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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. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
rotate injection sites
Loss of bone density
fleets enema
wet to dry dressings
2. Protamine sulfate
antidote for heparin
Air embolism
Lithotomy
NPH
3. Check lung sounds q shift for crackles
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4. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
morphine
first sign of narcotic OD
Glucotrol
Cardiogenic Shock
5. Vitamin k
nephrotoxicity
1 ft
eye ointments
antidote foe coumadin
6. Up and back
ear meds/adult
standard precautions
Trendelenburg
1 T
7. 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 -
inserting an NG tube
general anesthesia
phlebitis
Metabolic alkalosis
8. Act on local tissue
eye meds(opthalmic)
topical agents
foley cath(male)
catheter embolus
9. 60 gtt
impaired asbsorption
Metabolic alkalosis
nephrotoxicity
1 tsp
10. Lubricate '5-7' of tubing - retract foreskin - advance cath 5-7' or until urine return - inflate balloon - pull out - back 1 - return foreskin
Addisonian crisis
K+
s/sx of hyperglycemia
foley cath(male)
11. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Addisonian crisis
prilosec
Hypertonic
Decision Tree Step 3?
12. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation
captopril
sterile wound irrigation
Respiratory acidosis
heparin/lovanox
13. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
Respiratory alkalosis
High - Fowler's
larger to smaller
thrombocytopenia
14. 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.
Aplastic Crisis
nitroglycerin
diabetes mellitus (DM)
polyuria
15. 5th Intercostal space - left side sternal border
Tylenol with codeine and Benadryl
Superficial parietal lobe lesion
Amnesia
Where are the Tricuspid heart sounds located?
16. In the elderly - change in mental status - particularly confusion - is very often the presenting symptom of infection; fever may be absent even when bacteremia or pneumonia are present
Change in mental status and confusion
sterile wound irrigation
epilepsy
Hemophilia
17. Outside of arachnoidal tissue - usually benign and slow growing
eye ointments
Meningiomas Tumors (primary)
Metabolic acidosis
aspirin (acetylsalicylic acid)
18. Drowsiness - mood change - depression
Addisonian crisis
Nursing care during IV infusions
side effects of barbituates
Air embolism
19. Another name for head injury which is any trauma to the head that can cause soft tissue damage or internal injury to the brain - and often occurs as a result of motor veh crashes - falls and sports.
1 T
morphine
traumatic brain injury
Blood Gas Values
20. Monitor K+
Blood Gas Values
when on lasix
antidote foe coumadin
stool testing
21. Fluid buildup in tissues - palpate areas for tenderness/consistency
anus - cervix - penis - and vulva
phlebitis
edema
polydipsia
22. Acts by blocking opiate receptors in the brain 2. Used to treat: a. Opiate induced respiratory depression b. Opiate overdose 3. Side effects: a. Withdrawal symptoms in addicted persons b. Return of pain 4. Drug is rapid acting; narcotic may last long
1 qt
Narcotic Antagonist: Naloxone (Narcan)
bacteriostatic
Decision Tree Step 3?
23. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
quickest absorption
nitroglycerin
Circulatory overload
thrombocytopenic purpura
24. 1 tsp
polydipsia
nitroglycerin
Changes during aging
120 gtts of water
25. 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
What are NSAIDs mainly given for
IM meds
NPH
Changes during aging
26. Neurotransmitters that play important role in body's stress response
septicemia
traumatic brain injury
catecholamine
Splenic Sequestration
27. A cancer of the blood forming organs; 80% of childhood ___; noted for the presence of lymphoblasts which replace normal cells in the bone marrow; blast cells are also see in the peripheral blood; null cell type has best prognosis
Hyponatremia
antidote foe coumadin
leukemia
pyridoxine hydrochloride (vitamin B6)
28. Has regular insulin in it already
NPH
tamoxifen
general anesthesia
1 ft
29. 22 - 29 mEq/l
transdermal meds
bicarbonate
retrovirus
Splenic Sequestration
30. Causes 1) Decreased water intake 2) Increased sodium intake 3) Impaired renal function b. Manifestations 1) Edema 2) Dry - sticky mucous membranes 3) Thirst 4) Elevated temp. 5) Flushed skin c. Management: Give water
Epidural anesthetic
Hypernatremia
HRT
bicarbonate
31. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P
fleets enema
Circulatory overload
Heat
IM meds
32. Sickled cells are sequestered in the spleen - by the time the kiddo is 5 they will have infarced their spleen therefore it happens under the age of 5 and given prophylactic antibiotics up until age 5. results in an emergency spleenectomy - large volu
tetracycline
Splenic Sequestration
What is the Decision Tree Step 1?
Changes during aging
33. 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
Shock
Addison's Disease
Decision Tree Step 4?
Malpractice
34. 2 pt
metformin (Glucophage).
1 qt
medically controlled coma
Aldosterone
35. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
Epidural anesthetic
gaze palsy
Wheel Chair Positioning
Respiratory acidosis
36. Meds used to treat constipation
Narcotic analgesics
1 lb
cathartic
Broca's area lesion
37. Treatment of CHF associated with an acute MI - relievs anginal attacks
medically controlled coma
nitroglycerin
cleansing enema
sudafed
38. Quick sugar source(glucose tabs - 4oz. juice - 6 oz. soda) wait 5-10 mins - recheck sugar - rrepreat if persists
oil retention enema
nursing interventions for hypoglycemia
Jacksonian seizures
Antidote for Mag Sulfate?
39. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
Metabolic acidosis
polydipsia
Lantus
Nursing care during IV infusions
40. Caused by poor heart action.- drugs that make heart beat more effectively
Infiltration
Cardiogenic Shock
ear meds/3 and over
Shock
41. The loss of the right or left half of the field of vision in both eyes.
urine
High - Fowler's
homonymous hemianopsia
chronic obstructive pulmonary disease
42. 16-18 F is standard adult size - children are standard 5-12F
dermatitis
NG tube
Risk Factors for operations
Precentral gyrus lesion
43. Left
smaller to larger
Spread of Infection
traumatic brain injury
autonomic dysreflexia
44. 6 oz.
1 teacup
Supine
side effects of barbituates
chronic obstructive pulmonary disease
45. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
Hyperkalemia
Superficial thrombophlebitis
dry sterile dressing
Reed - Sternberg cell
46. Atbs that are effective agaist a few mo's
Aspirin
narrow spectrum
Humulog
systemic hypoxia
47. Does Maslow Fit? If NO - alre all answers physical or are all answers pschosocial? If yes - eliminate psychosocial - Does the physical needs make sense? Then apply your ABC's
inserting an NG tube
heparin/lovanox
Inderal
Decision Tree Step 3?
48. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
Regular insulin
Respiratory alkalosis
What are symptoms of Mennengitis?
sickling
49. Apply heat to improve circulation and healing
epidural
apply heat or cold day after surgery?
Cooling blanket
HPV
50. —pentamidine is an antiprotozoal agent used to prevent and/or treat Pneumocystis carinii pneumonia (PCP) - a common opportunistic infection in AIDS patients; manifestations of PCP usually include coughing - fever - dyspnea - fatigue - and weight loss
dramamine
before surgery the pt. should stop using
On
pentamidine isethionate