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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. Head at 90 degrees 2. Used for persons with COPD
2. Sheck of proper placement - note last patchplacement - clean skin - inital/date/time
transdermal patch
hypoxia
MDI
s/sx of hyperglycemia
3. Constrict blood vessels
valium
Vaso - occlusive (thrombotic crisis)
checking NG tube placement
vasoconstrictor
4. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Bacteremia
metered dose inhaler
Spinal anesthetic
Addisonian crisis
5. Physiologic needs b. Safety and security c. Love and belonging d. Self esteem e. Self actualization 2. Keep them breathing; keep them safe
6. 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
homonymous hemianopsia
morphine
metered dose inhaler
endometriosis
7. Generalized infection throughout body
septicemia
nitroglycerin
s/sx of hyperglycemia
Addisonian crisis
8. Needle punctures dura and cerebral spinal fluid lost. 2. Patient at risk for spinal headache.
HPV
1 lb
nursing interventions for hypoglycemia
Spinal anesthetic
9. The nurse recognizes that one of the risks with ___ is increased risk of heart disease - pulmonary embolism - stroke - and breast and endometrial cancers.
hormone replacement therapy (HRT)
Regular insulin
Changes during aging
Metabolic acidosis
10. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
Air embolism
platelets
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
burns Stage II
11. Narcotic
morphine
ischemia
lasix
Pineal gland Lesion
12. Instruct client to avoid ingesting alcohol when taking drug
catecholamine
Malpractice
adverse reaction of INH is hepatitis
Sterile Field
13. Sudden onset of extensive ___ - caused by conditions that cause local or systemic hypoxemia Pain is the most common symptom. Skin changes pallor or cyanosis. Not iron deficient. Open sores and ulcers from poor tissue perfusion. UA has proteins - poor
sickling
Acetaminophen
HRT
Pel Epstein fever
14. Caused by a decrease in peripheral resistance - vasoconstriction
On
Bolus feeding
broad spectrum
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
15. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
What is the Guaiac Test?
cleansing enema
Epidural anesthetic
chronic obstructive pulmonary disease
16. Diarrhea is sign of lithium toxicity along with oversedation - ataxia - tinnitus - slurred speech - and muscle weakness/twitching; stop lithium and obtain serum levels when diarrhea present
Splenic Sequestration
lithium toxicity
Malpractice
Hypernatremia
17. Produced by adrenal cortex. Target most cells to promote breakdown of glycogen - fats - and proteins as energy sources; raise blood level of glucose.Cortisol and Cortisone are types of these hormones.
single voided urine specimen
Insulin
glucocorticoids
dry sterile dressing
18. 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
sterile wound irrigation
RACE
Splenic Sequestration
Malpractice
19. 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
Vitamin B12 Deficiency Anemia
Hemophilia
side effects of barbituates
20. Bile in urine
Respiratory acidosis
Choluria
High - Fowler's
chronic obstructive pulmonary disease
21. Gown - mask - gloves
Atrophy
On
foley cath(male)
Maslow's hierarchy of needs
22. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
homonymous hemianopsia
beefy red tongue
Aldosterone
Inderal
23. PH 7.35-7.45 2. pCO2 = 35 - 45 3. pO2 = 80 - 100 4. HCO3 = 22 - 26
systemic hypoxia
NSAIDS
Blood Gas Values
Internal capsule lesion
24. Can do sterile procedures b. Can give medications except IV meds
Circulatory overload
Broca's area lesion
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Sponge bath
25. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
sterile wound irrigation
Side - lying
edema
sacs (or pockets)
26. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
Abduction
ear meds/adult
phlebitis
vasoconstrictor
27. Partial thickness loss of skin involving epidermis and/or part of dermis
vasoconstrictor
burns Stage II
Malpractice
parasthesia
28. Straight back
Aspirin
'silent'
ear meds/3 and over
1 teacup
29. Caused by a decrease in peripheral resistance - vasoconstriction
Choluria
HRT
Apply heat or cold day of surgery?
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
30. 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
nitroglycerin
Patient controlled analgesia
Benefit of turning patient to Left side?
Epidural anesthetic
31. Total suppression of urine
side effects of barbituates
antidote foe coumadin
Anuria
drip rate
32. #1 is abdomen - #2 is arm - #3 is buttock
leukemia
bilirubin
butorphanol tartrate
quickest absorption
33. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
Regular insulin
phenazopyridine
Spinal anesthetic
nursing interventions for severe hypoglycemia
34. Weight bearing is necessary to keep calcium in the bones 2. Calcium leaving bones may increase risk of kidney stone
Loss of bone density
sliding scale
opiate
Nursing care during IV infusions
35. A large multinucleated or multilobed cell with inclusion body- like nucleoli surrounded by a halo of clear nucleoplasm and must be present to dx Hodgkin's Lymphoma.
Hyponatremia
Reed - Sternberg cell
Loss of bone density
Hypovolemic shock
36. Gloves - mask - gown
off
diabetes mellitus (DM)
What should you NEVER pick as an answer on the NCLEX exam?
cathartic
37. Only insulin that can be given IV
Sterile Field
general anesthesia
metformin (Glucophage).
Regular insulin
38. Too much insulin - no food - too much/intense exercise - onset - sudden
causes of hypoglycemia
Narcotic Antagonist: Naloxone (Narcan)
Atrophy
causes of hyperglycemia
39. 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
Aldosterone
Respiratory alkalosis
catheter embolus
Sickle Cell Crisis
40. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
Spread of Infection
bicarbonate
Logrolling
depression
41. Movement of particles from higher to lower concentration
Diffusion
Bacteremia
emphysema
Where are the Tricuspid heart sounds located?
42. 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
NG tube
Bacteremia
Negligence
nitroglycerin
43. PH 7.32 2. pCO2 58 3. HCO3 32 4. pO2 60 5. Respiratory Acidosis - hypoxia 5. Causes: COPD - lung cancer
tube feeding
fluid congestion
postexposure protocol (PEP)
Respiratory acidosis
44. 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.
Epidural anesthetic
Sickle Cell Crisis
hypoxia
administer 2L O2 when
45. A decrease in total blood volume such as hemorrhage - transfusions
foley cath(male)
Hypovolemic shock
Risk Factors for operations
postexposure protocol (PEP)
46. 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
Nursing care during IV infusions
ischemia
Epidural anesthetic
47. Testing for blood in the stools of an infant
What is the Guaiac Test?
herpes
thrombocytopenic purpura
fluid congestion
48. Contralateral thalamus pain - contralateral hemisensory loss.
Supine
lanolin
alsalva manuever
Thalamus Lesion
49. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.
milliliter
heparin/lovanox
glossitis
Sponge bath
50. 135 - 145 mEq/l
Na+
digitalis
ataxia
Sponge bath
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