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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) Muscle weakness 2) ECG changes b. Causes 1) Renal failure 2) Acidosis c. Management 1) Kayexalate by mouth or retention enema - reduces serum potassium 2) Insulin and glucose IV
Hyperkalemia
Regular insulin
Narcotic Antagonist: Naloxone (Narcan)
Aspirin
2. On left side with lower arm behind the back 2. Good position for administering enema
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3. Diverticular disease is characterized by development of small ___ in the colon wall known as diverticula.
off
sacs (or pockets)
Antidiuretic Hormone (ADH)
ototoxicity
4. 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 interventions for hypoglycemia
What are signs of an Infant addicted to Herion?
heparin/lovanox
5. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
hormone replacement therapy (HRT)
sudafed
NG tube
gastroenteritis
6. 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
metered dose inhaler
acute appendicitis
Narcotic Antagonist: Naloxone (Narcan)
tube feeding
7. Toxicity due to blood and protien in the urine
heart failure
Spinal anesthetic
epilepsy
nephrotoxicity
8. Excessive mucous and high pitched cry but happens later after birth(16hrs)
thrombocytopenic purpura
What are signs of an Infant addicted to Herion?
Catapres
Supine
9. Has regular insulin in it already
Benefit of turning patient to Left side?
NPH
Metabolic acidosis
larger to smaller
10. Full thickness skin loss with severe destruction - necrosis - or damage to muscles - bone - or supporting structures
Adduction
antidote foe coumadin
Lantus
burns Stage IV
11. 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
HPV
Change in mental status and confusion
burns Stage II
Bethanechol (Urecholine)
12. PH 7.32 2. pCO2 30 3. HCO3 18 4. Causes: a. Diabetes b. Renal failure c. Diarrhea
What are signs of an Infant addicted to Herion?
What is the Decision Tree Step 1?
Antidiuretic Hormone (ADH)
Metabolic acidosis
13. 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
Hodgkin's Lymphoma
Informed consent
Respiratory acidosis
Acetaminophen
14. Human papilloma virus is a common sexually transmitted disease - and a number of subtypes have been shown to contribute to cancers of the ___.
1 kg
Informed consent
anus - cervix - penis - and vulva
Spinal anesthetic
15. There is cross - sensitivity between tartrazine and aspirin; an allergic response to one indicates a possible allergic response to the other
aspirin (acetylsalicylic acid)
Low - Fowler's
beefy red tongue
epidural
16. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
s/sx of hypoglycemia
Benefit of turning patient to Left side?
beefy red tongue
sterile wound irrigation
17. Tom move TOWARDS the midline
1 lb
1 ft
Adduction
nursing interventions for severe hypoglycemia
18. 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.
acute appendicitis
wet to dry dressings
epidural
ear meds/3 and over
19. Inflamm of the vessel: caused by irritaition of vessel by needle - cannula - meds. S/S are warnth - swelling - tenderness. IV must be dc'd - warm compress to decrease discomfort
s/sx of hyperglycemia
cathartic
phlebitis r/t IV
Addisonian crisis
20. 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
Modified Trendelenburg
Inderal
thrombocytopenic purpura
2.2lbs.
21. Monitor apical pulse for 1 full minute
gaze palsy
Narcotic analgesics
when on digoxin
wet to dry dressings
22. Fluid buildup in tissues - palpate areas for tenderness/consistency
edema
wet to dry dressing
Circulatory overload
Insulin
23. Dislodging of needle causes fluid to infiltrate tissues a. Manifestations 1) Edema - blanching - puffiness on under surface of arm 2) Discomfort 3) Slow drip rate 4) Cool to the touch 5) Necrosis and sloughing of tissue with certain drugs (Levophed)
Respiratory alkalosis
Infiltration
broad spectrum
IM meds
24. 1/8 tsp
phlebitis r/t IV
thrombocytopenic purpura
1 pinch
nursing interventions for severe hypoglycemia
25. Check order - clean gloves - loosen dressing - observe wound - measure - rmv gloves - prep sterile field - moisten sterile dressing and clean - dry wound - apply ointments - cover
nitroglycerin
Bolus feeding
dry sterile dressing
standard precautions
26. Same osmotic pressure as in the cell Normal saline (0.9% NaCl) b. Dextrose 5% in water c. Lactated Ringer's
neurologic symptoms
Epidural anesthetic
Isotonic
wet to dry dressings
27. Neurotransmitters that play important role in body's stress response
K+
Blood pressure
Basal ganglia lesion
catecholamine
28. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Aldosterone
edema
Cardiogenic Shock
Antidote for Mag Sulfate?
29. Head and trunk flat with legs elevated 2. Preferred for shock 3. Increases venous return without putting pressure on the diaphragm
Respiratory acidosis
dramamine
Vitamin B12 Deficiency Anemia
Modified Trendelenburg
30. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Humulog
sudafed
Metabolic alkalosis
Modified Trendelenburg
31. 2 pt
Cardiogenic Shock
1 qt
Metabolic acidosis
checking NG tube placement
32. Salicylates - NSAIDs
larger to smaller
sterile wound irrigation
meds used for antipyretic - inflamm - and analgesia
Decision Tree Step 3?
33. Motor dysphasia
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34. Thirst - frequent urination - fatigue - blurred vision - ketoacidosis - vomiting - dry mouth - very weak - confused - unconscious
burns Stage II
leukemia
s/sx of hyperglycemia
Malpractice
35. Head up 20 to 30 degrees 2. Reduces intracranial pressure; good for head injuries and craniotomies 3. Good for cervical neck surgery
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36. Prep formula - check placement(aspirate stomach contents/measure residual) - 'make sure it does not exceed dr.s order - inject r10-20 ml of ai
when mixing insulins
Prone
Hypovolemic shock
tube feeding
37. Higher osmotic pressure than blood serum; causes cells to shrink; pulls fluid out of cells into blood stream a. Dextrose 5% or higher in saline b. Dextrose stronger than 5% in water c. Albumin
most insulins
continuous feeding tube(pump)
ototoxicity
Hypertonic
38. 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
burns Stage IV
Narcotic Antagonist: Naloxone (Narcan)
Informed consent
Shock
39. Excessive thirst (as in cases of diabetes or kidney dysfunction)
Epidural anesthetic
Addison's Disease
polydipsia
diverticular disease
40. 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.
Nursing assistant
NPH
Immediate Post - Op Care
endometriosis
41. 0.45 kg
1 lb
depression
cleansing enema
Infiltration
42. Cardiotonic
What should you NEVER pick as an answer on the NCLEX exam?
side effects of barbituates
digitalis
with ear meds if there are 2 differant meds
43. In heart failure - symptoms include SOB - cold and pale extremeties and a persistent - dry cough due to ___ in the lungs.
phlebitis r/t IV
Benefit of turning patient to Left side?
Neuromas Tumors (primary)
fluid congestion
44. Caused by poor heart action.- drugs that make heart beat more effectively
morphine
Cardiogenic Shock
Hyperkalemia
dry sterile dressing
45. Increases heart rate
What does Atropine Sulfate do?
drip rate
Metabolic acidosis
dramamine
46. Early hydrocephalus - papillary abnormalities - Parinaud's Syndrome
catecholamine
Pons lesion
Bacteremia
Pineal gland Lesion
47. A focal seizure that begins with an uncontrolled stiffening or jerking of the body asuch as the finger - mouth - or foot that may progress to a generalized seizure.
RACE
autonomic dysreflexia
Acetaminophen
Jacksonian seizures
48. A corticosteroid drug (trade names Decadron or Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or inflammation
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
Wheel Chair Positioning
Benefit of turning patient to Right side?
dexamethasone
49. Too much insulin - no food - too much/intense exercise - onset - sudden
Blood Gas Values
dermatitis
causes of hypoglycemia
impaired asbsorption
50. 5th Intercostal space - left side sternal border
Where are the Tricuspid heart sounds located?
epilepsy
with ear meds if there are 2 differant meds
butorphanol tartrate