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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. 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
Registered Nurse
Stage IV
Bacteremia
Sterile Field
2. 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
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
CVL
High - Fowler's
Hypokalemia
3. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
bicarbonate
Nursing care during IV infusions
CVL
4. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
Antidiuretic Hormone (ADH)
Hyperkalemia
Dehydration
Chronic Pain
5. 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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6. Rescue Alarm Contain Evacuate
Chronic Pain
Infiltration
RACE
Supine
7. On the person's abdomen 2. Prevents hip flexion contractures
Lithotomy
Narcotic Antagonist: Naloxone (Narcan)
Prone
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
8. 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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9. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Loss of bone density
Acetaminophen
Lithotomy
Negligence
10. 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
Sterile Field
Hyperkalemia
Spinal anesthetic
Day after
11. On the person's back 2. Maintains alignment
Hypokalemia
Circulatory overload
Loss of bone density
Supine
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
Narcotic Antagonist: Naloxone (Narcan)
Blood Gas Values
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Hyperkalemia
13. 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
Circulatory overload
Wheel Chair Positioning
Nursing care during IV infusions
Hyponatremia
14. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Spread of Infection
Stage IV
Risk Factors for operations
Aldosterone
15. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Maslow's hierarchy of needs
Hyperkalemia
Isotonic
Local cold
16. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Aldosterone
Cardiogenic Shock
Modified Trendelenburg
Maslow's hierarchy of needs
17. 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
Ego integrity Vs despair
Circulatory overload
Acetaminophen
CVL
18. 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
Metabolic acidosis
Hypotonic
Hyponatremia
Wheel Chair Positioning
19. 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
Patient controlled analgesia
Cl
Superficial thrombophlebitis
Wheel Chair Positioning
20. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Day of Injury
Infiltration
Hyperkalemia
Trendelenburg
21. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Air embolism
Blood pressure
Dehydration
Patient controlled analgesia
22. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Semi - Fowler's
K+
Spinal anesthetic
Aspirin
23. Movement of particles from higher to lower concentration
RACE
Osmotic pressure
Hyponatremia
Diffusion
24. Analgesics - antipyretic - small anticoagulation
Aldosterone
Cooling blanket
Acetaminophen
Diffusion
25. Apply heat to improve circulation and healing
Low - Fowler's
Acetaminophen
Day after
Superficial thrombophlebitis
26. 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
Chronic Pain
K+
Acetaminophen
Shock
27. Patient on side 2. Prevents aspiration when patient is not fully alert
Local cold
Ego integrity Vs despair
Hypovolemic shock
Side - lying
28. 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
Narcotic analgesics
Stage II
Ego integrity Vs despair
Narcotic Antagonist: Naloxone (Narcan)
29. Head at 90 degrees 2. Used for persons with COPD
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30. 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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31. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Immediate Post - Op Care
Informed consent
Metabolic acidosis
Shock
32. Analgesics - antipyretic - anticoagulant - anti - inflammatory
Negligence
Trendelenburg
Side - lying
NSAIDS
33. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Loss of bone density
Stage IV
Cardiogenic Shock
Blood pressure
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
Respiratory acidosis
Informed consent
Patient controlled analgesia
Aldosterone
35. 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
Heat
Respiratory acidosis
bicarbonate
36. 3.5 - 5.5 mEq/l
Circulatory overload
K+
Immediate Post - Op Care
Osmotic pressure
37. A decrease in total blood volume such as hemorrhage - transfusions
Aldosterone
RACE
Hypovolemic shock
Day after
38. Short duration B. Serves as a warning C. Subsides as healing occurs D. Autonomic nervous system symptoms frequently present
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Immediate Post - Op Care
NSAIDS
Acute Pain
39. Can do sterile procedures b. Can give medications except IV meds
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Circulatory overload
Osmotic pressure
Na+
40. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Ego integrity Vs despair
Osmosis
Chronic Pain
Malpractice
41. 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
Trendelenburg
Modified Trendelenburg
High - Fowler's
Changes during aging
42. 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
Acute Pain
Respiratory acidosis
Narcotic Antagonist: Naloxone (Narcan)
Side - lying
43. Partial thickness loss of skin involving epidermis and/or part of dermis
Spinal anesthetic
Stage II
CVL
Semi - Fowler's
44. 135 - 145 mEq/l
Day after
Na+
Bacteremia
Aldosterone
45. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Isotonic
K+
Side - lying
Sim's
46. 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.
Low - Fowler's
Nursing care during IV infusions
Epidural anesthetic
Antidiuretic Hormone (ADH)
47. 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
Sim's
Registered Nurse
Blood pressure
Metabolic alkalosis
48. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Isotonic
Negligence
Osmotic pressure
Chronic Pain
49. 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
Sterile Field
Stage I
Restraints
Spread of Infection
50. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Changes during aging
Medications for perioperative
Malpractice
Dehydration