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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. If HR is <100 do not give dig to children.
Orange tag in pysch
SIADH
Common S.S of Retino Blastoma
Dig rule for kids
2. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor
Chvostek and Trosseaus sign
Wilms tumor
Cold stress in a newborn
Pheochromocytoma
3. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Common S/S of Increased ICP
Osteomyeltitis
Jews
Prolapsed Cord
4. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n
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5. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.
Murphy's sign
Sickle cell crisis
Emphysema
High priority in Addisons
6. OAmniotic fluid yellow with particles = meconium stained`
c02 builds up and causes
Meconium stained protocol
Peritoneal Dialysis when outflow is inadequate
Dengue hemorrhagic fever
7. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne
What is bleeding considered in ADPIE
Stranger Danger>!
Fontanelles
Maslow for a guy who lost his house in a fire
8. 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.
CVA
More info on TB testing a positive result
Infant with Cleft lip
Bucks traction =
9. 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
What to check children for at age 12 months
Post Thyroidectomy
Flu shot always ask
NMS
10. Hydration is a big priority!
More labs suggestive of renal failure
Before Epidural
Apgar Scoring
Common S/S of epiglottitis
11. Dystocia= baby cannot make it down to canal
Autonomic Dysreflexia/ Hyperreflexia
Brachial Pulse
Sickle cell crisis
Dystocia
12. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross
Autonomic Dysreflexia/ Hyperreflexia
Thrombocyopenia - bleeding precautions
Before Epidural
Why somone who is allergic to latex would be allergic to food too
13. Petechiae. Treated with heparin.
Potassium and acid base balance
ICP
Where are most spinal cord injuries
s/s of a fat embolism
14. Elevate HOB 30 degrees to decrease intracranial pressure
Head Injury
Cephalhematoma (caput succinidanium)
Common S/S Meniere's Disease
Sickle cell crisis
15. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or
Omphalocele
More info on droplet precautions
Paracentesis
Cushing ulcers and cushings triad
16. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
Wilms tumor
CVA
With lower amputations
Disease precautions
17. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.
Where are most spinal cord injuries
Signs observed in hypocalemia
Hirschsprungs is dx how
Incentive Spirometry steps
18. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
Bence Jones protein in urine
Cephalhematoma (caput succinidanium)
Why would a pt with leukemia have epistaxis
CABG
19. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
What to check children for at age 12 months
How to Dx a AAA
Hypocalemia
Incentive Spirometry steps
20. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin
Emphysema
Amniocentesis is performed and why
4 year olds
Lymes mostly found in
21. Low or semi - Fowler's - support head - neck and shoulders.
Besides meds and congenital problems .. What can lead to decreased preload
Common S/S of Basilar Fracture
After Thyroidectomy
Common S/S of Malaria
22. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
s/s of a fat embolism
NG tube rules
Delegation Rule of Thumb?
Orthostatis is verfied by
23. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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24. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis
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25. Low magnesium and high creatinine signal renal failure.
Crutch use
Infant with Cleft lip
Willam's position
More labs suggestive of renal failure
26. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a
Common S/S of Bulimia
Common S/S of Cushings syndrome
Psuedomembrane in DIptheria
If you THINK a patient has new HTN
27. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.
First sign of pe
TIA
Babinski sign
Hep B vaccine always ask
28. Birth weight doubles by 6 month and triple by 1 year of age.
Blood typing
Peds weight
Latex allergies
Common S/S of GERD
29. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).
Peds weight
Phenalalanine
Potassium and acid base balance
Options for cancer
30. 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!
After appendectomy
Droplet Precautions Transmission
Ventilator Alarms
Gross things to remember about nurses with herpes!!!!
31. Low residue diet means low fiver
Low Residue diet
Lymes mostly found in
Decorticate and Decerebrate
More info on TB testing a positive result
32. Small frequent is better than large
Birth control - Diaphram
Best indicator of dehydration
Best way to tube feed or feed kids
Tension Pneumothorax
33. Wheezing on EXPIRATION
Common S/S of BPH
Cystic fibrosis
Common S/S of glaucoma
Common S/S of asthma
34. Weight
Common S/S of Pemphigus Vulgaris
Developmental milestones
Best indicator of dehydration
Diverticulitis
35. 1 cup= 8 oz
How to treat phobic disorders
1 cup= How many oz
How many liters of O2
Common S/S of PTB
36. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)
Eyes
Use of cold and hot
Common S/S of Bladder Cancer
Hyper reflexive Absent reflexsive
37. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR
More info on TB testing a positive result
Side rail rules
Cute way to remember glascow coma
Common S/S Hepatic Encephalopathy
38. 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
Myxedema/ hypothroidism
Labs in DKA>
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
39. Rose spots on abdomen
HypoMg
Common S/S of Thypohiod
Diverticulitis
Dengue hemorrhagic fever
40. (severe acute resp syndrome) airborne + contact (just like varicella)
Common S/S of pernicious anemia
SARS
Parkisons
Emphysema
41. 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%-
How do you treat a small bowel obstruction
Greenstick fracture
In depth - Color codes
Halo
42. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.
Peds weight
Sengstaken blakemore tube
How many oz in a ml
When instilling eardrops
43. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.
What can't you give to immunosupressed pts
Stranger Danger>!
Low crit/hemoglobin
Hearing the baby in OB
44. 2.2
Dystocia
1 kg= How many pounds
Head Injury
Common s/s of PDA
45. 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
Post spleenectomy
Dumping syndrome
High priority in Addisons
Wilms tumor
46. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Gerd again
Likely cause of cardiac arrest in child
If you see a nurse make a mistake Chain of command
When to test urine for ketones and glucose
47. Children <3yoa - <35 lbs with femur fx
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48. 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. ...
MMR and Varicella
COPD patients
Common S/S of Ulcerative Colitis
Decorticate and Decerebrate
49. 1 T(tablespoon)= 3 t = 15 ml
After Supratentorial Surgery
Glomerulonephritis
1 tsp= How many ml
1 tablespoon = How many ml
50. Rice watery stool
Brachial Pulse
Common S/S of Kawasaki syndrome
FHR patterns in ob
Common S/S of Cholera