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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. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Metabolic alkalosis
s/sx of hypoglycemia
edema
Lantus
2. Has regular insulin in it already
neurologic symptoms
Medications for perioperative
NPH
sudafed
3. Full thickness skin loss involving subcutaneous damage or necrosis
eye meds(opthalmic)
aspirin toxicity
burns Stage III
African Americans
4. Only used for 1-2 ml of med b/c is smaller muscle
deltoid muscle
aspirin (acetylsalicylic acid)
What is the Guaiac Test?
lithium toxicity
5. Partial thickness loss of skin involving epidermis and/or part of dermis
thrombocytopenia
burns Stage II
Logrolling
ototoxicity
6. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
captopril
Heat
aspirin (acetylsalicylic acid)
when on lasix
7. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs
beefy red tongue
Narcotic analgesics
Blood pressure
ted hose
8. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
Hypertonic
Atrophy
bicarbonate
nursing interventions for severe hypoglycemia
9. Antidepressant.......MAOI inhibitor.....Relieves depression......Nardil..food without tyramine
Air embolism
phenelzine sulfate
High - Fowler's
Bolus feeding
10. Instruct client to avoid ingesting alcohol when taking drug
adverse reaction of INH is hepatitis
Meningiomas Tumors (primary)
diverticular disease
topical agents
11. Manifestations 1) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
On
1 qt
Bolus feeding
Hyperkalemia
12. 120 ml most common - prep for colon exams
larger to smaller
Nursing assistant
nthelminthic enema
fleets enema
13. 1 g
Immediate Post - Op Care
Decision Tree Step 2?
Insulin
1000mg
14. Deficient oxygen in the blood.
systemic hypoxia
Addisonian crisis
Metabolic acidosis
Aplastic Crisis
15. 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
heparin/lovanox
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
diabetes insipidus
Anuria
16. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
Bacteremia
death
beefy red tongue
Narcotic analgesics
17. Excessive thirst (as in cases of diabetes or kidney dysfunction)
polydipsia
Where are the Tricuspid heart sounds located?
NSAIDS
fluid congestion
18. Manifestations 1) Hypotension - cyanosis - tachycardia 2) Increased venous pressure - loss of consciousness b. Prevention 1) Run fluid through tubing and needle or catheter to force air out before starting infusion 2) When using glass bottle - change
s/sx of hypoglycemia
glucocorticoids
Air embolism
polycythemia vera
19. 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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20. 60 gtt
Antidote for Mag Sulfate?
1 tsp
prilosec
Regular insulin
21. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.
polydipsia
milliliter
off
ear meds/adult
22. Toxicity due to blood and protien in the urine
nephrotoxicity
Sponge bath
1 lb
Benefit of turning patient to Left side?
23. 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
when on digoxin
Shock
Air embolism
Antidiuretic Hormone (ADH)
24. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
Sickle Cell Crisis
1 lb
sacs (or pockets)
Bethanechol (Urecholine)
25. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other
aspirin (acetylsalicylic acid)
NPH
Isotonic
bacteriostatic
26. 22 - 29 mEq/l
Wheel Chair Positioning
bicarbonate
Nursing assistant
diabetes mellitus (DM)
27. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
Amnesia
vasoconstrictor
nursing interventions for hypoglycemia
28. Administer bronchodilators before other meds
MDI
carbon dioxide levels
nitroglycerin
Tylenol with codeine and Benadryl
29. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
topical agents
Local cold
Regular insulin
diverticular disease
30. Onset:1-4hr. - cloudy - peak:6-10hrs. - duration:10-16 - up to 24 hrs. - cannot mix!!
causes of hypoglycemia
NPH
Hypotonic
Circulatory overload
31. Wasting
Supine
herpes
Atrophy
Malpractice
32. Motor dysphasia
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33. Reverses effects of other narcotics
Narcan or Noloxene
Sickle Cell Crisis
Risk Factors for operations
midbrain syndrome
34. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
beefy red tongue
Hypertonic
35. Read 48-72 hrs later - inject 0.1 ml - assess for induration(hard bump) - measure in mm - greater than 5 mm is queestionable - 5-10 need CXR - redness indicates localized reaction not a concern - problem is induration
epilepsy
Trendelenburg
1 pinch
TB testing
36. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
nursing interventions for hypoglycemia
Decison Tree Step 5?
homonymous hemianopsia
ototoxicity
37. Infection
when on steriods watch for
administer 2L O2 when
narrow spectrum
hormone replacement therapy (HRT)
38. 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
lasix
1000mg
Ego integrity Vs despair
Narcotic Antagonist: Naloxone (Narcan)
39. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.
urine
hormone replacement therapy (HRT)
Narcan or Noloxene
s/sx of hyperglycemia
40. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.
Circulatory overload
postexposure protocol (PEP)
Aplastic Crisis
Circulatory overload
41. Human papilloma virus
HPV
stool testing
NPH
Patient controlled analgesia
42. Too much insulin - no food - too much/intense exercise - onset - sudden
causes of hypoglycemia
antidote foe coumadin
Infiltration
nitroglycerin
43. 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
lithium toxicity
sub - q injections
Blood Gas Values
Supine
44. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Where are the Tricuspid heart sounds located?
Ego integrity Vs despair
before surgery the pt. should stop using
Decision Tree Step 3?
45. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
bacteriostatic
Superficial parietal lobe lesion
tamoxifen
Trendelenburg
46. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body
pernicious anemia
drip rate
pyridoxine hydrochloride (vitamin B6)
1 ml
47. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine
Heat
1 teacup
gaze palsy
Bethanechol (Urecholine)
48. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
Patient controlled analgesia
Narcotic analgesics
Decison Tree Step 5?
infiltration r/t IV
49. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short
Humulog
Shock
Pancrelipase (Pancrease capsules
sub - q injections
50. The ___ has been proven to be effective in preventing two of the strains of human papilloma virus (HPV) responsible for a large percentage of cervical cancer cases.
Narcan or Noloxene
smaller to larger
Gardasil vaccine
edema