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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. 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.
dramamine
dry sterile dressing
Ankyloses
diabetes mellitus (DM)
2. 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
CVL
What should you NEVER pick as an answer on the NCLEX exam?
systemic hypoxia
Pons lesion
3. Antianginal med used in heart attacks
fluid congestion
Benefit of turning patient to Left side?
epidural
nitroglycerin
4. Bloodstream infection: if becomes very bas pt may have a red line along arm
'silent'
Catapres
septicemia
herpes
5. Testing for blood in the stools of an infant
diverticular disease
What is the Guaiac Test?
sudafed
aspirin (acetylsalicylic acid)
6. 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
burns Stage III
Change in mental status and confusion
polyuria
1 L
7. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Vitamin B12 Deficiency Anemia
1 lb
Modified Trendelenburg
Osmotic pressure
8. 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
ischemia
What are signs of an Infant addicted to Herion?
milliliter
Bacteremia
9. 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
sudafed
Pancrelipase (Pancrease capsules
traumatic brain injury
Side - lying
10. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
Blood Gas Values
butorphanol tartrate
NPH
Registered Nurse
11. Painful - tissue engorgement
ear meds/3 and over
Circulatory overload
Cheyenne Strokes
Vaso - occlusive (thrombotic crisis)
12. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
dermatitis
diverticular disease
Sponge bath
burns Stage IV
13. Is a route of parenteral medication adm near the base of the spine - most commonly used for administering an anesthetic for pain management. Most commonly used in first and second stages of labor and for pain relief.
Ankyloses
1 T
Isotonic
epidural
14. Only used for 1-2 ml of med b/c is smaller muscle
Shock
catheter embolus
deltoid muscle
sub - q injections
15. 1000 g
K+
1 kg
with ear meds if there are 2 differant meds
Narcotic Antagonist: Naloxone (Narcan)
16. 16 oz
phenelzine sulfate
Decision Tree Step 2?
1 pt
broad spectrum
17. Only insulin that can be given IV
neurologic symptoms
catecholamine
Epidural anesthetic
Regular insulin
18. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
depression
foley cath(male)
Decision Tree Step 4?
Isotonic
19. Patient - time - dose - route - medication - documentation
6 rights of medication administration
Where are the Tricuspid heart sounds located?
tube feeding
health screening
20. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
Hyponatremia
dramamine
diverticular disease
Decision Tree Step 4?
21. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Metabolic alkalosis
Ego integrity Vs despair
Infiltration
NSAIDS
22. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
Regular insulin
What does Atropine Sulfate do?
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
diabetes insipidus
23. Caused by poor heart action.- drugs that make heart beat more effectively
Cardiogenic Shock
Wheel Chair Positioning
Trendelenburg
fleets enema
24. Is a condition in which Bp is abnormally high. In adults - ___ is dx with Bp readings higher than 140 mmHg systolic or 90 mmHg diastolic after 3 separate readings that are recorded several weeks apart.
CVL
phenazopyridine
hypertension
Antidiuretic Hormone (ADH)
25. 1cc
1 ml
Osmotic pressure
lanolin
valium
26. Nausea and vomiting that come before abdominal pain
anus - cervix - penis - and vulva
retrovirus
depression
gastroenteritis
27. 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.
IM meds
death
endometriosis
glossitis
28. To move AWAY from midline
gastroenteritis
polyuria
ototoxicity
Abduction
29. 80% to 90% of brain tumors - named for What part of the nerve cell affected.
Maslow's hierarchy of needs
when mixing insulins
bicarbonate
Neuromas Tumors (primary)
30. Inflammation or redness of the tongue. Often seen in malnutrition.
when mixing insulins
gaze palsy
glossitis
1 ml
31. No more than 750-1000ml's can be taken out at a time or will cause shock
urine
Respiratory acidosis
sacs (or pockets)
What are NSAIDs mainly given for
32. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Benefit of turning patient to Right side?
Aldosterone
inserting an NG tube
edema
33. Caused by poor heart action.- drugs that make heart beat more effectively
Cardiogenic Shock
Epidural anesthetic
opiate
larger to smaller
34. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
topical agents
when mixing insulins
stool testing
Respiratory acidosis
35. Piece obstructing blood flow may have decreased bp - pain along vein - loss of conscoiusness
MDI
catheter embolus
Glioblastoma Multiform Tumors (primary)
transdermal patch
36. 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
ataxia
Medications for perioperative
Na+
Benefit of turning patient to Left side?
37. Patient is moved all at once so there is no twisting of spine B. One person moves the head and shoulders C. Second person moves the feet and legs at the same time D. Turning sheet may be helpful E. Place the bed in a high position to promote good bod
Logrolling
rotate injection sites
aspirin toxicity
Changes during aging
38. HIV is a ___ that causes acquired immune deficiency syndrome (AIDS) - leading to a loss of immune function and subsequent development of opportunitstic infections.
retrovirus
Wheel Chair Positioning
transdermal meds
phenazopyridine
39. Atbs that are effective against many organisms
urine
Hypotonic
broad spectrum
glucocorticoids
40. No longer than 10-20 seconds at a time - allow pt to rest between suctioning - flush cath with NS between suctionings - 80-100 mm is normal adult suction
Metabolic alkalosis
with ear meds if there are 2 differant meds
suctioning
phlebitis r/t IV
41. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
dry sterile dressing
depressant
Glucotrol
Benefit of turning patient to Left side?
42. Tom move TOWARDS the midline
homonymous hemianopsia
1 qt
Adduction
herpes
43. 2 pt
1 qt
Bethanechol (Urecholine)
broad spectrum
HPV
44. 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
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Cheyenne Strokes
Registered Nurse
Respiratory alkalosis
45. 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
carbon dioxide levels
Sponge bath
sliding scale
46. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
when mixing insulins
Spinal anesthetic
Diffusion
Catapres
47. Has regular insulin in it already
K+
NPH
burns Stage II
Cardiogenic Shock
48. The pain usually comes prior to nausea and vomiting;
acute appendicitis
Standard (Universal) Precautions
diverticular disease
Strategy for 'Select all that apply' on the NCLEX exam
49. Stiff joints
Ankyloses
Pineal gland Lesion
opiate
Bacteremia
50. Answers starting with 'I'll or Why.'
Osmosis
1 T
What should you NEVER pick as an answer on the NCLEX exam?
Malpractice