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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)
NPH
1 qt
Apply heat or cold day of surgery?
Infiltration
2. Inability to coordinate voluntary muscle movements
ataxia
Pel Epstein fever
Circulatory overload
Superficial thrombophlebitis
3. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Strategy for 'Select all that apply' on the NCLEX exam
air embolus
bacteriacidal
Lantus
4. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle
sub - q injections
Spread of Infection
Restraints
sterile wound irrigation
5. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long
Shock
Narcotic Antagonist: Naloxone (Narcan)
hormone replacement therapy (HRT)
Lithotomy
6. Up and back
ear meds/adult
Neuromas Tumors (primary)
Where are the Tricuspid heart sounds located?
What is the Decision Tree Step 1?
7. Manifestations 1) Tenderness and pain in vein 2) Edema and redness at site 3) Warmth b. Management 1) Cold compresses immediately to relieve pain and inflammation 2) Follow with moist warm compresses to stimulate circulation and promote absorption
Semi - Fowler's
suctioning
Superficial thrombophlebitis
Aplastic Crisis
8. Can you Identify the topic of the question? If yes - cont to step 2 - if no read answer choices for clues and the go to step 2
Pel Epstein fever
pernicious anemia
What is the Decision Tree Step 1?
leukemia
9. Gown - mask - gloves
checking NG tube placement
CVL
On
parasthesia
10. Hormone Replacement Therapy
HRT
1 ft
Sickle Cell Crisis
prilosec
11. 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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12. 50% of all primary tumors - linked to specific genetic mutations
enema
with ear meds if there are 2 differant meds
midbrain syndrome
Glioblastoma Multiform Tumors (primary)
13. Routine tasks b. Routine vital signs
1 T
Tylenol with codeine and Benadryl
morphine
Nursing assistant
14. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
NSAIDS
Neuromas Tumors (primary)
Hodgkin's Lymphoma
Hypokalemia
15. Sheet between patient and cooling blanket b. Prevent skin damage c. Change position frequently d. No shivering: Muscle relaxant may be given if patient shivering
standard precautions
Cooling blanket
Cardiogenic Shock
Regular insulin
16. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
1 L
nursing interventions for hypoglycemia
enema
Shock
17. Atbs that are effective agaist a few mo's
cleansing enema
neurologic symptoms
morphine
narrow spectrum
18. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
digitalis
Circulatory overload
chronic obstructive pulmonary disease
ataxia
19. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
thrombocytopenia
Pons lesion
ototoxicity
1 ml
20. Inflammation and pain
What are NSAIDs mainly given for
septicemia
CVL
ear meds/adult
21. Reverses effects of other narcotics
causes of hyperglycemia
Narcan or Noloxene
Aldosterone
Cl
22. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Circulatory overload
Circulatory overload
Low - Fowler's
Respiratory alkalosis
23. Analgesics - antipyretic - small anticoagulation
Vaso - occlusive (thrombotic crisis)
retrovirus
Acetaminophen
Thalamus Lesion
24. 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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25. Inability to look in a particular direction of gaze (both eyes signals a brain disease)
gaze palsy
foley cath(male)
estrogen and progestin
1 tsp
26. 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.
sacs (or pockets)
Jacksonian seizures
1 L
Addison's Disease
27. Excessive thirst (as in cases of diabetes or kidney dysfunction)
polydipsia
What should you NEVER pick as an answer on the NCLEX exam?
phenazopyridine
Immediate Post - Op Care
28. The pain usually comes prior to nausea and vomiting;
Occipital Lobe Lesion
acute appendicitis
Pineal gland Lesion
drip rate
29. Parinaud's syndrome.
tetracycline
Sylvian aqueduct syndrome
ear meds/adult
side effects of barbituates
30. Emergency care can be given to stabilize patient who is not able to give consent. 2. Age of majority is eighteen 3. Unconscious adults need permission for care by parents or spouse if married. 4. Persons who are not alert or have been given mind alte
Spinal anesthetic
Informed consent
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Addison disease
31. 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
diabetes mellitus (DM)
Medications for perioperative
Strategy for 'Select all that apply' on the NCLEX exam
rotate injection sites
32. Protamine sulfate
Benefit of turning patient to Right side?
glucocorticoids
Hypotonic
antidote for heparin
33. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
Pons lesion
TB testing
postexposure protocol (PEP)
apply heat or cold day after surgery?
34. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
transdermal patch
nursing interventions for severe hypoglycemia
polycythemia vera
rotate injection sites
35. Shake med - have pt breathe out - when starts to inhale press down - have the pt hold breath for 10 seconds - wait 1 min befroe next dose
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
metered dose inhaler
Regular insulin
1 tsp
36. Bloodstream infection: if becomes very bas pt may have a red line along arm
Risk Factors for operations
sterile wound irrigation
Osmosis
septicemia
37. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short
pentamidine isethionate
edema
Humulog
parasthesia
38. Administer bronchodilators before other meds
MDI
Tylenol with codeine and Benadryl
Choluria
Pons lesion
39. Head at 90 degrees 2. Used for persons with COPD
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40. Can do sterile procedures b. Can give medications except IV meds
burns Stage II
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Pineal gland Lesion
HRT
41. Caused by poor heart action.- drugs that make heart beat more effectively
Regular insulin
Cardiogenic Shock
inflammation
Heat
42. Mask symptoms of hypoglycemia - removing your body's early warning systembeta - blockers bind beta - adrenergic receptor sites - which prevents adrenaline from causing symptoms and glycogenolysis
Inderal
septicemia
continuous feeding tube(pump)
nursing interventions for hypoglycemia
43. 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
prilosec
Vaso - occlusive (thrombotic crisis)
Decision Tree Step 2?
Low - Fowler's
44. Check lung sounds q shift for crackles
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45. Loss of defective memory
bacteriostatic
morphine
fluid congestion
Amnesia
46. 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
Shock
medically controlled coma
Strategy for 'Select all that apply' on the NCLEX exam
Cl
47. The ___ is generally printed on the package of the IV infusion set.
drip rate
Immediate Post - Op Care
Pel Epstein fever
Respiratory alkalosis
48. Pain relievers r/t opium
Hypernatremia
What are NSAIDs mainly given for
Narcotic Antagonist: Naloxone (Narcan)
opiate
49. To slow formation of scar tissue
HPV
rotate injection sites
Apply heat or cold day of surgery?
bicarbonate
50. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
transdermal patch
sterile wound irrigation
meds used for antipyretic - inflamm - and analgesia
midbrain syndrome