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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. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)
Infiltration
Narcotic analgesics
foley cath(male)
Sylvian aqueduct syndrome
2. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Osmotic pressure
single voided urine specimen
Side - lying
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
3. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
herpes
Respiratory acidosis
wet to dry dressing
carbon dioxide levels
4. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short
prilosec
Lantus
Decision Tree Step 4?
Humulog
5. 1/8 tsp
1 lb
NPH
ototoxicity
1 pinch
6. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
Humulog
1 pinch
autonomic dysreflexia
7. 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
Immediate Post - Op Care
s/sx of hypoglycemia
pyridoxine hydrochloride (vitamin B6)
inserting an NG tube
8. Excessive thirst (as in cases of diabetes or kidney dysfunction)
polydipsia
1 lb
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
1 pt
9. Fever that waxes and wanes - is associated with Hodgkins Lymphoma
Pel Epstein fever
causes of hypoglycemia
Supine
Na+
10. Salicylates - NSAIDs
milliliter
most insulins
anus - cervix - penis - and vulva
meds used for antipyretic - inflamm - and analgesia
11. Full thickness skin loss involving subcutaneous damage or necrosis
hypoxia
NPH
Osmosis
burns Stage III
12. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
Circulatory overload
wet to dry dressings
checking NG tube placement
Humulog
13. Dermatitis is an ___ of the skin that produces an itchy - red rash.
inflammation
Addisonian crisis
ear meds/3 and over
narrow spectrum
14. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
septicemia
herpes
ototoxicity
Respiratory alkalosis
15. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
ethical
Aldosterone
Ego integrity Vs despair
depression
16. Answers starting with 'I'll or Why.'
Catapres
sliding scale
Pons lesion
What should you NEVER pick as an answer on the NCLEX exam?
17. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
NSAIDS
1 teacup
hypertension
s/sx of hyperglycemia
18. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
On
Cardiogenic Shock
PEP
Modified Trendelenburg
19. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
deltoid muscle
phlebitis
Immediate Post - Op Care
captopril
20. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.
K+
captopril
milliliter
Vitamin B12 Deficiency Anemia
21. 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
CVL
Decision Tree Step 4?
vasoconstrictor
gastroenteritis
22. 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
autonomic dysreflexia
Respiratory alkalosis
1 pt
23. Promotes circulation
ear meds/3 and over
Superficial thrombophlebitis
Benefit of turning patient to Left side?
septicemia
24. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing
1 tsp
Nursing care during IV infusions
general anesthesia
Bethanechol (Urecholine)
25. Put air into cloudy first - then clear
Cooling blanket
CVL
when mixing insulins
Hyponatremia
26. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
traumatic brain injury
deltoid muscle
Lantus
thrombocytopenia
27. 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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28. Homonymous hemianopsia - partial szs w/limited visual phenomena
Bacteremia
Occipital Lobe Lesion
1 ft
What is the Guaiac Test?
29. 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
Decision Tree Step 3?
morphine
Adduction
NPH
30. 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
sickling
lithium toxicity
What are signs of an Infant addicted to Herion?
autonomic dysreflexia
31. 3 tsp
when on digoxin
Standard (Universal) Precautions
What are signs of an Infant addicted to Herion?
1 T
32. Caused by poor heart action.- drugs that make heart beat more effectively
dramamine
Amnesia
septicemia
Cardiogenic Shock
33. Suffocation
opiate
Asphyxia
sliding scale
narrow spectrum
34. Head at 90 degrees 2. Used for persons with COPD
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35. Human papilloma virus
HPV
polycythemia vera
cathartic
Changes during aging
36. Manifestations 1) Muscle weakness 2) Weak pulse and ECG changes b. Causes 1) Potassium depleting diuretics 2) Burns 3) Diarrhea - colitis 4) Vomiting c. Management: Potassium replacement -- DO Not give Digoxin
Hypokalemia
What should you NEVER pick as an answer on the NCLEX exam?
fleets enema
polyuria
37. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
epidural
medically controlled coma
dry sterile dressing
nursing interventions for severe hypoglycemia
38. 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
pentamidine isethionate
side effects of barbituates
opiate
autonomic dysreflexia
39. A rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys)characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst
lithium toxicity
diabetes insipidus
Maslow's hierarchy of needs
pentamidine isethionate
40. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
infiltration r/t IV
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
1 lb
Glucotrol
41. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
gaze palsy
deltoid muscle
1 pt
Lantus
42. A decrease in total blood volume such as hemorrhage - transfusions
epidural
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
inflammation
Hypovolemic shock
43. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
Aldosterone
Epidural anesthetic
stool testing
foley cath(male)
44. 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
Osmotic pressure
morphine
Epidural anesthetic
Shock
45. Postexposure protocol
causes of hyperglycemia
pyridoxine hydrochloride (vitamin B6)
phlebitis r/t IV
PEP
46. 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 ___.
medically controlled coma
Antidote for Mag Sulfate?
retrovirus
septicemia
47. Right
Inderal
bilirubin
larger to smaller
Gardasil vaccine
48. Parinaud's syndrome.
Sylvian aqueduct syndrome
Occipital Lobe Lesion
Internal capsule lesion
CVL
49. 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
estrogen and progestin
Antidiuretic Hormone (ADH)
IM meds
captopril
50. 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
Hypovolemic shock
Nursing care during IV infusions
Pancrelipase (Pancrease capsules
lithium toxicity