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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. 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






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






3. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days






4. 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.






5. 1/8 tsp






6. Inability to look in a particular direction of gaze (both eyes signals a brain disease)






7. An antagonist for estrogen that is used in the treatment of breast cancer






8. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss






9. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray






10. 10 degree angle - 25-27G needle - 5/8-1/2' needle - barely cover bevel under skin - do not do near a vein - do to the side - used for PPD&allergy testing






11. Down and back






12. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h






13. 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.






14. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness






15. Apply cold to prevent swelling - bleeding and relive pain






16. Can you Identify the topic of the question? If yes - cont to step 2 - if no read answer choices for clues and the go to step 2






17. 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






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






19. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.






20. 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






21. Slows down mental/physical processes






22. Wasting






23. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis






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






25. 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






26. 16-18 F is standard adult size - children are standard 5-12F






27. Postexposure protocol






28. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie






29. 5th Intercostal space - left side sternal border






30. 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






31. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O






32. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.






33. Cardiotonic






34. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.






35. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin






36. Local anemia in a given body part sometimes resulting from vasoconstriction or thrombosis or embolism - to hold back blood; decreased blood flow to tissue caused by constriction or occlusion of a blood vessel






37. 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






38. 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






39. Loss of defective memory






40. Emergency care can be given to stabilize patient who is not able to give consent. 2. Age of majority is eighteen 3. Unconscious adults need permission for care by parents or spouse if married. 4. Persons who are not alert or have been given mind alte






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






42. 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.






43. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles






44. Inadequate blood supply to the vital organs: the brain - heart and kidneys; inadequate circulating volume. Manifestations A. Pulse pressure decreases B. Blood pressure deceases C. Urine output decreases (ADH and Aldosterone) D. Pulse increases E. Res






45. 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






46. Neurotransmitters that play important role in body's stress response






47. Vit B12 Defiency Anemia is caused from a lack of liver meats - other meats - eggs - milk - increased need - tapeworms and ___.






48. Gloves - mask - gown






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






50. 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