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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. Gloves - mask - gown
Regular insulin
1 tsp
burns Stage III
off
2. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Apply heat or cold day of surgery?
NPH
Immediate Post - Op Care
Risk Factors for operations
3. The loss of the right or left half of the field of vision in both eyes.
Cl
CVL
RACE
homonymous hemianopsia
4. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
ear meds/adult
beefy red tongue
sudafed
carbon dioxide levels
5. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
Jacksonian seizures
Thalamus Lesion
ototoxicity
Strategy for 'Select all that apply' on the NCLEX exam
6. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
Neuromas Tumors (primary)
Prone
phenazopyridine
Medications for perioperative
7. 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
'silent'
Insulin
Addison's Disease
Medications for perioperative
8. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
Na+
Risk Factors for operations
thrombocytopenic purpura
epidural
9. 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
suctioning
edema
infiltration r/t IV
What should you NEVER pick as an answer on the NCLEX exam?
10. 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
diabetes insipidus
Epidural anesthetic
Nursing care during IV infusions
Supine
11. Human papilloma virus
Nursing assistant
What should you NEVER pick as an answer on the NCLEX exam?
suctioning
HPV
12. 22 - 29 mEq/l
Meningiomas Tumors (primary)
bicarbonate
Reed - Sternberg cell
epilepsy
13. Contralateral thalamus pain - contralateral hemisensory loss.
general anesthesia
Thalamus Lesion
midbrain syndrome
Pel Epstein fever
14. Calcium Gluconate
Metabolic acidosis
Antidote for Mag Sulfate?
PEP
checking NG tube placement
15. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other
Air embolism
nitroglycerin
Circulatory overload
aspirin (acetylsalicylic acid)
16. Check order - set up tube feed equip/suction - positon in fowlers - place towel - measure tube length - wipe face - ask about diff breathing through one nostril - apply lub. - flex head forward - insert gently until coughs - have swallow water - ch -
Hyperkalemia
Cl
inserting an NG tube
Where are the Tricuspid heart sounds located?
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
Circulatory overload
Metabolic acidosis
thrombocytopenia
CVL
18. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
1 L
lasix
Metabolic alkalosis
Lithotomy
19. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
cathartic
Decision Tree Step 2?
Vaso - occlusive (thrombotic crisis)
20. 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
meds used for antipyretic - inflamm - and analgesia
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Infiltration
Hypertonic
21. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles
valium
Gardasil vaccine
s/sx of hypoglycemia
off
22. Do not give more than 3 consecutive bouts
enema
Narcotic Antagonist: Naloxone (Narcan)
1000mg
Metabolic acidosis
23. 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
Respiratory acidosis
nephrotoxicity
Spinal anesthetic
Narcotic analgesics
24. On the person's back 2. Maintains alignment
Supine
infiltration r/t IV
Splenic Sequestration
Atrophy
25. 1000 ml
1 L
foley cath(male)
inserting an NG tube
PEP
26. 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
autonomic dysreflexia
nursing interventions for severe hypoglycemia
Glioblastoma Multiform Tumors (primary)
27. Protamine sulfate
antidote for heparin
enema
Risk Factors for operations
homonymous hemianopsia
28. Movement of particles from higher to lower concentration
causes of hypoglycemia
Diffusion
Infiltration
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
29. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis
Bolus feeding
Occipital Lobe Lesion
glucocorticoids
leukemia
30. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.
lasix
Aplastic Crisis
morphine
Side - lying
31. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
Spread of Infection
herpes
chronic obstructive pulmonary disease
with ear meds if there are 2 differant meds
32. 1 tab with 5 min not exceeding 3 doses
nitroglycerin
tube feeding
Occipital Lobe Lesion
Addison disease
33. 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
Pancrelipase (Pancrease capsules
Hyponatremia
HRT
narrow spectrum
34. Right
larger to smaller
Acetonuria
digitalis
antidote foe coumadin
35. May occur when changing bags - opening line
Change in mental status and confusion
What should you NEVER pick as an answer on the NCLEX exam?
air embolus
TB testing
36. 60 gtt
What does Atropine Sulfate do?
1 tsp
cleansing enema
Hypernatremia
37. Treatment of CHF associated with an acute MI - relievs anginal attacks
nursing interventions for severe hypoglycemia
s/sx of hypoglycemia
Apply heat or cold day of surgery?
nitroglycerin
38. Only used for 1-2 ml of med b/c is smaller muscle
deltoid muscle
single voided urine specimen
Metabolic alkalosis
Regular insulin
39. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
Adduction
phenelzine sulfate
diabetes mellitus (DM)
eye meds(opthalmic)
40. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
epilepsy
butorphanol tartrate
transdermal meds
Respiratory alkalosis
41. Is a centrally acting alpha - adrenergic used to treat hypertension; apply to nonhairy site every 7 days; side effects include drowsiness - sedation - orthostatic hypotension; heart failure
when on digoxin
Catapres
polycythemia vera
Basal ganglia lesion
42. A decrease in total blood volume such as hemorrhage - transfusions
Hyponatremia
Hypertonic
Addison disease
Hypovolemic shock
43. Routine tasks b. Routine vital signs
Intradermal injections
Nursing assistant
phlebitis r/t IV
Shock
44. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
sterile wound irrigation
carbon dioxide levels
1 kg
when on lasix
45. 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
Change in mental status and confusion
Changes during aging
heparin/lovanox
Cardiogenic Shock
46. 1 kg
Ego integrity Vs despair
2.2lbs.
adverse reaction of INH is hepatitis
Antidote for Mag Sulfate?
47. Antianginal med used in heart attacks
nitroglycerin
urine
6 rights of medication administration
HRT
48. Instruct pt to clean genitalia with soap and water and void approx 60 ml
fluid congestion
single voided urine specimen
Benefit of turning patient to Right side?
Antidiuretic Hormone (ADH)
49. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
platelets
morphine
digitalis
Addison disease
50. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Metabolic alkalosis
hypoxia
infiltration r/t IV
Aspirin