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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. Inability to coordinate voluntary muscle movements






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






4. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle






5. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long






6. Up and back






7. 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






8. 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






9. Gown - mask - gloves






10. Hormone Replacement Therapy






11. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery

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12. 50% of all primary tumors - linked to specific genetic mutations






13. Routine tasks b. Routine vital signs






14. 80% to 90% of brain tumors - named for What part of the nerve cell affected.






15. Sheet between patient and cooling blanket b. Prevent skin damage c. Change position frequently d. No shivering: Muscle relaxant may be given if patient shivering






16. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists






17. Atbs that are effective agaist a few mo's






18. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.






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






20. Inflammation and pain






21. Reverses effects of other narcotics






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






23. Analgesics - antipyretic - small anticoagulation






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






26. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.






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






28. The pain usually comes prior to nausea and vomiting;






29. Parinaud's syndrome.






30. 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






31. 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






32. Protamine sulfate






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






34. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).






35. 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






36. Bloodstream infection: if becomes very bas pt may have a red line along arm






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






38. Administer bronchodilators before other meds






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

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40. Can do sterile procedures b. Can give medications except IV meds






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






42. Mask symptoms of hypoglycemia - removing your body's early warning systembeta - blockers bind beta - adrenergic receptor sites - which prevents adrenaline from causing symptoms and glycogenolysis






43. 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






44. Check lung sounds q shift for crackles

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45. Loss of defective memory






46. 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






47. The ___ is generally printed on the package of the IV infusion set.






48. Pain relievers r/t opium






49. To slow formation of scar tissue






50. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time