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Test your basic knowledge |
NCLEX General
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. Renal disorder characterized by the production of large volumes of pale dilute urine
edema
120 gtts of water
polyuria
Infiltration
2. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
carbon dioxide levels
Meningiomas Tumors (primary)
Glucotrol
Addisonian crisis
3. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
depressant
Immediate Post - Op Care
morphine
Addison's Disease
4. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Addisonian crisis
MDI
Lantus
nephrotoxicity
5. Narcotic
wet to dry dressing
before surgery the pt. should stop using
morphine
nitroglycerin
6. Postexposure protocol
Abduction
Air embolism
PEP
Broca's area lesion
7. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
What are symptoms of Mennengitis?
Hypertonic
pernicious anemia
eye meds(opthalmic)
8. In the elderly - change in mental status - particularly confusion - is very often the presenting symptom of infection; fever may be absent even when bacteremia or pneumonia are present
Addison disease
polycythemia vera
Change in mental status and confusion
depressant
9. A decrease in total blood volume such as hemorrhage - transfusions
Inderal
Hypovolemic shock
Atrophy
polycythemia vera
10. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
Cooling blanket
s/sx of hypoglycemia
Pel Epstein fever
Negligence
11. Patient is likely to be taking isoniazid (INH); INH is a mainstay in prevention and treatment of tuberculosis - used in combination with other antitubercular drugs if the disease is active; vitamin B6 is given to prevent the peripheral neuropathy - d
pyridoxine hydrochloride (vitamin B6)
Intradermal injections
diverticular disease
nitroglycerin
12. Dermatitis is an ___ of the skin that produces an itchy - red rash.
cathartic
inflammation
Standard (Universal) Precautions
Pineal gland Lesion
13. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
septicemia
dermatitis
Spinal anesthetic
burns Stage I
14. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation
captopril
Ankyloses
Na+
with ear meds if there are 2 differant meds
15. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body
Anuria
epilepsy
phlebitis r/t IV
pernicious anemia
16. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
burns Stage I
Apply heat or cold day of surgery?
acute appendicitis
17. On the person's abdomen 2. Prevents hip flexion contractures
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Prone
Changes during aging
Metabolic alkalosis
18. Holding one's breath & attempt to exhale - Done during exercise - heavy lifting - birth delivery - coughing - sneezing - straining when urinating - defecating - vomiting. May cause cardiac arrest with a weakened heart - Encourage proper breathing whe
endometriosis
Parinaud's syndrome
alsalva manuever
emphysema
19. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Aldosterone
Benefit of turning patient to Left side?
impaired asbsorption
systemic hypoxia
20. Resp. depression
Cl
first sign of narcotic OD
Pancrelipase (Pancrease capsules
ischemia
21. Analgesics - antipyretic - small anticoagulation
sliding scale
impaired asbsorption
Cooling blanket
Acetaminophen
22. 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
cleansing enema
Respiratory acidosis
Acetonuria
foley catheter(woman)
23. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present
Infiltration
polycythemia vera
lithium toxicity
1 teacup
24. Protamine sulfate
IM meds
phlebitis
sudafed
antidote for heparin
25. 1 tab with 5 min not exceeding 3 doses
nitroglycerin
polydipsia
1 pt
Medications for perioperative
26. 12 in.
1 ft
MDI
causes of hypoglycemia
tube feeding
27. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
transdermal meds
1 qt
Metabolic acidosis
neurologic symptoms
28. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
ototoxicity
1 teacup
epidural
MDI
29. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
morphine
nursing interventions for hypoglycemia
phlebitis
Maslow's hierarchy of needs
30. Cause drowsiness; maintain client safety
Benefit of turning patient to Right side?
1 teacup
Tylenol with codeine and Benadryl
Internal capsule lesion
31. Local anemia in a given body part sometimes resulting from vasoconstriction or thrombosis or embolism - to hold back blood; decreased blood flow to tissue caused by constriction or occlusion of a blood vessel
milliliter
ischemia
ataxia
Infiltration
32. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
Splenic Sequestration
anus - cervix - penis - and vulva
1 pinch
Aldosterone
33. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
Diffusion
cleansing enema
aspirin toxicity
burns Stage IV
34. 16-18 F is standard adult size - children are standard 5-12F
IM meds
carbon dioxide levels
1 teacup
NG tube
35. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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36. Ake with meals to reduce side effects of the drug -- e.g. - nausea - vomiting - anorexia - abdominal cramps - fatigue; these effects tend to be mild and to resolve as therapy continues
dermatitis
bacteriacidal
metformin (Glucophage).
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
37. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
burns Stage IV
nitroglycerin
diverticular disease
glossitis
38. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
What are signs of an Infant addicted to Herion?
causes of hypoglycemia
nephrotoxicity
Modified Trendelenburg
39. Answers starting with 'I'll or Why.'
K+
What should you NEVER pick as an answer on the NCLEX exam?
Pineal gland Lesion
Cl
40. Read 48-72 hrs later - inject 0.1 ml - assess for induration(hard bump) - measure in mm - greater than 5 mm is queestionable - 5-10 need CXR - redness indicates localized reaction not a concern - problem is induration
TB testing
Patient controlled analgesia
Pons lesion
Decision Tree Step 4?
41. Painful - tissue engorgement
Vaso - occlusive (thrombotic crisis)
Insulin
emphysema
beefy red tongue
42. 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
off
Semi - Fowler's
Diffusion
Circulatory overload
43. Shake med - have pt breathe out - when starts to inhale press down - have the pt hold breath for 10 seconds - wait 1 min befroe next dose
metered dose inhaler
Diffusion
vasoconstrictor
What are signs of an Infant addicted to Herion?
44. 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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45. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
tube feeding
Antidiuretic Hormone (ADH)
Air embolism
1 pinch
46. Human papilloma virus
antidote for heparin
HPV
NSAIDS
Strategy for 'Select all that apply' on the NCLEX exam
47. 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.
Local cold
meds used for antipyretic - inflamm - and analgesia
glucocorticoids
death
48. Wait 5-10 mins inbetween meds
larger to smaller
Cardiogenic Shock
with ear meds if there are 2 differant meds
drip rate
49. 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
Medications for perioperative
6 rights of medication administration
nthelminthic enema
50. Left
smaller to larger
narrow spectrum
bicarbonate
Vaso - occlusive (thrombotic crisis)