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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. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea






2. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.






3. 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






4. Able to kill bacteria






5. Caused by a decrease in peripheral resistance - vasoconstriction






6. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing






7. Given right befor meals to control blood sugar






8. Narcotic






9. Right






10. Cardiotonic






11. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.






12. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery

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13. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other






14. Patient on side 2. Prevents aspiration when patient is not fully alert






15. The pain usually comes prior to nausea and vomiting;






16. Fluid buildup in tissues - palpate areas for tenderness/consistency






17. Jacksonian szs - generalized szs - hemiparesis






18. Bloodstream infection: if becomes very bas pt may have a red line along arm






19. Retards bacteria growth






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






21. Up and back






22. 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






23. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.






24. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures






25. 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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26. 85 - 115 mEq/l






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






28. Administer bronchodilators before other meds






29. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.






30. Fever that waxes and wanes - is associated with Hodgkins Lymphoma






31. 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.






32. Apply cold to prevent swelling - bleeding and relive pain






33. Caused by poor heart action.- drugs that make heart beat more effectively






34. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)






35. Human papilloma virus






36. Aspirin






37. 1/8 tsp






38. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time






39. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%






40. Does Maslow Fit? If NO - alre all answers physical or are all answers pschosocial? If yes - eliminate psychosocial - Does the physical needs make sense? Then apply your ABC's






41. Rescue Alarm Contain Evacuate






42. Renal disorder characterized by the production of large volumes of pale dilute urine






43. 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






44. 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






45. Act on local tissue






46. 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






47. Patient is likely to be taking isoniazid (INH); INH is a mainstay in prevention and treatment of tuberculosis - used in combination with other antitubercular drugs if the disease is active; vitamin B6 is given to prevent the peripheral neuropathy - d






48. 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






49. Patient - time - dose - route - medication - documentation






50. Look at all options as true/false

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