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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. Can you Identify the topic of the question? If yes - cont to step 2 - if no read answer choices for clues and the go to step 2
drip rate
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
Respiratory acidosis
What is the Decision Tree Step 1?
2. O2 sat is less than 93
administer 2L O2 when
Glioblastoma Multiform Tumors (primary)
polydipsia
burns Stage II
3. Wasting
Atrophy
Cheyenne Strokes
Maslow's hierarchy of needs
PEP
4. Look at all options as true/false
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5. 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
first sign of narcotic OD
inflammation
Registered Nurse
ischemia
6. Routine tasks b. Routine vital signs
Addisonian crisis
Nursing assistant
1 pinch
Vitamin B12 Deficiency Anemia
7. 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.
Tylenol with codeine and Benadryl
nitroglycerin
diabetes mellitus (DM)
first sign of narcotic OD
8. 3.5 - 5.5 mEq/l
IM meds
Osmosis
Epidural anesthetic
K+
9. Dermatologic
Thalamus Lesion
lanolin
RACE
1 tsp
10. Check lung sounds q shift for crackles
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11. 16 oz.
Thalamus Lesion
Aspirin
1 lb
Hypokalemia
12. 12 in.
standard precautions
1 ft
Wheel Chair Positioning
Insulin
13. Reddened - warm area noted around insertion site or on path of vein; discontinue IV - apply warm - moist compresses - restart IV at new site
Modified Trendelenburg
Adduction
phlebitis
Ego integrity Vs despair
14. Always given with short acting insulin such as reg/ humulog
Aplastic Crisis
sliding scale
single voided urine specimen
Trendelenburg
15. Chronic syndrome resulting in a deficiency of hormonal secretion of the adrenal cortex with darkening of skin - loss of appetite - and depression
Addison disease
Trendelenburg
metered dose inhaler
fleets enema
16. A rare form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys)characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst
diabetes insipidus
Cheyenne Strokes
nitroglycerin
Decision Tree Step 2?
17. 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
Regular insulin
Shock
Medications for perioperative
health screening
18. Check order - set up tube feed equip/suction - positon in fowlers - place towel - measure tube length - wipe face - ask about diff breathing through one nostril - apply lub. - flex head forward - insert gently until coughs - have swallow water - ch -
'silent'
bacteriostatic
cathartic
inserting an NG tube
19. 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
tamoxifen
Medications for perioperative
Respiratory alkalosis
eye ointments
20. Inability to coordinate voluntary muscle movements
ataxia
monitor elsrely pt with IV's more frequently to make sure of no fluid overload
Heat
Neurogenic / vasogenic - septic - anaphylactic shock (Obstructive)
21. 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.
postexposure protocol (PEP)
s/sx of hyperglycemia
thrombocytopenia
Epidural anesthetic
22. Adjust to retirement C. Adjust to loss of friends - family D. View own death as appropriate outcome of life
Ego integrity Vs despair
foley cath(male)
Hypovolemic shock
edema
23. 1 tsp
nephrotoxicity
120 gtts of water
Bacteremia
Regular insulin
24. 1 tab with 5 min not exceeding 3 doses
nitroglycerin
suctioning
TB testing
Acetonuria
25. 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)
Licensed practical nurse/ licensed vocational nurse (LPN/LVN)
'silent'
Addison disease
26. Place the wheel chair on the patient's strong side B. Position the open part of the chair toward the foot of the bed. C. Have patient stand on strong foot and pivot - then sit in chair
Inderal
Wheel Chair Positioning
Pancrelipase (Pancrease capsules
morphine
27. Parinaud's syndrome.
Spinal anesthetic
Sylvian aqueduct syndrome
estrogen and progestin
Blood Gas Values
28. Act on local tissue
1 pinch
topical agents
Circulatory overload
HPV
29. Antihistamine and antiemetic - used to treat motion sickness
burns Stage IV
dramamine
lanolin
Addison's Disease
30. Less osmotic pressure than blood serum - hydrates cells a. Tap water b. Sodium chloride less than 0.9%
inflammation
Hypotonic
deltoid muscle
dexamethasone
31. Made in the adrenal cortex b. Causes kidney to retain sodium and water and get rid of potassium
foley catheter(woman)
Hypokalemia
Aldosterone
Malpractice
32. Caused by poor heart action.- drugs that make heart beat more effectively
1 tsp
drip rate
Cardiogenic Shock
aspirin (acetylsalicylic acid)
33. Administer bronchodilators before other meds
MDI
vasoconstrictor
infiltration r/t IV
causes of hyperglycemia
34. Distinguished from other lymphomas by the presence of large - cancerous lymphocytes known as Reed - Sternberg cells - causes seriously enlarged lymph nodes - produces a Pel Epstein fever which comes and goes. Diagnosis based upon tissue biopsy and pr
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35. Promotes circulation
alsalva manuever
aspirin (acetylsalicylic acid)
6 rights of medication administration
Benefit of turning patient to Left side?
36. Shaky - slurred speech - weak - seizure - drowsy - sweating - inability to swallow
s/sx of hypoglycemia
NPH
African Americans
IM meds
37. 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
Supine
quickest absorption
narrow spectrum
Change in mental status and confusion
38. Hemisensory loss - homonymous hemianopsia - contralateral hemiplegia
Internal capsule lesion
Spread of Infection
health screening
Apply heat or cold day of surgery?
39. 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
Restraints
Bacteremia
RACE
Acetonuria
40. 2 pt
1 qt
adverse reaction of INH is hepatitis
polydipsia
bicarbonate
41. Dispose of sharps in puncture - resistant containers B. Do not recap used needles C. Wear protective barriers (gloves - gowns - masks - eyewear) when at risk for exposure to body fluids D. Clean blood spills with soap and water or household bleach 1:
lanolin
Maslow's hierarchy of needs
Standard (Universal) Precautions
valium
42. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Hypertonic
infiltration r/t IV
Metabolic alkalosis
What are signs of an Infant addicted to Herion?
43. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
ototoxicity
hypertension
cleansing enema
Jacksonian seizures
44. Onset:15-30 mins - clear - peak:30-11/2 hr. - duration:3-4 hrs. - can mix with intermed.& short
African Americans
ethical
Nursing care during IV infusions
Regular insulin
45. Partial thickness loss of skin involving epidermis and/or part of dermis
morphine
Strategy for 'Select all that apply' on the NCLEX exam
impaired asbsorption
burns Stage II
46. Tinnitus - headache - hyperventilation - agitation - confusion - diarrhea - and sweating; withhold medication and contact the physician
midbrain syndrome
aspirin toxicity
when on lasix
What is the Decision Tree Step 1?
47. Narcotic
narrow spectrum
Vaso - occlusive (thrombotic crisis)
morphine
metformin (Glucophage).
48. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
beefy red tongue
Isotonic
1 pinch
Broca's area lesion
49. 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
Osmosis
thrombocytopenia
sterile wound irrigation
phenelzine sulfate
50. Quickly absorbed - 90 degree angle - 19-23 G needle - 1-2' length - average adult:11/2 - 22G - mandatory to aspirate - purpose is to deposit meds into deep muscle for quick absorption
IM meds
Decison Tree Step 5?
Modified Trendelenburg
midbrain syndrome