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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. Stop feeding q 4-8 hrs to check residual - flush q 4-6
Aldosterone
urine
continuous feeding tube(pump)
air embolus
2. Contralateral thalamus pain - contralateral hemisensory loss.
Precentral gyrus lesion
gastroenteritis
Thalamus Lesion
quickest absorption
3. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
Where are the Tricuspid heart sounds located?
antidote foe coumadin
anus - cervix - penis - and vulva
glucocorticoids
4. 0.45 kg
1 tsp
1 lb
Cardiogenic Shock
thrombocytopenia
5. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
sudafed
Ego integrity Vs despair
causes of hyperglycemia
death
6. Inability to coordinate voluntary muscle movements
lasix
septicemia
ataxia
Malpractice
7. 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
bilirubin
Restraints
Medications for perioperative
1 teacup
8. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial
when on lasix
Respiratory acidosis
Insulin
sliding scale
9. Check order - set up tube feed equip/suction - positon in fowlers - place towel - measure tube length - wipe face - ask about diff breathing through one nostril - apply lub. - flex head forward - insert gently until coughs - have swallow water - ch -
inserting an NG tube
MDI
urine
dermatitis
10. Can cause respiratory depression by decreasing rate and depth of respirations; analgesic used for moderate to severe pain; side effects include change in BP - bradycardia -
butorphanol tartrate
suctioning
pernicious anemia
hypertension
11. 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
Medications for perioperative
Pancrelipase (Pancrease capsules
Glioblastoma Multiform Tumors (primary)
Superficial thrombophlebitis
12. Protamine sulfate
Restraints
emphysema
antidote for heparin
herpes
13. Reverses effects of other narcotics
foley cath(male)
Narcan or Noloxene
Semi - Fowler's
Osmotic pressure
14. 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.
Adduction
Gardasil vaccine
Ego integrity Vs despair
stool testing
15. 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
emphysema
suctioning
larger to smaller
Thalamus Lesion
16. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Benefit of turning patient to Left side?
enema
Trendelenburg
1 T
17. O2 sat is less than 93
1000mg
administer 2L O2 when
Bacteremia
Amnesia
18. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
IM meds
chronic obstructive pulmonary disease
Risk Factors for operations
Ankyloses
19. To slow formation of scar tissue
Modified Trendelenburg
morphine
rotate injection sites
deltoid muscle
20. Caused by a decrease in peripheral resistance - vasoconstriction
depression
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
when on digoxin
phlebitis r/t IV
21. 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
MDI
Shock
Cooling blanket
Respiratory alkalosis
22. Excessive thirst (as in cases of diabetes or kidney dysfunction)
PEP
homonymous hemianopsia
Hypovolemic shock
polydipsia
23. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.
postexposure protocol (PEP)
Abduction
Addison's Disease
Lantus
24. Straight back
ear meds/3 and over
epidural
1 L
African Americans
25. Patient on side 2. Prevents aspiration when patient is not fully alert
Side - lying
Catapres
septicemia
eye meds(opthalmic)
26. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.
Narcotic analgesics
rotate injection sites
nitroglycerin
fluid congestion
27. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
polycythemia vera
quickest absorption
Change in mental status and confusion
ear meds/3 and over
28. 10 degree angle - 25-27G needle - 5/8-1/2' needle - barely cover bevel under skin - do not do near a vein - do to the side - used for PPD&allergy testing
Intradermal injections
traumatic brain injury
Basal ganglia lesion
ted hose
29. Analgesics - antipyretic - small anticoagulation
depression
1 tsp
Addison's Disease
Acetaminophen
30. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.
Acetonuria
with ear meds if there are 2 differant meds
health screening
medically controlled coma
31. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.
ted hose
Jacksonian seizures
sterile wound irrigation
transdermal patch
32. Stiff joints
Ankyloses
2.2lbs.
PEP
catheter embolus
33. 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
hypoxia
Supine
Shock
aspirin toxicity
34. Patient - time - dose - route - medication - documentation
antidote for heparin
glossitis
phlebitis r/t IV
6 rights of medication administration
35. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
1 kg
Osmosis
gastroenteritis
eye ointments
36. 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
Spinal anesthetic
Bacteremia
Decision Tree Step 3?
medically controlled coma
37. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
suctioning
deltoid muscle
morphine
Decison Tree Step 5?
38. This is an acute episode of severe symptoms - brought on by fever - dehydration altitude - vomiting - emotional distress - fatigue - alcohol consumption - pregnancy or excessive physical activity. Precipitated by hypoxia; provide pain relief - provid
Circulatory overload
Hypotonic
Sickle Cell Crisis
polydipsia
39. Partial thickness loss of skin involving epidermis and/or part of dermis
Loss of bone density
burns Stage II
infiltration r/t IV
Decision Tree Step 2?
40. 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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41. Check balloon for patency - non dom hand open labia - dom hand cleans - insert cath 2-3' until urine returns - inflate balloon - pull back - push 1 more ' - document
septicemia
Ankyloses
foley catheter(woman)
thrombocytopenia
42. 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
Pineal gland Lesion
Glucotrol
cathartic
43. Calcium Gluconate
Shock
Sterile Field
nephrotoxicity
Antidote for Mag Sulfate?
44. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Vitamin B12 Deficiency Anemia
polycythemia vera
vasoconstrictor
Heat
45. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
diabetes insipidus
carbon dioxide levels
Cheyenne Strokes
Splenic Sequestration
46. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
nitroglycerin
acute appendicitis
Sponge bath
47. Bruising will occur aroun inj. sites - apply pressure for at least 30 seconds - check for bleeding gums - stools - sheck V/S for internal bleeding with anticoagulants
1 pt
heparin/lovanox
Blood Gas Values
antidote for heparin
48. 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
retrovirus
side effects of barbituates
Cl
Changes during aging
49. 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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50. A dangerous condition in which the body tissues and cells do not have enough oxygen
Circulatory overload
midbrain syndrome
hypoxia
Tylenol with codeine and Benadryl