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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. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate
Common S/S Meniere's Disease
Tet spells
Labs for congenital heart disease
How do you teach someone to reduce back aches
2. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.
No Cantalope
MORE info on DKA ugh!
Asthmas and wheezers
Maslow for a guy who lost his house in a fire
3. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.
Common S/S of Malaria
LVN/LPN cant
Low crit/hemoglobin
Renal impairment labs
4. Confirms multiple myeloma
1 lb = How many ozs
If your patient starts seeing bugs
Common S/S of Infectious Mononucleosis
Bence Jones protein in urine
5. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in
Dig rule for kids
Sources of potassium
Traction in kids
Cushings
6. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.
After Gtube placement
SLE
Botox
Common S/S of Liver cirrhoisis
7. Purple bruises around the belly button... Pancreatitis!
When is Rhogam given and how
Grey Turners sign
autonomic dysreflexia
Hba1c
8. Skeletal or skin
Heroin withdrawl in a neonate
Vertical C section
Dunlap traction=
What to do in the case of tube feeding with decreased LOC
9. Chemo - radiation - surgery - allow to die with dignity.
s3 heart sound is normal not
Brudzinski's sign
PDA
Options for cancer
10. CATS - convulsions - arrhythmias - tetany - spasms and stridor
Burn Degrees
What to in the case of - Pt with heat stroke
Hypocalemia
Protocol for Airborne Transmission
11. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses
Gastric ulcer pain
Maslow for a guy who lost his house in a fire
High priority in Addisons
Suctioning is good -- except
12. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.
Kids pain relief in NCLEX land
Peritoneal Dialysis when outflow is inadequate
ALS
Kids with RSV>
13. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.
Common S/S of guillian Barre Syndrome
Likely cause of cardiac arrest in child
Signs observed in hypocalemia
1 tablespoon = How many ml
14. Ascending muscle paralysis.. dont confuse with MG
If you see a nurse make a mistake Chain of command
Positioning with pneaumonia
STD= gonnorrhea
Common S/S of guillian Barre Syndrome
15. 3 D'S -- Drooling - Dysphonia - Dysphagia
Side effects of thyroid hormones
Airborne Transmission
Brachial Pulse
Common S/S of epiglottitis
16. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)
VV and AA
Hyper reflexive Absent reflexsive
Hirschsprungs is dx how
c02 builds up and causes
17. Vertigo - Tinnitus
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18. 1 pint= 2 cups
Detached Retina
Room air is...
To prevent dumping syndrome
1 pint = How many cups
19. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid
Delegation Rule of Thumb?
Wilms tumor
Labs in DKA>
Signs to look for in meningitis
20. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!
Where are most spinal cord injuries
Sickle cell crisis
Graves disease/ Hyperthyroidism
Risus Sardonicus
21. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men
MRSA and VRSA precautions
Rule of nines
Dance Sign
Droplet Precautions Transmission
22. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.
Common S/S of Cataract
Pt with edema and walking
Dumping syndrome
Thoracentesis
23. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump
Cardinal signs of ARDS
How do children less than one breathe
Kids with HIV
Cushings
24. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!
OB secret
Common S/S of leprosy
Positioning with pneaumonia
Common S/S of Hodgkins Disease/Lymphoma
25. Never release traction unless you have an order from an MD to do so
Why would a pt with leukemia have epistaxis
Traction rule
SIADH
Heart problems
26. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
HypoMg
Bence Jones protein in urine
Babinski sign
Peritoneal Dialysis when outflow is inadequate
27. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA
If you see a nurse make a mistake Chain of command
TB health risk
ACID ash diet
VRSA
28. Ambient air (room air) contains 21 % o2
Room air is...
After Cataract surgery
More info on EEG
Common S/S of Shock
29. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
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30. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.
Jews
Common S/S of parkinsons
What to do in the case of - an Air/Pulmonary Embolism
Common S/S of Lyme's disease
31. 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.
Detached Retina
Labs for congenital heart disease
From the ass From the Mouth
STD= gonnorrhea
32. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos
Rule of nines
Kawasaki disease causes
s/s of a fat embolism
Dengue hemorrhagic fever
33. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.
Hba1c
HypoMg
HHNS Vs DKA
Rule of nines
34. Expiratory grunt -- Causes Infant respiratory distress!
Cane walking
Cmmon S/S Fibrin Hyalin
When to test urine for ketones and glucose
CPR in a five year old
35. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.
Infant with Spina Bifida
Latex allergies
Detached Retina
Hemovac
36. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -
For cord compression in OB
Cerebral angio prep
Omphalocele
Common S/S of GERD
37. 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
Common S/S of epiglottitis
ABG drawin
Common S/S of leprosy
How to itch under a cast
38. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.
Crutch use
Huntington's Chorea
Common S/S of measles
Other S/S of MS
39. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.
MMR SHot
Meningeal irriatation>
Buck's Traction
Diff between angina and MI
40. Systemic Lupus Ethramoutus.... (Lupus)
Common S/S Meniere's Disease
Common S/S of retinal detachment
What is obtained before starting any iv antibiotic
SLE
41. **If kid has cold - can still give immunizations
If kid has a cold
Bence Jones protein in urine
Common S/S of BPH
To remember blood sugar
42. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder
Incentive Spirometry steps
Therapies
Munchhausen Syndrome
After Cataract surgery
43. Petechiae or + Herman's sign
IVP requires
Common S/S of Dengue
VRSA
Hyperthyroidism
44. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.
Asthma and arthritis best excercise
First sign of pe
Use of cold and hot
Decorticate and Decerebrate
45. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).
Common S/S Meniere's Disease
Tet spells
Maslow for a guy who lost his house in a fire
Where should placenta be
46. Stepladder like fever with chills
Before a pft
Common S/S of Malaria
Kids pain relief in NCLEX land
Glaucoma patients loose
47. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will
Trendelenberg's test
For an EEG test
After Endoscopy
Tension Pneumothorax
48. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V
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49. Position on the RIGHT side with legs flexed
Renal impairment labs
Asthma and arthritis best excercise
After appendectomy
Cath lab
50. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.
What to do in a sucking stab wound
Hirschsprungs
Major risks of epidural
During CBI (continuous bladder irrigation)