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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. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Local cold
Lantus
causes of hypoglycemia
1 pt
2. 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
High - Fowler's
1 tsp
sterile wound irrigation
Ego integrity Vs despair
3. 1cc
1 ml
Benefit of turning patient to Left side?
Maslow's hierarchy of needs
glossitis
4. Homonymous hemianopsia - partial szs w/limited visual phenomena
eye ointments
standard precautions
Occipital Lobe Lesion
Sickle Cell Crisis
5. 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
Internal capsule lesion
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Regular insulin
Nursing care during IV infusions
6. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long
Narcotic Antagonist: Naloxone (Narcan)
Insulin
Loss of bone density
Cardiogenic Shock
7. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
Parinaud's syndrome
polycythemia vera
foley cath(male)
Hypertonic
8. Human papilloma virus
HPV
Restraints
platelets
Spinal anesthetic
9. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
foley cath(male)
dry sterile dressing
polycythemia vera
septicemia
10. Flush daily with saline or heparin to prevent clots from forming B. Change dressing three times per week C. Check for infection D. Discard 5-10 ml when drawing blood E. In multilumen catheters use ports for designated purpose F. Valsalva's maneuver w
1 ft
nitroglycerin
CVL
morphine
11. On the person's back 2. Maintains alignment
heparin/lovanox
burns Stage I
Supine
What are symptoms of Mennengitis?
12. 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
Basal ganglia lesion
Superficial thrombophlebitis
Regular insulin
nitroglycerin
13. Gloves - mask - gown
vasoconstrictor
deltoid muscle
off
infiltration r/t IV
14. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Malpractice
Metabolic alkalosis
Where are the Tricuspid heart sounds located?
1 kg
15. Caused by a midbrain lesion; vertical gaze center impaired. Sx's: no vertical gaze - dilated and irregular pupils - eyelid abnormalities and impaired convergence. - characterized by impaired upward vertical gaze and loss of the pupillary light reflex
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16. 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.
Humulog
butorphanol tartrate
Pons lesion
Epidural anesthetic
17. Also known as a 'health screening' is a test to assess specific areas of physical growth - development - and health status. Different health screenings are done at each age/development stage.
health risk appraisal
inserting an NG tube
Circulatory overload
cathartic
18. 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
sacs (or pockets)
Benefit of turning patient to Left side?
Catapres
Changes during aging
19. Monitor K+
Catapres
when on lasix
most insulins
Circulatory overload
20. 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
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
What are symptoms of Mennengitis?
Bolus feeding
burns Stage III
21. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
nursing interventions for severe hypoglycemia
Respiratory acidosis
Changes during aging
22. Is a route of parenteral medication adm near the base of the spine - most commonly used for administering an anesthetic for pain management. Most commonly used in first and second stages of labor and for pain relief.
Spread of Infection
epidural
herpes
Infiltration
23. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
suctioning
gastroenteritis
Spinal anesthetic
Sterile Field
24. 135 - 145 mEq/l
Decision Tree Step 2?
Na+
beefy red tongue
traumatic brain injury
25. Renal disorder characterized by the production of large volumes of pale dilute urine
Broca's area lesion
polyuria
foley catheter(woman)
Metabolic alkalosis
26. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
pyridoxine hydrochloride (vitamin B6)
Aldosterone
Circulatory overload
Narcan or Noloxene
27. Jacksonian szs - generalized szs - hemiparesis
Precentral gyrus lesion
neurologic symptoms
Supine
nitroglycerin
28. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
ethical
African Americans
ear meds/ 3 and under
Lantus
29. 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.
diabetes insipidus
Jacksonian seizures
Side - lying
Vaso - occlusive (thrombotic crisis)
30. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
Metabolic alkalosis
beefy red tongue
larger to smaller
1 lb
31. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
IM meds
diabetes insipidus
digitalis
ototoxicity
32. Slows down mental/physical processes
IM meds
parasthesia
stool testing
depressant
33. Capsule can be opened since contents are enteric - coated microspheres; contents should be mixed into a small amount of cool - soft food such as applesauce and the applesauce should then be swallowed immediately without chewing; swallowing whole ensu
Bolus feeding
bilirubin
Pancrelipase (Pancrease capsules
K+
34. Movement of particles from higher to lower concentration
lanolin
Diffusion
gastroenteritis
Spinal anesthetic
35. 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
Shock
1 kg
HPV
1 teacup
36. 1 g
2.2lbs.
1000mg
What should you NEVER pick as an answer on the NCLEX exam?
Reed - Sternberg cell
37. Motor dysphasia
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38. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.
burns Stage IV
estrogen and progestin
cathartic
eye meds(opthalmic)
39. On left side with lower arm behind the back 2. Good position for administering enema
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40. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
lithium toxicity
medically controlled coma
bilirubin
41. The pain usually comes prior to nausea and vomiting;
acute appendicitis
captopril
adverse reaction of INH is hepatitis
Prone
42. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)
Asphyxia
ear meds/adult
What is the Guaiac Test?
Infiltration
43. Is the condition in which endometrial tissue grows outside of the uterine cavity - most commonly in the pelvic cavity and responds to hormonal changes of the menstrual cycle.
endometriosis
wet to dry dressing
topical agents
burns Stage III
44. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
s/sx of hypoglycemia
prilosec
Hypertonic
Antidiuretic Hormone (ADH)
45. 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
Vaso - occlusive (thrombotic crisis)
1 ft
Lithotomy
Sickle Cell Crisis
46. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
captopril
Hypertonic
1 T
anus - cervix - penis - and vulva
47. Reverses effects of other narcotics
Narcan or Noloxene
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
autonomic dysreflexia
eye ointments
48. 85 - 115 mEq/l
beefy red tongue
Bacteremia
Cl
Hypotonic
49. Inflammation or redness of the tongue. Often seen in malnutrition.
glossitis
Heat
Pineal gland Lesion
Nursing care during IV infusions
50. Up and back
Wheel Chair Positioning
Bethanechol (Urecholine)
ear meds/adult
6 rights of medication administration