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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. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
phenazopyridine
Hypovolemic shock
Osmosis
Metabolic acidosis
2. Commonly used diuretic (trade name Lasix) used to treat hypertension and edema
lasix
quickest absorption
MDI
s/sx of hyperglycemia
3. 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 -
deltoid muscle
inserting an NG tube
RACE
Superficial parietal lobe lesion
4. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
glucocorticoids
when on steriods watch for
chronic obstructive pulmonary disease
Precentral gyrus lesion
5. Produced by adrenal cortex. Target most cells to promote breakdown of glycogen - fats - and proteins as energy sources; raise blood level of glucose.Cortisol and Cortisone are types of these hormones.
glucocorticoids
Wheel Chair Positioning
medically controlled coma
sliding scale
6. Is the condition in which endometrial tissue grows outside of the uterine cavity - most commonly in the pelvic cavity and responds to hormonal changes of the menstrual cycle.
pyridoxine hydrochloride (vitamin B6)
Spinal anesthetic
endometriosis
1 tsp
7. Head injury is one of the most common causes of ___ and disability in the U.S.
hypoxia
death
inserting an NG tube
most insulins
8. A dangerous condition in which the body tissues and cells do not have enough oxygen
quickest absorption
1 kg
Basal ganglia lesion
hypoxia
9. Analgesics - antipyretic - small anticoagulation
Cheyenne Strokes
enema
Wheel Chair Positioning
Acetaminophen
10. 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
PEP
when on lasix
Thalamus Lesion
11. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
Cheyenne Strokes
Parinaud's syndrome
beefy red tongue
Decison Tree Step 5?
12. Able to kill bacteria
glossitis
Standard (Universal) Precautions
Addisonian crisis
bacteriacidal
13. Wait 5-10 mins inbetween meds
sudafed
Superficial parietal lobe lesion
Circulatory overload
with ear meds if there are 2 differant meds
14. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
checking NG tube placement
Superficial thrombophlebitis
sliding scale
15. Monitor K+
narrow spectrum
when on lasix
vasoconstrictor
Epidural anesthetic
16. 3 tsp
1 T
Gardasil vaccine
morphine
drip rate
17. Salicylates - NSAIDs
NPH
burns Stage I
1 kg
meds used for antipyretic - inflamm - and analgesia
18. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
NG tube
Hypotonic
Circulatory overload
nursing interventions for hypoglycemia
19. 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
Adduction
Wheel Chair Positioning
1000mg
Jacksonian seizures
20. Suffocation
thrombocytopenia
6 rights of medication administration
when on digoxin
Asphyxia
21. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
s/sx of hypoglycemia
meds used for antipyretic - inflamm - and analgesia
smaller to larger
morphine
22. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
phlebitis r/t IV
bicarbonate
Internal capsule lesion
Where are the Tricuspid heart sounds located?
23. Answers starting with 'I'll or Why.'
ischemia
Where are the Tricuspid heart sounds located?
Reed - Sternberg cell
What should you NEVER pick as an answer on the NCLEX exam?
24. 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
Hypertonic
Immediate Post - Op Care
bicarbonate
Inderal
25. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
Osmosis
Na+
Lantus
Neuromas Tumors (primary)
26. 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
general anesthesia
deltoid muscle
diabetes insipidus
Metabolic alkalosis
27. Glaucoma and cataracts (lens becomes opaque) occur frequently 2. Presbyopia (farsightedness of aging) occurs in almost all persons as they age Difficulty seeing in dim light due to loss of light responsiveness Presbycussis: progressive hearing loss a
Meningiomas Tumors (primary)
Changes during aging
On
Addison disease
28. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.
Vaso - occlusive (thrombotic crisis)
catecholamine
estrogen and progestin
Spinal anesthetic
29. 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
inflammation
butorphanol tartrate
Narcotic analgesics
diverticular disease
30. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
burns Stage I
Antidote for Mag Sulfate?
Blood pressure
Osmotic pressure
31. 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.
burns Stage IV
Epidural anesthetic
burns Stage III
Insulin
32. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
septicemia
Immediate Post - Op Care
epilepsy
inserting an NG tube
33. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Modified Trendelenburg
Addison's Disease
Vaso - occlusive (thrombotic crisis)
Addisonian crisis
34. Homonymous hemianopsia - partial szs w/limited visual phenomena
NSAIDS
Adduction
nitroglycerin
Occipital Lobe Lesion
35. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis
NSAIDS
leukemia
African Americans
Decision Tree Step 3?
36. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
Addison disease
Epidural anesthetic
MDI
37. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
when mixing insulins
Lithotomy
before surgery the pt. should stop using
What should you NEVER pick as an answer on the NCLEX exam?
38. Administer bronchodilators before other meds
1 ft
tube feeding
Neuromas Tumors (primary)
MDI
39. Another name for head injury which is any trauma to the head that can cause soft tissue damage or internal injury to the brain - and often occurs as a result of motor veh crashes - falls and sports.
Aldosterone
Hemophilia
narrow spectrum
traumatic brain injury
40. 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
catecholamine
hormone replacement therapy (HRT)
Circulatory overload
Catapres
41. 22 - 29 mEq/l
diabetes insipidus
bicarbonate
when mixing insulins
CVL
42. No red meat - radishes - beets - etc... for 3 days prior to test
Glucotrol
1 teacup
stool testing
tube feeding
43. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
K+
endometriosis
Lithotomy
polycythemia vera
44. 1/8 tsp
1 kg
lithium toxicity
1 pinch
Acetonuria
45. 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
diverticular disease
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
captopril
Restraints
46. A decrease in total blood volume such as hemorrhage - transfusions
Hypovolemic shock
cleansing enema
Hodgkin's Lymphoma
lanolin
47. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Patient controlled analgesia
systemic hypoxia
homonymous hemianopsia
48. Retards bacteria growth
MDI
catheter embolus
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
bacteriostatic
49. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Shock
transdermal meds
Lantus
Acetonuria
50. Full thickness skin loss involving subcutaneous damage or necrosis
burns Stage III
pentamidine isethionate
Addisonian crisis
Prone