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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. 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






2. Can do sterile procedures b. Can give medications except IV meds






3. Answers starting with 'I'll or Why.'






4. Inability to coordinate voluntary muscle movements






5. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis






6. Hormone Replacement Therapy






7. Cardiotonic






8. 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






9. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles






10. 1 tsp






11. Deficient oxygen in the blood.






12. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present






13. Manifestations 1) Muscle weakness 2) Weak pulse and ECG changes b. Causes 1) Potassium depleting diuretics 2) Burns 3) Diarrhea - colitis 4) Vomiting c. Management: Potassium replacement -- DO Not give Digoxin






14. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h






15. Contralateral thalamus pain - contralateral hemisensory loss.






16. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.






17. On the person's abdomen 2. Prevents hip flexion contractures






18. Inflammation and pain






19. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow






20. Human papilloma virus






21. Gloves - mask - gown






22. 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






23. Left






24. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle






25. Monitor K+






26. Stiff joints






27. 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






28. May occur when changing bags - opening line






29. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound






30. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P






31. 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






32. 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:






33. Atbs that are effective against many organisms






34. Onset:1-4hr. - cloudy - peak:6-10hrs. - duration:10-16 - up to 24 hrs. - cannot mix!!






35. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm






36. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.






37. A dangerous condition in which the body tissues and cells do not have enough oxygen






38. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia






39. Instruct pt to clean genitalia with soap and water and void approx 60 ml






40. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation






41. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life






42. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai






43. Outside of arachnoidal tissue - usually benign and slow growing






44. To slow formation of scar tissue






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






46. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover






47. Neurotransmitters that play important role in body's stress response






48. 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).






49. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site






50. 1cc