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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. Calcium Gluconate
platelets
1 L
Antidote for Mag Sulfate?
phlebitis
2. Promotes circulation
rotate injection sites
Benefit of turning patient to Left side?
K+
Aplastic Crisis
3. Receptive dysphasia
Bolus feeding
sliding scale
Hypernatremia
Superficial parietal lobe lesion
4. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
eye meds(opthalmic)
Addison disease
epidural
Isotonic
5. May occur when changing bags - opening line
TB testing
air embolus
Blood Gas Values
Asphyxia
6. Monitor K+
when on lasix
pentamidine isethionate
wet to dry dressing
bicarbonate
7. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.
transdermal patch
estrogen and progestin
Cheyenne Strokes
death
8. Given in small amounts bc is retained
Asphyxia
oil retention enema
Sylvian aqueduct syndrome
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
9. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.
1 pinch
health screening
s/sx of hyperglycemia
Respiratory acidosis
10. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
fleets enema
burns Stage IV
Occipital Lobe Lesion
impaired asbsorption
11. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
ted hose
Metabolic acidosis
medically controlled coma
ear meds/3 and over
12. Has regular insulin in it already
NPH
continuous feeding tube(pump)
ataxia
administer 2L O2 when
13. Analgesics - antipyretic - small anticoagulation
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Acetaminophen
checking NG tube placement
1 ft
14. 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
before surgery the pt. should stop using
pernicious anemia
polycythemia vera
Circulatory overload
15. Always given with short acting insulin such as reg/ humulog
Broca's area lesion
sliding scale
Respiratory acidosis
eye ointments
16. Nausea and vomiting that come before abdominal pain
thrombocytopenia
digitalis
administer 2L O2 when
gastroenteritis
17. Put air into cloudy first - then clear
when mixing insulins
Pel Epstein fever
urine
Hemophilia
18. Inability to look in a particular direction of gaze (both eyes signals a brain disease)
gaze palsy
dermatitis
Immediate Post - Op Care
checking NG tube placement
19. Dermatologic
Reed - Sternberg cell
lanolin
Loss of bone density
Sterile Field
20. Are the answers assessments or implementations? If their a mix of both - read the stem to see if you should assess or implement first and then select answer
burns Stage II
polydipsia
Decision Tree Step 2?
polyuria
21. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Na+
Ego integrity Vs despair
Vaso - occlusive (thrombotic crisis)
Maslow's hierarchy of needs
22. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.
Aplastic Crisis
Circulatory overload
Internal capsule lesion
Vitamin B12 Deficiency Anemia
23. Loss of defective memory
morphine
Amnesia
fluid congestion
6 rights of medication administration
24. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
beefy red tongue
vasoconstrictor
Metabolic alkalosis
Immediate Post - Op Care
25. Right
larger to smaller
sickling
sudafed
sub - q injections
26. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
Trendelenburg
general anesthesia
dry sterile dressing
Occipital Lobe Lesion
27. Can do sterile procedures b. Can give medications except IV meds
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
gastroenteritis
Inderal
digitalis
28. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
lithium toxicity
emphysema
chronic obstructive pulmonary disease
Patient controlled analgesia
29. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle
Neuromas Tumors (primary)
sub - q injections
Nursing assistant
Heat
30. 5th Intercostal space - left side sternal border
Hyperkalemia
Addison disease
Where are the Tricuspid heart sounds located?
Neuromas Tumors (primary)
31. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Modified Trendelenburg
when on steriods watch for
Neuromas Tumors (primary)
Metabolic alkalosis
32. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Local cold
Decision Tree Step 4?
morphine
Circulatory overload
33. 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
Vitamin B12 Deficiency Anemia
ischemia
Ego integrity Vs despair
Metabolic acidosis
34. Human papilloma virus
s/sx of hyperglycemia
HPV
Changes during aging
1 lb
35. Also known as a 'health screening' is a test to assess specific areas of physical growth - development - and health status. Different health screenings are done at each age/development stage.
CVL
when mixing insulins
RACE
health risk appraisal
36. 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.
lithium toxicity
Cooling blanket
glucocorticoids
dexamethasone
37. 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.
Low - Fowler's
platelets
Reed - Sternberg cell
thrombocytopenic purpura
38. 120 ml most common - prep for colon exams
Cooling blanket
fleets enema
Catapres
1000mg
39. 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
postexposure protocol (PEP)
Medications for perioperative
homonymous hemianopsia
Neuromas Tumors (primary)
40. Patient is moved all at once so there is no twisting of spine B. One person moves the head and shoulders C. Second person moves the feet and legs at the same time D. Turning sheet may be helpful E. Place the bed in a high position to promote good bod
Osmotic pressure
prilosec
urine
Logrolling
41. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Blood Gas Values
acute appendicitis
Cheyenne Strokes
Aspirin
42. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles
Glucotrol
Decision Tree Step 3?
gaze palsy
valium
43. No longer than 10-20 seconds at a time - allow pt to rest between suctioning - flush cath with NS between suctionings - 80-100 mm is normal adult suction
milliliter
suctioning
6 rights of medication administration
Catapres
44. Atbs that are effective against many organisms
1 lb
broad spectrum
Immediate Post - Op Care
1 kg
45. A decrease in total blood volume such as hemorrhage - transfusions
thrombocytopenic purpura
homonymous hemianopsia
Insulin
Hypovolemic shock
46. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Lithotomy
Reed - Sternberg cell
eye meds(opthalmic)
foley cath(male)
47. Gloves - mask - gown
Metabolic acidosis
1 ft
off
Adduction
48. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
Metabolic alkalosis
cleansing enema
burns Stage I
Narcotic Antagonist: Naloxone (Narcan)
49. Fluid balance - acid - base - nerve conduction a. Causes 1) Increased perspiration 2) Drinking only tap water 3) GI losses: diarrhea - vomiting - suction 4) Diuretics b - Manifestations 1) Confusion 2) Hypotension 3) Oliguria 4) Muscle weakness 5) Co
1 L
narrow spectrum
Hyponatremia
causes of hyperglycemia
50. Apply heat to improve circulation and healing
apply heat or cold day after surgery?
Change in mental status and confusion
HRT
Catapres
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