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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. Vitamin k
autonomic dysreflexia
Anuria
nitroglycerin
antidote foe coumadin
2. Are the answers assessments or implementations? If their a mix of both - read the stem to see if you should assess or implement first and then select answer
sterile wound irrigation
Vitamin B12 Deficiency Anemia
apply heat or cold day after surgery?
Decision Tree Step 2?
3. 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
Hypernatremia
African Americans
impaired asbsorption
Jacksonian seizures
4. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
Aldosterone
MDI
Narcotic analgesics
cleansing enema
5. 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.
Vitamin B12 Deficiency Anemia
Hypertonic
narrow spectrum
dexamethasone
6. Only insulin that can be given IV
Hypotonic
Regular insulin
Antidote for Mag Sulfate?
Apply heat or cold day of surgery?
7. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
Metabolic acidosis
Circulatory overload
suctioning
retrovirus
8. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days
smaller to larger
Narcan or Noloxene
causes of hyperglycemia
checking NG tube placement
9. Prevent circulation
Benefit of turning patient to Right side?
neurologic symptoms
RACE
Internal capsule lesion
10. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
Addison's Disease
Isotonic
nthelminthic enema
1 ml
11. Act on local tissue
metered dose inhaler
Epidural anesthetic
topical agents
1 teacup
12. 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
bicarbonate
Circulatory overload
bacteriacidal
Osmosis
13. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering
ear meds/3 and over
Decison Tree Step 5?
Sponge bath
Respiratory acidosis
14. Protamine sulfate
Blood Gas Values
antidote for heparin
lithium toxicity
1 qt
15. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Sylvian aqueduct syndrome
Benefit of turning patient to Right side?
Lantus
tetracycline
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
when on digoxin
burns Stage II
Bacteremia
Broca's area lesion
17. 5th Intercostal space - left side sternal border
urine
enema
cleansing enema
Where are the Tricuspid heart sounds located?
18. 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
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
chronic obstructive pulmonary disease
fluid congestion
Restraints
19. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach
lanolin
prilosec
Atrophy
Spinal anesthetic
20. 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
Occipital Lobe Lesion
before surgery the pt. should stop using
Hypernatremia
CVL
21. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body
pernicious anemia
drip rate
HPV
health screening
22. Fluid balance - acid - base - nerve conduction a. Causes 1) Increased perspiration 2) Drinking only tap water 3) GI losses: diarrhea - vomiting - suction 4) Diuretics b - Manifestations 1) Confusion 2) Hypotension 3) Oliguria 4) Muscle weakness 5) Co
Hyponatremia
Internal capsule lesion
homonymous hemianopsia
ototoxicity
23. Analgesic - antipyretic - anticoagulant - anti - inflammatory
Aspirin
Vaso - occlusive (thrombotic crisis)
1 ft
air embolus
24. Look at all options as true/false
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25. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.
NPH
Aplastic Crisis
causes of hyperglycemia
epidural
26. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Immediate Post - Op Care
general anesthesia
Broca's area lesion
epilepsy
27. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery
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28. 1/8 tsp
Circulatory overload
polydipsia
1 pinch
Sponge bath
29. Nausea and vomiting that come before abdominal pain
valium
gastroenteritis
lanolin
heparin/lovanox
30. Extracellular fluid volume deficit 1. Causes: Loosing more fluid than is taken in a. Vomiting b. Diarrhea c. Diuretics d. Increased respirations e. Insufficient I.V. fluid replacement or PO 2. Manifestations a. Weight loss b. Poor skin turgor c. Dry
emphysema
Bolus feeding
Nursing assistant
Dehydration
31. Down and back
single voided urine specimen
Change in mental status and confusion
Local cold
ear meds/ 3 and under
32. Receptive dysphasia
rotate injection sites
gastroenteritis
polydipsia
Superficial parietal lobe lesion
33. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Blood pressure
Malpractice
inflammation
dexamethasone
34. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness
Circulatory overload
vasoconstrictor
bicarbonate
catheter embolus
35. 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
Respiratory acidosis
Epidural anesthetic
lithium toxicity
stool testing
36. Is the condition in which endometrial tissue grows outside of the uterine cavity - most commonly in the pelvic cavity and responds to hormonal changes of the menstrual cycle.
'silent'
endometriosis
dramamine
Glioblastoma Multiform Tumors (primary)
37. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
neurologic symptoms
Thalamus Lesion
Cardiogenic Shock
What does Atropine Sulfate do?
38. Gown - mask - gloves
s/sx of hypoglycemia
Blood Gas Values
On
Spinal anesthetic
39. Generalized infection throughout body
septicemia
rotate injection sites
valium
cleansing enema
40. Head at 90 degrees 2. Used for persons with COPD
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41. Analgesics - antipyretic - small anticoagulation
Decision Tree Step 4?
Acetaminophen
fleets enema
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
42. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
with ear meds if there are 2 differant meds
phenazopyridine
Spinal anesthetic
TB testing
43. 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
Trendelenburg
Inderal
metered dose inhaler
ear meds/ 3 and under
44. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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45. Vit B12 Defiency Anemia is caused from a lack of liver meats - other meats - eggs - milk - increased need - tapeworms and ___.
edema
broad spectrum
impaired asbsorption
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
46. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
phlebitis r/t IV
Strategy for 'Select all that apply' on the NCLEX exam
bilirubin
Choluria
47. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
dexamethasone
catecholamine
Respiratory alkalosis
lanolin
48. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
Infiltration
chronic obstructive pulmonary disease
inserting an NG tube
heparin/lovanox
49. 1000 g
Respiratory acidosis
Na+
1 kg
phenelzine sulfate
50. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
inserting an NG tube
standard precautions
Internal capsule lesion
6 rights of medication administration