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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. Excessive thirst (as in cases of diabetes or kidney dysfunction)
herpes
when on steriods watch for
polydipsia
pyridoxine hydrochloride (vitamin B6)
2. 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.
HPV
Sim's
Aplastic Crisis
captopril
3. Salicylates - NSAIDs
Osmosis
Insulin
Internal capsule lesion
meds used for antipyretic - inflamm - and analgesia
4. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
Epidural anesthetic
polycythemia vera
gaze palsy
Change in mental status and confusion
5. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
hypertension
Pons lesion
Antidiuretic Hormone (ADH)
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
6. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
pentamidine isethionate
Thalamus Lesion
Nursing assistant
Blood Gas Values
7. 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
burns Stage III
Acetonuria
IM meds
eye ointments
8. Can do sterile procedures b. Can give medications except IV meds
Air embolism
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Lantus
On
9. 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
Circulatory overload
What are symptoms of Mennengitis?
120 gtts of water
polycythemia vera
10. 60 gtt
1 tsp
1 ml
side effects of barbituates
Addison disease
11. Instruct client to avoid ingesting alcohol when taking drug
Diffusion
1 L
1 pinch
adverse reaction of INH is hepatitis
12. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
Medications for perioperative
nursing interventions for hypoglycemia
Cheyenne Strokes
HRT
13. 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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14. Always given with short acting insulin such as reg/ humulog
Hypokalemia
sliding scale
NPH
Osmosis
15. 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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16. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation
gaze palsy
edema
pernicious anemia
dexamethasone
17. Calcium Gluconate
Epidural anesthetic
hormone replacement therapy (HRT)
Antidote for Mag Sulfate?
Circulatory overload
18. Atb
Risk Factors for operations
tetracycline
cathartic
nursing interventions for severe hypoglycemia
19. 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
nephrotoxicity
ischemia
Hypertonic
Air embolism
20. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
single voided urine specimen
Hypotonic
sacs (or pockets)
6 rights of medication administration
21. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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22. O2 sat is less than 93
prilosec
glossitis
administer 2L O2 when
health risk appraisal
23. 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.
most insulins
Circulatory overload
oil retention enema
Reed - Sternberg cell
24. Bloodstream infection: if becomes very bas pt may have a red line along arm
septicemia
Aldosterone
Amnesia
Aspirin
25. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
Narcotic Antagonist: Naloxone (Narcan)
Cooling blanket
Reed - Sternberg cell
phenazopyridine
26. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
pernicious anemia
Shock
Circulatory overload
cleansing enema
27. Cardiotonic
digitalis
Sim's
Pons lesion
2.2lbs.
28. 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
What are signs of an Infant addicted to Herion?
smaller to larger
1 lb
Pancrelipase (Pancrease capsules
29. Only used for 1-2 ml of med b/c is smaller muscle
s/sx of hyperglycemia
deltoid muscle
polycythemia vera
lithium toxicity
30. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
Decision Tree Step 2?
s/sx of hyperglycemia
phenelzine sulfate
before surgery the pt. should stop using
31. 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.
ethical
Internal capsule lesion
phenelzine sulfate
glucocorticoids
32. 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).
opiate
off
urine
dermatitis
33. 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
ototoxicity
Decision Tree Step 3?
gaze palsy
infiltration r/t IV
34. 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.
Gardasil vaccine
Pel Epstein fever
nitroglycerin
1 L
35. Rescue Alarm Contain Evacuate
RACE
sub - q injections
What is the Decision Tree Step 1?
catecholamine
36. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Hyperkalemia
Changes during aging
Cheyenne Strokes
Lithotomy
37. 1 tab with 5 min not exceeding 3 doses
Shock
enema
nitroglycerin
metformin (Glucophage).
38. 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
NSAIDS
deltoid muscle
tamoxifen
Hyperkalemia
39. 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
drip rate
burns Stage III
parasthesia
Hypernatremia
40. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
Gardasil vaccine
Splenic Sequestration
Loss of bone density
dexamethasone
41. Too much insulin - no food - too much/intense exercise - onset - sudden
causes of hypoglycemia
Superficial parietal lobe lesion
eye meds(opthalmic)
K+
42. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
adverse reaction of INH is hepatitis
dry sterile dressing
Osmosis
43. Increasing dyspnea with periods of apnea
lasix
Splenic Sequestration
Cheyenne Strokes
bacteriacidal
44. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
ototoxicity
nitroglycerin
endometriosis
Logrolling
45. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
standard precautions
phlebitis
On
Spinal anesthetic
46. Can cause respiratory depression by decreasing rate and depth of respirations; analgesic used for moderate to severe pain; side effects include change in BP - bradycardia -
suctioning
Occipital Lobe Lesion
butorphanol tartrate
when mixing insulins
47. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
aspirin toxicity
Nursing care during IV infusions
burns Stage IV
estrogen and progestin
48. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Precentral gyrus lesion
Immediate Post - Op Care
ototoxicity
Blood pressure
49. Retards bacteria growth
bacteriostatic
Hypokalemia
Choluria
Aplastic Crisis
50. 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
side effects of barbituates
Antidote for Mag Sulfate?
Benefit of turning patient to Right side?
Shock