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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. 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
Side rail rules
Besides sodium - water also follows
Developmental milestones
Eyes
2. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)
Common S/S of epiglottitis
Flu shot always ask
Placement of a wheelchair
What to do in the case of - A woman in labor with Un - Reassuring FHR
3. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.
HypoKalemia
Hirschsprungs
Heart Defects
Diff between angina and MI
4. Painless hematuria... CA=Cancer ! Duhh
Renal impairment labs
Common S/S of Bladder Cancer
Common s/s of PDA
Stranger Danger>!
5. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist
Common sites for metastatsis
Chvostek and Trosseaus sign
Before Epidural
Phenalalanine
6. 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
Order of assessment
Myasthenia gravis
Nephrotic syndrome
To prevent dumping syndrome
7. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
Addisons
What if a toddler says no to medication
After Cataract surgery
Age 4=5 year shots
8. 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
Kids with HIV
Cardinal signs of ARDS
Dengue hemorrhagic fever
Common S/S of DKA
9. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
Whats petaling
Common S/S of Thypohiod
Hydrocele
Burn Degrees
10. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
MMR SHot
Cold stress in a newborn
Osteomyeltitis
Infant with Spina Bifida
11. Pulse area cpr on infant
Brachial Pulse
Willam's position
OB secret
Dengue hemorrhagic fever
12. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.
Willam's position
Traction rule
coarctation of the aaorta causes
Depression manifests itself
13. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.
After Total Hip Replacement
More info on lumbar puncture
1 kg= How many pounds
MG and Guillian Barre
14. Machine like murmur
Placement of a wheelchair
Common S/S of asthma
Common s/s of PDA
Birth control - Diaphram
15. Small frequent is better than large
Common S/S of pneumonia
Coomb's test
Cause of Ascites
Best way to tube feed or feed kids
16. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro
Penis Problems
Nitrazine paper
Facts about hemophilia
After Supratentorial Surgery
17. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Late Decels
Sources of potassium
Renal impairment labs
Immunizations rules
18. 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
Common S/S of leprosy
TEF
Traction in kids
ABG drawin
19. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
Common S/S of Infectious Mononucleosis
What to do in a sucking stab wound
FHR patterns in ob
Cane walking
20. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
Heart problems
What to check children for at age 12 months
Grey Turners sign
Options for cancer
21. Seizure>
What treats tet spells
Potassium and acid base balance
PTB
Eclampsia is a
22. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s
Dengue hemorrhagic fever
Autonomic Dysreflexia
Labs in DKA>
Nephrotic syndrome
23. - 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
Maslow for a guy who lost his house in a fire
Dystocia
After removal of the pituitary gland what should you watch for
24. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Decorticate and Decerebrate
MG and Guillian Barre
Below the knee amputation
1 tsp= How many ml
25. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a
Brudzinski's sign
For a lung biopsy
Risus Sardonicus
Hirschsprungs is dx how
26. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis
Pathological jaundice
TEF
Common S/S of GERD
How to itch under a cast
27. 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
For PVD remember
For a lumbar puncture
What disease leads to cardiac valve malfunctions
Hearing the baby in OB
28. ICP (intracranial pressure) should be <2. measure head circonference.
Allen's test
Depression manifests itself
ICP
Penis Problems
29. No nasotracheal suctioning with head injury or skull fracture.
Suctioning is good -- except
Signs to look for in meningitis
How will CSF look in meningitis
TB health risk
30. Allergic to eggs (Tristan D. ) !
In depth - Color codes
Flu shot always ask
Graves disease/ Hyperthyroidism
For PVD remember
31. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).
HypoKalemia
If your patient starts seeing bugs
Peds positioning for GERD
SLE
32. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
33. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.
Cardinal signs of ARDS
Kawasaki disease causes
Thrombocyopenia - bleeding precautions
Asthma and arthritis best excercise
34. Increased temp - pulse and HTN
Greeks
Cryptoorchidism
Tube and J tubes are usually
Thyroid storm
35. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots
Common S/S of pancreatitis
Radioactive iodine
What to do in the case of - A woman in labor with Un - Reassuring FHR
To prevent dumping syndrome
36. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3
Complications of mechanical ventilation
Who produces insulin
Common S/S of epiglottitis
What can also cause an s3 heart sound
37. Reduced size and force of urine
Laparoscopy
Hyperthyroidism
Common S/S of BPH
How many liters of O2
38. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma
Renal impairment labs
Protocol for Airborne Transmission
Pathological jaundice
If your patient starts seeing bugs
39. CSF in meningitis will have high protein - and low glucose.
Other S/S of MS
If you see a nurse make a mistake Chain of command
How will CSF look in meningitis
Common S/S of Thypohiod
40. The biggest concern with cold stress and the newborn is respiratory distress.
Cold stress in a newborn
Common S/S of pancreatitis
Alzheimers
Order of assessment
41. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Order of assessment
Western blot test
Bethamethasone
Common S/S of Infectious Mononucleosis
42. Systemic Lupus Ethramoutus.... (Lupus)
SLE
1 tsp= How many ml
Sengstaken blakemore tube
HypoMg
43. 1 gr (grain)= 60 mg
Nepphrotic syndrome
After Gtube placement
When patient is in distress
1 gr= How many mg
44. (incision at nape of neck)--> position pt flat and lateral on either side.
After Infratentorial Surgery
What is obtained before starting any iv antibiotic
First sign of pe
Hypernatremia
45. Burning on urination
Common S/S of Hodgkins Disease/Lymphoma
Common S/S of Cystitis
What could cause bronchopulmonary dysplasia
Common S/S of PTB
46. 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
Kidneys and ears
IVP requires
Head Injury
S/S of a fat embolism
47. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
Dystocia
Before giving MMR>
Late Decels
HypoMg
48. Chemo - radiation - surgery - allow to die with dignity.
If you see a nurse make a mistake Chain of command
Options for cancer
Common S/S Meniere's Disease
When instilling eardrops
49. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
NG tube rules
Shock
Vertical C section
What is a bad sign in asthma
50. Respiratory problems!
Pancreatitis prioritys
Graves disease/ Hyperthyroidism
Chief concern in CF
Tenkhoff cath