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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. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage
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2. 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
1 teacup
Informed consent
death
Broca's area lesion
3. 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
Asphyxia
HRT
suctioning
Bacteremia
4. Needle does not puncture dura. Spinal headache unlikely. 2. Once sensation and motion return patient may be in any position that is satisfactory for the procedure.
RACE
Epidural anesthetic
herpes
quickest absorption
5. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Cardiogenic Shock
Isotonic
CVL
polydipsia
6. Jacksonian szs - generalized szs - hemiparesis
NG tube
Precentral gyrus lesion
Nursing care during IV infusions
Blood pressure
7. Also known as pernicious anemia - is characterized by an interruption in the formation of RBC precursor cells. Interruption in the formation of RBC precursor cells - will result in a high number of large - immature cells.
opiate
Vitamin B12 Deficiency Anemia
Reed - Sternberg cell
aspirin (acetylsalicylic acid)
8. Cardiotonic
Decision Tree Step 3?
digitalis
Sylvian aqueduct syndrome
HPV
9. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
dexamethasone
digitalis
carbon dioxide levels
10. 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
metered dose inhaler
postexposure protocol (PEP)
Decision Tree Step 3?
Decision Tree Step 2?
11. Act on local tissue
captopril
Metabolic alkalosis
HRT
topical agents
12. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
Narcotic Antagonist: Naloxone (Narcan)
Gardasil vaccine
Wheel Chair Positioning
nursing interventions for hypoglycemia
13. 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
narrow spectrum
medically controlled coma
What is the Decision Tree Step 1?
Circulatory overload
14. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Loss of bone density
What are symptoms of Mennengitis?
1 ft
bicarbonate
15. 1 kg
Ego integrity Vs despair
hypoxia
diabetes mellitus (DM)
2.2lbs.
16. A decrease in total blood volume such as hemorrhage - transfusions
1000mg
Hypovolemic shock
Side - lying
Catapres
17. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle
sub - q injections
Registered Nurse
phlebitis r/t IV
Cooling blanket
18. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
broad spectrum
Hyperkalemia
topical agents
Sim's
19. Slows down mental/physical processes
Anuria
traumatic brain injury
depressant
suctioning
20. Extracellular fluid volume deficit 1. Causes: Loosing more fluid than is taken in a. Vomiting b. Diarrhea c. Diuretics d. Increased respirations e. Insufficient I.V. fluid replacement or PO 2. Manifestations a. Weight loss b. Poor skin turgor c. Dry
Bethanechol (Urecholine)
sub - q injections
Apply heat or cold day of surgery?
Dehydration
21. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
phenazopyridine
Internal capsule lesion
6 rights of medication administration
sterile wound irrigation
22. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
Insulin
postexposure protocol (PEP)
1 qt
foley cath(male)
23. Act by altering perception of and response to pain 2. Act on the central nervous system 3. Adverse reactions a. Depress respirations b. Decrease alertness c. Decrease coughing d. Decrease blood pressure and pulse e. Slow peristalsis f. Constrict pupi
Osmosis
1 L
impaired asbsorption
Narcotic analgesics
24. 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
rotate injection sites
diabetes insipidus
Patient controlled analgesia
broad spectrum
25. 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 -
inserting an NG tube
Hypovolemic shock
before surgery the pt. should stop using
wet to dry dressing
26. To move AWAY from midline
Abduction
Regular insulin
catheter embolus
Addisonian crisis
27. 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
Epidural anesthetic
Broca's area lesion
stool testing
Medications for perioperative
28. Straight back
ear meds/3 and over
polydipsia
Low - Fowler's
1 T
29. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
Hyponatremia
NPH
phlebitis r/t IV
anus - cervix - penis - and vulva
30. Gloves - mask - gown
polyuria
morphine
off
Sickle Cell Crisis
31. Always given with short acting insulin such as reg/ humulog
sliding scale
bicarbonate
fluid congestion
Side - lying
32. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
epilepsy
Hyperkalemia
most insulins
Regular insulin
33. Given in small amounts bc is retained
Catapres
lasix
oil retention enema
platelets
34. O2 sat is less than 93
sliding scale
Strategy for 'Select all that apply' on the NCLEX exam
Narcan or Noloxene
administer 2L O2 when
35. On the person's abdomen 2. Prevents hip flexion contractures
nephrotoxicity
What are symptoms of Mennengitis?
Prone
ear meds/ 3 and under
36. 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
Blood Gas Values
alsalva manuever
prilosec
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
37. Routine tasks b. Routine vital signs
Nursing assistant
morphine
gaze palsy
Jacksonian seizures
38. Antianginal med used in heart attacks
Nursing assistant
milliliter
nitroglycerin
Medications for perioperative
39. Wait 5-10 mins inbetween meds
rotate injection sites
with ear meds if there are 2 differant meds
dramamine
health screening
40. Narcotic
septicemia
Lithotomy
morphine
1 pinch
41. 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
metered dose inhaler
dry sterile dressing
PEP
Hodgkin's Lymphoma
42. Chronic syndrome resulting in a deficiency of hormonal secretion of the adrenal cortex with darkening of skin - loss of appetite - and depression
Hypovolemic shock
Cl
morphine
Addison disease
43. The loss of the right or left half of the field of vision in both eyes.
Nursing care during IV infusions
homonymous hemianopsia
Logrolling
Metabolic alkalosis
44. Antihistamine medications are often prescribed for ___ - and the nurse should advise clients that these medications can cause drowsiness and the lcient should avoid operating any type of eqpt (including driving).
dermatitis
Metabolic acidosis
Intradermal injections
milliliter
45. 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.
MDI
Pons lesion
ethical
Lithotomy
46. Deficient oxygen in the blood.
Aplastic Crisis
systemic hypoxia
Catapres
Side - lying
47. Has regular insulin in it already
phenelzine sulfate
ischemia
NPH
Spread of Infection
48. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
6 rights of medication administration
Hypovolemic shock
Air embolism
nursing interventions for severe hypoglycemia
49. The ___ has been proven to be effective in preventing two of the strains of human papilloma virus (HPV) responsible for a large percentage of cervical cancer cases.
Glucotrol
Gardasil vaccine
Immediate Post - Op Care
Patient controlled analgesia
50. Reverses effects of other narcotics
Narcan or Noloxene
Respiratory acidosis
before surgery the pt. should stop using
Ankyloses