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Test your basic knowledge |
NCLEX Essential Concepts
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. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water
Hypernatremia
Hypokalemia
High - Fowler's
Superficial thrombophlebitis
2. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
Sponge bath
Narcotic Antagonist: Naloxone (Narcan)
Day of Injury
Stage I
3. Analgesics - antipyretic - anticoagulant - anti - inflammatory
Heat
Spread of Infection
Trendelenburg
NSAIDS
4. 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
Blood pressure
Osmotic pressure
bicarbonate
Informed consent
5. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Metabolic acidosis
Sterile Field
Cardiogenic Shock
Malpractice
6. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P
Circulatory overload
Restraints
Hypovolemic shock
Informed consent
7. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Informed consent
Modified Trendelenburg
Registered Nurse
Epidural anesthetic
8. 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
Metabolic alkalosis
Medications for perioperative
Cl
Air embolism
9. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Trendelenburg
Heat
Nursing care during IV infusions
Blood Gas Values
10. 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
Dehydration
Semi - Fowler's
Stage II
Air embolism
11. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe
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12. On the person's abdomen 2. Prevents hip flexion contractures
Chronic Pain
Prone
Stage II
Immediate Post - Op Care
13. 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
Narcotic Antagonist: Naloxone (Narcan)
Hyponatremia
Standard (Universal) Precautions
Trendelenburg
14. 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
Nursing assistant
Hypokalemia
Acetaminophen
Low - Fowler's
15. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Na+
Respiratory alkalosis
Hypotonic
Antidiuretic Hormone (ADH)
16. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Risk Factors for operations
Hypertonic
Heat
Isotonic
17. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
Stage I
Diffusion
Blood pressure
Day after
18. On left side with lower arm behind the back 2. Good position for administering enema
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19. 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
Heat
CVL
Bacteremia
Superficial thrombophlebitis
20. Follow physician's orders B. Do not apply without order except in emergency C. Use least restraint possible D. Each unit should have a written protocol E. Check patient frequently for safety F. Loosen restraints every 2 hours G. Do not use as punishm
Restraints
Hypokalemia
Spinal anesthetic
Isotonic
21. Can do sterile procedures b. Can give medications except IV meds
Sterile Field
Hyperkalemia
Modified Trendelenburg
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
22. Higher osmotic pressure than blood serum; causes cells to shrink; pulls fluid out of cells into blood stream a. Dextrose 5% or higher in saline b. Dextrose stronger than 5% in water c. Albumin
Immediate Post - Op Care
Hypertonic
Standard (Universal) Precautions
Chronic Pain
23. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Local cold
Metabolic alkalosis
Sterile Field
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
24. Dispose of sharps in puncture - resistant containers B. Do not recap used needles C. Wear protective barriers (gloves - gowns - masks - eyewear) when at risk for exposure to body fluids D. Clean blood spills with soap and water or household bleach 1:
Standard (Universal) Precautions
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Hypokalemia
Antidiuretic Hormone (ADH)
25. Rescue Alarm Contain Evacuate
Acute Pain
Na+
RACE
Infiltration
26. 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
Registered Nurse
Risk Factors for operations
RACE
Cl
27. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Hyperkalemia
Immediate Post - Op Care
Sim's
Risk Factors for operations
28. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage
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29. 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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30. 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
Logrolling
Chronic Pain
Standard (Universal) Precautions
Trendelenburg
31. 22 - 29 mEq/l
Narcotic Antagonist: Naloxone (Narcan)
bicarbonate
Risk Factors for operations
Registered Nurse
32. Movement of particles from higher to lower concentration
Negligence
Low - Fowler's
Diffusion
Ego integrity Vs despair
33. A generalized reaction to contaminated equipment or solutions a. Manifestations 1) Chills and fever 30-60 minutes after start of infusion 2) Flushing - sudden pulse increase 3) Backache - headache 4) Nausea - vomiting 5) Hypotension - vascular collap
Bacteremia
Risk Factors for operations
Low - Fowler's
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
34. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Trendelenburg
Stage IV
High - Fowler's
Risk Factors for operations
35. A decrease in total blood volume such as hemorrhage - transfusions
Low - Fowler's
Aspirin
Blood pressure
Hypovolemic shock
36. Caused by poor heart action.- drugs that make heart beat more effectively
Cardiogenic Shock
Chronic Pain
Supine
CVL
37. Analgesics - antipyretic - small anticoagulation
Day after
Nursing care during IV infusions
Acetaminophen
Sterile Field
38. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Cooling blanket
Spinal anesthetic
Dehydration
Metabolic alkalosis
39. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Risk Factors for operations
K+
Blood pressure
High - Fowler's
40. Acts of both omission and commission. 2. Failure to provide care that a reasonably prudent heath care professional would provide in the given circumstances. 3. Failure to provide care that meets the accepted standards of care - or giving care that re
Heat
Patient controlled analgesia
Nursing care during IV infusions
Negligence
41. Routine tasks b. Routine vital signs
Risk Factors for operations
Bacteremia
Nursing assistant
Spinal anesthetic
42. 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
Loss of bone density
Infiltration
Cooling blanket
Stage I
43. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair
Low - Fowler's
Circulatory overload
Wheel Chair Positioning
Maslow's hierarchy of needs
44. On the person's back 2. Maintains alignment
Isotonic
Cardiogenic Shock
Supine
Hyperkalemia
45. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Spread of Infection
Acetaminophen
Day of Injury
Respiratory acidosis
46. Apply cold to prevent swelling - bleeding and relive pain
Day of Injury
bicarbonate
Ego integrity Vs despair
Narcotic Antagonist: Naloxone (Narcan)
47. 85 - 115 mEq/l
Lithotomy
Blood pressure
Cl
Prone
48. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
Loss of bone density
Circulatory overload
Stage II
Antidiuretic Hormone (ADH)
49. Patient on side 2. Prevents aspiration when patient is not fully alert
Logrolling
Negligence
Side - lying
Nursing care during IV infusions
50. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Maslow's hierarchy of needs
Negligence
Respiratory acidosis
Ego integrity Vs despair
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