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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. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside
After Supratentorial Surgery
Post Thyroidectomy
A patient with vertical c - section will likely have
1 cup= How many oz
2. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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3. 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
COPD and Pneumonia
Tet spells
What to do in a sucking stab wound
Common S/S of DKA
4. 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
Diff between placenta previa and placenta abrupto
ICP and Shock have
Hba1c
TEF
5. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
What can't you give to immunosupressed pts
Thoracentesis
For an EEG test
Common S/S of Increased ICP
6. 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
First sign of cystic fibrosis
Guthrie test
Pheochromocytoma
SARS
7. Pumonary tuberculosis
Common S/S Meniere's Disease
OB secret
PTB
Hyper reflexive Absent reflexsive
8. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Nuetropenic patients
Disease precautions
Mcburney's point
HHNS Vs DKA
9. Lymes is found mostly in Conneticuts
Lymes mostly found in
S/S of a fat embolism
Tube and J tubes are usually
Hyperthyroidism
10. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs
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11. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Radioactive iodine
Hypervolemia
Hypocalemia
For a lung biopsy
12. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings
During internal radiation
More info on TB testing a positive result
How will CSF look in meningitis
Common S/S of TEF
13. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
Before giving MMR>
Pheochromocytoma
Psuedomembrane in DIptheria
Hyponatremia
14. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s
4 year olds
A child with a ventriculoperitoneal shunt
Heart Defects
Halo
15. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION
Signs of a hip fracture
How to treat phobic disorders
Main hypersensitivity for antiplatelet drugs
Common S/S of Hodgkins Disease/Lymphoma
16. ICP (intracranial pressure) should be <2. measure head circonference.
Options for cancer
Most accurate way to test kids for medication accuracy
More IVP info
ICP
17. 2.2
1 kg= How many pounds
Cmmon S/S Fibrin Hyalin
Fetal alcohol sydrome
Myasthenia gravis
18. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
Hirschsprungs
After Supratentorial Surgery
Above the knee amputation
When patient is in distress
19. Kussmauls breathing (deep rapid RR)
Common S/S of DKA
ICP
Prior to liver biopsy
HypoMg
20. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.
First sign of pe
Cystic fibrosis
CVA
When a pt comes in and she is in active labor
21. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.
Dumping syndrome
Glaucoma patients loose
Dystocia
What can't you give to immunosupressed pts
22. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
TB health risk
Common S/S of orbital fracture
PCWP
Guthrie test
23. 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!
Post spleenectomy
Risus Sardonicus
Tension Pneumothorax
1 pint = How many cups
24. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis
Diabetes Insipidus
Tetraology of Fallot
Peritoneal Dialysis when outflow is inadequate
MMR SHot
25. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care
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26. Chest tubes are placed in the pleural space.
Rule of thumb for assisting pysch patients
Where are chest tubes placed
A child with a ventriculoperitoneal shunt
Lumbar Puncture
27. Skin to skin contact on mom with a blanket
For an EEG test
What to do for addisons/cushings
Cardinal signs of ARDS
Best way to warm a newborn
28. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments
Emphysema
HHNS Vs DKA
For a lumbar puncture
Paracentesis
29. Low residue diet means low fiver
Glomerulonephritis considerations
When to test urine for ketones and glucose
Every new admission needs
Low Residue diet
30. TPN(total parenteral nutrition) given in subclavian line.
TPN is given in
Paracentesis
Common S/S of orbital fracture
Common S/S of measles
31. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes
HyperKalemia
How to put on traction
Common S/S of pancreatitis
Hypernatremia SALT
32. Machine like murmur
Stomas
In depth - Color codes
Common s/s of PDA
Common S/S of Ulcerative Colitis
33. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
First sign of pyloric stenosis in a baby
Med that can't be infused Intra osseously
Myasthenia gravis
Tylenol poisioining
34. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
Diabetes Insipidus
Sengstaken blakemore tube
After lumbar puncture
When to test urine for ketones and glucose
35. Rice watery stool
PTB
GTT for preggos
Menieres's disease
Common S/S of Cholera
36. A newly diagnosed hypertension patient should have BP assessed in both arms
From the ass From the Mouth
More info on droplet precautions
If you THINK a patient has new HTN
Thyroid storm and myxedema
37. 7 - 10ml / kg
Thrombocyopenia - bleeding precautions
Tidal volume
If you see a nurse make a mistake Chain of command
Chvostek and Trosseaus sign
38. Hypotension and vasoconstricting meds
Guthrie test
When to test urine for ketones and glucose
What will alter the accuracy of o2 sats
Head Injury
39. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.
ALS
Infant with Cleft lip
Why somone who is allergic to latex would be allergic to food too
Pain in the LLQ indicative of...
40. Orange tag in triage is non emergent Psych
ACID ash diet
First sign of cystic fibrosis
Orange tag in pysch
Thyroid storm and myxedema
41. After endoscopy check gag reflex.
Babinski sign
Common S/S of chicken pox
How do you teach someone to reduce back aches
After Endoscopy
42. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.
When instilling eardrops
HyperKalemia
Grey Turners sign
Complications of mechanical ventilation
43. Battles Sign and Racoon's eyes
How to treat phobic disorders
Common S/S of orbital fracture
How to put on traction
Common S/S of measles
44. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for
VV and AA
Enema positioning
Droplet Precautions Transmission
COPD and Pneumonia
45. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Protocol for Airborne Transmission
MS
After appendectomy
Greeks
46. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow
Facts about hemophilia
What to do for addisons/cushings
How many liters of O2
Autonomic Dysreflexia/ Hyperreflexia
47. 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
Turner's sign
Emphysema
Dance Sign
Brachial Pulse
48. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)
Common S/S of Meningitis
After Cataract surgery
Group - A strep
More info on intussception
49. Brain problems occur
TIA
What happens when phenylalanine increases
Asthmas and wheezers
1 g = How many mg
50. With low back aches - bend knees to relieve
ACID ash diet
Dengue hemorrhagic fever
Botox
How do you teach someone to reduce back aches
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