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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. 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
nursing interventions for severe hypoglycemia
Narcotic analgesics
Aldosterone
African Americans
2. An antagonist for estrogen that is used in the treatment of breast cancer
Medications for perioperative
tamoxifen
Superficial parietal lobe lesion
Regular insulin
3. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair
Wheel Chair Positioning
nitroglycerin
NPH
Amnesia
4. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
vasoconstrictor
Spinal anesthetic
HPV
pernicious anemia
5. Analgesics - antipyretic - small anticoagulation
120 gtts of water
Acetaminophen
Decision Tree Step 4?
when on lasix
6. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs
NPH
ted hose
heparin/lovanox
Isotonic
7. Pain relievers r/t opium
ototoxicity
Humulog
transdermal patch
opiate
8. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
1 lb
Blood pressure
Anuria
Cardiogenic Shock
9. 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
TB testing
Blood Gas Values
fluid congestion
pernicious anemia
10. 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
IM meds
anus - cervix - penis - and vulva
K+
Respiratory alkalosis
11. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
MDI
gastroenteritis
foley cath(male)
glossitis
12. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
Epidural anesthetic
chronic obstructive pulmonary disease
Hyperkalemia
ototoxicity
13. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial
Basal ganglia lesion
Bolus feeding
Insulin
On
14. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
thrombocytopenic purpura
captopril
Glioblastoma Multiform Tumors (primary)
Loss of bone density
15. Administer bronchodilators before other meds
Bethanechol (Urecholine)
lithium toxicity
MDI
Isotonic
16. 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
Cooling blanket
Parinaud's syndrome
HRT
CVL
17. Homonymous hemianopsia - partial szs w/limited visual phenomena
retrovirus
deltoid muscle
Occipital Lobe Lesion
narrow spectrum
18. 1 kg
2.2lbs.
Low - Fowler's
Informed consent
Reed - Sternberg cell
19. The loss of the right or left half of the field of vision in both eyes.
Bacteremia
Spread of Infection
homonymous hemianopsia
platelets
20. 16-18 F is standard adult size - children are standard 5-12F
NG tube
6 rights of medication administration
Immediate Post - Op Care
nursing interventions for hypoglycemia
21. #1 is abdomen - #2 is arm - #3 is buttock
Intradermal injections
antidote foe coumadin
Catapres
quickest absorption
22. No red meat - radishes - beets - etc... for 3 days prior to test
standard precautions
stool testing
Basal ganglia lesion
valium
23. Nausea and vomiting that come before abdominal pain
gastroenteritis
sacs (or pockets)
What are symptoms of Mennengitis?
Cooling blanket
24. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
death
platelets
bacteriacidal
Trendelenburg
25. Up and back
Medications for perioperative
general anesthesia
ear meds/adult
Addisonian crisis
26. 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
Immediate Post - Op Care
Cheyenne Strokes
Decision Tree Step 2?
wet to dry dressing
27. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
burns Stage III
Aldosterone
deltoid muscle
Circulatory overload
28. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Decision Tree Step 3?
Respiratory alkalosis
depression
leukemia
29. Also known as a 'health screening' is a test to assess specific areas of physical growth - development - and health status. Different health screenings are done at each age/development stage.
What are symptoms of Mennengitis?
health risk appraisal
Addison's Disease
1 pinch
30. Cardiotonic
bacteriostatic
edema
digitalis
Meningiomas Tumors (primary)
31. 60 gtt
1 tsp
HRT
Respiratory alkalosis
diabetes mellitus (DM)
32. On left side with lower arm behind the back 2. Good position for administering enema
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183
33. 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
suctioning
single voided urine specimen
meds used for antipyretic - inflamm - and analgesia
adverse reaction of INH is hepatitis
34. Early hydrocephalus - papillary abnormalities - Parinaud's Syndrome
alsalva manuever
Meningiomas Tumors (primary)
Circulatory overload
Pineal gland Lesion
35. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
drip rate
Antidiuretic Hormone (ADH)
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
single voided urine specimen
36. In the elderly - change in mental status - particularly confusion - is very often the presenting symptom of infection; fever may be absent even when bacteremia or pneumonia are present
Change in mental status and confusion
What does Atropine Sulfate do?
Ego integrity Vs despair
Logrolling
37. 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
Nursing care during IV infusions
Restraints
eye meds(opthalmic)
Bethanechol (Urecholine)
38. The 55-yr - old male client has recently been diagnosed with ___. The nurse recognizes that this dx increases the client's risk of coronary heart disease - myocardial infarction - and peripheral vascular disease.
tube feeding
What is the Decision Tree Step 1?
diabetes mellitus (DM)
epilepsy
39. Toxicity due to blood and protien in the urine
nephrotoxicity
neurologic symptoms
when on steriods watch for
Reed - Sternberg cell
40. Monitor K+
Negligence
when on lasix
off
administer 2L O2 when
41. Decision maker b. Can do complex procedures c. Can give medications via all routes that nurses can give meds d. Is best person for teaching e. Coordinates care f. Performs admission assessments
milliliter
eye ointments
ischemia
Registered Nurse
42. To slow formation of scar tissue
Benefit of turning patient to Left side?
rotate injection sites
Adduction
suctioning
43. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
dry sterile dressing
thrombocytopenia
Ego integrity Vs despair
Nursing assistant
44. Retards bacteria growth
Narcan or Noloxene
bacteriostatic
Metabolic acidosis
Isotonic
45. Instruct client to avoid ingesting alcohol when taking drug
cathartic
adverse reaction of INH is hepatitis
nitroglycerin
wet to dry dressings
46. Hang bag above stomach - clamp tubing - fill bag with formula - prime tubing - reclamp tube - attach to tube and open clamp - adjust flow - flush tube with water - disconnect
Bolus feeding
ear meds/adult
Decision Tree Step 3?
Reed - Sternberg cell
47. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
burns Stage I
ear meds/adult
sickling
acute appendicitis
48. Stop feeding q 4-8 hrs to check residual - flush q 4-6
What are symptoms of Mennengitis?
continuous feeding tube(pump)
Acetaminophen
Registered Nurse
49. Dermatitis is an ___ of the skin that produces an itchy - red rash.
High - Fowler's
inflammation
Hyperkalemia
quickest absorption
50. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
PEP
Ego integrity Vs despair
Isotonic
antidote foe coumadin