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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. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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2. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Supine
Respiratory acidosis
Acetaminophen
nephrotoxicity
3. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Adduction
with ear meds if there are 2 differant meds
Maslow's hierarchy of needs
Immediate Post - Op Care
4. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
s/sx of hyperglycemia
Hypokalemia
1 pinch
polyuria
5. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
1 ml
epilepsy
1 lb
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
6. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry
sterile wound irrigation
Supine
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
glossitis
7. 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
hormone replacement therapy (HRT)
Antidote for Mag Sulfate?
Semi - Fowler's
8. The loss of the right or left half of the field of vision in both eyes.
homonymous hemianopsia
Osmosis
CVL
Side - lying
9. Stop feeding q 4-8 hrs to check residual - flush q 4-6
Immediate Post - Op Care
Hypotonic
nitroglycerin
continuous feeding tube(pump)
10. Infection
Maslow's hierarchy of needs
Cl
when on steriods watch for
antidote foe coumadin
11. Cause drowsiness; maintain client safety
bilirubin
Tylenol with codeine and Benadryl
suctioning
Osmosis
12. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
Aspirin
cleansing enema
Risk Factors for operations
13. 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
dry sterile dressing
cleansing enema
CVL
Air embolism
14. Quickly absorbed - 90 degree angle - 19-23 G needle - 1-2' length - average adult:11/2 - 22G - mandatory to aspirate - purpose is to deposit meds into deep muscle for quick absorption
Adduction
Acetaminophen
IM meds
Osmosis
15. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray
most insulins
checking NG tube placement
Decision Tree Step 3?
sub - q injections
16. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
PEP
stool testing
ted hose
17. Routine tasks b. Routine vital signs
Nursing assistant
1 lb
hormone replacement therapy (HRT)
stool testing
18. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Basal ganglia lesion
Amnesia
sliding scale
Aldosterone
19. 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 -
retrovirus
first sign of narcotic OD
butorphanol tartrate
ataxia
20. 3 tsp
Respiratory acidosis
1 T
when on digoxin
fleets enema
21. 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.
bicarbonate
systemic hypoxia
neurologic symptoms
Epidural anesthetic
22. Topical agents designed to absorb through skin for systemic effects
Sickle Cell Crisis
transdermal meds
lanolin
morphine
23. 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
morphine
Sickle Cell Crisis
Bacteremia
Bethanechol (Urecholine)
24. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Aldosterone
Vaso - occlusive (thrombotic crisis)
Ankyloses
Sylvian aqueduct syndrome
25. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.
aspirin toxicity
polycythemia vera
Hemophilia
depressant
26. Neurotransmitters that play important role in body's stress response
infiltration r/t IV
catecholamine
nthelminthic enema
ear meds/adult
27. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
Respiratory acidosis
pentamidine isethionate
Hyperkalemia
Superficial thrombophlebitis
28. 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
ear meds/ 3 and under
Superficial thrombophlebitis
lanolin
What should you NEVER pick as an answer on the NCLEX exam?
29. Act on local tissue
wet to dry dressings
autonomic dysreflexia
Splenic Sequestration
topical agents
30. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
carbon dioxide levels
Bolus feeding
transdermal patch
most insulins
31. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
neurologic symptoms
meds used for antipyretic - inflamm - and analgesia
Cardiogenic Shock
hypoxia
32. 1 tsp
suctioning
120 gtts of water
Jacksonian seizures
hormone replacement therapy (HRT)
33. Wait 5-10 mins inbetween meds
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Prone
Spinal anesthetic
with ear meds if there are 2 differant meds
34. 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
tube feeding
lanolin
gaze palsy
35. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
narrow spectrum
Ego integrity Vs despair
cleansing enema
ataxia
36. Meds used to treat constipation
Lantus
carbon dioxide levels
Hypovolemic shock
cathartic
37. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
Infiltration
Pons lesion
s/sx of hyperglycemia
retrovirus
38. Befor administering squeeze a small amount out and apply thin layer - blink
hormone replacement therapy (HRT)
eye ointments
with ear meds if there are 2 differant meds
Epidural anesthetic
39. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
Antidote for Mag Sulfate?
s/sx of hypoglycemia
bacteriostatic
Malpractice
40. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
thrombocytopenic purpura
heart failure
Benefit of turning patient to Left side?
What does Atropine Sulfate do?
41. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
nitroglycerin
Decison Tree Step 5?
Medications for perioperative
lanolin
42. Cardiotonic
Catapres
pyridoxine hydrochloride (vitamin B6)
TB testing
digitalis
43. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
eye ointments
Strategy for 'Select all that apply' on the NCLEX exam
homonymous hemianopsia
44. Answers starting with 'I'll or Why.'
Metabolic acidosis
What should you NEVER pick as an answer on the NCLEX exam?
Logrolling
Cl
45. 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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46. Painful - tissue engorgement
when on steriods watch for
1 teacup
burns Stage I
Vaso - occlusive (thrombotic crisis)
47. Generalized infection throughout body
thrombocytopenia
alsalva manuever
polyuria
septicemia
48. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.
metered dose inhaler
tamoxifen
acute appendicitis
health screening
49. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Air embolism
neurologic symptoms
Blood pressure
adverse reaction of INH is hepatitis
50. Only insulin that can be given IV
dry sterile dressing
Regular insulin
Hemophilia
cathartic