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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. Manifestations 1) Headache - flushed skin - tachycardia 2) Venous distention 3) Increased venous pressure 4) Coughing - dyspnea - cyanosis 5) Pulmonary edema b. Prevention 1) Check for preexisting heart condition 2) Monitor flow rate of solution 3) P
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Circulatory overload
1000mg
Decision Tree Step 4?
2. VS - LOC - Skin color - IV infusions - Drainage Tubes - Dressings - DB & C-h
Immediate Post - Op Care
Heat
Glucotrol
Hypovolemic shock
3. Caused by a decrease in peripheral resistance - vasoconstriction
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Choluria
catheter embolus
Maslow's hierarchy of needs
4. Gloves - mask - gown
off
Cheyenne Strokes
homonymous hemianopsia
1 pt
5. 2 pt
1 qt
NSAIDS
Superficial thrombophlebitis
Low - Fowler's
6. 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
gastroenteritis
sterile wound irrigation
enema
Cardiogenic Shock
7. Resp. depression
Air embolism
Epidural anesthetic
first sign of narcotic OD
ear meds/ 3 and under
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
Dehydration
Bacteremia
Changes during aging
phlebitis
9. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
1 ml
impaired asbsorption
fleets enema
emphysema
10. 6 oz.
1 teacup
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Low - Fowler's
120 gtts of water
11. Patient is likely to be taking isoniazid (INH); INH is a mainstay in prevention and treatment of tuberculosis - used in combination with other antitubercular drugs if the disease is active; vitamin B6 is given to prevent the peripheral neuropathy - d
gastroenteritis
pyridoxine hydrochloride (vitamin B6)
Dehydration
Humulog
12. Assess for signs of circulatory overload 2. Assess urinary output to determine renal function 3. Assess needle site 4. Assess infusion site for signs of infiltration 5. Assess flow rate 6. Assess IV container 7. Assess IV tubing
Nursing care during IV infusions
morphine
Hypokalemia
standard precautions
13. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray
Epidural anesthetic
Decision Tree Step 2?
checking NG tube placement
Strategy for 'Select all that apply' on the NCLEX exam
14. A bleeding disorder characterized by an abnormal decrease in the number of platelets in the blood - which impairs the clotting process
anus - cervix - penis - and vulva
enema
thrombocytopenia
apply heat or cold day after surgery?
15. A drug (trade name Capoten) that blocks the formation of angiotensin in the kidneys resulting in vasodilation
ted hose
captopril
nitroglycerin
s/sx of hyperglycemia
16. ___ of Vit B12 Defiency Anemia such as difficulty with gait - paresthesia - and ataxia -
ear meds/adult
dry sterile dressing
Respiratory acidosis
neurologic symptoms
17. Excessive mucous and high pitched cry but happens later after birth(16hrs)
polycythemia vera
What are signs of an Infant addicted to Herion?
Benefit of turning patient to Right side?
gaze palsy
18. The loss of the right or left half of the field of vision in both eyes.
depressant
health screening
burns Stage IV
homonymous hemianopsia
19. An X- linked recessive disorder in Which blood fails to clot properly - leading to excessive bleeding if injured.
Trendelenburg
Intradermal injections
Respiratory acidosis
Hemophilia
20. Reverses effects of other narcotics
Narcan or Noloxene
nitroglycerin
Superficial thrombophlebitis
Addison disease
21. Fluid balance - acid - base - nerve conduction a. Causes 1) Increased perspiration 2) Drinking only tap water 3) GI losses: diarrhea - vomiting - suction 4) Diuretics b - Manifestations 1) Confusion 2) Hypotension 3) Oliguria 4) Muscle weakness 5) Co
hypoxia
acute appendicitis
ischemia
Hyponatremia
22. Treatment of CHF associated with an acute MI - relievs anginal attacks
Pel Epstein fever
Sickle Cell Crisis
nitroglycerin
sliding scale
23. On left side with lower arm behind the back 2. Good position for administering enema
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183
24. In ___ - symptoms of heart failure often occur earlier - which is possibility due to the higher rate of uncontrolled high blood pressure (hypertension)
drip rate
Aplastic Crisis
African Americans
Vitamin B12 Deficiency Anemia
25. Monitor K+
lithium toxicity
when on lasix
2.2lbs.
Decison Tree Step 5?
26. 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.
IM meds
s/sx of hyperglycemia
wet to dry dressings
hypertension
27. Aspirin
hypoxia
Modified Trendelenburg
CVL
before surgery the pt. should stop using
28. Is a centrally acting alpha - adrenergic used to treat hypertension; apply to nonhairy site every 7 days; side effects include drowsiness - sedation - orthostatic hypotension; heart failure
Catapres
s/sx of hyperglycemia
High - Fowler's
Aldosterone
29. Head up 45-60 degrees 2. Reduces venous return and reduces cardiac workload 3. Promotes thoracic expansion 4. Reduces tension on the suture line for persons who have had abdominal surgery 5. Promotes drainage
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30. 1 g
tube feeding
chronic obstructive pulmonary disease
120 gtts of water
1000mg
31. In intravenous infusions - the drip rate (also called the drip factor or drop factor) is the number of drops delivered per ___ of solution.
1000mg
milliliter
Blood pressure
African Americans
32. Bloodstream infection: if becomes very bas pt may have a red line along arm
inserting an NG tube
septicemia
1 teacup
with ear meds if there are 2 differant meds
33. Drowsiness - mood change - depression
Occipital Lobe Lesion
Diffusion
standard precautions
side effects of barbituates
34. Painful - tissue engorgement
Amnesia
Infiltration
Vaso - occlusive (thrombotic crisis)
gaze palsy
35. 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
s/sx of hyperglycemia
metered dose inhaler
CVL
Intradermal injections
36. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
depression
checking NG tube placement
phlebitis
1 pinch
37. Only insulin that can be given IV
catheter embolus
nitroglycerin
Regular insulin
Decison Tree Step 5?
38. Atbs that are effective against many organisms
broad spectrum
Ego integrity Vs despair
Strategy for 'Select all that apply' on the NCLEX exam
digitalis
39. 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.
when mixing insulins
Cooling blanket
endometriosis
opiate
40. Clean eyes - tilt head back - put gtts - apply pressur on inner canthus
Cheyenne Strokes
eye meds(opthalmic)
catecholamine
Blood pressure
41. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
health screening
Hypovolemic shock
Respiratory alkalosis
valium
42. Befor administering squeeze a small amount out and apply thin layer - blink
eye ointments
Ego integrity Vs despair
epidural
Nursing assistant
43. 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
Glucotrol
Acetaminophen
Spinal anesthetic
suctioning
44. Excessive thirst (as in cases of diabetes or kidney dysfunction)
glossitis
1 pt
polydipsia
Pancrelipase (Pancrease capsules
45. What is a bleeding disorder that results from a severe reduction in circulating platelets?Can be idiopathic or may be the result of decreased platelet production in the bone marrow - Platelet count less than 75 -000 cells/mm3
RACE
beefy red tongue
thrombocytopenic purpura
Insulin
46. 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
Osmosis
Hypokalemia
Asphyxia
gaze palsy
47. Cause drowsiness; maintain client safety
Diffusion
Metabolic alkalosis
Tylenol with codeine and Benadryl
Circulatory overload
48. Atbs that are effective agaist a few mo's
Aldosterone
Sickle Cell Crisis
narrow spectrum
Hypovolemic shock
49. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
What is the Guaiac Test?
platelets
transdermal patch
Thalamus Lesion
50. 3.5 - 5.5 mEq/l
Humulog
K+
Glucotrol
Hypotonic