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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. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
tube feeding
hypertension
1 teacup
impaired asbsorption
2. 3 tsp
Immediate Post - Op Care
Inderal
1 T
fluid congestion
3. Decision maker b. Can do complex procedures c. Can give medications via all routes that nurses can give meds d. Is best person for teaching e. Coordinates care f. Performs admission assessments
Metabolic acidosis
sudafed
Vitamin B12 Deficiency Anemia
Registered Nurse
4. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
Apply heat or cold day of surgery?
meds used for antipyretic - inflamm - and analgesia
On
nursing interventions for hypoglycemia
5. 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.
septicemia
dramamine
diabetes mellitus (DM)
Osmotic pressure
6. Always given with short acting insulin such as reg/ humulog
s/sx of hypoglycemia
sliding scale
NPH
Medications for perioperative
7. Hypertension is sometimes called a ___ disease because many clients are symptom free until complications arise - which can occur decades after the hypertension first begins.
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8. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Cardiogenic Shock
Ego integrity Vs despair
Abduction
Pineal gland Lesion
9. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
septicemia
anus - cervix - penis - and vulva
Regular insulin
platelets
10. On left side with lower arm behind the back 2. Good position for administering enema
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11. 1/8 tsp
Meningiomas Tumors (primary)
1 pinch
Asphyxia
tube feeding
12. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
Aldosterone
ischemia
edema
aspirin toxicity
13. No red meat - radishes - beets - etc... for 3 days prior to test
vasoconstrictor
burns Stage III
'silent'
stool testing
14. When a client emerges from ___ - the nurse protects the client's airway and monitors the client's vital signs. The nurse then evaluates LOC - reflex status - motor activity - and orients the client to person - place and time as necessary.
general anesthesia
morphine
phenelzine sulfate
Pel Epstein fever
15. Lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body
pernicious anemia
What are symptoms of Mennengitis?
nthelminthic enema
inserting an NG tube
16. Check order - set up tube feed equip/suction - positon in fowlers - place towel - measure tube length - wipe face - ask about diff breathing through one nostril - apply lub. - flex head forward - insert gently until coughs - have swallow water - ch -
apply heat or cold day after surgery?
antidote for heparin
inserting an NG tube
sacs (or pockets)
17. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Abduction
1 qt
Modified Trendelenburg
NSAIDS
18. 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
'silent'
postexposure protocol (PEP)
nitroglycerin
CVL
19. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
parasthesia
nursing interventions for severe hypoglycemia
bicarbonate
Circulatory overload
20. 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:
ear meds/3 and over
Na+
Low - Fowler's
Standard (Universal) Precautions
21. Sedative/hypnotic - a tranquilizer (trade name Valium) used to relieve anxiety and relax muscles
valium
ear meds/ 3 and under
postexposure protocol (PEP)
Cl
22. Tom move TOWARDS the midline
Adduction
Sponge bath
oil retention enema
morphine
23. Check lung sounds q shift for crackles
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24. Cardiotonic
burns Stage I
digitalis
MDI
leukemia
25. 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
Adduction
Humulog
Restraints
infiltration r/t IV
26. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
Side - lying
bilirubin
Diffusion
chronic obstructive pulmonary disease
27. On the person's abdomen 2. Prevents hip flexion contractures
Ego integrity Vs despair
Prone
Standard (Universal) Precautions
Hypovolemic shock
28. 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 ___.
medically controlled coma
hypoxia
Cl
general anesthesia
29. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
chronic obstructive pulmonary disease
Decision Tree Step 3?
Superficial parietal lobe lesion
Metabolic acidosis
30. 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
beefy red tongue
phlebitis
sudafed
Narcotic analgesics
31. To move AWAY from midline
Benefit of turning patient to Left side?
infiltration r/t IV
Abduction
valium
32. 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)
'silent'
Infiltration
1 qt
Vaso - occlusive (thrombotic crisis)
33. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial
adverse reaction of INH is hepatitis
Air embolism
Risk Factors for operations
Insulin
34. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
CVL
Hypertonic
Metabolic acidosis
Blood Gas Values
35. 1000 g
catheter embolus
hypoxia
1 kg
Spinal anesthetic
36. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
when on lasix
Hypovolemic shock
health screening
polycythemia vera
37. 1 g
suctioning
dry sterile dressing
1000mg
Bolus feeding
38. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
herpes
health screening
Modified Trendelenburg
Internal capsule lesion
39. Homonymous hemianopsia - partial szs w/limited visual phenomena
Occipital Lobe Lesion
causes of hyperglycemia
s/sx of hypoglycemia
What is the Guaiac Test?
40. Straight back
dramamine
traumatic brain injury
quickest absorption
ear meds/3 and over
41. This is an acute episode of severe symptoms - brought on by fever - dehydration altitude - vomiting - emotional distress - fatigue - alcohol consumption - pregnancy or excessive physical activity. Precipitated by hypoxia; provide pain relief - provid
Adduction
Sickle Cell Crisis
1 T
with ear meds if there are 2 differant meds
42. 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
Circulatory overload
TB testing
Changes during aging
1 qt
43. 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
thrombocytopenia
wet to dry dressing
Shock
Diffusion
44. Medications used to treat ___ must be given continuously and on time throughout the client's life to maintain therapeutic blood levels.
2.2lbs.
lithium toxicity
ear meds/ 3 and under
epilepsy
45. Inability to coordinate voluntary muscle movements
Negligence
ataxia
'silent'
oil retention enema
46. Caused by a decrease in peripheral resistance - vasoconstriction
alsalva manuever
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
1000mg
Blood Gas Values
47. 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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48. 45-90 degree angle - 25G needle - 1/2-1' length - below dermis/above muscle
sub - q injections
Sickle Cell Crisis
transdermal meds
1 ml
49. Up and back
ear meds/adult
tamoxifen
emphysema
Gardasil vaccine
50. Atbs that are effective agaist a few mo's
Medications for perioperative
Air embolism
narrow spectrum
Pineal gland Lesion