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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. An antagonist for estrogen that is used in the treatment of breast cancer
1 T
tamoxifen
Regular insulin
cleansing enema
2. 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
enema
gaze palsy
Hypotonic
Superficial thrombophlebitis
3. Vit B12 Defiency Anemia is caused from a lack of liver meats - other meats - eggs - milk - increased need - tapeworms and ___.
Hypovolemic shock
Cardiogenic Shock
Apply heat or cold day of surgery?
impaired asbsorption
4. 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
Supine
inserting an NG tube
Hypernatremia
metered dose inhaler
5. Analgesic - antipyretic - anticoagulant - anti - inflammatory
depression
Aspirin
when on steriods watch for
wet to dry dressing
6. Acetone in urine
Hypokalemia
1000mg
adverse reaction of INH is hepatitis
Acetonuria
7. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
cleansing enema
HPV
Bethanechol (Urecholine)
Logrolling
8. 1 g
ear meds/3 and over
Circulatory overload
Occipital Lobe Lesion
1000mg
9. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
beefy red tongue
Metabolic alkalosis
parasthesia
HRT
10. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe
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11. Atbs that are effective against many organisms
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Risk Factors for operations
Pancrelipase (Pancrease capsules
broad spectrum
12. Topical agents designed to absorb through skin for systemic effects
transdermal meds
traumatic brain injury
ear meds/ 3 and under
side effects of barbituates
13. 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
sickling
Pel Epstein fever
2.2lbs.
alsalva manuever
14. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.
Superficial thrombophlebitis
fluid congestion
Cardiogenic Shock
morphine
15. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
with ear meds if there are 2 differant meds
Respiratory acidosis
Acetaminophen
nursing interventions for hypoglycemia
16. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days
causes of hyperglycemia
Antidiuretic Hormone (ADH)
Inderal
nursing interventions for severe hypoglycemia
17. Emergency life - threatening condition which can occur with spinal cord injuries above T6 after spinal shock resolves - which is 1 to 6 weeks after injury; causes include visceral distension and noxious stimuli such as skin pressure - temperature ext
autonomic dysreflexia
Where are the Tricuspid heart sounds located?
with ear meds if there are 2 differant meds
Addisonian crisis
18. Hormone Replacement Therapy
Apply heat or cold day of surgery?
Decison Tree Step 5?
HRT
Bacteremia
19. Fever that waxes and wanes - is associated with Hodgkins Lymphoma
Vaso - occlusive (thrombotic crisis)
tamoxifen
Pel Epstein fever
IM meds
20. 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
Humulog
Prone
thrombocytopenia
Hypokalemia
21. Befor administering squeeze a small amount out and apply thin layer - blink
Insulin
RACE
Thalamus Lesion
eye ointments
22. Capsule can be opened since contents are enteric - coated microspheres; contents should be mixed into a small amount of cool - soft food such as applesauce and the applesauce should then be swallowed immediately without chewing; swallowing whole ensu
IM meds
Jacksonian seizures
Pancrelipase (Pancrease capsules
acute appendicitis
23. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
Jacksonian seizures
sacs (or pockets)
Negligence
Prone
24. 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
Air embolism
CVL
Decision Tree Step 4?
Na+
25. A decrease in total blood volume such as hemorrhage - transfusions
Circulatory overload
Hypovolemic shock
narrow spectrum
foley catheter(woman)
26. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O
Epidural anesthetic
Superficial thrombophlebitis
Standard (Universal) Precautions
Sterile Field
27. Routine tasks b. Routine vital signs
catecholamine
Nursing assistant
bacteriacidal
120 gtts of water
28. 60 gtt
6 rights of medication administration
nitroglycerin
1 tsp
Low - Fowler's
29. Cause drowsiness; maintain client safety
Sterile Field
Metabolic alkalosis
Sponge bath
Tylenol with codeine and Benadryl
30. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
1 pinch
Trendelenburg
bilirubin
traumatic brain injury
31. On the person's back 2. Maintains alignment
Supine
air embolus
1 lb
vasoconstrictor
32. Monitor K+
phlebitis r/t IV
when on lasix
Narcotic analgesics
glucocorticoids
33. Gloves - mask - gown
autonomic dysreflexia
Respiratory acidosis
polydipsia
off
34. Patient on side 2. Prevents aspiration when patient is not fully alert
Sylvian aqueduct syndrome
Respiratory alkalosis
120 gtts of water
Side - lying
35. Movement of particles from higher to lower concentration
What does Atropine Sulfate do?
Hodgkin's Lymphoma
Respiratory acidosis
Diffusion
36. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
CVL
chronic obstructive pulmonary disease
African Americans
sub - q injections
37. 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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38. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.
catheter embolus
What are NSAIDs mainly given for
herpes
Bacteremia
39. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles
opiate
valium
anus - cervix - penis - and vulva
What does Atropine Sulfate do?
40. #1 is abdomen - #2 is arm - #3 is buttock
Neuromas Tumors (primary)
eye meds(opthalmic)
Aldosterone
quickest absorption
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
nephrotoxicity
What is the Decision Tree Step 1?
suctioning
alsalva manuever
42. 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.
Parinaud's syndrome
Epidural anesthetic
1 kg
Narcan or Noloxene
43. To move AWAY from midline
Broca's area lesion
sterile wound irrigation
Abduction
bicarbonate
44. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
emphysema
1 L
administer 2L O2 when
Meningiomas Tumors (primary)
45. Acts of both omission and commission. 2. Failure to provide care that a reasonably prudent heath care professional would provide in the given circumstances. 3. Failure to provide care that meets the accepted standards of care - or giving care that re
medically controlled coma
What are symptoms of Mennengitis?
1 qt
Negligence
46. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
Glucotrol
narrow spectrum
inflammation
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
47. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle
medically controlled coma
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
sub - q injections
Occipital Lobe Lesion
48. Wait 5-10 mins inbetween meds
Narcotic analgesics
Cooling blanket
urine
with ear meds if there are 2 differant meds
49. Is a condition in which Bp is abnormally high. In adults - ___ is dx with Bp readings higher than 140 mmHg systolic or 90 mmHg diastolic after 3 separate readings that are recorded several weeks apart.
administer 2L O2 when
Immediate Post - Op Care
hypertension
High - Fowler's
50. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
nephrotoxicity
Aldosterone
PEP
aspirin toxicity