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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. Monitor K+
burns Stage I
when on lasix
lasix
Maslow's hierarchy of needs
2. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Local cold
ear meds/3 and over
Restraints
morphine
3. Check balloon for patency - non dom hand open labia - dom hand cleans - insert cath 2-3' until urine returns - inflate balloon - pull back - push 1 more ' - document
Spinal anesthetic
Hyponatremia
foley catheter(woman)
Blood Gas Values
4. Increases heart rate
leukemia
What does Atropine Sulfate do?
Narcan or Noloxene
Blood Gas Values
5. 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
Pons lesion
Logrolling
Modified Trendelenburg
Hypertonic
6. A dangerous condition in which the body tissues and cells do not have enough oxygen
polyuria
hypoxia
Abduction
continuous feeding tube(pump)
7. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Decison Tree Step 5?
meds used for antipyretic - inflamm - and analgesia
beefy red tongue
Heat
8. Contralateral thalamus pain - contralateral hemisensory loss.
Ego integrity Vs despair
acute appendicitis
What are NSAIDs mainly given for
Thalamus Lesion
9. Emergency care can be given to stabilize patient who is not able to give consent. 2. Age of majority is eighteen 3. Unconscious adults need permission for care by parents or spouse if married. 4. Persons who are not alert or have been given mind alte
checking NG tube placement
Side - lying
Basal ganglia lesion
Informed consent
10. Nausea and vomiting that come before abdominal pain
gastroenteritis
stool testing
Diffusion
septicemia
11. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
Spinal anesthetic
1 qt
foley catheter(woman)
Osmosis
12. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
cleansing enema
before surgery the pt. should stop using
NPH
Hypovolemic shock
13. Can cause respiratory depression by decreasing rate and depth of respirations; analgesic used for moderate to severe pain; side effects include change in BP - bradycardia -
Parinaud's syndrome
deltoid muscle
butorphanol tartrate
Patient controlled analgesia
14. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
1 lb
beefy red tongue
NPH
general anesthesia
15. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
dry sterile dressing
Jacksonian seizures
fleets enema
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
16. Apply cold to prevent swelling - bleeding and relive pain
HRT
Apply heat or cold day of surgery?
ted hose
Infiltration
17. Able to kill bacteria
bacteriacidal
off
retrovirus
Lantus
18. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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183
19. Put air into cloudy first - then clear
when mixing insulins
NG tube
polydipsia
Infiltration
20. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Local cold
Narcan or Noloxene
thrombocytopenia
Aldosterone
21. Atb
metered dose inhaler
tetracycline
Vaso - occlusive (thrombotic crisis)
Bethanechol (Urecholine)
22. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
dry sterile dressing
Nursing care during IV infusions
traumatic brain injury
Respiratory alkalosis
23. 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.
Hypertonic
beefy red tongue
hypertension
s/sx of hypoglycemia
24. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
Abduction
1 pinch
anus - cervix - penis - and vulva
Respiratory acidosis
25. Patient - time - dose - route - medication - documentation
Spinal anesthetic
6 rights of medication administration
RACE
Precentral gyrus lesion
26. Testing for blood in the stools of an infant
ischemia
What is the Guaiac Test?
What are symptoms of Mennengitis?
HRT
27. Analgesics - antipyretic - anticoagulant - anti - inflammatory
Prone
leukemia
NSAIDS
when mixing insulins
28. Tom move TOWARDS the midline
Blood Gas Values
Adduction
Where are the Tricuspid heart sounds located?
Metabolic acidosis
29. Changes in color:( red - blue - purple) - temperature changes - and skin stiffness
burns Stage I
foley cath(male)
Hyperkalemia
Infiltration
30. Bruising will occur aroun inj. sites - apply pressure for at least 30 seconds - check for bleeding gums - stools - sheck V/S for internal bleeding with anticoagulants
MDI
impaired asbsorption
heparin/lovanox
adverse reaction of INH is hepatitis
31. Do not give more than 3 consecutive bouts
bacteriacidal
enema
sickling
Dehydration
32. 1 tsp
apply heat or cold day after surgery?
120 gtts of water
inserting an NG tube
before surgery the pt. should stop using
33. 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
suctioning
phlebitis
Shock
Splenic Sequestration
34. 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
TB testing
Metabolic alkalosis
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
HPV
35. 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
fleets enema
Change in mental status and confusion
Local cold
Narcotic Antagonist: Naloxone (Narcan)
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
suctioning
ataxia
glossitis
Medications for perioperative
37. 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
Maslow's hierarchy of needs
Air embolism
Precentral gyrus lesion
1 ml
38. 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
dramamine
catheter embolus
Medications for perioperative
Dehydration
39. Common for debriding
Addison's Disease
lanolin
wet to dry dressing
Wheel Chair Positioning
40. Caused by poor heart action.- drugs that make heart beat more effectively
Cardiogenic Shock
smaller to larger
antidote for heparin
Jacksonian seizures
41. 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
6 rights of medication administration
CVL
burns Stage III
neurologic symptoms
42. Excessive thirst (as in cases of diabetes or kidney dysfunction)
foley cath(male)
homonymous hemianopsia
burns Stage IV
polydipsia
43. Antidepressant.......MAOI inhibitor.....Relieves depression......Nardil..food without tyramine
Regular insulin
Hypotonic
inflammation
phenelzine sulfate
44. 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
Cooling blanket
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Atrophy
medically controlled coma
45. The pressure demonstrated when a solvent moves through the semipermeable membrane from weaker to stronger concentrations
systemic hypoxia
diabetes insipidus
Antidiuretic Hormone (ADH)
Osmotic pressure
46. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
Amnesia
Hypotonic
sickling
phenazopyridine
47. 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
Acetaminophen
Circulatory overload
Risk Factors for operations
edema
48. Analgesic - antipyretic - anticoagulant - anti - inflammatory
sterile wound irrigation
Aspirin
continuous feeding tube(pump)
Antidiuretic Hormone (ADH)
49. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
ototoxicity
Anuria
Aldosterone
Patient controlled analgesia
50. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
Aldosterone
CVL
sudafed
lithium toxicity