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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. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
foley catheter(woman)
stool testing
Heat
Aplastic Crisis
2. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
Pons lesion
What is the Decision Tree Step 1?
tamoxifen
diabetes insipidus
3. The nurse teaches the client with ___ ways to change diet and lifestyle habits in order to control the condition.
diverticular disease
NPH
ototoxicity
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
4. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial
health risk appraisal
NG tube
Acetaminophen
Insulin
5. 1 g
Semi - Fowler's
death
NPH
1000mg
6. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage
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7. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach
Heat
Decision Tree Step 3?
Hodgkin's Lymphoma
prilosec
8. Analgesic - antipyretic - anticoagulant - anti - inflammatory
septicemia
Aspirin
bacteriostatic
standard precautions
9. Wait 5-10 mins inbetween meds
with ear meds if there are 2 differant meds
Pel Epstein fever
sliding scale
dermatitis
10. 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
dermatitis
beefy red tongue
polyuria
11. Apply cold to prevent swelling - bleeding and relive pain
Apply heat or cold day of surgery?
polycythemia vera
single voided urine specimen
Atrophy
12. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry
sterile wound irrigation
gaze palsy
checking NG tube placement
Narcotic Antagonist: Naloxone (Narcan)
13. Stiff joints
Abduction
Ankyloses
sub - q injections
What should you NEVER pick as an answer on the NCLEX exam?
14. Treatment of CHF associated with an acute MI - relievs anginal attacks
stool testing
epilepsy
nitroglycerin
Hypertonic
15. 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
Strategy for 'Select all that apply' on the NCLEX exam
thrombocytopenic purpura
quickest absorption
Maslow's hierarchy of needs
16. Contralateral dystonia - Contralateral choreoathetosis
Basal ganglia lesion
with ear meds if there are 2 differant meds
Hypokalemia
Change in mental status and confusion
17. 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
Change in mental status and confusion
Apply heat or cold day of surgery?
120 gtts of water
sickling
18. Inability to look in a particular direction of gaze (both eyes signals a brain disease)
transdermal patch
burns Stage IV
ototoxicity
gaze palsy
19. Dermatitis is an ___ of the skin that produces an itchy - red rash.
inflammation
Sim's
PEP
1 teacup
20. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
Osmotic pressure
anus - cervix - penis - and vulva
Epidural anesthetic
Osmosis
21. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days
suctioning
causes of hyperglycemia
aspirin toxicity
metered dose inhaler
22. Is a centrally acting alpha - adrenergic used to treat hypertension; apply to nonhairy site every 7 days; side effects include drowsiness - sedation - orthostatic hypotension; heart failure
eye meds(opthalmic)
NPH
Catapres
1 pt
23. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
midbrain syndrome
Respiratory acidosis
platelets
Internal capsule lesion
24. Holding one's breath & attempt to exhale - Done during exercise - heavy lifting - birth delivery - coughing - sneezing - straining when urinating - defecating - vomiting. May cause cardiac arrest with a weakened heart - Encourage proper breathing whe
wet to dry dressing
alsalva manuever
Malpractice
Registered Nurse
25. Retards bacteria growth
apply heat or cold day after surgery?
NSAIDS
bacteriostatic
Heat
26. Too much insulin - no food - too much/intense exercise - onset - sudden
causes of hypoglycemia
Superficial thrombophlebitis
Regular insulin
Maslow's hierarchy of needs
27. Patient - time - dose - route - medication - documentation
valium
Shock
6 rights of medication administration
Dehydration
28. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
transdermal patch
Decision Tree Step 4?
Respiratory acidosis
suctioning
29. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
larger to smaller
inflammation
Where are the Tricuspid heart sounds located?
burns Stage I
30. 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
Bacteremia
vasoconstrictor
Narcotic Antagonist: Naloxone (Narcan)
sudafed
31. 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
causes of hyperglycemia
Superficial thrombophlebitis
lasix
Where are the Tricuspid heart sounds located?
32. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2
Change in mental status and confusion
Patient controlled analgesia
when on digoxin
Risk Factors for operations
33. Left
Internal capsule lesion
smaller to larger
Regular insulin
air embolus
34. 5th Intercostal space - left side sternal border
Where are the Tricuspid heart sounds located?
burns Stage II
2.2lbs.
fleets enema
35. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
most insulins
estrogen and progestin
Aldosterone
hypoxia
36. 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
Cooling blanket
Wheel Chair Positioning
Air embolism
Aplastic Crisis
37. Prevent circulation
polycythemia vera
metformin (Glucophage).
Glioblastoma Multiform Tumors (primary)
Benefit of turning patient to Right side?
38. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Shock
hypertension
ear meds/ 3 and under
Metabolic acidosis
39. Acetone in urine
Na+
enema
Acetonuria
Standard (Universal) Precautions
40. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water
Hypernatremia
metered dose inhaler
suctioning
sliding scale
41. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
sickling
when mixing insulins
Glucotrol
Osmotic pressure
42. Given in small amounts bc is retained
oil retention enema
Ego integrity Vs despair
Medications for perioperative
Hodgkin's Lymphoma
43. Constrict blood vessels
vasoconstrictor
sickling
gastroenteritis
diabetes mellitus (DM)
44. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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45. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
Broca's area lesion
Decision Tree Step 4?
health screening
Negligence
46. Put air into cloudy first - then clear
estrogen and progestin
when mixing insulins
Basal ganglia lesion
Metabolic acidosis
47. Apply heat to improve circulation and healing
apply heat or cold day after surgery?
polyuria
tube feeding
polydipsia
48. Is the in ability of the heart to pump sufficient blood to meet the body's needs. Symptoms include SOB - cold and pale extremities - and a persistent - dry cough due to fluid congestion in the lungs.
heart failure
HPV
chronic obstructive pulmonary disease
Amnesia
49. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
Immediate Post - Op Care
tube feeding
continuous feeding tube(pump)
sacs (or pockets)
50. Dispose of sharps in puncture - resistant containers B. Do not recap used needles C. Wear protective barriers (gloves - gowns - masks - eyewear) when at risk for exposure to body fluids D. Clean blood spills with soap and water or household bleach 1:
Standard (Universal) Precautions
endometriosis
Sterile Field
ototoxicity