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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. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
Decision Tree Step 3?
carbon dioxide levels
Local cold
enema
2. Patient is likely to be taking isoniazid (INH); INH is a mainstay in prevention and treatment of tuberculosis - used in combination with other antitubercular drugs if the disease is active; vitamin B6 is given to prevent the peripheral neuropathy - d
stool testing
1 lb
pyridoxine hydrochloride (vitamin B6)
6 rights of medication administration
3. Always given with short acting insulin such as reg/ humulog
burns Stage I
sliding scale
Prone
tetracycline
4. Deficient oxygen in the blood.
s/sx of hypoglycemia
ear meds/3 and over
systemic hypoxia
Superficial thrombophlebitis
5. Read 48-72 hrs later - inject 0.1 ml - assess for induration(hard bump) - measure in mm - greater than 5 mm is queestionable - 5-10 need CXR - redness indicates localized reaction not a concern - problem is induration
Decison Tree Step 5?
bilirubin
TB testing
Glucotrol
6. On left side with lower arm behind the back 2. Good position for administering enema
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7. Rescue Alarm Contain Evacuate
Adduction
1 qt
RACE
quickest absorption
8. Antidepressant.......MAOI inhibitor.....Relieves depression......Nardil..food without tyramine
ear meds/adult
phenazopyridine
Intradermal injections
phenelzine sulfate
9. 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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10. 16 oz.
Hypotonic
lithium toxicity
1 lb
morphine
11. Is a route of parenteral medication adm near the base of the spine - most commonly used for administering an anesthetic for pain management. Most commonly used in first and second stages of labor and for pain relief.
continuous feeding tube(pump)
epidural
Lithotomy
Decison Tree Step 5?
12. Inflammation and pain
What are NSAIDs mainly given for
Circulatory overload
Pons lesion
health risk appraisal
13. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
phenazopyridine
lasix
ethical
Semi - Fowler's
14. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.
midbrain syndrome
wet to dry dressing
ischemia
postexposure protocol (PEP)
15. Left
Circulatory overload
smaller to larger
Decision Tree Step 3?
Metabolic acidosis
16. 120 ml most common - prep for colon exams
ear meds/ 3 and under
Heat
fleets enema
Spread of Infection
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. 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
Hypertonic
Sickle Cell Crisis
Dehydration
1 lb
19. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
pernicious anemia
health risk appraisal
PEP
Spread of Infection
20. Sudden onset of extensive ___ - caused by conditions that cause local or systemic hypoxemia Pain is the most common symptom. Skin changes pallor or cyanosis. Not iron deficient. Open sores and ulcers from poor tissue perfusion. UA has proteins - poor
antidote for heparin
Decision Tree Step 4?
Standard (Universal) Precautions
sickling
21. Helps destroy intestinal parasites
PEP
nephrotoxicity
nthelminthic enema
foley catheter(woman)
22. Neurotransmitters that play important role in body's stress response
ischemia
catecholamine
Hodgkin's Lymphoma
ted hose
23. 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
dry sterile dressing
health screening
alsalva manuever
glucocorticoids
24. 85 - 115 mEq/l
Shock
pentamidine isethionate
Cl
Atrophy
25. Renal disorder characterized by the production of large volumes of pale dilute urine
Registered Nurse
wet to dry dressings
fleets enema
polyuria
26. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.
health screening
Amnesia
Parinaud's syndrome
Basal ganglia lesion
27. 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
topical agents
Risk Factors for operations
Na+
Logrolling
28. Partial thickness loss of skin involving epidermis and/or part of dermis
nitroglycerin
Aldosterone
Hyperkalemia
burns Stage II
29. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
gastroenteritis
Parinaud's syndrome
Respiratory alkalosis
Regular insulin
30. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
Thalamus Lesion
wet to dry dressings
Epidural anesthetic
vasoconstrictor
31. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
Aspirin
NPH
Decison Tree Step 5?
Regular insulin
32. Coma - dilated pupils - extensor posturing - Cheyne Stokes respirations (progressively deeper breathing followed by apnea)
causes of hyperglycemia
Decision Tree Step 3?
ototoxicity
midbrain syndrome
33. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present
lithium toxicity
Hypernatremia
Heat
Benefit of turning patient to Left side?
34. Monitor K+
inflammation
when on lasix
epidural
What should you NEVER pick as an answer on the NCLEX exam?
35. Contralateral dystonia - Contralateral choreoathetosis
Humulog
Narcotic Antagonist: Naloxone (Narcan)
platelets
Basal ganglia lesion
36. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Lantus
Loss of bone density
diverticular disease
when on steriods watch for
37. 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
Low - Fowler's
Bacteremia
Antidote for Mag Sulfate?
health screening
38. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
Addison disease
Changes during aging
anus - cervix - penis - and vulva
K+
39. 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
phlebitis
captopril
Decision Tree Step 3?
Informed consent
40. Glaucoma and cataracts (lens becomes opaque) occur frequently 2. Presbyopia (farsightedness of aging) occurs in almost all persons as they age Difficulty seeing in dim light due to loss of light responsiveness Presbycussis: progressive hearing loss a
tamoxifen
inflammation
Changes during aging
Modified Trendelenburg
41. 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
dramamine
Glioblastoma Multiform Tumors (primary)
Pancrelipase (Pancrease capsules
Shock
42. Atb
bilirubin
tetracycline
septicemia
Decision Tree Step 2?
43. Bloodstream infection: if becomes very bas pt may have a red line along arm
Bolus feeding
stool testing
septicemia
cathartic
44. 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
Restraints
butorphanol tartrate
Aspirin
NPH
45. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
1 ml
glossitis
Addisonian crisis
1 T
46. 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
Bacteremia
Hemophilia
Insulin
Blood Gas Values
47. Given right befor meals to control blood sugar
heparin/lovanox
quickest absorption
TB testing
most insulins
48. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie
tube feeding
apply heat or cold day after surgery?
Superficial thrombophlebitis
Patient controlled analgesia
49. Jacksonian szs - generalized szs - hemiparesis
Inderal
Logrolling
Loss of bone density
Precentral gyrus lesion
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
Blood Gas Values
Shock
Decision Tree Step 3?
suctioning