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Test your basic knowledge |
NCLEX Final Ati Study
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. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.
Hypernatremia SALT
When instilling eardrops
If you see a nurse make a mistake Chain of command
SLE
2. Petechiae. Treated with heparin.
s/s of a fat embolism
Omphalocele
Hyperthyroidism
Low Residue diet
3. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or
Graves disease/ Hyperthyroidism
ABG drawin
Pancreatitis pts>
Meconium stained protocol
4. HYPERtension TACHYpnea and TACHYcardia
Hirschsprungs
ACID ash diet
Common S/S of Shock
Common S/S of down syndrome
5. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.
Menieres's disease
Eyes
After appendectomy
More info on EEG
6. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the
Menieres's disease
Hearing the baby in OB
Amniocentesis is performed and why
Shock
7. Sausage shaped mass - Dance sign (empty portion of RLQ)
HyperMg
Sengstaken blakemore tube
Common S/S of Intusseption
COPD and Pneumonia
8. 1 T(tablespoon)= 3 t = 15 ml
Willam's position
Cold stress in a newborn
1 tablespoon = How many ml
S/S of a fat embolism
9. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.
1 g = How many mg
Cryptoorchidism
During CBI (continuous bladder irrigation)
Labs for congenital heart disease
10. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Hypernatremia
How many liters of O2
Apgar scores/scoring
Mcburney's point
11. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!
Group - A strep
Hyperparathyroid
How many liters of O2
Guillian Barre
12. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
autonomic dysreflexia
Positioning with pneaumonia
TB test confirmation
Common S/S of BPH
13. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.
Common S/S of Tetany
Diverticulitis
IVP requires
Labs for congenital heart disease
14. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.
CVA
FHR patterns in ob
After Gtube placement
Heart problems
15. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.
When is Rhogam given and how
What if a toddler says no to medication
Acid/ ASH diet
Hypervolemia
16. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.
Where are chest tubes placed
What to do in a sucking stab wound
Latex allergies
Kernigs sign
17. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.
School aged kids and five year olds
4 year olds
Liver biopsy
CABG
18. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
What is a bad sign in asthma
Nephrotic syndrome
Apgar Scoring
Cute way to remember glascow coma
19. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Pancreatitis prioritys
Phenalalanine
Prolapsed Cord
Common S/S of DKA
20. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.
Common S/S of TEF
Grey Turners sign
Amniocentesis is performed and why
Hyperparathyroid
21. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
SARS
Delegation Rule of Thumb?
Age 4=5 year shots
Stomas
22. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
Cause of Ascites
Charcots sign
Common S/S of Meningitis
Common S/S of BPH
23. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots
Hyperparathyroid
SARS
What to do in the case of tube feeding with decreased LOC
Common S/S of pancreatitis
24. Gonorrhea is a reportable disease
For an EEG test
STD= gonnorrhea
Traction in kids
c02 builds up and causes
25. Level of consciousness is the most important assessment parameter with status epilepticus.
How to Dx a AAA
From the ass From the Mouth
Highest priortiy in status elipticus
Vertical C section
26. Place in prone position
With lower amputations
After Supratentorial Surgery
Normal Hemoglobin
Stranger Danger>!
27. It is X- linked. Mother passes the disease to her son
School aged kids and five year olds
Hodgkins disease
After Endoscopy
Facts about hemophilia
28. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis
Common S/S of epiglottitis
Contact transmission precautions
Common S/S of guillian Barre Syndrome
Tylenol poisioining
29. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -
If you THINK a patient has new HTN
What to in the case of - Pt with heat stroke
Shilling test
Myelogram
30. Reduced size and force of urine
Common S/S of BPH
Stranger Danger>!
PDA
Low Residue diet
31. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)
To remember blood sugar
Enema positioning
Peritoneal dialysis
Grey Turners sign
32. Normal in CHF from the squishin'.. Not normal in an MI patient
s3 heart sound is normal not
Cause of Ascites
Options for cancer
Bence Jones protein in urine
33. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse
Hyperthyroidism
Dengue hemorrhagic fever
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
IVP requires
34. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
Amniocentesis is performed and why
IVP requires
Asthma and arthritis best excercise
caput succedaneum=
35. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow
How many liters of O2
How to Dx a AAA
Below the knee amputation
Sengstaken blakemore tube
36. Machine like murmur
Tet spells
Delegation Rule of Thumb?
Where are chest tubes placed
Common s/s of PDA
37. Always check lead posioning levels
Signs to look for in meningitis
What to check children for at age 12 months
Common S/S of Cataract
Common S/S of measles
38. CSF in meningitis will have high protein - and low glucose.
Nepphrotic syndrome
Common S/S of BPH
How will CSF look in meningitis
What can also cause an s3 heart sound
39. (incision at nape of neck)--> position pt flat and lateral on either side.
Knee replacement
Dig rule for kids
Common S/S of emphysema
After Infratentorial Surgery
40. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').
Wilms tumor
Labs in DKA>
4 year olds
Besides meds and congenital problems .. What can lead to decreased preload
41. On bedrest while implant in place
Cold stress in a newborn
During internal radiation
ACID ash diet
Facts about hemophilia
42. Knee immobility
ACID ash diet
Bucks traction =
Dystocia
Order of assessment
43. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink
Compartment syndrome
Autonomic Dysreflexia
STD= gonnorrhea
Developmental milestones
44. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Kids with RSV>
Common S/S of Liver cirrhoisis
Thyroid storm
Common S/S of down syndrome
45. 30 ml = 1 oz
First sign of cystic fibrosis
How many oz in a ml
Kernigs sign
Hodgkins disease
46. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.
Bryant's traction=
Common S/S of Dengue
Western blot test
Vertical C section
47. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
For a lumbar puncture
Brachial Pulse
After Cataract surgery
Common S/S of Increased ICP
48. Ottorhea
Common S/S of GERD
Post spleenectomy
Common S/S of Basilar Fracture
STD= gonnorrhea
49. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.
VRSA
PDA
After removal of the pituitary gland what should you watch for
Common S/S of retinal detachment
50. Increased temp - pulse and HTN
Risus Sardonicus
What can also cause an s3 heart sound
Thyroid storm
Why somone who is allergic to latex would be allergic to food too