Test your basic knowledge |

NCLEX General

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. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine






2. 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.






3. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss






4. Contralateral thalamus pain - contralateral hemisensory loss.






5. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry






6. Total suppression of urine






7. Patient - time - dose - route - medication - documentation






8. 1 tab with 5 min not exceeding 3 doses






9. 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






10. Act on local tissue






11. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short






12. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow






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






14. Gloves - mask - gown






15. Dermatologic






16. Analgesics - antipyretic - small anticoagulation






17. 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.






18. Atb






19. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover






20. 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






21. 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






22. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach






23. 3 tsp






24. Constrict blood vessels






25. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.






26. 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






27. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs






28. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone






29. —pentamidine is an antiprotozoal agent used to prevent and/or treat Pneumocystis carinii pneumonia (PCP) - a common opportunistic infection in AIDS patients; manifestations of PCP usually include coughing - fever - dyspnea - fatigue - and weight loss






30. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles






31. 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






32. Inflammation and pain






33. A large multinucleated or multilobed cell with inclusion body- like nucleoli surrounded by a halo of clear nucleoplasm and must be present to dx Hodgkin's Lymphoma.






34. 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






35. Rescue Alarm Contain Evacuate






36. Aspirin






37. 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.






38. Neurotransmitters that play important role in body's stress response






39. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.






40. Atbs that are effective agaist a few mo's






41. Befor administering squeeze a small amount out and apply thin layer - blink






42. 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






43. Jacksonian szs - generalized szs - hemiparesis






44. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time






45. 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






46. 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






47. Too much insulin - no food - too much/intense exercise - onset - sudden






48. Only used for 1-2 ml of med b/c is smaller muscle






49. Caused by a decrease in peripheral resistance - vasoconstriction






50. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis