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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. Infection






2. Shake med - have pt breathe out - when starts to inhale press down - have the pt hold breath for 10 seconds - wait 1 min befroe next dose






3. A large multinucleated or multilobed cell with inclusion body- like nucleoli surrounded by a halo of clear nucleoplasm and must be present to dx Hodgkin's Lymphoma.






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






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






6. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






7. Bile in urine






8. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician






9. 1000 g






10. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26






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






12. Narcotic






13. Analgesic - antipyretic - anticoagulant - anti - inflammatory






14. Antidepressant.......MAOI inhibitor.....Relieves depression......Nardil..food without tyramine






15. Inflammation and pain






16. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery

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






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. Mask symptoms of hypoglycemia - removing your body's early warning systembeta - blockers bind beta - adrenergic receptor sites - which prevents adrenaline from causing symptoms and glycogenolysis






20. 1cc






21. 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






22. Jacksonian szs - generalized szs - hemiparesis






23. Excessive thirst (as in cases of diabetes or kidney dysfunction)






24. 0.45 kg






25. Increases heart rate






26. Are the answers assessments or implementations? If their a mix of both - read the stem to see if you should assess or implement first and then select answer






27. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach






28. Increasing dyspnea with periods of apnea






29. Check lung sounds q shift for crackles

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30. 3 tsp






31. Monitor K+






32. Patient on side 2. Prevents aspiration when patient is not fully alert






33. 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 -






34. 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






35. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs






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






37. 50% of all primary tumors - linked to specific genetic mutations






38. Generalized infection throughout body






39. 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






40. 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






41. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time






42. Wasting






43. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair






44. Caused by a decrease in peripheral resistance - vasoconstriction






45. Only insulin that can be given IV






46. Postexposure protocol






47. O2 sat is less than 93






48. Treatment of CHF associated with an acute MI - relievs anginal attacks






49. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle






50. 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