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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. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Ego integrity Vs despair
Sponge bath
Semi - Fowler's
Metabolic alkalosis
2. Movement of particles from higher to lower concentration
Epidural anesthetic
Diffusion
Trendelenburg
Spinal anesthetic
3. Analgesics - antipyretic - anticoagulant - anti - inflammatory
NSAIDS
Na+
Loss of bone density
Spinal anesthetic
4. 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
RACE
Restraints
Day of Injury
Logrolling
5. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Hypertonic
Spread of Infection
Cooling blanket
Narcotic Antagonist: Naloxone (Narcan)
6. 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
Nursing care during IV infusions
Hypokalemia
Aspirin
Supine
7. Caused by poor heart action.- drugs that make heart beat more effectively
Malpractice
Cardiogenic Shock
Standard (Universal) Precautions
Nursing assistant
8. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Isotonic
Local cold
Standard (Universal) Precautions
Circulatory overload
9. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
K+
Hypertonic
Narcotic Antagonist: Naloxone (Narcan)
Stage IV
10. 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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11. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Day after
Lithotomy
Ego integrity Vs despair
Metabolic acidosis
12. 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
Metabolic acidosis
Hyperkalemia
Maslow's hierarchy of needs
Bacteremia
13. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Diffusion
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Aldosterone
Blood pressure
14. 135 - 145 mEq/l
Na+
Sim's
Cl
Modified Trendelenburg
15. 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
Nursing assistant
RACE
Restraints
16. 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
Informed consent
Standard (Universal) Precautions
Lithotomy
Negligence
17. 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
RACE
Diffusion
Informed consent
Superficial thrombophlebitis
18. Lasts more than 6 months B. Appears to serve no useful purpose C. May persist after injury heals D. No autonomic nervous system symptoms
Chronic Pain
Air embolism
Lithotomy
Narcotic Antagonist: Naloxone (Narcan)
19. Apply heat to improve circulation and healing
Na+
Sterile Field
Informed consent
Day after
20. 85 - 115 mEq/l
Chronic Pain
Aldosterone
Stage IV
Cl
21. 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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22. Head at 90 degrees 2. Used for persons with COPD
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23. 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
Patient controlled analgesia
Chronic Pain
Circulatory overload
Hypertonic
24. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
Osmosis
Stage I
Blood pressure
Modified Trendelenburg
25. 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
Hypertonic
RACE
Blood Gas Values
26. 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
Hyponatremia
Registered Nurse
Antidiuretic Hormone (ADH)
27. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Side - lying
RACE
Informed consent
Heat
28. 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
Medications for perioperative
Standard (Universal) Precautions
Logrolling
Infiltration
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
CVL
Dehydration
Bacteremia
Spread of Infection
30. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Hypovolemic shock
Aldosterone
NSAIDS
Low - Fowler's
31. 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
bicarbonate
CVL
Standard (Universal) Precautions
Respiratory alkalosis
32. 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
Wheel Chair Positioning
Loss of bone density
Aspirin
Hypokalemia
33. Apply cold to prevent swelling - bleeding and relive pain
Semi - Fowler's
Day of Injury
Osmotic pressure
Trendelenburg
34. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
Risk Factors for operations
Circulatory overload
Low - Fowler's
35. 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
Narcotic analgesics
Lithotomy
Sponge bath
Circulatory overload
36. 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
Narcotic analgesics
Sterile Field
Immediate Post - Op Care
Epidural anesthetic
37. 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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38. Caused by a decrease in peripheral resistance - vasoconstriction
Spread of Infection
Day after
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
39. Glaucoma and cataracts (lens becomes opaque) occur frequently 2. Presbyopia (farsightedness of aging) occurs in almost all persons as they age Difficulty seeing in dim light due to loss of light responsiveness Presbycussis: progressive hearing loss a
Changes during aging
Lithotomy
Blood Gas Values
Nursing assistant
40. 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
Nursing care during IV infusions
Narcotic Antagonist: Naloxone (Narcan)
RACE
Diffusion
41. Short duration B. Serves as a warning C. Subsides as healing occurs D. Autonomic nervous system symptoms frequently present
Day of Injury
Hypertonic
Patient controlled analgesia
Acute Pain
42. A decrease in total blood volume such as hemorrhage - transfusions
Hypovolemic shock
Supine
Dehydration
Shock
43. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Ego integrity Vs despair
Osmotic pressure
Informed consent
Stage II
44. Full thickness skin loss involving subcutaneous damage or necrosis
Side - lying
Stage III
Low - Fowler's
Supine
45. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
Malpractice
Na+
Shock
Hypotonic
46. 22 - 29 mEq/l
Loss of bone density
Day after
Narcotic analgesics
bicarbonate
47. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)
Respiratory acidosis
Stage IV
Antidiuretic Hormone (ADH)
Infiltration
48. 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
CVL
Spinal anesthetic
Shock
Logrolling
49. Analgesics - antipyretic - small anticoagulation
Epidural anesthetic
Circulatory overload
Acetaminophen
Respiratory alkalosis
50. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Day of Injury
Narcotic analgesics
Immediate Post - Op Care
K+