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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. Cat's eye reflex (grayish discoloration of the pupil)
Common S.S of Retino Blastoma
Hepatitis
In depth - Color codes
What to do in a sucking stab wound
2. 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
Common S/S of Kawasaki syndrome
Positioning with pneaumonia
High priority in Addisons
Cranial nerves for Assessing extraocular eye movements
3. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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4. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.
Cerebral angio prep
MORE info on DKA ugh!
When a pt comes in and she is in active labor
Kids with RSV>
5. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-
In depth - Color codes
Hirschsprungs is dx how
TEF
Eyes
6. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.
Wilms tumor
Black - Expectant
Infant with Spina Bifida
Radioactive iodine
7. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)
coarctation of the aaorta causes
More info on droplet precautions
Cryptoorchidism
Shock
8. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
autonomic dysreflexia
CVA
Common S/S of GERD
MRSA and VRSA precautions
9. Cultures
MRI
What is obtained before starting any iv antibiotic
TPN is given in
Hightest priority for RA
10. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.
Cane walking
Murphy's sign
Russel Traction =
Diff between angina and MI
11. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
Age 4=5 year shots
Airborne Transmission
Preload and Afterload
Amniocentesis is performed and why
12. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Common S/S Hepatic Encephalopathy
Parkisons
Osteomyeltitis
c02 builds up and causes
13. For knee replacement use continuous passive motion machine.
Common S/S of chicken pox
Pancreatitis prioritys
Knee replacement
Osteomyeltitis
14. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.
Hirschsprungs
CABG
Guided imagery is great for
Diff between placenta previa and placenta abrupto
15. Co2 causes vasoconstriction.
Rh
c02 builds up and causes
Facts about hemophilia
What to do in a sucking stab wound
16. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.
How do children less than one breathe
After Cataract surgery
Potassium and acid base balance
More info on intussception
17. - 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
Munchhausen Syndrome
Turner's sign
Common S.S of Retino Blastoma
Group - A strep
18. Just know the MMR and Varicella immunizations come later (15 months).
MMR and Varicella
OB secret
A patient with vertical c - section will likely have
Grey Turners sign
19. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.
Dumping syndrome
TPN is given in
Radioactive iodine
Botox
20. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster
Thoracentesis
Best indicator of dehydration
To prevent dumping syndrome
CABG
21. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
With lower amputations
Likely cause of cardiac arrest in child
Wilms tumor
Hearing the baby in OB
22. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside
Hyper reflexive Absent reflexsive
Post Thyroidectomy
How to itch under a cast
Rule of thumb for assisting pysch patients
23. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.
Cystic fibrosis
Protocol for Droplet Precautions
COPD patients
Every new admission needs
24. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.
Autonomic Dysreflexia
Appendicitis
Nitrazine paper
Protocol for Airborne Transmission
25. 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
Cushing ulcers and cushings triad
Developmental milestones
More info on lumbar puncture
Hearing the baby in OB
26. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.
More info on TB testing a positive result
Enema positioning
Buck's Traction
VRSA
27. 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.
Parkisons
Common S/S Duchennes Muscular Dystrophy
Asthmas and wheezers
Cystic fibrosis
28. Absence of menstruation leads to osteoporosis in the anorexic.
Anorexia sucks because
Common S/S of Basilar Fracture
During epidural puncture
COPD and Pneumonia
29. Salty skin
When a pt comes in and she is in active labor
PKU
Common S/S of cystic fibrosis
s/s of a fat embolism
30. 2.2
Common S/S Meniere's Disease
Ventilator Alarms
Hep A precautions
1 kg= How many pounds
31. PainLESS vision loss - opacity of lens - blurring of the vision
Common S/S of Cataract
Tube and J tubes are usually
Allen's test
Russel Traction =
32. 1 gr (grain)= 60 mg
Who produces insulin
1 gr= How many mg
Normal Hemoglobin
What to check children for at age 12 months
33. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
Tidal volume
A preggo in a minus station
TPN is given in
What to do in the case of tube feeding with decreased LOC
34. Pain is usually the highest priority with RA
Traction rule
Hightest priority for RA
Gross things to remember about nurses with herpes!!!!
Menieres's disease
35. Vastus lateralis is IM administration site for 6month infants
When to test urine for ketones and glucose
Thyroid storm and myxedema
COPD patients
Immunizations rules
36. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame
What to do for addisons/cushings
Prior to liver biopsy
MORE info on DKA ugh!
Phenalalanine
37. Risus Sardonicus
Common S/S of PTB
Paracentesis
Side effects of thyroid hormones
Common S/S of Tetany
38. Slowed physical and mental function - sensitivity to cold - dry skin and hair
Myxedema/ hypothroidism
Addisons
MMR SHot
Before a pft
39. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...
Peritoneal dialysis
More info on lumbar puncture
Post spleenectomy
COPD patients
40. Pilling rolling tremors
What to do if your patients chest tube accidently getes removed
Common S/S of parkinsons
Alkaline Ash diet
Prolapsed Cord
41. It is X- linked. Mother passes the disease to her son
Common S/S of DKA
Behavior/Developmental - Peds
Facts about hemophilia
Diverticulitis
42. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!
If kid has a cold
Common S/S Duchennes Muscular Dystrophy
Developmental milestones
Prolapsed Cord
43. Inspiratory stridor.. LTB = croup!!!!
Willam's position
Carbon dioxide narcosis
Common S/S of LTB
How to Dx a AAA
44. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.
Common S/S of Ulcerative Colitis
Hirschsprungs
Peritoneal Dialysis when outflow is inadequate
Common S/S of Cataract
45. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS
Tet spells
Cute way to remember glascow coma
Nondairy sources of calcium
Rh
46. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.
c02 builds up and causes
Pt with edema and walking
Head Injury
Common S/S of Ulcerative Colitis
47. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
Hightest priority for RA
OB secret
Before giving MMR>
SLE
48. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).
ACID ash diet
Cardinal signs of ARDS
Orthostatis is verfied by
Heart problems
49. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
School aged kids and five year olds
Thyroid storm and myxedema
Protocol for Droplet Precautions
Gerd again
50. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.
Post Thyroidectomy
How to treat phobic disorders
Facts about hemophilia
If you see a nurse make a mistake Chain of command