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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. Outside of arachnoidal tissue - usually benign and slow growing
Meningiomas Tumors (primary)
gastroenteritis
Superficial parietal lobe lesion
burns Stage III
2. Excessive mucous and high pitched cry but happens later after birth(16hrs)
Vaso - occlusive (thrombotic crisis)
Asphyxia
What are signs of an Infant addicted to Herion?
Restraints
3. 2 pt
HRT
Narcotic Antagonist: Naloxone (Narcan)
1 qt
Hemophilia
4. Fluid balance - acid - base - nerve conduction a. Causes 1) Increased perspiration 2) Drinking only tap water 3) GI losses: diarrhea - vomiting - suction 4) Diuretics b - Manifestations 1) Confusion 2) Hypotension 3) Oliguria 4) Muscle weakness 5) Co
transdermal meds
Benefit of turning patient to Right side?
Hyponatremia
epidural
5. On the person's abdomen 2. Prevents hip flexion contractures
Na+
'silent'
Prone
tamoxifen
6. Homonymous hemianopsia - partial szs w/limited visual phenomena
oil retention enema
Pancrelipase (Pancrease capsules
Occipital Lobe Lesion
Tylenol with codeine and Benadryl
7. 60 gtt
dexamethasone
1 tsp
inflammation
antidote for heparin
8. 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 -
Regular insulin
inserting an NG tube
Wheel Chair Positioning
Narcan or Noloxene
9. 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
Hodgkin's Lymphoma
Risk Factors for operations
sliding scale
Addison's Disease
10. Caused by a decrease in peripheral resistance - vasoconstriction
What is the Decision Tree Step 1?
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
systemic hypoxia
Air embolism
11. The ___ is generally printed on the package of the IV infusion set.
Circulatory overload
drip rate
apply heat or cold day after surgery?
retrovirus
12. Generalized infection throughout body
septicemia
epidural
Decision Tree Step 4?
Sterile Field
13. A decrease in total blood volume such as hemorrhage - transfusions
homonymous hemianopsia
NSAIDS
Hyperkalemia
Hypovolemic shock
14. 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
Tylenol with codeine and Benadryl
Hypokalemia
Superficial thrombophlebitis
Pancrelipase (Pancrease capsules
15. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
bacteriacidal
Respiratory alkalosis
valium
causes of hypoglycemia
16. 1/8 tsp
Splenic Sequestration
adverse reaction of INH is hepatitis
Change in mental status and confusion
1 pinch
17. 1 kg
1 kg
2.2lbs.
Nursing care during IV infusions
'silent'
18. Caused by poor heart action.- drugs that make heart beat more effectively
epidural
lasix
Cardiogenic Shock
bacteriacidal
19. 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
burns Stage I
ear meds/ 3 and under
1 T
Medications for perioperative
20. 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.
Sterile Field
Bacteremia
Epidural anesthetic
sub - q injections
21. Gloves - mask - gown
Maslow's hierarchy of needs
Low - Fowler's
wet to dry dressings
off
22. The pain usually comes prior to nausea and vomiting;
Epidural anesthetic
Cooling blanket
acute appendicitis
wet to dry dressing
23. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.
Superficial thrombophlebitis
heparin/lovanox
health screening
Shock
24. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Gardasil vaccine
What are symptoms of Mennengitis?
standard precautions
Aldosterone
25. A generalized reaction to contaminated equipment or solutions a. Manifestations 1) Chills and fever 30-60 minutes after start of infusion 2) Flushing - sudden pulse increase 3) Backache - headache 4) Nausea - vomiting 5) Hypotension - vascular collap
Bacteremia
Nursing care during IV infusions
1 ml
thrombocytopenic purpura
26. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.
herpes
eye ointments
Acetaminophen
2.2lbs.
27. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
Circulatory overload
when on lasix
sudafed
Epidural anesthetic
28. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
Osmosis
Lantus
midbrain syndrome
endometriosis
29. Does Maslow Fit? If NO - alre all answers physical or are all answers pschosocial? If yes - eliminate psychosocial - Does the physical needs make sense? Then apply your ABC's
Decision Tree Step 3?
depression
depressant
sterile wound irrigation
30. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.
wet to dry dressings
Blood Gas Values
depression
HRT
31. Neurotransmitters that play important role in body's stress response
Benefit of turning patient to Right side?
CVL
health risk appraisal
catecholamine
32. 1 tab with 5 min not exceeding 3 doses
Epidural anesthetic
nitroglycerin
eye ointments
Low - Fowler's
33. Increases heart rate
Hypertonic
What does Atropine Sulfate do?
Adduction
Pel Epstein fever
34. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
larger to smaller
lasix
wet to dry dressing
ototoxicity
35. Contralateral dystonia - Contralateral choreoathetosis
Basal ganglia lesion
Respiratory acidosis
Hemophilia
Broca's area lesion
36. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
Loss of bone density
Circulatory overload
beefy red tongue
Prone
37. 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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38. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Aldosterone
acute appendicitis
Respiratory acidosis
opiate
39. Holding one's breath & attempt to exhale - Done during exercise - heavy lifting - birth delivery - coughing - sneezing - straining when urinating - defecating - vomiting. May cause cardiac arrest with a weakened heart - Encourage proper breathing whe
fluid congestion
lasix
opiate
alsalva manuever
40. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
Addison disease
K+
Pel Epstein fever
Sponge bath
41. Helps destroy intestinal parasites
nthelminthic enema
1 tsp
vasoconstrictor
parasthesia
42. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
Metabolic alkalosis
air embolus
PEP
43. Inability to coordinate voluntary muscle movements
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Occipital Lobe Lesion
NG tube
ataxia
44. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
nursing interventions for hypoglycemia
Sylvian aqueduct syndrome
wet to dry dressings
Air embolism
45. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Where are the Tricuspid heart sounds located?
nitroglycerin
Blood Gas Values
eye meds(opthalmic)
46. Rescue Alarm Contain Evacuate
before surgery the pt. should stop using
RACE
with ear meds if there are 2 differant meds
ischemia
47. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles
valium
catecholamine
dramamine
Vitamin B12 Deficiency Anemia
48. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
Thalamus Lesion
Metabolic acidosis
gastroenteritis
polycythemia vera
49. 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:
Standard (Universal) Precautions
Thalamus Lesion
narrow spectrum
Side - lying
50. Full thickness skin loss involving subcutaneous damage or necrosis
when on digoxin
Respiratory acidosis
Hypotonic
burns Stage III