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NCLEX General

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. 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






2. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).






3. Prevent circulation






4. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium






5. Are the answers assessments or implementations? If their a mix of both - read the stem to see if you should assess or implement first and then select answer






6. Total suppression of urine






7. 60 gtt






8. 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






9. 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






10. 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






11. Look at all options as true/false

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12. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.






13. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover






14. 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






15. No red meat - radishes - beets - etc... for 3 days prior to test






16. 1 tab with 5 min not exceeding 3 doses






17. Put air into cloudy first - then clear






18. 1 kg






19. Needle does not puncture dura. Spinal headache unlikely. 2. Once sensation and motion return patient may be in any position that is satisfactory for the procedure.






20. Tom move TOWARDS the midline






21. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm






22. Apply heat to improve circulation and healing






23. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time






24. On left side with lower arm behind the back 2. Good position for administering enema

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25. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai






26. Parinaud's syndrome.






27. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26






28. What is the outcome of each remaining answers? Determine if the outcome of each answer is disire and select the correct answer.






29. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.






30. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts






31. Coma - dilated pupils - extensor posturing - Cheyne Stokes respirations (progressively deeper breathing followed by apnea)






32. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.






33. A rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys)characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst






34. Neurotransmitters that play important role in body's stress response






35. 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






36. Check lung sounds q shift for crackles

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37. Fluid buildup in tissues - palpate areas for tenderness/consistency






38. Cardiotonic






39. Shake med - have pt breathe out - when starts to inhale press down - have the pt hold breath for 10 seconds - wait 1 min befroe next dose






40. O2 sat is less than 93






41. Acts of both omission and commission. 2. Failure to provide care that a reasonably prudent heath care professional would provide in the given circumstances. 3. Failure to provide care that meets the accepted standards of care - or giving care that re






42. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray






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






44. Patient - time - dose - route - medication - documentation






45. 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






46. Analgesics - antipyretic - small anticoagulation






47. Decreases RR






48. Calcium Gluconate






49. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation






50. 22 - 29 mEq/l