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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. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
lithium toxicity
Internal capsule lesion
estrogen and progestin
thrombocytopenic purpura
2. 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
Na+
What is the Decision Tree Step 1?
Bacteremia
when on steriods watch for
3. Aspirin
before surgery the pt. should stop using
Sterile Field
prilosec
foley catheter(woman)
4. Human papilloma virus
larger to smaller
HPV
Bacteremia
phenelzine sulfate
5. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
depressant
s/sx of hypoglycemia
bacteriostatic
Parinaud's syndrome
6. Is a centrally acting alpha - adrenergic used to treat hypertension; apply to nonhairy site every 7 days; side effects include drowsiness - sedation - orthostatic hypotension; heart failure
Catapres
nitroglycerin
Change in mental status and confusion
Respiratory acidosis
7. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other
depressant
hormone replacement therapy (HRT)
Low - Fowler's
aspirin (acetylsalicylic acid)
8. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Vaso - occlusive (thrombotic crisis)
medically controlled coma
Local cold
PEP
9. Inflammation or redness of the tongue. Often seen in malnutrition.
Cheyenne Strokes
epidural
Cardiogenic Shock
glossitis
10. 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
Abduction
Standard (Universal) Precautions
endometriosis
11. 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
Antidiuretic Hormone (ADH)
Ego integrity Vs despair
Broca's area lesion
12. 1cc
1 ml
urine
septicemia
nitroglycerin
13. 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
1 tsp
nursing interventions for severe hypoglycemia
14. Increases heart rate
What does Atropine Sulfate do?
Jacksonian seizures
Sim's
chronic obstructive pulmonary disease
15. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Loss of bone density
eye ointments
Metabolic alkalosis
Jacksonian seizures
16. Hang bag above stomach - clamp tubing - fill bag with formula - prime tubing - reclamp tube - attach to tube and open clamp - adjust flow - flush tube with water - disconnect
tamoxifen
side effects of barbituates
ethical
Bolus feeding
17. Hormone Replacement Therapy
HRT
chronic obstructive pulmonary disease
What should you NEVER pick as an answer on the NCLEX exam?
Registered Nurse
18. 1 g
ethical
1000mg
ataxia
Bolus feeding
19. Drowsiness - mood change - depression
What is the Decision Tree Step 1?
ethical
side effects of barbituates
causes of hyperglycemia
20. 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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21. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
Maslow's hierarchy of needs
1 lb
carbon dioxide levels
thrombocytopenic purpura
22. Head injury is one of the most common causes of ___ and disability in the U.S.
ear meds/3 and over
death
Cooling blanket
bacteriacidal
23. 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
1 ml
What are NSAIDs mainly given for
Side - lying
CVL
24. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation
Infiltration
cleansing enema
dexamethasone
Occipital Lobe Lesion
25. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
nursing interventions for hypoglycemia
health screening
Blood Gas Values
adverse reaction of INH is hepatitis
26. Left
Decision Tree Step 4?
Maslow's hierarchy of needs
side effects of barbituates
smaller to larger
27. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
beefy red tongue
edema
NG tube
What are symptoms of Mennengitis?
28. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Negligence
ataxia
Benefit of turning patient to Right side?
Spinal anesthetic
29. Decreases RR
morphine
when mixing insulins
Circulatory overload
platelets
30. The goal of ___ in care of the client with herpes is to prevent spread of the virus.
standard precautions
Nursing care during IV infusions
dexamethasone
hypertension
31. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
Parinaud's syndrome
ototoxicity
parasthesia
ear meds/ 3 and under
32. 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
Shock
Semi - Fowler's
African Americans
Superficial thrombophlebitis
33. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.
impaired asbsorption
hormone replacement therapy (HRT)
Modified Trendelenburg
Superficial parietal lobe lesion
34. Protamine sulfate
Sponge bath
antidote for heparin
prilosec
Logrolling
35. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present
Hemophilia
lithium toxicity
Atrophy
when on lasix
36. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
morphine
thrombocytopenia
Apply heat or cold day of surgery?
Choluria
37. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
anus - cervix - penis - and vulva
cleansing enema
pentamidine isethionate
Lantus
38. Extracellular volume excess 1. Causes a. Too many I.V. fluids too quickly b. Decreased kidney or heart function 2. Manifestations a. Cough - dyspnea - rales - tachypnea b. Increased blood pressure c. Increased CVP d. Neck vein distention e. Tachycard
Diffusion
Meningiomas Tumors (primary)
Hypokalemia
Circulatory overload
39. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
Change in mental status and confusion
epilepsy
What should you NEVER pick as an answer on the NCLEX exam?
1 ft
40. 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.
epilepsy
acute appendicitis
glucocorticoids
broad spectrum
41. 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
polyuria
Air embolism
Humulog
tamoxifen
42. Postexposure protocol
Hypovolemic shock
septicemia
Pel Epstein fever
PEP
43. 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
wet to dry dressings
phenazopyridine
Semi - Fowler's
Changes during aging
44. 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
Superficial thrombophlebitis
Spinal anesthetic
Adduction
Metabolic acidosis
45. Has regular insulin in it already
NPH
rotate injection sites
NG tube
Reed - Sternberg cell
46. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
1 ft
HRT
Blood Gas Values
cathartic
47. 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
Informed consent
single voided urine specimen
gaze palsy
metformin (Glucophage).
48. Caused by a decrease in peripheral resistance - vasoconstriction
Internal capsule lesion
Ankyloses
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
before surgery the pt. should stop using
49. Put air into cloudy first - then clear
120 gtts of water
Precentral gyrus lesion
Dehydration
when mixing insulins
50. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
Blood Gas Values
Cooling blanket
Splenic Sequestration
homonymous hemianopsia