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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. 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.
2.2lbs.
beefy red tongue
depression
Basal ganglia lesion
2. Inflammation or redness of the tongue. Often seen in malnutrition.
Benefit of turning patient to Left side?
ischemia
Malpractice
glossitis
3. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Amnesia
Lantus
health screening
transdermal meds
4. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
ear meds/adult
1000mg
Occipital Lobe Lesion
5. Look at all options as true/false
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6. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
s/sx of hypoglycemia
polycythemia vera
Epidural anesthetic
Cardiogenic Shock
7. The loss of the right or left half of the field of vision in both eyes.
Decision Tree Step 3?
parasthesia
Aldosterone
homonymous hemianopsia
8. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short
Osmosis
1000mg
Blood Gas Values
Humulog
9. 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
Air embolism
Narcotic analgesics
enema
side effects of barbituates
10. Only used for 1-2 ml of med b/c is smaller muscle
side effects of barbituates
phlebitis
Osmotic pressure
deltoid muscle
11. Most common problem: when fluid or med leaks out of vein into tissue - edema occurs - feels cool - fluid in tissue will reabsorb eithin 24 hrs.
infiltration r/t IV
Sim's
Hypovolemic shock
standard precautions
12. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
anus - cervix - penis - and vulva
Decision Tree Step 3?
when on digoxin
Immediate Post - Op Care
13. A large multinucleated or multilobed cell with inclusion body- like nucleoli surrounded by a halo of clear nucleoplasm and must be present to dx Hodgkin's Lymphoma.
6 rights of medication administration
Spinal anesthetic
Reed - Sternberg cell
wet to dry dressings
14. Gown - mask - gloves
alsalva manuever
Low - Fowler's
On
meds used for antipyretic - inflamm - and analgesia
15. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
bacteriacidal
traumatic brain injury
nitroglycerin
16. Dermatologic
ear meds/ 3 and under
wet to dry dressing
lanolin
Abduction
17. In the elderly - change in mental status - particularly confusion - is very often the presenting symptom of infection; fever may be absent even when bacteremia or pneumonia are present
apply heat or cold day after surgery?
dry sterile dressing
Change in mental status and confusion
oil retention enema
18. 1000 g
opiate
suctioning
aspirin (acetylsalicylic acid)
1 kg
19. 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
1 tsp
CVL
standard precautions
Ego integrity Vs despair
20. Constrict blood vessels
vasoconstrictor
butorphanol tartrate
Pancrelipase (Pancrease capsules
parasthesia
21. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
Hodgkin's Lymphoma
Hyponatremia
neurologic symptoms
suctioning
22. An antagonist for estrogen that is used in the treatment of breast cancer
anus - cervix - penis - and vulva
antidote foe coumadin
tamoxifen
epidural
23. 60 gtt
Hyperkalemia
1 tsp
phlebitis
ataxia
24. 3.5 - 5.5 mEq/l
K+
nitroglycerin
Epidural anesthetic
Sterile Field
25. Testing for blood in the stools of an infant
gastroenteritis
What is the Guaiac Test?
Isotonic
ear meds/adult
26. Ake with meals to reduce side effects of the drug -- e.g. - nausea - vomiting - anorexia - abdominal cramps - fatigue; these effects tend to be mild and to resolve as therapy continues
metformin (Glucophage).
Broca's area lesion
Metabolic alkalosis
sterile wound irrigation
27. Common for debriding
wet to dry dressing
before surgery the pt. should stop using
beefy red tongue
1 T
28. Always given with short acting insulin such as reg/ humulog
sliding scale
Cardiogenic Shock
Occipital Lobe Lesion
Medications for perioperative
29. Fluid buildup in tissues - palpate areas for tenderness/consistency
edema
Intradermal injections
Pineal gland Lesion
Gardasil vaccine
30. 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
Reed - Sternberg cell
oil retention enema
postexposure protocol (PEP)
Risk Factors for operations
31. 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
What are signs of an Infant addicted to Herion?
1 lb
Splenic Sequestration
Pancrelipase (Pancrease capsules
32. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation
dexamethasone
metformin (Glucophage).
tamoxifen
Ego integrity Vs despair
33. Resp. depression
first sign of narcotic OD
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Lithotomy
Shock
34. 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
Antidiuretic Hormone (ADH)
autonomic dysreflexia
Cl
phlebitis
35. 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
quickest absorption
Shock
oil retention enema
Change in mental status and confusion
36. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs
drip rate
burns Stage III
ted hose
Isotonic
37. Able to kill bacteria
phlebitis
standard precautions
bacteriacidal
Pel Epstein fever
38. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
Cheyenne Strokes
Pons lesion
drip rate
Diffusion
39. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
lasix
impaired asbsorption
oil retention enema
cleansing enema
40. Given in small amounts bc is retained
aspirin (acetylsalicylic acid)
captopril
Air embolism
oil retention enema
41. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
depressant
Metabolic acidosis
Immediate Post - Op Care
Hypertonic
42. Analgesics - antipyretic - anticoagulant - anti - inflammatory
autonomic dysreflexia
NSAIDS
Registered Nurse
opiate
43. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
Side - lying
NPH
when on steriods watch for
beefy red tongue
44. Extracellular fluid volume deficit 1. Causes: Loosing more fluid than is taken in a. Vomiting b. Diarrhea c. Diuretics d. Increased respirations e. Insufficient I.V. fluid replacement or PO 2. Manifestations a. Weight loss b. Poor skin turgor c. Dry
Benefit of turning patient to Left side?
1 qt
Respiratory alkalosis
Dehydration
45. Topical agents designed to absorb through skin for systemic effects
Cl
Bacteremia
1 qt
transdermal meds
46. Movement of particles from higher to lower concentration
Cardiogenic Shock
Diffusion
Hypokalemia
Catapres
47. Are the answers assessments or implementations? If their a mix of both - read the stem to see if you should assess or implement first and then select answer
Decision Tree Step 2?
gastroenteritis
Trendelenburg
Circulatory overload
48. 1000 ml
1 L
Hypovolemic shock
Tylenol with codeine and Benadryl
Medications for perioperative
49. Fever that waxes and wanes - is associated with Hodgkins Lymphoma
Pel Epstein fever
HRT
What does Atropine Sulfate do?
Asphyxia
50. Treatment of CHF associated with an acute MI - relievs anginal attacks
sterile wound irrigation
glucocorticoids
Air embolism
nitroglycerin
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