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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. 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)






2. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations






3. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer






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






5. 1/8 tsp






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






7. Patient is likely to be taking isoniazid (INH); INH is a mainstay in prevention and treatment of tuberculosis - used in combination with other antitubercular drugs if the disease is active; vitamin B6 is given to prevent the peripheral neuropathy - d






8. Excessive thirst (as in cases of diabetes or kidney dysfunction)






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






10. Salicylates - NSAIDs






11. Full thickness skin loss involving subcutaneous damage or necrosis






12. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time






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






14. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2






15. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life






16. Answers starting with 'I'll or Why.'






17. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious






18. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm






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






20. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.






21. 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






22. 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.






23. Promotes circulation






24. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing






25. Put air into cloudy first - then clear






26. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process






27. What disease occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone? This condition is characterized by chronic - worsening fatigue and muscle weakness - loss of appetite - and weight loss.

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28. Homonymous hemianopsia - partial szs w/limited visual phenomena






29. 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






30. Sudden onset of extensive ___ - caused by conditions that cause local or systemic hypoxemia Pain is the most common symptom. Skin changes pallor or cyanosis. Not iron deficient. Open sores and ulcers from poor tissue perfusion. UA has proteins - poor






31. 3 tsp






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






33. Suffocation






34. Head at 90 degrees 2. Used for persons with COPD

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35. Human papilloma virus






36. 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






37. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover






38. 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






39. 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






40. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia






41. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined






42. A decrease in total blood volume such as hemorrhage - transfusions






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






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. Postexposure protocol






46. Anesthesia is the partial or complete loss of sensation - and general anesthesia produces a complete loss of sensation (unconsciousneess). It is also referred to as ___.






47. Right






48. Parinaud's syndrome.






49. 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






50. Capsule can be opened since contents are enteric - coated microspheres; contents should be mixed into a small amount of cool - soft food such as applesauce and the applesauce should then be swallowed immediately without chewing; swallowing whole ensu