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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. Questions about a halo Remember safety first - have a screwdriver nearby.
Charcots sign
Nepphrotic syndrome
Common S/S of GERD
Halo
2. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool
Penis Problems
Alzheimers
NMS
Orthostatis is verfied by
3. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't
Common S/S of Cataract
Paracentesis
Potassium lab importance
Meningeal irriatation>
4. If patients have hallucinations redirect them. In delusions distract them.
Common S/S of Bulimia
Renal impairment labs
Rule of thumb for assisting pysch patients
Cause of Ascites
5. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.
Med that can't be infused Intra osseously
During epidural puncture
What to do if your patients chest tube accidently getes removed
Diff between placenta previa and placenta abrupto
6. Area of detachment should be in the dependent position -- dependent meaning supported by something
Incentive Spirometry steps
Order of assessment
Detached Retina
Common S/S of cystic fibrosis
7. Moon face appearance and buffalo hump
Green - Minimal
Pneumonia
Common S/S of pernicious anemia
Common S/S of Cushings syndrome
8. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
Pancreatitis pts>
MRI
Common S/S of Cystitis
Common S/S Hepatic Encephalopathy
9. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
Charcots sign
ALS
What happens when phenylalanine increases
Graves disease/ Hyperthyroidism
10. Most spinal cord injuries are at the cervical or lumbar regions
Delegation Rule of Thumb?
Common S/S Hepatic Encephalopathy
COPD and Pneumonia
Where are most spinal cord injuries
11. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Order of assessment
Before Epidural
PKU
12. After endoscopy check gag reflex.
c02 builds up and causes
Most accurate way to test kids for medication accuracy
After Endoscopy
Fetal alcohol sydrome
13. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
After lumbar puncture
Wilms tumor
Cold stress in a newborn
Heroin withdrawl in a neonate
14. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.
Glomerulonephritis considerations
Major risks of epidural
Botox
Mcburney's point
15. Allergic to eggs (Tristan D. ) !
After Gtube placement
What will alter the accuracy of o2 sats
Risus Sardonicus
Flu shot always ask
16. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
Airborne Transmission
Main hypersensitivity for antiplatelet drugs
MMR and Varicella
Bence Jones protein in urine
17. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5
After lumbar puncture
Normal Hemoglobin
HypoMg
Other S/S of MS
18. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
Fontanelles
TB health risk
Whats petaling
Common S/S of SLE
19. Bananas - potatoes - citrus fruits
Sources of potassium
HypoKalemia
If you see a nurse make a mistake Chain of command
Why somone who is allergic to latex would be allergic to food too
20. Purple bruises around the belly button... Pancreatitis!
Tetraology of Fallot
Black - Expectant
Grey Turners sign
Amniocentesis is performed and why
21. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)
Murphy's sign
Heart Defects
What can also cause an s3 heart sound
Hyper reflexive Absent reflexsive
22. Position pt in left side - lying (Sim's) with knee flexed
Potassium lab importance
Babinski sign
Enema positioning
Cane walking
23. Battles Sign and Racoon's eyes
Common S/S of Cholera
Common S/S of orbital fracture
1 g = How many mg
Crackles most likely are...
24. Swimming
Common sites for metastatsis
For a lumbar puncture
Anorexia sucks because
Asthma and arthritis best excercise
25. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
When to test urine for ketones and glucose
NMS
Cane walking
Hirschsprungs
26. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!
Before Epidural
During CBI (continuous bladder irrigation)
Cmmon S/S Fibrin Hyalin
Gross things to remember about nurses with herpes!!!!
27. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior
Before a pft
Addisonian Crisis
Risus Sardonicus
To prevent dumping syndrome
28. Increased temp - pulse and HTN
Heart Defects
Protocol for Airborne Transmission
The first s/s of ards
Thyroid storm
29. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.
First sign of pe
s/s of a fat embolism
Side effects of thyroid hormones
Diff between placenta previa and placenta abrupto
30. 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
Common S/S of GERD
During epidural puncture
Myasthenia gravis
31. **If kid has cold - can still give immunizations
If kid has a cold
Omphalocele
Common S/S of pernicious anemia
Common S/S of LTB
32. If HR is <100 do not give dig to children.
Dig rule for kids
MS
Kernigs sign
MORE info on DKA ugh!
33. 1 quart = 2 pints
ICP and Shock have
Crackles most likely are...
PCWP
1 quart = How many pints
34. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.
Pt with edema and walking
Post spleenectomy
Cerebral palsy
SLE
35. Protruding tongue
Behavior/Developmental - Peds
Common S/S of down syndrome
More info on EEG
Hemovac
36. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Late Decels
Hba1c
Thyroid storm
Gastric ulcer pain
37. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan
How to Dx a AAA
SLE
Peds weight
For a lumbar puncture
38. The MMR vaccine is given SQ not IM.
MMR SHot
Apgar scores/scoring
caput succedaneum=
Hirschsprungs is dx how
39. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r
Lymes mostly found in
Kidneys and ears
HyperKalemia
After Infratentorial Surgery
40. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress
Kids with RSV>
Laparoscopy
Airborne Transmission
Addisons
41. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B
Milk for kids
Pancreatitis prioritys
Hepatitis
Cute way to remember glascow coma
42. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.
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43. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Cerebral palsy
Common S/S of Meningitis
Fetal alcohol sydrome
Bethamethasone
44. Knee immobility
Bucks traction =
Late Decels
SARS
MRI
45. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.
What if a toddler says no to medication
Therapies
Kids with RSV>
Thyroid storm
46. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
Normal Hemoglobin
Meningeal irriatation>
Incentive Spirometry steps
Thyroid storm and myxedema
47. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).
Alkaline Ash diet
More labs suggestive of renal failure
Cardinal signs of ARDS
Common S/S of Hydrocephalosis
48. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)
To remember blood sugar
Trendelenberg's test
Dunlap traction=
s3 heart sound is normal not
49. Mothers receive rhogam to protect next baby.
Stranger Danger>!
What can also cause an s3 heart sound
Rh
Common S/S of addisions
50. Broncospasm (anaphylaxis)
Guthrie test
Main hypersensitivity for antiplatelet drugs
What to do in the case of tube feeding with decreased LOC
Huntington's Chorea