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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. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.
ear meds/adult
Diffusion
Hemophilia
estrogen and progestin
2. 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
Medications for perioperative
Nursing care during IV infusions
enema
Hyponatremia
3. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
glucocorticoids
nursing interventions for severe hypoglycemia
HRT
first sign of narcotic OD
4. Total suppression of urine
Pons lesion
Superficial parietal lobe lesion
Anuria
when on lasix
5. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
deltoid muscle
cleansing enema
quickest absorption
Superficial thrombophlebitis
6. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
foley cath(male)
Heat
phlebitis
leukemia
7. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
Metabolic acidosis
emphysema
High - Fowler's
gastroenteritis
8. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
wet to dry dressings
Spinal anesthetic
Hypernatremia
when on digoxin
9. Neurotransmitters that play important role in body's stress response
catecholamine
causes of hyperglycemia
Asphyxia
Local cold
10. Human papilloma virus
acute appendicitis
Vaso - occlusive (thrombotic crisis)
HPV
Superficial parietal lobe lesion
11. Movement of fluid from lower to higher concentration. Across semipermeable membrane; high concentration of glucose
Osmosis
nursing interventions for hypoglycemia
nephrotoxicity
Adduction
12. Hang bag above stomach - clamp tubing - fill bag with formula - prime tubing - reclamp tube - attach to tube and open clamp - adjust flow - flush tube with water - disconnect
Bolus feeding
Parinaud's syndrome
pentamidine isethionate
Prone
13. A decrease in total blood volume such as hemorrhage - transfusions
glucocorticoids
Hypovolemic shock
Osmosis
urine
14. Apply heat to improve circulation and healing
apply heat or cold day after surgery?
impaired asbsorption
Metabolic acidosis
postexposure protocol (PEP)
15. Act by altering perception of and response to pain 2. Act on the central nervous system 3. Adverse reactions a. Depress respirations b. Decrease alertness c. Decrease coughing d. Decrease blood pressure and pulse e. Slow peristalsis f. Constrict pupi
Loss of bone density
Decision Tree Step 4?
Risk Factors for operations
Narcotic analgesics
16. 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
Metabolic acidosis
Hyponatremia
1 kg
metered dose inhaler
17. 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.
death
heart failure
nthelminthic enema
postexposure protocol (PEP)
18. 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).
1 ml
transdermal meds
Shock
dermatitis
19. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)
septicemia
Patient controlled analgesia
lithium toxicity
Infiltration
20. Homonymous hemianopsia - partial szs w/limited visual phenomena
Medications for perioperative
Occipital Lobe Lesion
What are signs of an Infant addicted to Herion?
Local cold
21. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
epilepsy
Decision Tree Step 4?
Circulatory overload
Changes during aging
22. 1cc
1 ml
catheter embolus
Dehydration
Restraints
23. Pain relievers r/t opium
opiate
Spinal anesthetic
Shock
Modified Trendelenburg
24. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Pancrelipase (Pancrease capsules
oil retention enema
transdermal patch
Metabolic acidosis
25. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
fleets enema
Decision Tree Step 4?
retrovirus
Dehydration
26. Cause drowsiness; maintain client safety
Logrolling
Tylenol with codeine and Benadryl
morphine
Precentral gyrus lesion
27. 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
Restraints
Splenic Sequestration
suctioning
catheter embolus
28. 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
Superficial thrombophlebitis
Cheyenne Strokes
Addisonian crisis
continuous feeding tube(pump)
29. 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
pentamidine isethionate
deltoid muscle
Metabolic acidosis
30. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
s/sx of hyperglycemia
metformin (Glucophage).
Logrolling
Infiltration
31. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Blood Gas Values
Thalamus Lesion
ataxia
32. Capsule can be opened since contents are enteric - coated microspheres; contents should be mixed into a small amount of cool - soft food such as applesauce and the applesauce should then be swallowed immediately without chewing; swallowing whole ensu
Narcan or Noloxene
epilepsy
Pancrelipase (Pancrease capsules
transdermal patch
33. 6 oz.
1 teacup
Jacksonian seizures
depression
Ego integrity Vs despair
34. Partial thickness loss of skin involving epidermis and/or part of dermis
Cheyenne Strokes
burns Stage II
dry sterile dressing
epidural
35. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.
Cl
hormone replacement therapy (HRT)
Immediate Post - Op Care
antidote foe coumadin
36. Gloves - mask - gown
nursing interventions for severe hypoglycemia
hypertension
Cardiogenic Shock
off
37. A ___ is implemented after occupational exposure to human immunodeficiency virus (HIV) - which involves drug tx and ongoing HIV antibody tests.
postexposure protocol (PEP)
before surgery the pt. should stop using
bicarbonate
anus - cervix - penis - and vulva
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
health risk appraisal
Informed consent
Internal capsule lesion
CVL
39. Analgesics - antipyretic - small anticoagulation
Acetaminophen
Regular insulin
wet to dry dressings
when mixing insulins
40. Down and back
pernicious anemia
smaller to larger
sliding scale
ear meds/ 3 and under
41. 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
Standard (Universal) Precautions
hormone replacement therapy (HRT)
Gardasil vaccine
Shock
42. Given right befor meals to control blood sugar
phlebitis
administer 2L O2 when
most insulins
catecholamine
43. Constrict blood vessels
Patient controlled analgesia
vasoconstrictor
Changes during aging
suctioning
44. 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.
Benefit of turning patient to Left side?
Immediate Post - Op Care
causes of hyperglycemia
Vitamin B12 Deficiency Anemia
45. Mask symptoms of hypoglycemia - removing your body's early warning systembeta - blockers bind beta - adrenergic receptor sites - which prevents adrenaline from causing symptoms and glycogenolysis
Inderal
Sylvian aqueduct syndrome
hormone replacement therapy (HRT)
quickest absorption
46. Headache - rash - sensitivity to light
Broca's area lesion
What are symptoms of Mennengitis?
fleets enema
1000mg
47. Toxicity due to blood and protien in the urine
nephrotoxicity
oil retention enema
acute appendicitis
tetracycline
48. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
polyuria
What are symptoms of Mennengitis?
Spinal anesthetic
Addison disease
49. Head at 90 degrees 2. Used for persons with COPD
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50. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Circulatory overload
foley catheter(woman)
Osmosis
Aldosterone