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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. May occur when changing bags - opening line






2. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






3. Antihistamine and antiemetic - used to treat motion sickness






4. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml






5. 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






6. Down and back






7. Hormone Replacement Therapy






8. 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






9. Has regular insulin in it already






10. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2






11. 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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12. 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.






13. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water






14. Gloves - mask - gown






15. 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






16. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.






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






18. 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






19. Left






20. Headache - rash - sensitivity to light






21. 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






22. Instruct pt to clean genitalia with soap and water and void approx 60 ml






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






24. Able to kill bacteria






25. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time






26. Caused by poor heart action.- drugs that make heart beat more effectively






27. Promotes circulation






28. Human papilloma virus






29. Decision maker b. Can do complex procedures c. Can give medications via all routes that nurses can give meds d. Is best person for teaching e. Coordinates care f. Performs admission assessments






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






31. Stop feeding q 4-8 hrs to check residual - flush q 4-6






32. 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.






33. Contralateral thalamus pain - contralateral hemisensory loss.






34. Monitor apical pulse for 1 full minute






35. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.






36. 1000 ml






37. Fluid buildup in tissues - palpate areas for tenderness/consistency






38. 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






39. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts






40. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray






41. Anesthesia is the partial or complete loss of sensation - and general anesthesia produces a complete loss of sensation (unconsciousneess). It is also referred to as ___.






42. Head at 90 degrees 2. Used for persons with COPD

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43. Antihistamine medications are often prescribed for ___ - and the nurse should advise clients that these medications can cause drowsiness and the lcient should avoid operating any type of eqpt (including driving).






44. Look at all options as true/false

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45. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host






46. Increasing dyspnea with periods of apnea






47. Extracellular volume excess 1. Causes a. Too many I.V. fluids too quickly b. Decreased kidney or heart function 2. Manifestations a. Cough - dyspnea - rales - tachypnea b. Increased blood pressure c. Increased CVP d. Neck vein distention e. Tachycard






48. Another name for head injury which is any trauma to the head that can cause soft tissue damage or internal injury to the brain - and often occurs as a result of motor veh crashes - falls and sports.






49. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.






50. Is a condition in which Bp is abnormally high. In adults - ___ is dx with Bp readings higher than 140 mmHg systolic or 90 mmHg diastolic after 3 separate readings that are recorded several weeks apart.