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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. 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






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






3. 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






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






5. Analgesics - antipyretic - small anticoagulation






6. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs






7. Pain relievers r/t opium






8. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up






9. 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






10. 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






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






12. 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






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






14. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3






15. Administer bronchodilators before other meds






16. Flush daily with saline or heparin to prevent clots from forming B. Change dressing three times per week C. Check for infection D. Discard 5-10 ml when drawing blood E. In multilumen catheters use ports for designated purpose F. Valsalva's maneuver w






17. Homonymous hemianopsia - partial szs w/limited visual phenomena






18. 1 kg






19. The loss of the right or left half of the field of vision in both eyes.






20. 16-18 F is standard adult size - children are standard 5-12F






21. #1 is abdomen - #2 is arm - #3 is buttock






22. No red meat - radishes - beets - etc... for 3 days prior to test






23. Nausea and vomiting that come before abdominal pain






24. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.






25. Up and back






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






28. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2






29. Also known as a 'health screening' is a test to assess specific areas of physical growth - development - and health status. Different health screenings are done at each age/development stage.






30. Cardiotonic






31. 60 gtt






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

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33. Place in semi - fowler's - open sterile suction cath - gloves as ordered - pick up sterile cath and connect to suction tubing - moisten cath with saline - insert through nostril with no suction - suction about 10 seconds - repeat






34. Early hydrocephalus - papillary abnormalities - Parinaud's Syndrome






35. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water






36. 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






37. 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






38. The 55-yr - old male client has recently been diagnosed with ___. The nurse recognizes that this dx increases the client's risk of coronary heart disease - myocardial infarction - and peripheral vascular disease.






39. Toxicity due to blood and protien in the urine






40. Monitor K+






41. 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






42. To slow formation of scar tissue






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






44. Retards bacteria growth






45. Instruct client to avoid ingesting alcohol when taking drug






46. 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






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






48. Stop feeding q 4-8 hrs to check residual - flush q 4-6






49. Dermatitis is an ___ of the skin that produces an itchy - red rash.






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