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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. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.






2. Gloves - mask - gown






3. May occur when changing bags - opening line






4. To slow formation of scar tissue






5. 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






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






7. Bloodstream infection: if becomes very bas pt may have a red line along arm






8. Receptive dysphasia






9. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures






10. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.






11. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short






12. 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






13. 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






14. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.






15. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe

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16. Postexposure protocol






17. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose






18. Hormone Replacement Therapy






19. 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






20. 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






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






22. 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






23. 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






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






25. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P






26. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.






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






28. A large multinucleated or multilobed cell with inclusion body- like nucleoli surrounded by a halo of clear nucleoplasm and must be present to dx Hodgkin's Lymphoma.






29. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.






30. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P






31. Fluid buildup in tissues - palpate areas for tenderness/consistency






32. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis






33. Topical agents designed to absorb through skin for systemic effects






34. Retards bacteria growth






35. Contralateral thalamus pain - contralateral hemisensory loss.






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

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37. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other






38. Atbs that are effective against many organisms






39. 2 pt






40. Straight back






41. 60 gtt






42. Bile in urine






43. Renal disorder characterized by the production of large volumes of pale dilute urine






44. Is the condition in which endometrial tissue grows outside of the uterine cavity - most commonly in the pelvic cavity and responds to hormonal changes of the menstrual cycle.






45. A dangerous condition in which the body tissues and cells do not have enough oxygen






46. Contralateral dystonia - Contralateral choreoathetosis






47. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.






48. 85 - 115 mEq/l






49. Only insulin that can be given IV






50. Vitamin k