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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. Always given with short acting insulin such as reg/ humulog






2. Common for debriding






3. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss






4. 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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5. Neurotransmitters that play important role in body's stress response






6. Bile in urine






7. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long






8. Up and back






9. 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.






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






11. 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






12. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present






13. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short






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






15. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.






16. 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






17. Promotes circulation






18. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.






19. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.






20. 6 oz.






21. Inability to look in a particular direction of gaze (both eyes signals a brain disease)






22. 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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23. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's






24. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.






25. 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.






26. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach






27. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.






28. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.






29. Motor dysphasia

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30. Routine tasks b. Routine vital signs






31. Excessive thirst (as in cases of diabetes or kidney dysfunction)






32. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious






33. Check balloon for patency - non dom hand open labia - dom hand cleans - insert cath 2-3' until urine returns - inflate balloon - pull back - push 1 more ' - document






34. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation






35. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness






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






37. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.






38. Chronic syndrome resulting in a deficiency of hormonal secretion of the adrenal cortex with darkening of skin - loss of appetite - and depression






39. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time






40. No red meat - radishes - beets - etc... for 3 days prior to test






41. 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






42. 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.






43. On the person's abdomen 2. Prevents hip flexion contractures






44. Helps destroy intestinal parasites






45. 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






46. Topical agents designed to absorb through skin for systemic effects






47. Total suppression of urine






48. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs






49. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body






50. The 55-yr - old male client has recently been diagnosed with ___. The nurse recognizes that this dx increases the client's risk of coronary heart disease - myocardial infarction - and peripheral vascular disease.