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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. To slow formation of scar tissue






2. 1000 g






3. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site






4. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2






5. Full thickness skin loss involving subcutaneous damage or necrosis






6. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's






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






8. A generalized reaction to contaminated equipment or solutions a. Manifestations 1) Chills and fever 30-60 minutes after start of infusion 2) Flushing - sudden pulse increase 3) Backache - headache 4) Nausea - vomiting 5) Hypotension - vascular collap






9. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.






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






11. Aspirin






12. 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






13. 22 - 29 mEq/l






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

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15. Dermatologic






16. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






17. Check lung sounds q shift for crackles

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18. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)






19. Analgesics - antipyretic - small anticoagulation






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






21. Hypertension is sometimes called a ___ disease because many clients are symptom free until complications arise - which can occur decades after the hypertension first begins.

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22. Hang bag above stomach - clamp tubing - fill bag with formula - prime tubing - reclamp tube - attach to tube and open clamp - adjust flow - flush tube with water - disconnect






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






24. On left side with lower arm behind the back 2. Good position for administering enema

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25. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.






26. 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






27. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.






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






29. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering






30. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.






31. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow






32. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness






33. In the elderly - change in mental status - particularly confusion - is very often the presenting symptom of infection; fever may be absent even when bacteremia or pneumonia are present






34. Instruct pt to clean genitalia with soap and water and void approx 60 ml






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






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






37. Calcium Gluconate






38. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial






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






40. Higher osmotic pressure than blood serum; causes cells to shrink; pulls fluid out of cells into blood stream a. Dextrose 5% or higher in saline b. Dextrose stronger than 5% in water c. Albumin






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






42. Apply heat to improve circulation and healing






43. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis






44. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair






45. 60 gtt






46. An antagonist for estrogen that is used in the treatment of breast cancer






47. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician






48. 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






49. Contralateral dystonia - Contralateral choreoathetosis






50. 1000 ml