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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. Vitamin k






2. 3.5 - 5.5 mEq/l






3. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.






4. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2






5. 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






6. 80% to 90% of brain tumors - named for What part of the nerve cell affected.






7. Inability to look in a particular direction of gaze (both eyes signals a brain disease)






8. May occur when changing bags - opening line






9. Manifestations 1) Muscle weakness 2) Weak pulse and ECG changes b. Causes 1) Potassium depleting diuretics 2) Burns 3) Diarrhea - colitis 4) Vomiting c. Management: Potassium replacement -- DO Not give Digoxin






10. Rescue Alarm Contain Evacuate






11. The loss of the right or left half of the field of vision in both eyes.






12. Only insulin that can be given IV






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






14. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.






15. The goal of ___ in care of the client with herpes is to prevent spread of the virus.






16. Nausea and vomiting that come before abdominal pain






17. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists






18. Increasing dyspnea with periods of apnea






19. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.






20. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia






21. Contralateral dystonia - Contralateral choreoathetosis






22. Dispose of sharps in puncture - resistant containers B. Do not recap used needles C. Wear protective barriers (gloves - gowns - masks - eyewear) when at risk for exposure to body fluids D. Clean blood spills with soap and water or household bleach 1:






23. Wait 5-10 mins inbetween meds






24. Treatment of CHF associated with an acute MI - relievs anginal attacks






25. Excessive thirst (as in cases of diabetes or kidney dysfunction)






26. 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






27. Increases heart rate






28. Narcotic






29. Contralateral thalamus pain - contralateral hemisensory loss.






30. 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.






31. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia






32. 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






33. 5th Intercostal space - left side sternal border






34. 3 tsp






35. Always given with short acting insulin such as reg/ humulog






36. Quickly absorbed - 90 degree angle - 19-23 G needle - 1-2' length - average adult:11/2 - 22G - mandatory to aspirate - purpose is to deposit meds into deep muscle for quick absorption






37. Also known as pernicious anemia - is characterized by an interruption in the formation of RBC precursor cells. Interruption in the formation of RBC precursor cells - will result in a high number of large - immature cells.






38. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness






39. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.






40. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair






41. 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.






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. Emergency life - threatening condition which can occur with spinal cord injuries above T6 after spinal shock resolves - which is 1 to 6 weeks after injury; causes include visceral distension and noxious stimuli such as skin pressure - temperature ext






44. Coma - dilated pupils - extensor posturing - Cheyne Stokes respirations (progressively deeper breathing followed by apnea)






45. Motor dysphasia

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46. The pain usually comes prior to nausea and vomiting;






47. Given in small amounts bc is retained






48. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage

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49. Gloves - mask - gown






50. 1 kg