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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. 3.5 - 5.5 mEq/l
midbrain syndrome
milliliter
K+
Restraints
2. To move AWAY from midline
ataxia
lithium toxicity
nephrotoxicity
Abduction
3. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
Addison's Disease
Benefit of turning patient to Right side?
Decison Tree Step 5?
burns Stage II
4. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
death
burns Stage I
Respiratory alkalosis
dermatitis
5. Only used for 1-2 ml of med b/c is smaller muscle
standard precautions
anus - cervix - penis - and vulva
sterile wound irrigation
deltoid muscle
6. 1000 ml
1 L
Hyperkalemia
suctioning
nursing interventions for hypoglycemia
7. Act by altering perception of and response to pain 2. Act on the central nervous system 3. Adverse reactions a. Depress respirations b. Decrease alertness c. Decrease coughing d. Decrease blood pressure and pulse e. Slow peristalsis f. Constrict pupi
foley catheter(woman)
Narcotic analgesics
Spinal anesthetic
Low - Fowler's
8. Rescue Alarm Contain Evacuate
1 qt
Strategy for 'Select all that apply' on the NCLEX exam
nitroglycerin
RACE
9. 16 oz.
heparin/lovanox
leukemia
1 lb
lanolin
10. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
Gardasil vaccine
Glucotrol
aspirin toxicity
Strategy for 'Select all that apply' on the NCLEX exam
11. Aspirin
Cardiogenic Shock
HPV
before surgery the pt. should stop using
Metabolic alkalosis
12. Left
High - Fowler's
health screening
phlebitis
smaller to larger
13. Tom move TOWARDS the midline
Adduction
Medications for perioperative
lithium toxicity
estrogen and progestin
14. 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
lithium toxicity
Circulatory overload
polyuria
What are symptoms of Mennengitis?
15. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
Sponge bath
Respiratory acidosis
septicemia
Aspirin
16. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
when on digoxin
homonymous hemianopsia
Superficial thrombophlebitis
17. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P
What is the Decision Tree Step 1?
sterile wound irrigation
Broca's area lesion
Circulatory overload
18. 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.
Hypertonic
Heat
Patient controlled analgesia
Gardasil vaccine
19. 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
single voided urine specimen
narrow spectrum
Sterile Field
Hypertonic
20. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.
fluid congestion
rotate injection sites
catecholamine
fleets enema
21. Follow physician's orders B. Do not apply without order except in emergency C. Use least restraint possible D. Each unit should have a written protocol E. Check patient frequently for safety F. Loosen restraints every 2 hours G. Do not use as punishm
Restraints
burns Stage IV
Glioblastoma Multiform Tumors (primary)
emphysema
22. 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)
ear meds/ 3 and under
nitroglycerin
Infiltration
1 teacup
23. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Superficial thrombophlebitis
Decision Tree Step 2?
Lantus
'silent'
24. An antagonist for estrogen that is used in the treatment of breast cancer
tamoxifen
RACE
Pons lesion
1 ml
25. Infection
Lithotomy
Strategy for 'Select all that apply' on the NCLEX exam
6 rights of medication administration
when on steriods watch for
26. Nausea and vomiting that come before abdominal pain
burns Stage IV
gastroenteritis
milliliter
HRT
27. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O
Restraints
Pel Epstein fever
Sterile Field
Addison disease
28. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.
Isotonic
general anesthesia
Osmosis
Anuria
29. 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.
sub - q injections
sliding scale
Epidural anesthetic
depressant
30. 3 tsp
checking NG tube placement
1 T
1 lb
before surgery the pt. should stop using
31. 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
aspirin (acetylsalicylic acid)
diabetes insipidus
Osmotic pressure
tamoxifen
32. 0.45 kg
drip rate
Acetonuria
1 lb
foley catheter(woman)
33. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
phenazopyridine
Superficial thrombophlebitis
Osmosis
Insulin
34. No longer than 10-20 seconds at a time - allow pt to rest between suctioning - flush cath with NS between suctionings - 80-100 mm is normal adult suction
Metabolic alkalosis
suctioning
lasix
when on lasix
35. Increases heart rate
Lithotomy
What does Atropine Sulfate do?
heart failure
quickest absorption
36. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
diabetes insipidus
Ego integrity Vs despair
burns Stage IV
polycythemia vera
37. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
nursing interventions for severe hypoglycemia
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Glucotrol
tamoxifen
38. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
depressant
Infiltration
Respiratory alkalosis
phenelzine sulfate
39. A dangerous condition in which the body tissues and cells do not have enough oxygen
CVL
Bacteremia
hypoxia
Meningiomas Tumors (primary)
40. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.
sacs (or pockets)
hormone replacement therapy (HRT)
Tylenol with codeine and Benadryl
RACE
41. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray
Regular insulin
1 pinch
checking NG tube placement
Asphyxia
42. 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
Narcan or Noloxene
when on digoxin
Catapres
morphine
43. 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
Sylvian aqueduct syndrome
Superficial thrombophlebitis
sub - q injections
TB testing
44. 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
Change in mental status and confusion
s/sx of hyperglycemia
polycythemia vera
120 gtts of water
45. Human papilloma virus
parasthesia
Atrophy
Respiratory alkalosis
HPV
46. 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:
heparin/lovanox
butorphanol tartrate
Standard (Universal) Precautions
Hodgkin's Lymphoma
47. Suffocation
Vaso - occlusive (thrombotic crisis)
Aspirin
Asphyxia
Infiltration
48. Calcium Gluconate
death
Antidote for Mag Sulfate?
Metabolic acidosis
stool testing
49. Retards bacteria growth
Nursing care during IV infusions
enema
bacteriostatic
1 ft
50. 1 tab with 5 min not exceeding 3 doses
Low - Fowler's
endometriosis
Aldosterone
nitroglycerin
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