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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. 5th Intercostal space - left side sternal border






2. Too much insulin - no food - too much/intense exercise - onset - sudden






3. Routine tasks b. Routine vital signs






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






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






6. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound






7. Antidepressant.......MAOI inhibitor.....Relieves depression......Nardil..food without tyramine






8. 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






9. Emergency care can be given to stabilize patient who is not able to give consent. 2. Age of majority is eighteen 3. Unconscious adults need permission for care by parents or spouse if married. 4. Persons who are not alert or have been given mind alte






10. 1 tab with 5 min not exceeding 3 doses






11. 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






12. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.






13. A dangerous condition in which the body tissues and cells do not have enough oxygen






14. 3.5 - 5.5 mEq/l






15. Monitor K+






16. #1 is abdomen - #2 is arm - #3 is buttock






17. Given in small amounts bc is retained






18. Stiff joints






19. Receptive dysphasia






20. 1 g






21. 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.






22. Inability to coordinate voluntary muscle movements






23. Onset:15-30mins. - clear - peak: 30-11/2 - duration: 3-4 hrs. - mix with intermed. - reg - short






24. Human papilloma virus






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






26. The pain usually comes prior to nausea and vomiting;






27. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss






28. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.






29. Analgesics - antipyretic - small anticoagulation






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






31. Salicylates - NSAIDs






32. 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






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






34. A rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys)characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst






35. 0.45 kg






36. Excessive mucous and high pitched cry but happens later after birth(16hrs)






37. What disease occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone? This condition is characterized by chronic - worsening fatigue and muscle weakness - loss of appetite - and weight loss.

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38. Only used for 1-2 ml of med b/c is smaller muscle






39. Lukewarm or tepid water b. Compresses on wrists - ankles - armpits - or groin to speed cooling c. Prevent shivering






40. To move AWAY from midline






41. Caused by a decrease in peripheral resistance - vasoconstriction






42. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time






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






44. 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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45. 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)






46. Movement of particles from higher to lower concentration






47. 22 - 29 mEq/l






48. 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






49. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return






50. Can cause respiratory depression by decreasing rate and depth of respirations; analgesic used for moderate to severe pain; side effects include change in BP - bradycardia -