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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. 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






2. The pain usually comes prior to nausea and vomiting;






3. Jacksonian szs - generalized szs - hemiparesis






4. Stop feeding q 4-8 hrs to check residual - flush q 4-6






5. Clean gloves - position cliient so drainage runs down - drape - discard gloves - open irrigation tray sterily - pour solution - sterile gloves - open packs - draw up solution - irrigate until runs clear - pat dry






6. Renal disorder characterized by the production of large volumes of pale dilute urine






7. Contralateral thalamus pain - contralateral hemisensory loss.






8. Place in semi - fowler's - open sterile suction cath - gloves as ordered - pick up sterile cath and connect to suction tubing - moisten cath with saline - insert through nostril with no suction - suction about 10 seconds - repeat






9. On the person's abdomen 2. Prevents hip flexion contractures






10. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis






11. Extracellular volume excess 1. Causes a. Too many I.V. fluids too quickly b. Decreased kidney or heart function 2. Manifestations a. Cough - dyspnea - rales - tachypnea b. Increased blood pressure c. Increased CVP d. Neck vein distention e. Tachycard






12. Painful - tissue engorgement






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.






14. Vit B12 Defiency Anemia is caused from a lack of liver meats - other meats - eggs - milk - increased need - tapeworms and ___.






15. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness






16. 60 gtt






17. 6 oz.






18. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h






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






20. Made in the hypothalamus and stored and secreted by the posterior pituitary b. Causes kidney to retain sodium and water






21. 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






22. Look at all options as true/false


23. 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






24. Used to tx symptoms of menopause - hormone replacement therapy involves the administration of ___ combination medications.






25. Homonymous hemianopsia - partial szs w/limited visual phenomena






26. Pain relievers r/t opium






27. 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






28. Constrict blood vessels






29. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)






30. Salicylates - NSAIDs






31. 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.






32. Increasing dyspnea with periods of apnea






33. Holding one's breath & attempt to exhale - Done during exercise - heavy lifting - birth delivery - coughing - sneezing - straining when urinating - defecating - vomiting. May cause cardiac arrest with a weakened heart - Encourage proper breathing whe






34. 2 pt






35. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml






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






37. 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






38. Human papilloma virus






39. #1 is abdomen - #2 is arm - #3 is buttock






40. Analgesics - antipyretic - small anticoagulation






41. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.






42. Too much insulin - no food - too much/intense exercise - onset - sudden






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






44. Testing for blood in the stools of an infant






45. O2 sat is less than 93






46. Patient pushes button and receives IV analgesia 2. Device has preset dose and frequency limits 3. Nurse must instruct patient in use of device 4. Nurse must continue to assess patient for a. Pain b. Pain relief c. Side effects (vital signs) 5. Studie






47. No more than 750-1000ml's can be taken out at a time or will cause shock






48. A dangerous condition in which the body tissues and cells do not have enough oxygen






49. Caused by poor heart action.- drugs that make heart beat more effectively






50. 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