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






2. Protamine sulfate






3. Check lung sounds q shift for crackles

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4. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia






5. Vitamin k






6. Up and back






7. 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 -






8. Act on local tissue






9. 60 gtt






10. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin






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






12. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation






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






14. The 55-yr - old male client has recently been diagnosed with ___. The nurse recognizes that this dx increases the client's risk of coronary heart disease - myocardial infarction - and peripheral vascular disease.






15. 5th Intercostal space - left side sternal border






16. 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






17. Outside of arachnoidal tissue - usually benign and slow growing






18. Drowsiness - mood change - depression






19. 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.






20. Monitor K+






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






22. 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






23. 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






24. 1 tsp






25. 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






26. Neurotransmitters that play important role in body's stress response






27. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis






28. Has regular insulin in it already






29. 22 - 29 mEq/l






30. 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






31. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P






32. 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






33. 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






34. 2 pt






35. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer






36. Meds used to treat constipation






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






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






39. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea






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






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






42. 16-18 F is standard adult size - children are standard 5-12F






43. Left






44. 6 oz.






45. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover






46. Atbs that are effective agaist a few mo's






47. Does Maslow Fit? If NO - alre all answers physical or are all answers pschosocial? If yes - eliminate psychosocial - Does the physical needs make sense? Then apply your ABC's






48. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short






49. Apply heat to improve circulation and healing






50. —pentamidine is an antiprotozoal agent used to prevent and/or treat Pneumocystis carinii pneumonia (PCP) - a common opportunistic infection in AIDS patients; manifestations of PCP usually include coughing - fever - dyspnea - fatigue - and weight loss