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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. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.
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2. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.
Common S/S of Basilar Fracture
Bryant's traction=
Cystic fibrosis
Peds weight
3. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Chvostek and Trosseaus sign
Common S.S of Retino Blastoma
MRI
Gerd again
4. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
A child with a ventriculoperitoneal shunt
During internal radiation
Lumbar Puncture
During CBI (continuous bladder irrigation)
5. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
Guthrie test
Orthostatis is verfied by
Common S/S of Cataract
After Cataract surgery
6. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.
Disease precautions
Below the knee amputation
Pheochromocytoma
Huntington's Chorea
7. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Peritoneal Dialysis when outflow is inadequate
For a lung biopsy
Asthma and arthritis best excercise
Decorticate and Decerebrate
8. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR
CPR in a five year old
Cute way to remember glascow coma
1 gr= How many mg
Maslow for a guy who lost his house in a fire
9. B/c of low platelets
ICP
Why would a pt with leukemia have epistaxis
During CBI (continuous bladder irrigation)
Use of cold and hot
10. 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
After removal of the pituitary gland what should you watch for
Protocol for Droplet Precautions
TEF
Cold stress in a newborn
11. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Common S/S of cystic fibrosis
Diverticulitis
Disease precautions
Penis Problems
12. Upper part of the uterus
Hyperthyroidism
Temp conversion
TB test confirmation
Where should placenta be
13. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.
Before a pft
When is Rhogam given and how
Yeast infection in a babys mouth
Buck's Traction
14. Bossing Sign (prominent forehead)
If kid has a cold
Common S/S of Hydrocephalosis
What will alter the accuracy of o2 sats
Myxedema/ hypothroidism
15. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
Use of cold and hot
How will CSF look in meningitis
Tidal volume
Heart problems
16. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.
Likely cause of cardiac arrest in child
Incentive Spirometry steps
Glomerulonephritis considerations
Pathological jaundice
17. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Hyper reflexive Absent reflexsive
Chvostek and Trosseaus sign
Incentive Spirometry steps
Osteomyeltitis
18. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy
OB secret
Yeast infection in a babys mouth
More labs suggestive of renal failure
MMR SHot
19. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.
In depth - Color codes
Tube and J tubes are usually
Gastric ulcer pain
Koplick's spots
20. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.
Nitrazine paper
Common S/S of Dengue
CABG
What is a bad sign in asthma
21. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.
Orthostatis is verfied by
Wilms tumor
Fontanelles
s/s of a fat embolism
22. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
NG tube rules
For PVD remember
Immunizations rules
Kernigs sign
23. If patients have hallucinations redirect them. In delusions distract them.
Orange tag in pysch
Rule of thumb for assisting pysch patients
Common S/S of pneumonia
After Cataract surgery
24. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
Babinski sign
Whats petaling
Infant with Spina Bifida
Common S/S of Dengue
25. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan
Glomerulonephritis considerations
How to Dx a AAA
Hypo - parathyroid
What is obtained before starting any iv antibiotic
26. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.
Nuetropenic patients
Low crit/hemoglobin
Common S/S of Increased ICP
Hypernatremia
27. Rebound tenderness
Common S/S of appendicitis
First sign of pyloric stenosis in a baby
Incentive Spirometry steps
Common S/S of parkinsons
28. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.
Likely cause of cardiac arrest in child
Phenalalanine
Compartment syndrome
Pain in the LLQ indicative of...
29. Confirms multiple myeloma
Bence Jones protein in urine
Heart Defects
Cephalhematoma (caput succinidanium)
When instilling eardrops
30. 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.
Asthmas and wheezers
Burn Degrees
Lymes mostly found in
Gastric ulcer pain
31. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.
Birth control - Diaphram
Dystocia
Myelogram
More info on EEG
32. Protruding tongue
ICP
Common S/S of epiglottitis
Common S/S of down syndrome
Decorticate and Decerebrate
33. Expiratory grunt -- Causes Infant respiratory distress!
Brachial Pulse
Cmmon S/S Fibrin Hyalin
Dunlap traction=
ICP
34. In a five -year old breathe once for every 5 compressions doing cpr.
Hemovac
CPR in a five year old
Facts about hemophilia
Order of assessment
35. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis
To remember blood sugar
Birth control - Diaphram
Cushing ulcers and cushings triad
From the ass From the Mouth
36. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
Common S/S of Cystitis
Turner's sign
Before giving MMR>
Lumbar Puncture
37. Mothers receive rhogam to protect next baby.
Orange tag in pysch
Common S/S of emphysema
Rh
Stranger Danger>!
38. 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
Where should placenta be
Autonomic Dysreflexia
Gastric ulcer pain
Diff between angina and MI
39. 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.
Pneumonia
Dystocia
Emphysema
Crutch use
40. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia
Sources of potassium
HypoKalemia
Vertical C section
Dystocia
41. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
Common S/S Acromegaly
What to check children for at age 12 months
What to do if your patients chest tube accidently getes removed
After Cataract surgery
42. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.
Common S/S of PTB
If kid has a cold
Crutch use
Developmental milestones
43. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.
Myasthenia gravis
During epidural puncture
After appendectomy
Brachial Pulse
44. Questions about a halo Remember safety first - have a screwdriver nearby.
What to do if your patients chest tube accidently getes removed
Halo
Common S/S of retinal detachment
Hyper reflexive Absent reflexsive
45. OAmniotic fluid yellow with particles = meconium stained`
Major risks of epidural
Why would a pt with leukemia have epistaxis
Common S/S of Infectious Mononucleosis
Meconium stained protocol
46. Med administration is rarely a good choice
Potassium lab importance
1 g = How many mg
How to put on traction
When patient is in distress
47. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
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48. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since
Hyperthyroidism
A child with a ventriculoperitoneal shunt
Signs to look for in meningitis
Nepphrotic syndrome
49. Rusty sputum
Common S/S of Diptheria
Laparoscopy
Common S/S of pneumonia
Common S/S of chicken pox
50. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
Myxedema/ hypothroidism
Charcots sign
Halo
Common S/S of Hydrocephalosis