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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. Mask symptoms of hypoglycemia - removing your body's early warning systembeta - blockers bind beta - adrenergic receptor sites - which prevents adrenaline from causing symptoms and glycogenolysis
Inderal
Heat
polydipsia
sterile wound irrigation
2. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
'silent'
Medications for perioperative
120 gtts of water
wet to dry dressings
3. 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.
diabetes insipidus
Internal capsule lesion
Epidural anesthetic
lanolin
4. 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
Metabolic alkalosis
Risk Factors for operations
Pineal gland Lesion
ischemia
5. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
death
Restraints
before surgery the pt. should stop using
Trendelenburg
6. 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
Epidural anesthetic
Lithotomy
Blood pressure
Splenic Sequestration
7. Toxicity due to blood and protien in the urine
nephrotoxicity
death
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
ischemia
8. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
health screening
polyuria
heparin/lovanox
transdermal patch
9. On left side with lower arm behind the back 2. Good position for administering enema
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10. Sudden onset of extensive ___ - caused by conditions that cause local or systemic hypoxemia Pain is the most common symptom. Skin changes pallor or cyanosis. Not iron deficient. Open sores and ulcers from poor tissue perfusion. UA has proteins - poor
sickling
phlebitis
ethical
Hodgkin's Lymphoma
11. Full thickness skin loss involving subcutaneous damage or necrosis
Diffusion
1 L
cathartic
burns Stage III
12. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
causes of hyperglycemia
Spread of Infection
Local cold
Sterile Field
13. 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
Adduction
Superficial thrombophlebitis
Spinal anesthetic
Cheyenne Strokes
14. The 55-yr - old male client has recently been diagnosed with ___. The nurse recognizes that this dx increases the client's risk of coronary heart disease - myocardial infarction - and peripheral vascular disease.
diabetes mellitus (DM)
aspirin (acetylsalicylic acid)
IM meds
1 teacup
15. 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
Registered Nurse
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Metabolic acidosis
Blood Gas Values
16. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
when mixing insulins
chronic obstructive pulmonary disease
diabetes insipidus
thrombocytopenia
17. Caused by poor heart action.- drugs that make heart beat more effectively
Thalamus Lesion
most insulins
infiltration r/t IV
Cardiogenic Shock
18. Jacksonian szs - generalized szs - hemiparesis
cleansing enema
Precentral gyrus lesion
Cardiogenic Shock
Na+
19. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water
first sign of narcotic OD
Superficial thrombophlebitis
Antidiuretic Hormone (ADH)
platelets
20. Bruising will occur aroun inj. sites - apply pressure for at least 30 seconds - check for bleeding gums - stools - sheck V/S for internal bleeding with anticoagulants
Respiratory acidosis
Air embolism
Atrophy
heparin/lovanox
21. Inflammation and pain
ethical
phlebitis r/t IV
What are NSAIDs mainly given for
1 pinch
22. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
before surgery the pt. should stop using
Ego integrity Vs despair
aspirin (acetylsalicylic acid)
1 pinch
23. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Immediate Post - Op Care
nitroglycerin
Hypovolemic shock
1 kg
24. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
parasthesia
Anuria
Hypovolemic shock
dry sterile dressing
25. 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
Ego integrity Vs despair
Changes during aging
What is the Guaiac Test?
cleansing enema
26. Total suppression of urine
Anuria
Spread of Infection
cathartic
Vitamin B12 Deficiency Anemia
27. Bloodstream infection: if becomes very bas pt may have a red line along arm
6 rights of medication administration
septicemia
1 ml
estrogen and progestin
28. Helps destroy intestinal parasites
adverse reaction of INH is hepatitis
1 L
health screening
nthelminthic enema
29. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
Broca's area lesion
Respiratory alkalosis
polydipsia
emphysema
30. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
captopril
alsalva manuever
eye meds(opthalmic)
Hypovolemic shock
31. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Local cold
continuous feeding tube(pump)
burns Stage II
epidural
32. Another name for head injury which is any trauma to the head that can cause soft tissue damage or internal injury to the brain - and often occurs as a result of motor veh crashes - falls and sports.
Immediate Post - Op Care
hypertension
traumatic brain injury
Broca's area lesion
33. Monitor K+
valium
when on lasix
catheter embolus
septicemia
34. Analgesics - antipyretic - anticoagulant - anti - inflammatory
sudafed
Aldosterone
NSAIDS
valium
35. 1000 g
Catapres
1 kg
Cardiogenic Shock
lithium toxicity
36. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Informed consent
epilepsy
Sponge bath
Blood pressure
37. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Strategy for 'Select all that apply' on the NCLEX exam
Blood Gas Values
Standard (Universal) Precautions
Immediate Post - Op Care
38. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
bilirubin
Narcotic Antagonist: Naloxone (Narcan)
K+
What should you NEVER pick as an answer on the NCLEX exam?
39. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Heat
bacteriacidal
apply heat or cold day after surgery?
transdermal patch
40. Movement of particles from higher to lower concentration
Diffusion
Antidiuretic Hormone (ADH)
1 tsp
Nursing assistant
41. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
stool testing
morphine
Metabolic acidosis
thrombocytopenia
42. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach
polyuria
prilosec
Decision Tree Step 2?
Modified Trendelenburg
43. Salicylates - NSAIDs
meds used for antipyretic - inflamm - and analgesia
RACE
bacteriostatic
Prone
44. 135 - 145 mEq/l
Na+
lithium toxicity
ataxia
aspirin toxicity
45. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
NPH
health screening
phenazopyridine
Local cold
46. Early hydrocephalus - papillary abnormalities - Parinaud's Syndrome
Vaso - occlusive (thrombotic crisis)
Pineal gland Lesion
2.2lbs.
emphysema
47. Topical agents designed to absorb through skin for systemic effects
burns Stage I
NG tube
transdermal meds
Decision Tree Step 3?
48. 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.
Local cold
infiltration r/t IV
drip rate
Bethanechol (Urecholine)
49. Tom move TOWARDS the midline
Blood Gas Values
transdermal meds
carbon dioxide levels
Adduction
50. Partial thickness loss of skin involving epidermis and/or part of dermis
Atrophy
Aspirin
hypertension
burns Stage II