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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. 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.
Circulatory overload
Circulatory overload
homonymous hemianopsia
endometriosis
2. Onset:1-2hr. - clear - no peak - duration:24 hrs. - cannot be combined
Benefit of turning patient to Left side?
1 lb
Lantus
septicemia
3. PH 7.52 2. pCO2 52 3. HCO3 34 4. Cause: Vomiting; excessive diuresis
Hypokalemia
Antidote for Mag Sulfate?
Metabolic alkalosis
Circulatory overload
4. Only insulin that can be given IV
nursing interventions for hypoglycemia
1 kg
enema
Regular insulin
5. 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.
Ego integrity Vs despair
phenelzine sulfate
Epidural anesthetic
septicemia
6. Vitamin k
enema
transdermal patch
thrombocytopenia
antidote foe coumadin
7. PH 7.52 2. pCO2 30 3. HCO3 20 4. Cause: hyperventilation; rebreathe CO2
before surgery the pt. should stop using
NSAIDS
Decision Tree Step 3?
Respiratory alkalosis
8. 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
deltoid muscle
stool testing
CVL
when mixing insulins
9. 1 kg
2.2lbs.
ethical
Isotonic
hormone replacement therapy (HRT)
10. 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
septicemia
topical agents
pyridoxine hydrochloride (vitamin B6)
Blood pressure
11. 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
Decision Tree Step 3?
Jacksonian seizures
1 teacup
Blood Gas Values
12. Apply heat to improve circulation and healing
Where are the Tricuspid heart sounds located?
bicarbonate
narrow spectrum
apply heat or cold day after surgery?
13. Vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation
sudafed
single voided urine specimen
septicemia
lithium toxicity
14. Inability to look in a particular direction of gaze (both eyes signals a brain disease)
Nursing assistant
Circulatory overload
Hypokalemia
gaze palsy
15. 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
Narcotic analgesics
Modified Trendelenburg
What is the Decision Tree Step 1?
sterile wound irrigation
16. Antacid (trade name Prilosec) that suppresses acid secretion in the stomach
traumatic brain injury
pernicious anemia
polydipsia
prilosec
17. Also known as a 'health screening' is a test to assess specific areas of physical growth - development - and health status. Different health screenings are done at each age/development stage.
diverticular disease
wet to dry dressing
health risk appraisal
foley catheter(woman)
18. Renal disorder characterized by the production of large volumes of pale dilute urine
What should you NEVER pick as an answer on the NCLEX exam?
polyuria
death
Benefit of turning patient to Right side?
19. Apply cold to prevent swelling - bleeding and relive pain
burns Stage III
Apply heat or cold day of surgery?
wet to dry dressings
Immediate Post - Op Care
20. Jacksonian szs - generalized szs - hemiparesis
Respiratory acidosis
Precentral gyrus lesion
Lithotomy
s/sx of hypoglycemia
21. To slow formation of scar tissue
rotate injection sites
hypertension
Addisonian crisis
Spread of Infection
22. Prevent circulation
heart failure
acute appendicitis
Superficial parietal lobe lesion
Benefit of turning patient to Right side?
23. 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 -
traumatic brain injury
Strategy for 'Select all that apply' on the NCLEX exam
inserting an NG tube
Decision Tree Step 4?
24. O2 sat is less than 93
Hypokalemia
administer 2L O2 when
diabetes insipidus
ted hose
25. 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
medically controlled coma
Diffusion
What is the Decision Tree Step 1?
Hypernatremia
26. Patient - time - dose - route - medication - documentation
Hodgkin's Lymphoma
ted hose
6 rights of medication administration
metformin (Glucophage).
27. If feet have been dependant - allow 15 minutes before applying - check q 4 hrs - rmv q 8 hrs to wash and dry legs
urine
nitroglycerin
ted hose
1000mg
28. Emphysema is a ___ in which the alveoli of the lungs are distended - causing difficulty in exhaling air with chronically elevated carbon dioxide levels.
chronic obstructive pulmonary disease
Shock
Acetonuria
What should you NEVER pick as an answer on the NCLEX exam?
29. To move AWAY from midline
heart failure
Abduction
Negligence
Na+
30. Gloves - mask - gown
Internal capsule lesion
apply heat or cold day after surgery?
burns Stage IV
off
31. Homonymous hemianopsia - partial szs w/limited visual phenomena
Bethanechol (Urecholine)
1 T
Aldosterone
Occipital Lobe Lesion
32. Calcium Gluconate
Antidote for Mag Sulfate?
phenazopyridine
Malpractice
Addisonian crisis
33. 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
drip rate
Dehydration
Neuromas Tumors (primary)
Medications for perioperative
34. Wasting
Atrophy
Acetonuria
Hypernatremia
Decision Tree Step 2?
35. Do not give anything by mouth - position on side - admin glucagon - call 911 - stay with pt.
Negligence
nursing interventions for severe hypoglycemia
lanolin
TB testing
36. Most common problem: when fluid or med leaks out of vein into tissue - edema occurs - feels cool - fluid in tissue will reabsorb eithin 24 hrs.
MDI
infiltration r/t IV
larger to smaller
Vitamin B12 Deficiency Anemia
37. Analgesics - antipyretic - small anticoagulation
Side - lying
Acetaminophen
phlebitis
Osmotic pressure
38. 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.
polydipsia
TB testing
Decison Tree Step 5?
diabetes mellitus (DM)
39. Soapsuds - stimulates peristalsis thorugh distention and irritation of colon and rectum - average adult is 500-1000ml
cleansing enema
antidote for heparin
Benefit of turning patient to Right side?
Blood pressure
40. Generalized infection throughout body
antidote for heparin
bilirubin
with ear meds if there are 2 differant meds
septicemia
41. Full thickness skin loss involving subcutaneous damage or necrosis
heparin/lovanox
lanolin
nursing interventions for hypoglycemia
burns Stage III
42. Put air into cloudy first - then clear
neurologic symptoms
sickling
Risk Factors for operations
when mixing insulins
43. Too much food - ill - too little insulin - decreased activity - infection - stress - onset - hrs to days
inflammation
causes of hyperglycemia
Thalamus Lesion
Ego integrity Vs despair
44. The goal of ___ in care of the client with herpes is to prevent spread of the virus.
infiltration r/t IV
Superficial thrombophlebitis
phenazopyridine
standard precautions
45. Right
medically controlled coma
larger to smaller
Hyperkalemia
PEP
46. Immobilized patient at risk for orthostatic hypotension 2. After prolonged period of immobility - gradually sit patient up
Spinal anesthetic
hormone replacement therapy (HRT)
Ego integrity Vs despair
Blood pressure
47. Symptoms of Vit B12 Defiency Anemia include pallor - jaundice - fatigue - weight loss - neurologic symptoms and in particular a ___.
beefy red tongue
Metabolic alkalosis
wet to dry dressing
Standard (Universal) Precautions
48. Resp. depression
first sign of narcotic OD
Pel Epstein fever
epilepsy
Blood Gas Values
49. Oral hypoglycemic that decreases blood sugar by stimulating insulin release from the beta cells of the pancreas; prednisone is a corticosteroid that causes hyperglycemia
Bolus feeding
antidote for heparin
Glucotrol
sliding scale
50. 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
heparin/lovanox
Respiratory alkalosis
Narcan or Noloxene