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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. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
Splenic Sequestration
most insulins
Side - lying
emphysema
2. 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.
hypertension
Patient controlled analgesia
On
Spinal anesthetic
3. A rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys)characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst
Hypernatremia
Blood pressure
diabetes insipidus
nitroglycerin
4. Commonly used diuretic (trade name Lasix) used to treat hypertension and edema
Aldosterone
burns Stage IV
apply heat or cold day after surgery?
lasix
5. 22 - 29 mEq/l
adverse reaction of INH is hepatitis
bicarbonate
Catapres
Decision Tree Step 2?
6. 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
Catapres
1 teacup
burns Stage II
Sylvian aqueduct syndrome
7. 3 tsp
Tylenol with codeine and Benadryl
1 T
heparin/lovanox
cleansing enema
8. 1 tsp
gaze palsy
nursing interventions for severe hypoglycemia
platelets
120 gtts of water
9. Head injury is one of the most common causes of ___ and disability in the U.S.
Humulog
Decison Tree Step 5?
death
Decision Tree Step 2?
10. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
Atrophy
Anuria
diverticular disease
11. 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
1 lb
diabetes insipidus
Lantus
IM meds
12. 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
Superficial parietal lobe lesion
side effects of barbituates
glossitis
13. Inflamm of the vessel: caused by irritaition of vessel by needle - cannula - meds. S/S are warnth - swelling - tenderness. IV must be dc'd - warm compress to decrease discomfort
1 ft
phlebitis r/t IV
herpes
Patient controlled analgesia
14. Dermatologic
lanolin
checking NG tube placement
health screening
Spinal anesthetic
15. 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
Narcotic Antagonist: Naloxone (Narcan)
continuous feeding tube(pump)
Risk Factors for operations
CVL
16. 3.5 - 5.5 mEq/l
K+
What are signs of an Infant addicted to Herion?
Maslow's hierarchy of needs
Immediate Post - Op Care
17. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Addisonian crisis
6 rights of medication administration
Loss of bone density
Aldosterone
18. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.
Hemophilia
What are NSAIDs mainly given for
morphine
dexamethasone
19. Given in small amounts bc is retained
CVL
oil retention enema
diabetes mellitus (DM)
valium
20. Fluid buildup in tissues - palpate areas for tenderness/consistency
Osmosis
NSAIDS
edema
bacteriacidal
21. Tom move TOWARDS the midline
Cheyenne Strokes
Adduction
Acetaminophen
Gardasil vaccine
22. Instruct pt to clean genitalia with soap and water and void approx 60 ml
Pons lesion
What is the Decision Tree Step 1?
Loss of bone density
single voided urine specimen
23. 10 degree angle - 25-27G needle - 5/8-1/2' needle - barely cover bevel under skin - do not do near a vein - do to the side - used for PPD&allergy testing
sacs (or pockets)
Intradermal injections
Maslow's hierarchy of needs
Thalamus Lesion
24. —pentamidine is an antiprotozoal agent used to prevent and/or treat Pneumocystis carinii pneumonia (PCP) - a common opportunistic infection in AIDS patients; manifestations of PCP usually include coughing - fever - dyspnea - fatigue - and weight loss
Nursing care during IV infusions
Sterile Field
pentamidine isethionate
transdermal patch
25. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Ankyloses
Bacteremia
Respiratory acidosis
neurologic symptoms
26. Infection
when on steriods watch for
continuous feeding tube(pump)
Sponge bath
dramamine
27. Promotes circulation
Lantus
eye meds(opthalmic)
gastroenteritis
Benefit of turning patient to Left side?
28. On the person's abdomen 2. Prevents hip flexion contractures
Prone
Sim's
retrovirus
Decision Tree Step 4?
29. 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
nitroglycerin
topical agents
HRT
30. 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
High - Fowler's
Supine
Low - Fowler's
Changes during aging
31. To slow formation of scar tissue
first sign of narcotic OD
rotate injection sites
Ego integrity Vs despair
ataxia
32. Has regular insulin in it already
neurologic symptoms
NPH
PEP
Metabolic acidosis
33. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
Medications for perioperative
ear meds/3 and over
smaller to larger
eye meds(opthalmic)
34. Antihistamine and antiemetic - used to treat motion sickness
chronic obstructive pulmonary disease
dramamine
heparin/lovanox
broad spectrum
35. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
'silent'
Respiratory alkalosis
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Sponge bath
36. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
nursing interventions for hypoglycemia
Narcotic Antagonist: Naloxone (Narcan)
suctioning
Humulog
37. 0.45 kg
Anuria
1 lb
diabetes mellitus (DM)
Lithotomy
38. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Pel Epstein fever
Blood Gas Values
quickest absorption
Trendelenburg
39. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Change in mental status and confusion
Metabolic alkalosis
NSAIDS
captopril
40. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Malpractice
phlebitis
Hemophilia
sub - q injections
41. Always given with short acting insulin such as reg/ humulog
edema
Narcotic Antagonist: Naloxone (Narcan)
Hyponatremia
sliding scale
42. 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
Intradermal injections
Risk Factors for operations
Changes during aging
43. 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
gastroenteritis
Circulatory overload
Hypernatremia
What is the Guaiac Test?
44. Outside of arachnoidal tissue - usually benign and slow growing
Meningiomas Tumors (primary)
Choluria
lanolin
Logrolling
45. Inflammation and pain
What are NSAIDs mainly given for
Respiratory alkalosis
Circulatory overload
Pineal gland Lesion
46. 16 oz
1 pt
Malpractice
Vaso - occlusive (thrombotic crisis)
foley catheter(woman)
47. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Hyperkalemia
Epidural anesthetic
most insulins
Metabolic acidosis
48. 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
Bacteremia
before surgery the pt. should stop using
Narcotic analgesics
cathartic
49. Atbs that are effective agaist a few mo's
Circulatory overload
narrow spectrum
Restraints
ted hose
50. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
causes of hyperglycemia
1 pinch
CVL