervix - penis - and vulva
Pons lesion
when on lasix
10. Contralateral dystonia - Contralateral choreoathetosis
On
morphine
continuous feeding tube(pump)
Basal ganglia lesion
11. 1000 ml
Apply heat or cold day of surgery?
1 L
Hyponatremia
tamoxifen
12. Loss of defective memory
cathartic
Meningiomas Tumors (primary)
Cardiogenic Shock
Amnesia
13. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
s/sx of hypoglycemia
Circulatory overload
CVL
sub - q injections
14. Is the condition in which endometrial tissue grows outside of the uterine cavity - most commonly in the pelvic cavity and responds to hormonal changes of the menstrual cycle.
endometriosis
Glioblastoma Multiform Tumors (primary)
phenelzine sulfate
Standard (Universal) Precautions
15. Jacksonian szs - generalized szs - hemiparesis
prilosec
dry sterile dressing
Precentral gyrus lesion
NSAIDS
16. 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
Catapres
topical agents
Where are the Tricuspid heart sounds located?
foley catheter(woman)
17. 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.
Aplastic Crisis
captopril
Respiratory alkalosis
Superficial thrombophlebitis
18. 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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19. Drowsiness - mood change - depression
1 ml
sliding scale
NSAIDS
side effects of barbituates
20. Contralateral thalamus pain - contralateral hemisensory loss.
Thalamus Lesion
narrow spectrum
Addison's Disease
nursing interventions for hypoglycemia
21. Always given with short acting insulin such as reg/ humulog
sliding scale
aspirin toxicity
Respiratory alkalosis
Where are the Tricuspid heart sounds located?
22. Coma - dilated pupils - extensor posturing - Cheyne Stokes respirations (progressively deeper breathing followed by apnea)
Local cold
Hypovolemic shock
gastroenteritis
midbrain syndrome
23. Analgesics - antipyretic - anticoagulant - anti - inflammatory
Tylenol with codeine and Benadryl
NSAIDS
Immediate Post - Op Care
before surgery the pt. should stop using
24. Patient - time - dose - route - medication - documentation
Diffusion
lanolin
Malpractice
6 rights of medication administration
25. Befor administering squeeze a small amount out and apply thin layer - blink
eye ointments
Addison's Disease
off
cathartic
26. Toxicity due to blood and protien in the urine
nephrotoxicity
Reed - Sternberg cell
polyuria
Narcan or Noloxene
27. 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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28. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
Immediate Post - Op Care
platelets
with ear meds if there are 2 differant meds
Hypotonic
29. 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 -
Osmotic pressure
eye ointments
butorphanol tartrate
depression
30. Wait 5-10 mins inbetween meds
120 gtts of water
with ear meds if there are 2 differant meds
transdermal meds
Regular insulin
31. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
herpes
nursing interventions for severe hypoglycemia
meds used for antipyretic - inflamm - and analgesia
Amnesia
32. Higher osmotic pressure than blood serum; causes cells to shrink; pulls fluid out of cells into blood stream a. Dextrose 5% or higher in saline b. Dextrose stronger than 5% in water c. Albumin
Hypertonic
drip rate
sub - q injections
Addison's Disease
33. 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:
morphine
Standard (Universal) Precautions
foley catheter(woman)
infiltration r/t IV
34. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage
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35. Patient is likely to be taking isoniazid (INH); INH is a mainstay in prevention and treatment of tuberculosis - used in combination with other antitubercular drugs if the disease is active; vitamin B6 is given to prevent the peripheral neuropathy - d
Gardasil vaccine
dexamethasone
oil retention enema
pyridoxine hydrochloride (vitamin B6)
36. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days
Addison disease
parasthesia
causes of hyperglycemia
Hypernatremia
37. Bruising will occur aroun inj. sites - apply pressure for at least 30 seconds - check for bleeding gums - stools - sheck V/S for internal bleeding with anticoagulants
most insulins
Hypovolemic shock
Negligence
heparin/lovanox
38. The ___ is generally printed on the package of the IV infusion set.
Side - lying
drip rate
Decison Tree Step 5?
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
39. Gloves - mask - gown
estrogen and progestin
1 tsp
sterile wound irrigation
off
40. Wasting
Atrophy
rotate injection sites
fluid congestion
lanolin
41. Monitor apical pulse for 1 full minute
Sterile Field
when on digoxin
Sylvian aqueduct syndrome
Circulatory overload
42. 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.
Narcotic Antagonist: Naloxone (Narcan)
diabetes mellitus (DM)
Epidural anesthetic
Heat
43. This is an acute episode of severe symptoms - brought on by fever - dehydration altitude - vomiting - emotional distress - fatigue - alcohol consumption - pregnancy or excessive physical activity. Precipitated by hypoxia; provide pain relief - provid
Sickle Cell Crisis
nitroglycerin
butorphanol tartrate
meds used for antipyretic - inflamm - and analgesia
44. Gown - mask - gloves
On
Nursing assistant
diabetes insipidus
first sign of narcotic OD
45. 85 - 115 mEq/l
Cl
sub - q injections
Osmosis
Restraints
46. 1cc
lasix
Malpractice
1 ml
phlebitis r/t IV
47. Stop feeding q 4-8 hrs to check residual - flush q 4-6
continuous feeding tube(pump)
epidural
Isotonic
Local cold
48. Antihistamine and antiemetic - used to treat motion sickness
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
nitroglycerin
dramamine
postexposure protocol (PEP)
49. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2
Malpractice
Risk Factors for operations
sudafed
HPV
50. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Bethanechol (Urecholine)
2.2lbs.
Respiratory acidosis
topical agents