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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. 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
thrombocytopenic purpura
NSAIDS
sliding scale
2. Right
MDI
lithium toxicity
Superficial thrombophlebitis
larger to smaller
3. 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 -
inserting an NG tube
'silent'
Broca's area lesion
6 rights of medication administration
4. Analgesics - antipyretic - anticoagulant - anti - inflammatory
lithium toxicity
hypertension
suctioning
NSAIDS
5. 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
gastroenteritis
Change in mental status and confusion
Air embolism
burns Stage III
6. Painful - tissue engorgement
impaired asbsorption
Osmosis
Vaso - occlusive (thrombotic crisis)
health risk appraisal
7. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie
nephrotoxicity
Patient controlled analgesia
antidote foe coumadin
aspirin toxicity
8. 1000 ml
Choluria
1 tsp
1 L
Ankyloses
9. 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
Decison Tree Step 5?
anus - cervix - penis - and vulva
when on steriods watch for
Shock
10. Toxicity due to blood and protien in the urine
Glioblastoma Multiform Tumors (primary)
Regular insulin
1 L
nephrotoxicity
11. Outside of arachnoidal tissue - usually benign and slow growing
Insulin
Meningiomas Tumors (primary)
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
eye ointments
12. A generalized reaction to contaminated equipment or solutions a. Manifestations 1) Chills and fever 30-60 minutes after start of infusion 2) Flushing - sudden pulse increase 3) Backache - headache 4) Nausea - vomiting 5) Hypotension - vascular collap
Bacteremia
phlebitis
acute appendicitis
meds used for antipyretic - inflamm - and analgesia
13. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
Internal capsule lesion
broad spectrum
nursing interventions for severe hypoglycemia
s/sx of hyperglycemia
14. Topical agents designed to absorb through skin for systemic effects
transdermal meds
Basal ganglia lesion
herpes
tetracycline
15. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.
Epidural anesthetic
Jacksonian seizures
Cooling blanket
hypoxia
16. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
NSAIDS
chronic obstructive pulmonary disease
Immediate Post - Op Care
sacs (or pockets)
17. Follow physician's orders B. Do not apply without order except in emergency C. Use least restraint possible D. Each unit should have a written protocol E. Check patient frequently for safety F. Loosen restraints every 2 hours G. Do not use as punishm
Restraints
Humulog
with ear meds if there are 2 differant meds
broad spectrum
18. 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
Bolus feeding
neurologic symptoms
Splenic Sequestration
Cheyenne Strokes
19. Hang bag above stomach - clamp tubing - fill bag with formula - prime tubing - reclamp tube - attach to tube and open clamp - adjust flow - flush tube with water - disconnect
nitroglycerin
transdermal patch
depressant
Bolus feeding
20. The ___ is generally printed on the package of the IV infusion set.
nursing interventions for hypoglycemia
glucocorticoids
'silent'
drip rate
21. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
1000mg
Insulin
carbon dioxide levels
burns Stage IV
22. Routine tasks b. Routine vital signs
morphine
Shock
Nursing assistant
lithium toxicity
23. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
leukemia
Adduction
sacs (or pockets)
Sickle Cell Crisis
24. Down and back
ear meds/ 3 and under
apply heat or cold day after surgery?
Tylenol with codeine and Benadryl
Glucotrol
25. 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.
Aplastic Crisis
side effects of barbituates
Pineal gland Lesion
suctioning
26. Infection
s/sx of hyperglycemia
health screening
What is the Decision Tree Step 1?
when on steriods watch for
27. Atbs that are effective agaist a few mo's
Pons lesion
narrow spectrum
Shock
butorphanol tartrate
28. Act on local tissue
systemic hypoxia
RACE
topical agents
1 ft
29. Stiff joints
diverticular disease
Circulatory overload
Cardiogenic Shock
Ankyloses
30. Nausea and vomiting that come before abdominal pain
pernicious anemia
Aplastic Crisis
gastroenteritis
Pancrelipase (Pancrease capsules
31. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
bicarbonate
death
Spinal anesthetic
quickest absorption
32. 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
lithium toxicity
Antidiuretic Hormone (ADH)
Metabolic acidosis
thrombocytopenic purpura
33. 16-18 F is standard adult size - children are standard 5-12F
NG tube
Epidural anesthetic
Metabolic alkalosis
Antidiuretic Hormone (ADH)
34. Head injury is one of the most common causes of ___ and disability in the U.S.
Blood Gas Values
Side - lying
wet to dry dressings
death
35. Common for debriding
wet to dry dressing
fluid congestion
anus - cervix - penis - and vulva
deltoid muscle
36. 135 - 145 mEq/l
digitalis
Aplastic Crisis
phlebitis
Na+
37. 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
Medications for perioperative
CVL
Lithotomy
foley catheter(woman)
38. Are the answers assessments or implementations? If their a mix of both - read the stem to see if you should assess or implement first and then select answer
Decision Tree Step 2?
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
causes of hypoglycemia
nursing interventions for hypoglycemia
39. Slows down mental/physical processes
CVL
wet to dry dressing
CVL
depressant
40. Salicylates - NSAIDs
meds used for antipyretic - inflamm - and analgesia
Superficial parietal lobe lesion
bacteriacidal
fluid congestion
41. Befor administering squeeze a small amount out and apply thin layer - blink
eye ointments
ear meds/3 and over
Spread of Infection
gaze palsy
42. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.
phlebitis r/t IV
hormone replacement therapy (HRT)
Lantus
diabetes insipidus
43. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
PEP
1 ft
sliding scale
emphysema
44. 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
Gardasil vaccine
Shock
Blood Gas Values
foley catheter(woman)
45. Wasting
Addison's Disease
Atrophy
Parinaud's syndrome
Ankyloses
46. 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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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.
glucocorticoids
acute appendicitis
Side - lying
Blood pressure
48. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
metered dose inhaler
narrow spectrum
Humulog
49. 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
parasthesia
leukemia
Sickle Cell Crisis
alsalva manuever
50. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
Tylenol with codeine and Benadryl
valium
Osmotic pressure
phenelzine sulfate