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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. Onset:1-4hr. - cloudy - peak:6-10hrs. - duration:10-16 - up to 24 hrs. - cannot mix!!
phlebitis
epidural
Bacteremia
NPH
2. To slow formation of scar tissue
1 ml
rotate injection sites
Ego integrity Vs despair
Hypovolemic shock
3. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
adverse reaction of INH is hepatitis
NSAIDS
diabetes insipidus
4. On the person's abdomen 2. Prevents hip flexion contractures
foley cath(male)
Nursing care during IV infusions
Prone
1 ft
5. 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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6. Administer bronchodilators before other meds
MDI
Inderal
Prone
Sylvian aqueduct syndrome
7. Always given with short acting insulin such as reg/ humulog
sliding scale
transdermal meds
fleets enema
Choluria
8. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
Maslow's hierarchy of needs
Decison Tree Step 5?
Spinal anesthetic
Respiratory alkalosis
9. 1000 ml
Neuromas Tumors (primary)
postexposure protocol (PEP)
1 L
Standard (Universal) Precautions
10. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
health risk appraisal
Vaso - occlusive (thrombotic crisis)
Modified Trendelenburg
Insulin
11. Receptive dysphasia
Local cold
Superficial parietal lobe lesion
narrow spectrum
Aldosterone
12. 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
death
bacteriacidal
glucocorticoids
CVL
13. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs
narrow spectrum
ted hose
Hypotonic
Sponge bath
14. Infection
oil retention enema
when on steriods watch for
Hyperkalemia
diabetes mellitus (DM)
15. 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
deltoid muscle
Aldosterone
sickling
Decision Tree Step 3?
16. Apply heat to improve circulation and healing
Sim's
RACE
Circulatory overload
apply heat or cold day after surgery?
17. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
dramamine
Hodgkin's Lymphoma
retrovirus
1 qt
18. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other
Superficial parietal lobe lesion
aspirin (acetylsalicylic acid)
Neuromas Tumors (primary)
acute appendicitis
19. 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)
Bethanechol (Urecholine)
glossitis
Infiltration
Immediate Post - Op Care
20. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
bilirubin
Regular insulin
Osmotic pressure
thrombocytopenia
21. 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
Ego integrity Vs despair
metered dose inhaler
Loss of bone density
anus - cervix - penis - and vulva
22. Wasting
Atrophy
Respiratory acidosis
midbrain syndrome
checking NG tube placement
23. Outside of arachnoidal tissue - usually benign and slow growing
Blood Gas Values
Low - Fowler's
Meningiomas Tumors (primary)
NPH
24. Neurotransmitters that play important role in body's stress response
catecholamine
Neuromas Tumors (primary)
Metabolic alkalosis
general anesthesia
25. 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
epidural
opiate
1 ml
26. Is the in ability of the heart to pump sufficient blood to meet the body's needs. Symptoms include SOB - cold and pale extremities - and a persistent - dry cough due to fluid congestion in the lungs.
quickest absorption
eye meds(opthalmic)
heart failure
air embolus
27. 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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28. Atb
Registered Nurse
tetracycline
continuous feeding tube(pump)
morphine
29. 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
alsalva manuever
What should you NEVER pick as an answer on the NCLEX exam?
Shock
Bolus feeding
30. 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
Decison Tree Step 5?
Hyperkalemia
diabetes mellitus (DM)
Sickle Cell Crisis
31. 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
Infiltration
Narcan or Noloxene
aspirin (acetylsalicylic acid)
Wheel Chair Positioning
32. Look at all options as true/false
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33. Patient on side 2. Prevents aspiration when patient is not fully alert
Air embolism
Side - lying
checking NG tube placement
Basal ganglia lesion
34. 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
catecholamine
carbon dioxide levels
Registered Nurse
Choluria
35. 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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36. 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
bacteriostatic
Decision Tree Step 4?
nthelminthic enema
autonomic dysreflexia
37. Decreases RR
medically controlled coma
Blood Gas Values
nursing interventions for hypoglycemia
morphine
38. Excessive mucous and high pitched cry but happens later after birth(16hrs)
What are signs of an Infant addicted to Herion?
Respiratory acidosis
Sim's
Regular insulin
39. Helps destroy intestinal parasites
Circulatory overload
broad spectrum
nthelminthic enema
What is the Guaiac Test?
40. 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
Osmotic pressure
Air embolism
rotate injection sites
Hemophilia
41. Vitamin k
infiltration r/t IV
antidote foe coumadin
when on lasix
gaze palsy
42. Total suppression of urine
Addison's Disease
Anuria
smaller to larger
What is the Guaiac Test?
43. Aspirin
sacs (or pockets)
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
before surgery the pt. should stop using
sickling
44. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
narrow spectrum
Aldosterone
cleansing enema
transdermal patch
45. Wait 5-10 mins inbetween meds
with ear meds if there are 2 differant meds
Bethanechol (Urecholine)
Heat
Decison Tree Step 5?
46. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
pyridoxine hydrochloride (vitamin B6)
beefy red tongue
Changes during aging
digitalis
47. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Hypernatremia
bilirubin
midbrain syndrome
Isotonic
48. Tom move TOWARDS the midline
Abduction
Blood Gas Values
Adduction
Loss of bone density
49. 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
pyridoxine hydrochloride (vitamin B6)
ear meds/adult
Sponge bath
lasix
50. Constrict blood vessels
heparin/lovanox
heart failure
vasoconstrictor
sickling