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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. Head injury is one of the most common causes of ___ and disability in the U.S.
urine
death
wet to dry dressing
Hodgkin's Lymphoma
2. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
alsalva manuever
Hypovolemic shock
Shock
3. Headache - rash - sensitivity to light
topical agents
herpes
What are symptoms of Mennengitis?
Atrophy
4. Calcium Gluconate
Ego integrity Vs despair
1 qt
Antidote for Mag Sulfate?
1 ml
5. Another name for head injury which is any trauma to the head that can cause soft tissue damage or internal injury to the brain - and often occurs as a result of motor veh crashes - falls and sports.
tetracycline
traumatic brain injury
K+
NPH
6. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing
Glioblastoma Multiform Tumors (primary)
Nursing care during IV infusions
antidote for heparin
fleets enema
7. Befor administering squeeze a small amount out and apply thin layer - blink
sudafed
Narcotic Antagonist: Naloxone (Narcan)
urine
eye ointments
8. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
impaired asbsorption
Glioblastoma Multiform Tumors (primary)
CVL
Lantus
9. 50% of all primary tumors - linked to specific genetic mutations
Glioblastoma Multiform Tumors (primary)
when on lasix
eye ointments
Immediate Post - Op Care
10. 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
metered dose inhaler
What is the Decision Tree Step 1?
nursing interventions for hypoglycemia
Superficial thrombophlebitis
11. The pain usually comes prior to nausea and vomiting;
acute appendicitis
lasix
tamoxifen
digitalis
12. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
postexposure protocol (PEP)
alsalva manuever
nursing interventions for hypoglycemia
1 teacup
13. To move AWAY from midline
Narcotic Antagonist: Naloxone (Narcan)
Apply heat or cold day of surgery?
Broca's area lesion
Abduction
14. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
Cardiogenic Shock
causes of hypoglycemia
Metabolic acidosis
sacs (or pockets)
15. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
Osmosis
Glioblastoma Multiform Tumors (primary)
bacteriostatic
Shock
16. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
transdermal patch
1 lb
edema
Metabolic acidosis
17. Early hydrocephalus - papillary abnormalities - Parinaud's Syndrome
Pineal gland Lesion
nursing interventions for severe hypoglycemia
nephrotoxicity
TB testing
18. Extracellular volume excess 1. Causes a. Too many I.V. fluids too quickly b. Decreased kidney or heart function 2. Manifestations a. Cough - dyspnea - rales - tachypnea b. Increased blood pressure c. Increased CVP d. Neck vein distention e. Tachycard
phenazopyridine
Jacksonian seizures
beefy red tongue
Circulatory overload
19. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)
African Americans
Occipital Lobe Lesion
hypertension
Shock
20. Suffocation
foley catheter(woman)
Asphyxia
High - Fowler's
catecholamine
21. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
ear meds/ 3 and under
Blood Gas Values
when mixing insulins
What are NSAIDs mainly given for
22. Extracellular fluid volume deficit 1. Causes: Loosing more fluid than is taken in a. Vomiting b. Diarrhea c. Diuretics d. Increased respirations e. Insufficient I.V. fluid replacement or PO 2. Manifestations a. Weight loss b. Poor skin turgor c. Dry
bacteriacidal
Hyponatremia
Restraints
Dehydration
23. 5th Intercostal space - left side sternal border
Cheyenne Strokes
Hyperkalemia
Where are the Tricuspid heart sounds located?
Hypotonic
24. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
tetracycline
urine
Modified Trendelenburg
parasthesia
25. 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
Addison's Disease
Air embolism
NG tube
Hemophilia
26. A rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys)characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst
morphine
Strategy for 'Select all that apply' on the NCLEX exam
diabetes insipidus
cleansing enema
27. 1 tab with 5 min not exceeding 3 doses
nitroglycerin
Spread of Infection
tube feeding
Heat
28. Human papilloma virus
Antidote for Mag Sulfate?
HPV
Addison disease
Reed - Sternberg cell
29. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
topical agents
platelets
Abduction
Decison Tree Step 5?
30. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Antidiuretic Hormone (ADH)
acute appendicitis
Diffusion
Aldosterone
31. Straight back
standard precautions
diabetes insipidus
ear meds/3 and over
Addison disease
32. 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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on line
183
33. 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
Broca's area lesion
aspirin (acetylsalicylic acid)
Hypokalemia
African Americans
34. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Sterile Field
tamoxifen
Ego integrity Vs despair
35. Down and back
ear meds/ 3 and under
Bacteremia
depression
Glioblastoma Multiform Tumors (primary)
36. 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
dramamine
foley catheter(woman)
Hypernatremia
ototoxicity
37. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
Tylenol with codeine and Benadryl
fluid congestion
first sign of narcotic OD
cleansing enema
38. Commonly used diuretic (trade name Lasix) used to treat hypertension and edema
foley catheter(woman)
Epidural anesthetic
sickling
lasix
39. Given right befor meals to control blood sugar
tube feeding
most insulins
bilirubin
Where are the Tricuspid heart sounds located?
40. Up and back
Abduction
ear meds/adult
Sim's
oil retention enema
41. 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
Metabolic alkalosis
Risk Factors for operations
Hypovolemic shock
Hypernatremia
42. The ___ is generally printed on the package of the IV infusion set.
herpes
1 pinch
Dehydration
drip rate
43. Sudden onset of extensive ___ - caused by conditions that cause local or systemic hypoxemia Pain is the most common symptom. Skin changes pallor or cyanosis. Not iron deficient. Open sores and ulcers from poor tissue perfusion. UA has proteins - poor
cleansing enema
sickling
Ego integrity Vs despair
Occipital Lobe Lesion
44. 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
NPH
Pancrelipase (Pancrease capsules
standard precautions
Blood Gas Values
45. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
120 gtts of water
Immediate Post - Op Care
acute appendicitis
Apply heat or cold day of surgery?
46. Has regular insulin in it already
NPH
Change in mental status and confusion
Precentral gyrus lesion
drip rate
47. 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
Aldosterone
Narcotic Antagonist: Naloxone (Narcan)
Immediate Post - Op Care
Registered Nurse
48. Salicylates - NSAIDs
meds used for antipyretic - inflamm - and analgesia
tetracycline
Occipital Lobe Lesion
wet to dry dressing
49. 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.
ototoxicity
Pineal gland Lesion
endometriosis
diabetes mellitus (DM)
50. 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
HRT
CVL
homonymous hemianopsia
Air embolism
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