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NCLEX General

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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. 120 ml most common - prep for colon exams

2. Receptive dysphasia

3. Wait 5-10 mins inbetween meds

4. Produced by adrenal cortex. Target most cells to promote breakdown of glycogen - fats - and proteins as energy sources; raise blood level of glucose.Cortisol and Cortisone are types of these hormones.

5. Instruct client to avoid ingesting alcohol when taking drug

6. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound

7. Place in semi - fowler's - open sterile suction cath - gloves as ordered - pick up sterile cath and connect to suction tubing - moisten cath with saline - insert through nostril with no suction - suction about 10 seconds - repeat

8. 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

9. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.

10. On left side with lower arm behind the back 2. Good position for administering enema

11. Vitamin k

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

13. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life

14. A dangerous condition in which the body tissues and cells do not have enough oxygen

15. 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

16. Act on local tissue

17. Atb

18. This is an acute episode of severe symptoms - brought on by fever - dehydration altitude - vomiting - emotional distress - fatigue - alcohol consumption - pregnancy or excessive physical activity. Precipitated by hypoxia; provide pain relief - provid

19. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life

20. Nausea and vomiting that come before abdominal pain

21. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer

22. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.

23. Homonymous hemianopsia - partial szs w/limited visual phenomena

24. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery

25. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious

26. Decreases RR

27. Routine tasks b. Routine vital signs

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

29. Increases heart rate

30. Common for debriding

31. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia

32. Check balloon for patency - non dom hand open labia - dom hand cleans - insert cath 2-3' until urine returns - inflate balloon - pull back - push 1 more ' - document

33. Left

34. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium

35. Most common problem: when fluid or med leaks out of vein into tissue - edema occurs - feels cool - fluid in tissue will reabsorb eithin 24 hrs.

36. Loss of defective memory

37. Patient on side 2. Prevents aspiration when patient is not fully alert

38. An antagonist for estrogen that is used in the treatment of breast cancer

39. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's

40. 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

41. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.

42. Helps destroy intestinal parasites

43. Partial thickness loss of skin involving epidermis and/or part of dermis

44. Inflamm of the vessel: caused by irritaition of vessel by needle - cannula - meds. S/S are warnth - swelling - tenderness. IV must be dc'd - warm compress to decrease discomfort

45. To move AWAY from midline

46. Capsule can be opened since contents are enteric - coated microspheres; contents should be mixed into a small amount of cool - soft food such as applesauce and the applesauce should then be swallowed immediately without chewing; swallowing whole ensu

47. 1 tsp

48. 1000 g

49. Is a route of parenteral medication adm near the base of the spine - most commonly used for administering an anesthetic for pain management. Most commonly used in first and second stages of labor and for pain relief.

50. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26