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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. Administer bronchodilators before other meds






2. 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 -






3. 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






4. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.






5. Wait 5-10 mins inbetween meds






6. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach






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






8. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water






9. Fever that waxes and wanes - is associated with Hodgkins Lymphoma






10. Instruct pt to clean genitalia with soap and water and void approx 60 ml






11. 1 tsp






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






13. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.






14. 16 oz






15. Caused by a decrease in peripheral resistance - vasoconstriction






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






17. Instruct client to avoid ingesting alcohol when taking drug






18. Gloves - mask - gown






19. 16 oz.






20. 60 gtt






21. 0.45 kg






22. Always given with short acting insulin such as reg/ humulog






23. 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






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






25. 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






26. Check balloon for patency - non dom hand open labia - dom hand cleans - insert cath 2-3' until urine returns - inflate balloon - pull back - push 1 more ' - document






27. Apply heat to improve circulation and healing






28. 120 ml most common - prep for colon exams






29. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia






30. 3 tsp






31. Dermatitis is an ___ of the skin that produces an itchy - red rash.






32. Helps destroy intestinal parasites






33. Parinaud's syndrome.






34. 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






35. To move AWAY from midline






36. Caused by poor heart action.- drugs that make heart beat more effectively






37. Common for debriding






38. Being ___ is acting in accordance with a set of standards of conduct. Nursing organizations have established a code of conduct that provides ethical guidelines for nursing practice.






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






40. 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)






41. 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






42. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






43. Routine tasks b. Routine vital signs






44. 1000 ml






45. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea






46. Analgesics - antipyretic - small anticoagulation






47. Monitor apical pulse for 1 full minute






48. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short






49. On the person's abdomen 2. Prevents hip flexion contractures






50. 12 in.