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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. Early hydrocephalus - papillary abnormalities - Parinaud's Syndrome
Spinal anesthetic
Pineal gland Lesion
Glucotrol
Epidural anesthetic
2. Jacksonian szs - generalized szs - hemiparesis
glucocorticoids
Spinal anesthetic
ear meds/3 and over
Precentral gyrus lesion
3. 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
4. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
anus - cervix - penis - and vulva
nitroglycerin
autonomic dysreflexia
5. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
Apply heat or cold day of surgery?
emphysema
meds used for antipyretic - inflamm - and analgesia
Risk Factors for operations
6. 12 in.
nitroglycerin
1 ft
herpes
CVL
7. Salicylates - NSAIDs
when on lasix
meds used for antipyretic - inflamm - and analgesia
burns Stage I
health screening
8. Excessive thirst (as in cases of diabetes or kidney dysfunction)
polydipsia
1000mg
Sim's
drip rate
9. Caused by a midbrain lesion; vertical gaze center impaired. Sx's: no vertical gaze - dilated and irregular pupils - eyelid abnormalities and impaired convergence. - characterized by impaired upward vertical gaze and loss of the pupillary light reflex
10. 1000 g
sudafed
1 kg
Antidiuretic Hormone (ADH)
Ankyloses
11. Manifestations 1) Muscle weakness 2) Weak pulse and ECG changes b. Causes 1) Potassium depleting diuretics 2) Burns 3) Diarrhea - colitis 4) Vomiting c. Management: Potassium replacement -- DO Not give Digoxin
Hypokalemia
Sponge bath
Medications for perioperative
checking NG tube placement
12. Do not give more than 3 consecutive bouts
enema
Ego integrity Vs despair
topical agents
Splenic Sequestration
13. Produced by adrenal cortex. Target most cells to promote breakdown of glycogen - fats - and proteins as energy sources; raise blood level of glucose.Cortisol and Cortisone are types of these hormones.
topical agents
glucocorticoids
Modified Trendelenburg
Decision Tree Step 3?
14. Glaucoma and cataracts (lens becomes opaque) occur frequently 2. Presbyopia (farsightedness of aging) occurs in almost all persons as they age Difficulty seeing in dim light due to loss of light responsiveness Presbycussis: progressive hearing loss a
sterile wound irrigation
Adduction
Changes during aging
narrow spectrum
15. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Jacksonian seizures
Loss of bone density
health screening
Hodgkin's Lymphoma
16. 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
Prone
Local cold
Bolus feeding
Where are the Tricuspid heart sounds located?
17. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
single voided urine specimen
'silent'
pernicious anemia
nursing interventions for hypoglycemia
18. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.
Bolus feeding
fluid congestion
transdermal meds
Ankyloses
19. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
anus - cervix - penis - and vulva
fleets enema
postexposure protocol (PEP)
Addisonian crisis
20. The ___ is generally printed on the package of the IV infusion set.
Semi - Fowler's
metformin (Glucophage).
drip rate
Trendelenburg
21. Atbs that are effective against many organisms
Pineal gland Lesion
broad spectrum
Metabolic acidosis
Anuria
22. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.
parasthesia
Anuria
dexamethasone
depression
23. Is a route of parenteral medication adm near the base of the spine - most commonly used for administering an anesthetic for pain management. Most commonly used in first and second stages of labor and for pain relief.
estrogen and progestin
Glucotrol
epidural
Restraints
24. Anesthesia is the partial or complete loss of sensation - and general anesthesia produces a complete loss of sensation (unconsciousneess). It is also referred to as ___.
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Insulin
NG tube
medically controlled coma
25. 1 kg
sacs (or pockets)
Inderal
wet to dry dressings
2.2lbs.
26. Inflammation or redness of the tongue. Often seen in malnutrition.
epidural
glossitis
Regular insulin
gastroenteritis
27. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.
drip rate
Decison Tree Step 5?
Osmotic pressure
larger to smaller
28. Vitamin k
NPH
CVL
Acetonuria
antidote foe coumadin
29. 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.
diabetes mellitus (DM)
health screening
inserting an NG tube
Occipital Lobe Lesion
30. Headache - rash - sensitivity to light
What are symptoms of Mennengitis?
Informed consent
air embolus
Vitamin B12 Deficiency Anemia
31. 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.
gastroenteritis
pyridoxine hydrochloride (vitamin B6)
Jacksonian seizures
African Americans
32. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
s/sx of hypoglycemia
1 ml
cleansing enema
polycythemia vera
33. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Immediate Post - Op Care
gastroenteritis
alsalva manuever
sub - q injections
34. Caused by a decrease in peripheral resistance - vasoconstriction
emphysema
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Circulatory overload
ear meds/ 3 and under
35. Calcium Gluconate
polyuria
Hypotonic
Antidote for Mag Sulfate?
Metabolic acidosis
36. Contralateral dystonia - Contralateral choreoathetosis
Basal ganglia lesion
Superficial parietal lobe lesion
septicemia
What is the Decision Tree Step 1?
37. A skin sensation - such as burning - prickling - itching - or tingling - with no apparent physical cause.
tube feeding
Cl
parasthesia
epidural
38. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
platelets
Metabolic alkalosis
Anuria
aspirin toxicity
39. 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
foley cath(male)
depressant
IM meds
Ego integrity Vs despair
40. 1cc
1 ml
High - Fowler's
Risk Factors for operations
when mixing insulins
41. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
bicarbonate
transdermal patch
Ego integrity Vs despair
Cl
42. Emergency life - threatening condition which can occur with spinal cord injuries above T6 after spinal shock resolves - which is 1 to 6 weeks after injury; causes include visceral distension and noxious stimuli such as skin pressure - temperature ext
High - Fowler's
Respiratory acidosis
Sterile Field
autonomic dysreflexia
43. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs
What should you NEVER pick as an answer on the NCLEX exam?
ted hose
Wheel Chair Positioning
ataxia
44. 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
Cooling blanket
acute appendicitis
Air embolism
phenazopyridine
45. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing
Circulatory overload
Nursing care during IV infusions
sterile wound irrigation
septicemia
46. Increases heart rate
What does Atropine Sulfate do?
Diffusion
leukemia
Risk Factors for operations
47. 1 g
1000mg
Aplastic Crisis
Medications for perioperative
heart failure
48. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
bacteriostatic
midbrain syndrome
air embolus
Blood Gas Values
49. Suffocation
Semi - Fowler's
Asphyxia
side effects of barbituates
Respiratory alkalosis
50. 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).
transdermal patch
dermatitis
Hypertonic
side effects of barbituates