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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
Insulin
1 lb
K+
most insulins
2. On left side with lower arm behind the back 2. Good position for administering enema
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3. 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.
Tylenol with codeine and Benadryl
ataxia
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
diabetes mellitus (DM)
4. Routine tasks b. Routine vital signs
nitroglycerin
What are symptoms of Mennengitis?
Nursing assistant
nitroglycerin
5. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
inserting an NG tube
sliding scale
eye meds(opthalmic)
Immediate Post - Op Care
6. 135 - 145 mEq/l
Na+
Nursing care during IV infusions
glucocorticoids
Spinal anesthetic
7. 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
topical agents
1 ft
Cooling blanket
Precentral gyrus lesion
8. Salicylates - NSAIDs
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Epidural anesthetic
Apply heat or cold day of surgery?
meds used for antipyretic - inflamm - and analgesia
9. 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
Air embolism
2.2lbs.
120 gtts of water
Catapres
10. 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
Superficial thrombophlebitis
Reed - Sternberg cell
metered dose inhaler
TB testing
11. Narcotic
morphine
Hypotonic
ted hose
Neuromas Tumors (primary)
12. Painful - tissue engorgement
Medications for perioperative
Vaso - occlusive (thrombotic crisis)
Apply heat or cold day of surgery?
metered dose inhaler
13. Pain relievers r/t opium
1 pinch
traumatic brain injury
opiate
Bacteremia
14. 10 degree angle - 25-27G needle - 5/8-1/2' needle - barely cover bevel under skin - do not do near a vein - do to the side - used for PPD&allergy testing
traumatic brain injury
meds used for antipyretic - inflamm - and analgesia
Cardiogenic Shock
Intradermal injections
15. Patient - time - dose - route - medication - documentation
6 rights of medication administration
parasthesia
Diffusion
apply heat or cold day after surgery?
16. Able to kill bacteria
HRT
Immediate Post - Op Care
Bethanechol (Urecholine)
bacteriacidal
17. The loss of the right or left half of the field of vision in both eyes.
eye meds(opthalmic)
rotate injection sites
homonymous hemianopsia
1 pt
18. A large multinucleated or multilobed cell with inclusion body- like nucleoli surrounded by a halo of clear nucleoplasm and must be present to dx Hodgkin's Lymphoma.
Reed - Sternberg cell
catecholamine
Occipital Lobe Lesion
CVL
19. Total suppression of urine
Choluria
Metabolic alkalosis
Anuria
1 lb
20. Increasing dyspnea with periods of apnea
epidural
administer 2L O2 when
Cheyenne Strokes
dry sterile dressing
21. Down and back
1 pinch
burns Stage II
Hodgkin's Lymphoma
ear meds/ 3 and under
22. 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.
infiltration r/t IV
CVL
On
bacteriacidal
23. Left
MDI
Basal ganglia lesion
Strategy for 'Select all that apply' on the NCLEX exam
smaller to larger
24. Diplopia - internal strabismus - VI and VII involvement - contralateral hemisensory and hemiparesis loss issilateral cerebellar ataxia
Pons lesion
MDI
NPH
metformin (Glucophage).
25. In client with emphysema - decreased oxygen concentrations due to chronically elevated ___ levels are the main stimuli for respiration.
digitalis
6 rights of medication administration
1 qt
carbon dioxide levels
26. 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.
depression
Basal ganglia lesion
Broca's area lesion
Air embolism
27. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
neurologic symptoms
Circulatory overload
Benefit of turning patient to Right side?
Adduction
28. Toxicity due to blood and protien in the urine
morphine
dry sterile dressing
nephrotoxicity
Vitamin B12 Deficiency Anemia
29. A decrease in total blood volume such as hemorrhage - transfusions
ataxia
Hypovolemic shock
drip rate
Anuria
30. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
phlebitis
Hyponatremia
air embolus
pyridoxine hydrochloride (vitamin B6)
31. 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
aspirin (acetylsalicylic acid)
Bacteremia
1 pt
suctioning
32. 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
stool testing
What are symptoms of Mennengitis?
Adduction
Restraints
33. Commonly used diuretic (trade name Lasix) used to treat hypertension and edema
lasix
larger to smaller
What are symptoms of Mennengitis?
Spread of Infection
34. Receptive dysphasia
Vitamin B12 Deficiency Anemia
quickest absorption
with ear meds if there are 2 differant meds
Superficial parietal lobe lesion
35. Caused by poor heart action.- drugs that make heart beat more effectively
with ear meds if there are 2 differant meds
inserting an NG tube
Cardiogenic Shock
Medications for perioperative
36. Head at 90 degrees 2. Used for persons with COPD
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37. 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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38. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
anus - cervix - penis - and vulva
cleansing enema
Sponge bath
Bolus feeding
39. 5th Intercostal space - left side sternal border
oil retention enema
Where are the Tricuspid heart sounds located?
opiate
Hypotonic
40. Head lower than trunk and feet 2. Uses a. Shock - sometimes b. Prolapsed cord when mother not in hospital; Increases venous return
Acetaminophen
Gardasil vaccine
Trendelenburg
120 gtts of water
41. Dermatologic
Registered Nurse
most insulins
lanolin
Addison's Disease
42. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
1 pt
Narcan or Noloxene
Ego integrity Vs despair
retrovirus
43. 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
herpes
Change in mental status and confusion
eye meds(opthalmic)
Sickle Cell Crisis
44. Atbs that are effective agaist a few mo's
narrow spectrum
causes of hypoglycemia
Decision Tree Step 2?
platelets
45. 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
sickling
Catapres
Superficial thrombophlebitis
Cardiogenic Shock
46. 1000 ml
smaller to larger
1 L
postexposure protocol (PEP)
Sterile Field
47. Ake with meals to reduce side effects of the drug -- e.g. - nausea - vomiting - anorexia - abdominal cramps - fatigue; these effects tend to be mild and to resolve as therapy continues
Superficial thrombophlebitis
anus - cervix - penis - and vulva
metformin (Glucophage).
when on steriods watch for
48. Caused by a decrease in peripheral resistance - vasoconstriction
Cardiogenic Shock
1 T
Bacteremia
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
49. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
Supine
Infiltration
general anesthesia
phenazopyridine
50. 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.
Acetaminophen
causes of hypoglycemia
health risk appraisal
endometriosis