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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. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.






2. Up and back






3. 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.






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






5. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose






6. Is the in ability of the heart to pump sufficient blood to meet the body's needs. Symptoms include SOB - cold and pale extremities - and a persistent - dry cough due to fluid congestion in the lungs.






7. Holinergic or parasympathomimetic used to treat functional urinary retention; mimics action of acetylcholine






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






9. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days






10. Cardiotonic






11. Partial thickness loss of skin involving epidermis and/or part of dermis






12. Inflamm of the vessel: caused by irritaition of vessel by needle - cannula - meds. S/S are warnth - swelling - tenderness. IV must be dc'd - warm compress to decrease discomfort






13. Can do sterile procedures b. Can give medications except IV meds






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






15. 1/8 tsp






16. A generalized reaction to contaminated equipment or solutions a. Manifestations 1) Chills and fever 30-60 minutes after start of infusion 2) Flushing - sudden pulse increase 3) Backache - headache 4) Nausea - vomiting 5) Hypotension - vascular collap






17. 50% of all primary tumors - linked to specific genetic mutations






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


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






20. 1cc






21. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe


22. Human papilloma virus






23. No longer than 10-20 seconds at a time - allow pt to rest between suctioning - flush cath with NS between suctionings - 80-100 mm is normal adult suction






24. Aspirin






25. Protamine sulfate






26. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia






27. 6 oz.






28. Place in semi - fowler's - open sterile suction cath - gloves as ordered - pick up sterile cath and connect to suction tubing - moisten cath with saline - insert through nostril with no suction - suction about 10 seconds - repeat






29. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.






30. 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






31. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O






32. Sheet between patient and cooling blanket b. Prevent skin damage c. Change position frequently d. No shivering: Muscle relaxant may be given if patient shivering






33. 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






34. 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






35. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body






36. Prevent circulation






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






38. 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






39. 22 - 29 mEq/l






40. Follow physician's orders B. Do not apply without order except in emergency C. Use least restraint possible D. Each unit should have a written protocol E. Check patient frequently for safety F. Loosen restraints every 2 hours G. Do not use as punishm






41. An antagonist for estrogen that is used in the treatment of breast cancer






42. The ___ is generally printed on the package of the IV infusion set.






43. Left






44. 3 tsp






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






46. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.






47. 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






48. —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






49. Wait 5-10 mins inbetween meds






50. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations