SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
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. 85 - 115 mEq/l
Modified Trendelenburg
Trendelenburg
Cl
Side - lying
2. 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
CVL
Restraints
Hypokalemia
Bacteremia
3. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Hypokalemia
Isotonic
Stage I
Blood Gas Values
4. 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
Wheel Chair Positioning
Modified Trendelenburg
Spinal anesthetic
Stage I
5. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Sterile Field
Acetaminophen
Respiratory acidosis
Metabolic acidosis
6. Apply cold to prevent swelling - bleeding and relive pain
Day of Injury
Cooling blanket
Shock
Hyperkalemia
7. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
NSAIDS
CVL
Stage II
8. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Narcotic analgesics
Patient controlled analgesia
Loss of bone density
Supine
9. 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
Hypovolemic shock
Side - lying
Narcotic analgesics
Risk Factors for operations
10. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie
Hyperkalemia
Nursing assistant
Patient controlled analgesia
Cardiogenic Shock
11. 22 - 29 mEq/l
bicarbonate
Cooling blanket
Dehydration
Narcotic analgesics
12. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
High - Fowler's
Blood Gas Values
Trendelenburg
Spread of Infection
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
Stage IV
Hyponatremia
Supine
Metabolic alkalosis
14. Caused by poor heart action.- drugs that make heart beat more effectively
Informed consent
Circulatory overload
CVL
Cardiogenic Shock
15. Partial thickness loss of skin involving epidermis and/or part of dermis
High - Fowler's
Stage II
Air embolism
Cardiogenic Shock
16. 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
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
17. 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
Shock
Patient controlled analgesia
Chronic Pain
Nursing assistant
18. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
Nursing assistant
Malpractice
Acute Pain
Stage I
19. 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
Hypovolemic shock
Loss of bone density
Nursing assistant
20. Caused by a decrease in peripheral resistance - vasoconstriction
Aldosterone
Osmosis
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Modified Trendelenburg
21. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
22. Lasts more than 6 months B. Appears to serve no useful purpose C. May persist after injury heals D. No autonomic nervous system symptoms
Lithotomy
Cardiogenic Shock
Chronic Pain
Acute Pain
23. 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
Hypertonic
Circulatory overload
Negligence
Sim's
24. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Hyperkalemia
Metabolic alkalosis
Isotonic
Day of Injury
25. 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
Stage I
Hypertonic
Cooling blanket
NSAIDS
26. 3.5 - 5.5 mEq/l
Osmosis
Medications for perioperative
Loss of bone density
K+
27. 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
Trendelenburg
Air embolism
Stage IV
Hypertonic
28. 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
Risk Factors for operations
Registered Nurse
Logrolling
Informed consent
29. 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
Acute Pain
Standard (Universal) Precautions
Maslow's hierarchy of needs
30. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Metabolic alkalosis
Stage IV
Day of Injury
RACE
31. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Hypertonic
Aspirin
Air embolism
Metabolic alkalosis
32. On the person's back 2. Maintains alignment
NSAIDS
Supine
Narcotic analgesics
CVL
33. Apply heat to improve circulation and healing
Stage I
Blood pressure
Spread of Infection
Day after
34. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Blood pressure
Cooling blanket
Narcotic analgesics
Bacteremia
35. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Spread of Infection
Na+
Standard (Universal) Precautions
36. 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
Informed consent
Epidural anesthetic
Na+
Sponge bath
37. 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
Metabolic acidosis
Negligence
Side - lying
Registered Nurse
38. Analgesics - antipyretic - small anticoagulation
Isotonic
Acetaminophen
CVL
Prone
39. 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
Nursing care during IV infusions
Supine
Stage II
40. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O
Changes during aging
Sterile Field
Nursing assistant
Shock
41. A decrease in total blood volume such as hemorrhage - transfusions
Immediate Post - Op Care
Hypovolemic shock
Cl
Blood Gas Values
42. 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.
Stage I
RACE
Epidural anesthetic
Loss of bone density
43. Full thickness skin loss involving subcutaneous damage or necrosis
Blood pressure
Stage III
Sterile Field
Cooling blanket
44. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Modified Trendelenburg
Air embolism
Stage III
Respiratory acidosis
45. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
46. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Loss of bone density
Sim's
Hypotonic
Spinal anesthetic
47. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Malpractice
Low - Fowler's
Aldosterone
Informed consent
48. 135 - 145 mEq/l
Day after
Na+
Heat
Medications for perioperative
49. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Day after
Side - lying
Ego integrity Vs despair
Sponge bath
50. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Immediate Post - Op Care
Hyponatremia
Local cold
Stage I