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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. 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
Decision Tree Step 3?
1 T
drip rate
enema
2. Hypertension is sometimes called a ___ disease because many clients are symptom free until complications arise - which can occur decades after the hypertension first begins.
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3. Stop feeding q 4-8 hrs to check residual - flush q 4-6
Decison Tree Step 5?
Spinal anesthetic
continuous feeding tube(pump)
NG tube
4. Tom move TOWARDS the midline
Na+
Ankyloses
Adduction
Logrolling
5. Instruct pt to clean genitalia with soap and water and void approx 60 ml
Osmotic pressure
checking NG tube placement
Metabolic alkalosis
single voided urine specimen
6. Down and back
2.2lbs.
ear meds/ 3 and under
Blood Gas Values
Reed - Sternberg cell
7. Sheet between patient and cooling blanket b. Prevent skin damage c. Change position frequently d. No shivering: Muscle relaxant may be given if patient shivering
Cooling blanket
Aldosterone
dexamethasone
fluid congestion
8. To slow formation of scar tissue
Standard (Universal) Precautions
Aldosterone
rotate injection sites
Bethanechol (Urecholine)
9. 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
IM meds
Precentral gyrus lesion
What are symptoms of Mennengitis?
Narcotic analgesics
10. Homonymous hemianopsia - partial szs w/limited visual phenomena
Respiratory acidosis
Occipital Lobe Lesion
TB testing
depressant
11. 60 gtt
Regular insulin
1 tsp
Parinaud's syndrome
Cheyenne Strokes
12. Constrict blood vessels
standard precautions
vasoconstrictor
Osmotic pressure
beefy red tongue
13. 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?
prilosec
tube feeding
gastroenteritis
14. Left
Metabolic acidosis
NG tube
smaller to larger
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
15. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
retrovirus
Air embolism
dry sterile dressing
Patient controlled analgesia
16. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
morphine
Immediate Post - Op Care
health screening
first sign of narcotic OD
17. Contralateral thalamus pain - contralateral hemisensory loss.
depressant
Metabolic alkalosis
Thalamus Lesion
Spinal anesthetic
18. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
inflammation
pyridoxine hydrochloride (vitamin B6)
Neuromas Tumors (primary)
PEP
19. O2 sat is less than 93
fluid congestion
hypoxia
continuous feeding tube(pump)
administer 2L O2 when
20. 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
African Americans
polyuria
edema
Superficial thrombophlebitis
21. Deficient oxygen in the blood.
butorphanol tartrate
Medications for perioperative
systemic hypoxia
Hypovolemic shock
22. Treatment of CHF associated with an acute MI - relievs anginal attacks
standard precautions
nitroglycerin
Informed consent
transdermal meds
23. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Parinaud's syndrome
s/sx of hyperglycemia
Dehydration
Aspirin
24. Patient is moved all at once so there is no twisting of spine B. One person moves the head and shoulders C. Second person moves the feet and legs at the same time D. Turning sheet may be helpful E. Place the bed in a high position to promote good bod
foley catheter(woman)
Logrolling
fluid congestion
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
25. Helps destroy intestinal parasites
nthelminthic enema
Narcotic Antagonist: Naloxone (Narcan)
aspirin (acetylsalicylic acid)
nursing interventions for hypoglycemia
26. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
systemic hypoxia
Spread of Infection
What are symptoms of Mennengitis?
Glucotrol
27. 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
What are NSAIDs mainly given for
Inderal
Patient controlled analgesia
when on digoxin
28. 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
hypertension
digitalis
adverse reaction of INH is hepatitis
29. 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
Shock
Dehydration
acute appendicitis
Regular insulin
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
foley cath(male)
with ear meds if there are 2 differant meds
CVL
systemic hypoxia
31. Is a route of parenteral medication adm near the base of the spine - most commonly used for administering an anesthetic for pain management. Most commonly used in first and second stages of labor and for pain relief.
What are symptoms of Mennengitis?
epidural
1 L
PEP
32. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short
Aplastic Crisis
causes of hypoglycemia
Humulog
wet to dry dressings
33. Motor dysphasia
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34. 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
Glioblastoma Multiform Tumors (primary)
6 rights of medication administration
pyridoxine hydrochloride (vitamin B6)
Superficial parietal lobe lesion
35. 2 pt
broad spectrum
nitroglycerin
Reed - Sternberg cell
1 qt
36. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
Wheel Chair Positioning
inflammation
polycythemia vera
What should you NEVER pick as an answer on the NCLEX exam?
37. Analgesics - antipyretic - anticoagulant - anti - inflammatory
NSAIDS
stool testing
Ego integrity Vs despair
Tylenol with codeine and Benadryl
38. 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
alsalva manuever
infiltration r/t IV
Supine
Registered Nurse
39. 5th Intercostal space - left side sternal border
1 pt
Pancrelipase (Pancrease capsules
CVL
Where are the Tricuspid heart sounds located?
40. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles
hypertension
What are signs of an Infant addicted to Herion?
High - Fowler's
valium
41. —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
Low - Fowler's
Shock
pentamidine isethionate
Diffusion
42. Apply cold to prevent swelling - bleeding and relive pain
tamoxifen
Apply heat or cold day of surgery?
suctioning
Immediate Post - Op Care
43. Stiff joints
Ankyloses
oil retention enema
Osmotic pressure
health risk appraisal
44. 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
Superficial thrombophlebitis
ear meds/3 and over
air embolus
alsalva manuever
45. The goal of ___ in care of the client with herpes is to prevent spread of the virus.
Osmosis
standard precautions
Spread of Infection
nitroglycerin
46. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
captopril
autonomic dysreflexia
s/sx of hyperglycemia
Cardiogenic Shock
47. Postexposure protocol
PEP
valium
lanolin
tetracycline
48. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis
continuous feeding tube(pump)
leukemia
postexposure protocol (PEP)
1 pt
49. 0.45 kg
alsalva manuever
Immediate Post - Op Care
What does Atropine Sulfate do?
1 lb
50. 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
What are NSAIDs mainly given for
'silent'
Narcotic analgesics
Hemophilia