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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. 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.
stool testing
1 L
NPH
Epidural anesthetic
2. The 55-yr - old male client has recently been diagnosed with ___. The nurse recognizes that this dx increases the client's risk of coronary heart disease - myocardial infarction - and peripheral vascular disease.
Regular insulin
diabetes mellitus (DM)
sickling
What are symptoms of Mennengitis?
3. Does Maslow Fit? If NO - alre all answers physical or are all answers pschosocial? If yes - eliminate psychosocial - Does the physical needs make sense? Then apply your ABC's
platelets
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Decision Tree Step 3?
apply heat or cold day after surgery?
4. Cold vasoconstricts and controls bleeding and swelling 2. Local anesthetic effect 3. Intermittently applied 4. Sterile technique for open wound
Hodgkin's Lymphoma
adverse reaction of INH is hepatitis
anus - cervix - penis - and vulva
Local cold
5. Topical agents designed to absorb through skin for systemic effects
sterile wound irrigation
PEP
transdermal meds
Benefit of turning patient to Right side?
6. Manifestations 1) Tenderness and pain in vein 2) Edema and redness at site 3) Warmth b. Management 1) Cold compresses immediately to relieve pain and inflammation 2) Follow with moist warm compresses to stimulate circulation and promote absorption
Where are the Tricuspid heart sounds located?
Superficial thrombophlebitis
polycythemia vera
with ear meds if there are 2 differant meds
7. Homonymous hemianopsia - partial szs w/limited visual phenomena
Medications for perioperative
Na+
Internal capsule lesion
Occipital Lobe Lesion
8. 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.
Respiratory alkalosis
What does Atropine Sulfate do?
hypertension
morphine
9. A dangerous condition in which the body tissues and cells do not have enough oxygen
Benefit of turning patient to Right side?
phenazopyridine
hypoxia
Hypokalemia
10. 60 gtt
1 tsp
septicemia
Narcotic analgesics
What are symptoms of Mennengitis?
11. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach
Semi - Fowler's
s/sx of hyperglycemia
prilosec
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
12. Done sub - q into fatty tissue - measured in Units - draw up air prior and insert into vial
Sylvian aqueduct syndrome
nitroglycerin
Insulin
antidote for heparin
13. 1 kg
What is the Guaiac Test?
2.2lbs.
ischemia
RACE
14. In clients with ___ - decreased oxygen concentrations due to chronically elevated carbon dioxide levels are the main stimuli for respiration.
Shock
emphysema
diabetes mellitus (DM)
Superficial thrombophlebitis
15. 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
foley catheter(woman)
deltoid muscle
Precentral gyrus lesion
Osmotic pressure
16. Postexposure protocol
Hypovolemic shock
Metabolic acidosis
PEP
gaze palsy
17. 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
Cheyenne Strokes
Basal ganglia lesion
Hyperkalemia
18. Salicylates - NSAIDs
pernicious anemia
meds used for antipyretic - inflamm - and analgesia
causes of hyperglycemia
herpes
19. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
Change in mental status and confusion
Respiratory alkalosis
Aldosterone
bilirubin
20. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Ego integrity Vs despair
epilepsy
Risk Factors for operations
edema
21. Inability to coordinate voluntary muscle movements
Respiratory acidosis
Insulin
Decison Tree Step 5?
ataxia
22. Pain relievers r/t opium
Isotonic
Spinal anesthetic
Lantus
opiate
23. Bile in urine
Where are the Tricuspid heart sounds located?
opiate
Trendelenburg
Choluria
24. The nurse should perform a detailed assessment to determine whether the client is experiencing ___ - because certain drugs - and other medical and neurologic disorders may mimic the symptoms of depression.
Heat
depression
neurologic symptoms
s/sx of hyperglycemia
25. When opening a sterile package open the first flap away from you B. Never turn your back on a sterile field C. Avoid talking D. Keep all objects within vies; below the waist is not a sterile field. E. Moisture carries organisms through a barrier F. O
lithium toxicity
Hypovolemic shock
Sickle Cell Crisis
Sterile Field
26. Is the in ability of the heart to pump sufficient blood to meet the body's needs. Symptoms include SOB - cold and pale extremities - and a persistent - dry cough due to fluid congestion in the lungs.
heart failure
enema
septicemia
sub - q injections
27. Inflammation or redness of the tongue. Often seen in malnutrition.
glossitis
Local cold
platelets
Inderal
28. Protamine sulfate
African Americans
Blood Gas Values
NPH
antidote for heparin
29. Fluid buildup in tissues - palpate areas for tenderness/consistency
ethical
PEP
Decision Tree Step 3?
edema
30. Being ___ is acting in accordance with a set of standards of conduct. Nursing organizations have established a code of conduct that provides ethical guidelines for nursing practice.
air embolus
1 lb
tamoxifen
ethical
31. Is an abnormal increase in the number of RBC's granulocytes - and thrombocytes - leading to an increase in blood volume and viscosity (thickness).
Intradermal injections
polycythemia vera
edema
dermatitis
32. Receptive dysphasia
Decison Tree Step 5?
death
lanolin
Superficial parietal lobe lesion
33. The ___ is generally printed on the package of the IV infusion set.
Humulog
aspirin toxicity
Sickle Cell Crisis
drip rate
34. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
vasoconstrictor
valium
Respiratory alkalosis
ear meds/3 and over
35. 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
Metabolic acidosis
suctioning
Medications for perioperative
Hyponatremia
36. Toxic effect r/t damage to 8th cranial nerve resulting in dizziness - tinnitus - gradual hearing loss
most insulins
2.2lbs.
ototoxicity
Regular insulin
37. Acts of both omission and commission. 2. Failure to provide care that a reasonably prudent heath care professional would provide in the given circumstances. 3. Failure to provide care that meets the accepted standards of care - or giving care that re
Negligence
Narcotic Antagonist: Naloxone (Narcan)
diabetes mellitus (DM)
What does Atropine Sulfate do?
38. Excessive mucous and high pitched cry but happens later after birth(16hrs)
Hypovolemic shock
cleansing enema
What are signs of an Infant addicted to Herion?
Respiratory alkalosis
39. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
Strategy for 'Select all that apply' on the NCLEX exam
s/sx of hypoglycemia
Hemophilia
inserting an NG tube
40. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
beefy red tongue
Humulog
Superficial thrombophlebitis
nursing interventions for severe hypoglycemia
41. 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
emphysema
Decision Tree Step 4?
Hypokalemia
Internal capsule lesion
42. Are all answers physical? If NO - proceed to step 5. If Yes - Apply ABC's
Decision Tree Step 4?
larger to smaller
CVL
Vitamin B12 Deficiency Anemia
43. Check lung sounds q shift for crackles
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44. Constrict blood vessels
Inderal
What does Atropine Sulfate do?
postexposure protocol (PEP)
vasoconstrictor
45. Patient on side 2. Prevents aspiration when patient is not fully alert
Side - lying
Hemophilia
chronic obstructive pulmonary disease
ear meds/adult
46. 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
ear meds/ 3 and under
heparin/lovanox
Spinal anesthetic
thrombocytopenic purpura
47. Sudden suppression of RBC production with worsening of anemia and disappearance of reticulocytes in peripheral blood. May be result of PARVOVIRUS infection of bone marrow or sickle cell crisis.
Metabolic alkalosis
Aplastic Crisis
Hyperkalemia
CVL
48. In sickle cell crisis - jaundice may be present from RBC destruction and release of ___.
bilirubin
Strategy for 'Select all that apply' on the NCLEX exam
postexposure protocol (PEP)
antidote foe coumadin
49. Retards bacteria growth
when on steriods watch for
bacteriostatic
Hyponatremia
Neuromas Tumors (primary)
50. Purposes 1. Relaxes muscle spasm 2. Softens exudate for removal 3. Vasodilates; hastens healing 4. Localizes infection 5. Reduces congestion 6. Relaxes - comforts
Heat
prilosec
lasix
neurologic symptoms