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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. Caused by a decrease in peripheral resistance - vasoconstriction
transdermal patch
Narcotic analgesics
nitroglycerin
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
2. Follow physician's orders B. Do not apply without order except in emergency C. Use least restraint possible D. Each unit should have a written protocol E. Check patient frequently for safety F. Loosen restraints every 2 hours G. Do not use as punishm
HPV
Asphyxia
Maslow's hierarchy of needs
Restraints
3. Loss of defective memory
Amnesia
chronic obstructive pulmonary disease
Respiratory alkalosis
side effects of barbituates
4. 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
Bolus feeding
Hyponatremia
Shock
Antidiuretic Hormone (ADH)
5. Decision maker b. Can do complex procedures c. Can give medications via all routes that nurses can give meds d. Is best person for teaching e. Coordinates care f. Performs admission assessments
RACE
nephrotoxicity
Registered Nurse
glossitis
6. 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.
Diffusion
Gardasil vaccine
Superficial thrombophlebitis
2.2lbs.
7. Check lung sounds q shift for crackles
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8. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Isotonic
pentamidine isethionate
Sterile Field
6 rights of medication administration
9. The nurse teaches the client with ___ ways to change diet and lifestyle habits in order to control the condition.
parasthesia
phlebitis r/t IV
Insulin
diverticular disease
10. 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
transdermal patch
Aspirin
Medications for perioperative
Loss of bone density
11. Renal disorder characterized by the production of large volumes of pale dilute urine
polyuria
Circulatory overload
digitalis
nursing interventions for hypoglycemia
12. Can do sterile procedures b. Can give medications except IV meds
IM meds
1 pinch
Narcan or Noloxene
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
13. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Local cold
Immediate Post - Op Care
Anuria
Vitamin B12 Deficiency Anemia
14. 12 in.
1 ft
parasthesia
metered dose inhaler
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
15. On the person's abdomen 2. Prevents hip flexion contractures
ototoxicity
Addison disease
transdermal meds
Prone
16. The loss of the right or left half of the field of vision in both eyes.
off
leukemia
homonymous hemianopsia
depression
17. 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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18. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry
sterile wound irrigation
traumatic brain injury
Choluria
prilosec
19. Full thickness skin loss involving subcutaneous damage or necrosis
lanolin
2.2lbs.
burns Stage III
Sterile Field
20. 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
Antidote for Mag Sulfate?
Lantus
suctioning
traumatic brain injury
21. 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
Hyponatremia
acute appendicitis
Superficial parietal lobe lesion
prilosec
22. Salicylates - NSAIDs
TB testing
septicemia
meds used for antipyretic - inflamm - and analgesia
1 T
23. Nausea and vomiting that come before abdominal pain
Vitamin B12 Deficiency Anemia
gastroenteritis
with ear meds if there are 2 differant meds
traumatic brain injury
24. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
HPV
Modified Trendelenburg
Circulatory overload
when on lasix
25. Ake with meals to reduce side effects of the drug -- e.g. - nausea - vomiting - anorexia - abdominal cramps - fatigue; these effects tend to be mild and to resolve as therapy continues
checking NG tube placement
metformin (Glucophage).
antidote foe coumadin
1 kg
26. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
TB testing
retrovirus
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
beefy red tongue
27. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
causes of hypoglycemia
nursing interventions for hypoglycemia
Metabolic alkalosis
Pons lesion
28. Onset:1-4hr. - cloudy - peak:6-10hrs. - duration:10-16 - up to 24 hrs. - cannot mix!!
Adduction
NPH
Cl
Logrolling
29. 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
Bethanechol (Urecholine)
Cardiogenic Shock
Bacteremia
Circulatory overload
30. Meds used to treat constipation
hypoxia
Shock
cathartic
Bacteremia
31. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.
milliliter
septicemia
RACE
Inderal
32. —pentamidine is an antiprotozoal agent used to prevent and/or treat Pneumocystis carinii pneumonia (PCP) - a common opportunistic infection in AIDS patients; manifestations of PCP usually include coughing - fever - dyspnea - fatigue - and weight loss
1 ft
pentamidine isethionate
Splenic Sequestration
On
33. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O
Sterile Field
Shock
medically controlled coma
hypertension
34. Anesthesia is the partial or complete loss of sensation - and general anesthesia produces a complete loss of sensation (unconsciousneess). It is also referred to as ___.
aspirin (acetylsalicylic acid)
medically controlled coma
ethical
Registered Nurse
35. 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.
ear meds/adult
Epidural anesthetic
burns Stage III
Cardiogenic Shock
36. Testing for blood in the stools of an infant
Aplastic Crisis
Narcan or Noloxene
Nursing care during IV infusions
What is the Guaiac Test?
37. Helps destroy intestinal parasites
nthelminthic enema
dramamine
Hypertonic
lanolin
38. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
nursing interventions for hypoglycemia
MDI
Sponge bath
39. 16-18 F is standard adult size - children are standard 5-12F
NG tube
suctioning
transdermal patch
wet to dry dressing
40. 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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41. 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
burns Stage II
What is the Decision Tree Step 1?
Splenic Sequestration
parasthesia
42. Antidepressant.......MAOI inhibitor.....Relieves depression......Nardil..food without tyramine
Insulin
ear meds/3 and over
Hypertonic
phenelzine sulfate
43. Inability to coordinate voluntary muscle movements
Benefit of turning patient to Right side?
ataxia
neurologic symptoms
ear meds/ 3 and under
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).
dramamine
What is the Guaiac Test?
sub - q injections
dermatitis
45. Caused by a midbrain lesion; vertical gaze center impaired. Sx's: no vertical gaze - dilated and irregular pupils - eyelid abnormalities and impaired convergence. - characterized by impaired upward vertical gaze and loss of the pupillary light reflex
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46. Given right befor meals to control blood sugar
Metabolic acidosis
Narcotic Antagonist: Naloxone (Narcan)
gaze palsy
most insulins
47. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Acetonuria
polydipsia
Aldosterone
ethical
48. 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
Superficial thrombophlebitis
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
heart failure
Circulatory overload
49. Put air into cloudy first - then clear
when mixing insulins
Thalamus Lesion
Atrophy
apply heat or cold day after surgery?
50. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Cheyenne Strokes
6 rights of medication administration
edema
Spinal anesthetic