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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. May occur when changing bags - opening line
air embolus
retrovirus
Sterile Field
parasthesia
2. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
fleets enema
Hyperkalemia
Metabolic acidosis
Aldosterone
3. Antihistamine and antiemetic - used to treat motion sickness
inflammation
What is the Decision Tree Step 1?
dramamine
continuous feeding tube(pump)
4. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
cleansing enema
autonomic dysreflexia
HPV
Tylenol with codeine and Benadryl
5. 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
Air embolism
Medications for perioperative
Benefit of turning patient to Left side?
Occipital Lobe Lesion
6. Down and back
ear meds/ 3 and under
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
rotate injection sites
general anesthesia
7. Hormone Replacement Therapy
HRT
IM meds
oil retention enema
phenelzine sulfate
8. 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
ototoxicity
Hyperkalemia
CVL
Splenic Sequestration
9. Has regular insulin in it already
Sponge bath
Anuria
Glioblastoma Multiform Tumors (primary)
NPH
10. Obesity B. Aging - plus recovery C. Concomitant diseases 1. Cardiovascular a. Danger of congestive failure - avoid fluid overload b. Avoid prolonged immobilization as it may cause venous stasis c. Encourage change of position; avoid sudden exertion 2
Risk Factors for operations
TB testing
parasthesia
oil retention enema
11. 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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12. 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.
dry sterile dressing
epidural
Decision Tree Step 4?
nursing interventions for hypoglycemia
13. 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
Aldosterone
s/sx of hypoglycemia
Hypernatremia
general anesthesia
14. Gloves - mask - gown
nephrotoxicity
off
Hyperkalemia
2.2lbs.
15. 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
Change in mental status and confusion
infiltration r/t IV
1 pt
Meningiomas Tumors (primary)
16. Form of shock associated with adrenocortical insufficiency and characterized by profound hypotension and electrolyte imbalances.
Addisonian crisis
bacteriostatic
morphine
Decision Tree Step 3?
17. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
gaze palsy
Metabolic alkalosis
platelets
Supine
18. 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
Patient controlled analgesia
Shock
Inderal
Diffusion
19. Left
smaller to larger
endometriosis
'silent'
tamoxifen
20. Headache - rash - sensitivity to light
Immediate Post - Op Care
most insulins
anus - cervix - penis - and vulva
What are symptoms of Mennengitis?
21. 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
dramamine
Benefit of turning patient to Left side?
Air embolism
Respiratory acidosis
22. Instruct pt to clean genitalia with soap and water and void approx 60 ml
single voided urine specimen
parasthesia
retrovirus
Humulog
23. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
dexamethasone
most insulins
Metabolic alkalosis
Metabolic acidosis
24. Able to kill bacteria
Shock
bacteriacidal
Medications for perioperative
Basal ganglia lesion
25. Check orders - rmv dressing/packing - observe - clean - moisten packing - cover with gauze - initial/date/time
thrombocytopenia
wet to dry dressings
Circulatory overload
Addison's Disease
26. Caused by poor heart action.- drugs that make heart beat more effectively
Inderal
septicemia
topical agents
Cardiogenic Shock
27. Promotes circulation
Decision Tree Step 3?
Addison's Disease
1 ml
Benefit of turning patient to Left side?
28. Human papilloma virus
diabetes mellitus (DM)
HPV
sub - q injections
transdermal meds
29. 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
Registered Nurse
Informed consent
Tylenol with codeine and Benadryl
What are signs of an Infant addicted to Herion?
30. Patient - time - dose - route - medication - documentation
Choluria
6 rights of medication administration
Maslow's hierarchy of needs
death
31. Stop feeding q 4-8 hrs to check residual - flush q 4-6
glossitis
lanolin
continuous feeding tube(pump)
larger to smaller
32. Also known as pernicious anemia - is characterized by an interruption in the formation of RBC precursor cells. Interruption in the formation of RBC precursor cells - will result in a high number of large - immature cells.
Vitamin B12 Deficiency Anemia
Intradermal injections
Restraints
Broca's area lesion
33. Contralateral thalamus pain - contralateral hemisensory loss.
enema
NG tube
emphysema
Thalamus Lesion
34. Monitor apical pulse for 1 full minute
What are symptoms of Mennengitis?
when on digoxin
Tylenol with codeine and Benadryl
1 kg
35. Urinary analgesic. For pain with UTIs. May cause urinary discoloration. May cause glomerulonephritis - hepatitis - renal impairment.
PEP
Asphyxia
sub - q injections
phenazopyridine
36. 1000 ml
1 L
Blood Gas Values
Pel Epstein fever
glossitis
37. Fluid buildup in tissues - palpate areas for tenderness/consistency
morphine
Precentral gyrus lesion
Risk Factors for operations
edema
38. 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
ear meds/3 and over
CVL
Logrolling
phlebitis r/t IV
39. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Heat
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
1 tsp
drip rate
40. 30 ml of air and listen to stomach - aspirate stomach contents(should be cloudy - green - bloody - brown) - ph of aspirate - x- ray
Aldosterone
checking NG tube placement
What is the Decision Tree Step 1?
Blood Gas Values
41. Anesthesia is the partial or complete loss of sensation - and general anesthesia produces a complete loss of sensation (unconsciousneess). It is also referred to as ___.
foley cath(male)
medically controlled coma
eye meds(opthalmic)
polyuria
42. Head at 90 degrees 2. Used for persons with COPD
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43. Antihistamine medications are often prescribed for ___ - and the nurse should advise clients that these medications can cause drowsiness and the lcient should avoid operating any type of eqpt (including driving).
meds used for antipyretic - inflamm - and analgesia
dermatitis
PEP
polyuria
44. Look at all options as true/false
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45. Causative agent --> reservoir -->portal of exit --> Mode of transmission -->portal of entry-->susceptible host
inserting an NG tube
Diffusion
eye ointments
Spread of Infection
46. Increasing dyspnea with periods of apnea
metered dose inhaler
topical agents
Cheyenne Strokes
septicemia
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
ischemia
before surgery the pt. should stop using
Changes during aging
Circulatory overload
48. 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.
Pineal gland Lesion
traumatic brain injury
Risk Factors for operations
standard precautions
49. Autoimmune thrombocytopenic purpura is seen with multiple small hemorrhages in the skin. Decreased in number of circulating ___.
Trendelenburg
meds used for antipyretic - inflamm - and analgesia
gaze palsy
platelets
50. 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.
Occipital Lobe Lesion
hypertension
Circulatory overload
side effects of barbituates