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






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






3. Toxicity due to blood and protien in the urine






4. 2 pt






5. 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






6. Increasing dyspnea with periods of apnea






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






8. O2 sat is less than 93






9. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness






10. Too much insulin - no food - too much/intense exercise - onset - sudden






11. —pentamidine is an antiprotozoal agent used to prevent and/or treat Pneumocystis carinii pneumonia (PCP) - a common opportunistic infection in AIDS patients; manifestations of PCP usually include coughing - fever - dyspnea - fatigue - and weight loss






12. 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






13. Atbs that are effective agaist a few mo's






14. 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






15. 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






16. May occur when changing bags - opening line






17. 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 -






18. 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






19. Common for debriding






20. Full thickness skin loss involving subcutaneous damage or necrosis






21. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious






22. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host






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






24. 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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25. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.






26. 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






27. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.






28. Increases heart rate






29. 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






30. Jacksonian szs - generalized szs - hemiparesis






31. 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






32. Inflammation or redness of the tongue. Often seen in malnutrition.






33. Analgesic - antipyretic - anticoagulant - anti - inflammatory






34. Antihistamine medications are often prescribed for ___ - and the nurse should advise clients that these medications can cause drowsiness and the lcient should avoid operating any type of eqpt (including driving).






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






36. No more than 750-1000ml's can be taken out at a time or will cause shock






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






38. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.






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






40. 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






41. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days






42. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie






43. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.






44. Head injury is one of the most common causes of ___ and disability in the U.S.






45. 6 oz.






46. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.






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






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






49. Befor administering squeeze a small amount out and apply thin layer - blink






50. To slow formation of scar tissue