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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. 3.5 - 5.5 mEq/l
Where are the Tricuspid heart sounds located?
anus - cervix - penis - and vulva
when on lasix
K+
2. 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
chronic obstructive pulmonary disease
postexposure protocol (PEP)
Pancrelipase (Pancrease capsules
Metabolic alkalosis
3. Check balloon for patency - non dom hand open labia - dom hand cleans - insert cath 2-3' until urine returns - inflate balloon - pull back - push 1 more ' - document
Respiratory acidosis
foley catheter(woman)
Adduction
Pancrelipase (Pancrease capsules
4. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie
What does Atropine Sulfate do?
Metabolic acidosis
Patient controlled analgesia
when mixing insulins
5. 50% of all primary tumors - linked to specific genetic mutations
Internal capsule lesion
with ear meds if there are 2 differant meds
glucocorticoids
Glioblastoma Multiform Tumors (primary)
6. Is a skin eruption caused by one of the two families of herpesvirus - herpes simplex or herpes zoster.
Decision Tree Step 4?
herpes
when on steriods watch for
emphysema
7. Only insulin that can be given IV
Bethanechol (Urecholine)
Parinaud's syndrome
Medications for perioperative
Regular insulin
8. Professional negligence - misconduct - or unreasonable lack of skill resulting in injury or loss to the recipient of the professional services.
Malpractice
Immediate Post - Op Care
Dehydration
Modified Trendelenburg
9. 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
dermatitis
Where are the Tricuspid heart sounds located?
1 lb
Superficial thrombophlebitis
10. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Hypotonic
foley cath(male)
11. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Glucotrol
Trendelenburg
oil retention enema
meds used for antipyretic - inflamm - and analgesia
12. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
ataxia
homonymous hemianopsia
Decision Tree Step 3?
epilepsy
13. Calcium Gluconate
Antidote for Mag Sulfate?
chronic obstructive pulmonary disease
enema
Change in mental status and confusion
14. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray
checking NG tube placement
Hodgkin's Lymphoma
edema
1 pt
15. Legs up in stirrups 2. Uses a. Gyn exams b. Perineal surgery 3. Increases risk of venous stasis and deep vein thrombophlebitis
Lithotomy
medically controlled coma
inserting an NG tube
Basal ganglia lesion
16. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Spread of Infection
What is the Decision Tree Step 1?
antidote foe coumadin
Jacksonian seizures
17. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
What is the Decision Tree Step 1?
Local cold
Cardiogenic Shock
Hypotonic
18. Befor administering squeeze a small amount out and apply thin layer - blink
Aspirin
eye ointments
Change in mental status and confusion
Circulatory overload
19. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
aspirin (acetylsalicylic acid)
nitroglycerin
Precentral gyrus lesion
nursing interventions for hypoglycemia
20. Wasting
Atrophy
CVL
Pancrelipase (Pancrease capsules
depressant
21. Motor dysphasia
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22. Aspirin
Hypokalemia
before surgery the pt. should stop using
s/sx of hypoglycemia
oil retention enema
23. 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
Cooling blanket
Infiltration
PEP
Circulatory overload
24. 0.45 kg
1 lb
systemic hypoxia
Modified Trendelenburg
off
25. 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
before surgery the pt. should stop using
air embolus
Bolus feeding
TB testing
26. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
single voided urine specimen
glossitis
Addisonian crisis
polyuria
27. Postexposure protocol
foley catheter(woman)
PEP
diverticular disease
Insulin
28. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
transdermal meds
when on steriods watch for
Aldosterone
endometriosis
29. Administer bronchodilators before other meds
MDI
lasix
catheter embolus
Splenic Sequestration
30. Dispose of sharps in puncture - resistant containers B. Do not recap used needles C. Wear protective barriers (gloves - gowns - masks - eyewear) when at risk for exposure to body fluids D. Clean blood spills with soap and water or household bleach 1:
1 pinch
1 qt
Standard (Universal) Precautions
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
31. Loss of defective memory
1 qt
120 gtts of water
Inderal
Amnesia
32. Being ___ is acting in accordance with a set of standards of conduct. Nursing organizations have established a code of conduct that provides ethical guidelines for nursing practice.
Heat
Basal ganglia lesion
causes of hyperglycemia
ethical
33. Do not give more than 3 consecutive bouts
enema
Amnesia
smaller to larger
causes of hypoglycemia
34. 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
Nursing assistant
1 lb
antidote foe coumadin
Hypokalemia
35. Inability to coordinate voluntary muscle movements
Where are the Tricuspid heart sounds located?
ataxia
120 gtts of water
Malpractice
36. Caused by poor heart action.- drugs that make heart beat more effectively
death
Cardiogenic Shock
Superficial thrombophlebitis
antidote foe coumadin
37. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry
Medications for perioperative
nitroglycerin
sterile wound irrigation
Catapres
38. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial
heart failure
Modified Trendelenburg
Insulin
'silent'
39. Deficient oxygen in the blood.
butorphanol tartrate
Circulatory overload
systemic hypoxia
larger to smaller
40. 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
aspirin toxicity
Medications for perioperative
Broca's area lesion
side effects of barbituates
41. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
thrombocytopenic purpura
Circulatory overload
aspirin toxicity
Circulatory overload
42. 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
Hyponatremia
Superficial thrombophlebitis
phlebitis r/t IV
prilosec
43. 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
CVL
gastroenteritis
Prone
44. 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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45. On left side with lower arm behind the back 2. Good position for administering enema
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46. Most common problem: when fluid or med leaks out of vein into tissue - edema occurs - feels cool - fluid in tissue will reabsorb eithin 24 hrs.
catheter embolus
inflammation
infiltration r/t IV
Low - Fowler's
47. 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
polydipsia
pyridoxine hydrochloride (vitamin B6)
What are NSAIDs mainly given for
Bolus feeding
48. The nurse teaches the client with ___ ways to change diet and lifestyle habits in order to control the condition.
Epidural anesthetic
6 rights of medication administration
homonymous hemianopsia
diverticular disease
49. Dermatologic
lanolin
medically controlled coma
ototoxicity
Changes during aging
50. Contralateral thalamus pain - contralateral hemisensory loss.
Thalamus Lesion
Strategy for 'Select all that apply' on the NCLEX exam
Side - lying
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)