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. Movement of particles from higher to lower concentration
Low - Fowler's
Diffusion
Sim's
RACE
2. 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
Cl
Patient controlled analgesia
Ego integrity Vs despair
Hyponatremia
3. Analgesics - antipyretic - anticoagulant - anti - inflammatory
Informed consent
Negligence
Acetaminophen
NSAIDS
4. 3.5 - 5.5 mEq/l
Osmosis
Hypovolemic shock
K+
Stage I
5. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Blood Gas Values
Circulatory overload
Metabolic acidosis
Hypotonic
6. Apply heat to improve circulation and healing
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Standard (Universal) Precautions
Day after
Risk Factors for operations
7. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Osmotic pressure
Hypernatremia
Circulatory overload
Respiratory acidosis
8. Caused by a decrease in peripheral resistance - vasoconstriction
Day after
Changes during aging
Infiltration
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
9. 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 III
Hyperkalemia
Hypertonic
Local cold
10. 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
11. 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
12. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Air embolism
Bacteremia
Respiratory alkalosis
Spread of Infection
13. On left side with lower arm behind the back 2. Good position for administering enema
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
14. 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
Medications for perioperative
Hypernatremia
Dehydration
NSAIDS
15. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Hypotonic
Immediate Post - Op Care
Metabolic alkalosis
Semi - Fowler's
16. 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
Air embolism
Circulatory overload
RACE
Registered Nurse
17. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Heat
Immediate Post - Op Care
Metabolic acidosis
Stage II
18. 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
NSAIDS
Semi - Fowler's
Aldosterone
19. 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
NSAIDS
Respiratory acidosis
Prone
Hypokalemia
20. 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:
RACE
Na+
Metabolic acidosis
Standard (Universal) Precautions
21. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
Osmosis
Day of Injury
Blood pressure
Risk Factors for operations
22. 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
Negligence
Osmosis
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Spinal anesthetic
23. A decrease in total blood volume such as hemorrhage - transfusions
Blood Gas Values
Shock
Ego integrity Vs despair
Hypovolemic shock
24. 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
Circulatory overload
Cooling blanket
Restraints
Local cold
25. Rescue Alarm Contain Evacuate
RACE
Blood pressure
Malpractice
Bacteremia
26. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
Narcotic Antagonist: Naloxone (Narcan)
Acute Pain
Antidiuretic Hormone (ADH)
Malpractice
27. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
Stage I
Nursing care during IV infusions
Maslow's hierarchy of needs
Sponge bath
28. 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
Circulatory overload
Superficial thrombophlebitis
Chronic Pain
High - Fowler's
29. 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
Stage IV
Bacteremia
Cardiogenic Shock
Wheel Chair Positioning
30. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Cl
Lithotomy
Registered Nurse
Immediate Post - Op Care
31. 85 - 115 mEq/l
Isotonic
Cl
Low - Fowler's
Semi - Fowler's
32. Analgesics - antipyretic - small anticoagulation
Respiratory alkalosis
Stage III
Acetaminophen
Metabolic acidosis
33. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Side - lying
Ego integrity Vs despair
Stage II
Modified Trendelenburg
34. 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
Risk Factors for operations
Superficial thrombophlebitis
Local cold
35. Caused by poor heart action.- drugs that make heart beat more effectively
Hypernatremia
bicarbonate
Stage III
Cardiogenic Shock
36. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
Shock
Wheel Chair Positioning
Hyperkalemia
K+
37. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Wheel Chair Positioning
Aldosterone
Osmotic pressure
Informed consent
38. 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
Spinal anesthetic
Circulatory overload
Na+
Hyponatremia
39. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Informed consent
Aspirin
Prone
Modified Trendelenburg
40. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Medications for perioperative
Isotonic
Epidural anesthetic
Spread of Infection
41. Head at 90 degrees 2. Used for persons with COPD
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
42. 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
Spinal anesthetic
Registered Nurse
Medications for perioperative
Metabolic alkalosis
43. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Hyponatremia
Respiratory acidosis
Loss of bone density
Ego integrity Vs despair
44. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing
Registered Nurse
Cl
Nursing care during IV infusions
Ego integrity Vs despair
45. 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
Day of Injury
Risk Factors for operations
Hyponatremia
Blood Gas Values
46. Extracellular volume excess 1. Causes a. Too many I.V. fluids too quickly b. Decreased kidney or heart function 2. Manifestations a. Cough - dyspnea - rales - tachypnea b. Increased blood pressure c. Increased CVP d. Neck vein distention e. Tachycard
Medications for perioperative
Respiratory alkalosis
Hypovolemic shock
Circulatory overload
47. 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
48. Short duration B. Serves as a warning C. Subsides as healing occurs D. Autonomic nervous system symptoms frequently present
Hypovolemic shock
Acute Pain
Hypotonic
Respiratory alkalosis
49. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Blood pressure
Restraints
Blood Gas Values
Chronic Pain
50. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
K+
Respiratory acidosis
Isotonic
Narcotic Antagonist: Naloxone (Narcan)