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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. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
carbon dioxide levels
septicemia
neurologic symptoms
bicarbonate
2. Partial thickness loss of skin involving epidermis and/or part of dermis
burns Stage II
Vaso - occlusive (thrombotic crisis)
Hypovolemic shock
Wheel Chair Positioning
3. Another name for head injury which is any trauma to the head that can cause soft tissue damage or internal injury to the brain - and often occurs as a result of motor veh crashes - falls and sports.
traumatic brain injury
Metabolic alkalosis
NPH
Inderal
4. The ___ has been proven to be effective in preventing two of the strains of human papilloma virus (HPV) responsible for a large percentage of cervical cancer cases.
Gardasil vaccine
septicemia
Addison disease
when on steriods watch for
5. Caused by poor heart action.- drugs that make heart beat more effectively
Bethanechol (Urecholine)
Cardiogenic Shock
Blood pressure
What should you NEVER pick as an answer on the NCLEX exam?
6. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
morphine
impaired asbsorption
sudafed
Broca's area lesion
7. 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
Immediate Post - Op Care
nephrotoxicity
Metabolic alkalosis
metered dose inhaler
8. 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
Epidural anesthetic
polydipsia
phlebitis r/t IV
larger to smaller
9. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs
catecholamine
ted hose
Neuromas Tumors (primary)
bacteriacidal
10. 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
Humulog
IM meds
1 T
ear meds/ 3 and under
11. 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
aspirin (acetylsalicylic acid)
1 teacup
Nursing care during IV infusions
Medications for perioperative
12. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
1 kg
Asphyxia
nursing interventions for severe hypoglycemia
morphine
13. Onset:1-4hr. - cloudy - peak:6-10hrs. - duration:10-16 - up to 24 hrs. - cannot mix!!
Spread of Infection
stool testing
NPH
phlebitis r/t IV
14. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray
checking NG tube placement
Hypernatremia
Blood pressure
Apply heat or cold day of surgery?
15. 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
depression
Air embolism
Local cold
Superficial thrombophlebitis
16. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach
African Americans
prilosec
Nursing assistant
postexposure protocol (PEP)
17. Patient on side 2. Prevents aspiration when patient is not fully alert
Side - lying
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Inderal
platelets
18. Vitamin k
tamoxifen
butorphanol tartrate
epidural
antidote foe coumadin
19. A decrease in total blood volume such as hemorrhage - transfusions
Acetonuria
when on steriods watch for
Basal ganglia lesion
Hypovolemic shock
20. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
sub - q injections
Heat
wet to dry dressings
lanolin
21. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.
when mixing insulins
Change in mental status and confusion
general anesthesia
What are symptoms of Mennengitis?
22. Tom move TOWARDS the midline
Adduction
Glucotrol
What is the Decision Tree Step 1?
epilepsy
23. 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
Ego integrity Vs despair
foley cath(male)
lanolin
24. Salicylates - NSAIDs
Adduction
meds used for antipyretic - inflamm - and analgesia
IM meds
Spinal anesthetic
25. 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
Ankyloses
bacteriacidal
Air embolism
What are signs of an Infant addicted to Herion?
26. Fluid balance - acid - base - nerve conduction a. Causes 1) Increased perspiration 2) Drinking only tap water 3) GI losses: diarrhea - vomiting - suction 4) Diuretics b - Manifestations 1) Confusion 2) Hypotension 3) Oliguria 4) Muscle weakness 5) Co
parasthesia
Hyponatremia
acute appendicitis
Pel Epstein fever
27. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Parinaud's syndrome
Metabolic alkalosis
Supine
metered dose inhaler
28. Rescue Alarm Contain Evacuate
Hemophilia
nitroglycerin
s/sx of hypoglycemia
RACE
29. Produced by adrenal cortex. Target most cells to promote breakdown of glycogen - fats - and proteins as energy sources; raise blood level of glucose.Cortisol and Cortisone are types of these hormones.
Dehydration
wet to dry dressings
ear meds/ 3 and under
glucocorticoids
30. Flush daily with saline or heparin to prevent clots from forming B. Change dressing three times per week C. Check for infection D. Discard 5-10 ml when drawing blood E. In multilumen catheters use ports for designated purpose F. Valsalva's maneuver w
Sterile Field
CVL
septicemia
Metabolic alkalosis
31. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
Decision Tree Step 4?
oil retention enema
burns Stage I
Osmotic pressure
32. Human papilloma virus
High - Fowler's
HPV
urine
tetracycline
33. —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
burns Stage III
quickest absorption
Shock
pentamidine isethionate
34. 16-18 F is standard adult size - children are standard 5-12F
Pons lesion
stool testing
heart failure
NG tube
35. Analgesics - antipyretic - small anticoagulation
s/sx of hyperglycemia
deltoid muscle
Acetaminophen
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
36. The goal of ___ in care of the client with herpes is to prevent spread of the virus.
catheter embolus
standard precautions
MDI
endometriosis
37. Mask symptoms of hypoglycemia - removing your body's early warning systembeta - blockers bind beta - adrenergic receptor sites - which prevents adrenaline from causing symptoms and glycogenolysis
cathartic
Superficial thrombophlebitis
Circulatory overload
Inderal
38. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
platelets
lanolin
phenazopyridine
urine
39. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
neurologic symptoms
aspirin toxicity
Wheel Chair Positioning
40. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
dramamine
s/sx of hypoglycemia
narrow spectrum
when on digoxin
41. 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
Respiratory acidosis
1 L
Shock
ear meds/adult
42. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body
Narcotic Antagonist: Naloxone (Narcan)
Intradermal injections
nthelminthic enema
pernicious anemia
43. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
Side - lying
6 rights of medication administration
lithium toxicity
Decison Tree Step 5?
44. Decision maker b. Can do complex procedures c. Can give medications via all routes that nurses can give meds d. Is best person for teaching e. Coordinates care f. Performs admission assessments
endometriosis
pernicious anemia
Registered Nurse
Hypernatremia
45. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
nursing interventions for severe hypoglycemia
Hypokalemia
Side - lying
foley cath(male)
46. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
Pons lesion
apply heat or cold day after surgery?
dexamethasone
What is the Guaiac Test?
47. Common for debriding
sliding scale
dexamethasone
wet to dry dressing
cleansing enema
48. Being ___ is acting in accordance with a set of standards of conduct. Nursing organizations have established a code of conduct that provides ethical guidelines for nursing practice.
ethical
most insulins
herpes
inflammation
49. 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
Hypertonic
anus - cervix - penis - and vulva
Restraints
Informed consent
50. 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).
What is the Decision Tree Step 1?
edema
standard precautions
dermatitis