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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. 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
Where are the Tricuspid heart sounds located?
causes of hypoglycemia
Hypertonic
Medications for perioperative
2. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Metabolic acidosis
Trendelenburg
aspirin toxicity
Immediate Post - Op Care
3. Painful - tissue engorgement
Epidural anesthetic
diabetes mellitus (DM)
Vaso - occlusive (thrombotic crisis)
standard precautions
4. On left side with lower arm behind the back 2. Good position for administering enema
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5. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
Antidiuretic Hormone (ADH)
ear meds/adult
nitroglycerin
neurologic symptoms
6. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
Ego integrity Vs despair
Bacteremia
What are symptoms of Mennengitis?
7. Only insulin that can be given IV
ataxia
prilosec
Regular insulin
Bacteremia
8. The loss of the right or left half of the field of vision in both eyes.
Asphyxia
suctioning
homonymous hemianopsia
Malpractice
9. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
Hypotonic
nitroglycerin
Changes during aging
nthelminthic enema
10. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
carbon dioxide levels
Local cold
Asphyxia
ischemia
11. Suffocation
Blood Gas Values
Asphyxia
administer 2L O2 when
Low - Fowler's
12. Too much insulin - no food - too much/intense exercise - onset - sudden
inserting an NG tube
causes of hypoglycemia
African Americans
narrow spectrum
13. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis
Amnesia
stool testing
leukemia
suctioning
14. People over the age of 50 are recommended to have the ___ test for colon cancer - a colonoscopy.
Hyponatremia
Metabolic alkalosis
Semi - Fowler's
health screening
15. Retards bacteria growth
anus - cervix - penis - and vulva
1 ft
acute appendicitis
bacteriostatic
16. Straight back
Pel Epstein fever
Meningiomas Tumors (primary)
foley cath(male)
ear meds/3 and over
17. 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
ear meds/3 and over
TB testing
nursing interventions for severe hypoglycemia
Informed consent
18. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
fluid congestion
Hypovolemic shock
Spread of Infection
beefy red tongue
19. Needle does not puncture dura. Spinal headache unlikely. 2. Once sensation and motion return patient may be in any position that is satisfactory for the procedure.
Epidural anesthetic
platelets
Humulog
1 T
20. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Amnesia
Hypotonic
Metabolic alkalosis
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
21. Analgesics - antipyretic - small anticoagulation
lasix
Aspirin
Acetaminophen
Pineal gland Lesion
22. 3.5 - 5.5 mEq/l
Hemophilia
K+
Internal capsule lesion
Blood Gas Values
23. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
Cardiogenic Shock
Acetonuria
6 rights of medication administration
24. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
cleansing enema
Hyperkalemia
Respiratory acidosis
heart failure
25. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.
transdermal patch
Aplastic Crisis
Narcan or Noloxene
Atrophy
26. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
causes of hypoglycemia
most insulins
Glucotrol
Bacteremia
27. Stop feeding q 4-8 hrs to check residual - flush q 4-6
continuous feeding tube(pump)
topical agents
Wheel Chair Positioning
Gardasil vaccine
28. Motor dysphasia
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29. 1 tab with 5 min not exceeding 3 doses
when on lasix
nitroglycerin
Apply heat or cold day of surgery?
Shock
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
Circulatory overload
Inderal
milliliter
Dehydration
31. Manifestations 1) Hypotension - cyanosis - tachycardia 2) Increased venous pressure - loss of consciousness b. Prevention 1) Run fluid through tubing and needle or catheter to force air out before starting infusion 2) When using glass bottle - change
transdermal patch
Glucotrol
Air embolism
Catapres
32. Neurotransmitters that play important role in body's stress response
catecholamine
foley catheter(woman)
fluid congestion
pentamidine isethionate
33. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
health risk appraisal
thrombocytopenia
Logrolling
lithium toxicity
34. Generalized infection throughout body
septicemia
Narcan or Noloxene
Regular insulin
Pel Epstein fever
35. 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
Restraints
Cheyenne Strokes
traumatic brain injury
Vaso - occlusive (thrombotic crisis)
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
Hypernatremia
K+
Cooling blanket
bilirubin
37. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation
health screening
Cardiogenic Shock
captopril
CVL
38. Postexposure protocol
PEP
first sign of narcotic OD
nephrotoxicity
urine
39. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
sudafed
Cardiogenic Shock
bicarbonate
Semi - Fowler's
40. Can do sterile procedures b. Can give medications except IV meds
Strategy for 'Select all that apply' on the NCLEX exam
burns Stage IV
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Bolus feeding
41. 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
alsalva manuever
diverticular disease
MDI
Sylvian aqueduct syndrome
42. 12 in.
High - Fowler's
edema
vasoconstrictor
1 ft
43. 1cc
NPH
sterile wound irrigation
1 ml
Narcan or Noloxene
44. Can cause respiratory depression by decreasing rate and depth of respirations; analgesic used for moderate to severe pain; side effects include change in BP - bradycardia -
CVL
butorphanol tartrate
phenelzine sulfate
heparin/lovanox
45. Glaucoma and cataracts (lens becomes opaque) occur frequently 2. Presbyopia (farsightedness of aging) occurs in almost all persons as they age Difficulty seeing in dim light due to loss of light responsiveness Presbycussis: progressive hearing loss a
Spinal anesthetic
Changes during aging
metformin (Glucophage).
Bacteremia
46. Local anemia in a given body part sometimes resulting from vasoconstriction or thrombosis or embolism - to hold back blood; decreased blood flow to tissue caused by constriction or occlusion of a blood vessel
edema
ischemia
Standard (Universal) Precautions
Sponge bath
47. No longer than 10-20 seconds at a time - allow pt to rest between suctioning - flush cath with NS between suctionings - 80-100 mm is normal adult suction
thrombocytopenic purpura
suctioning
homonymous hemianopsia
Ego integrity Vs despair
48. Administer bronchodilators before other meds
MDI
Prone
Hypovolemic shock
CVL
49. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.
Immediate Post - Op Care
impaired asbsorption
HPV
depression
50. To move AWAY from midline
Abduction
Blood Gas Values
Blood Gas Values
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)