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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. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Low crit/hemoglobin
HyperMg
Pancreatitis prioritys
Osteomyeltitis
2. Level of consciousness is the most important assessment parameter with status epilepticus.
Charcots sign
Bence Jones protein in urine
Prior to liver biopsy
Highest priortiy in status elipticus
3. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area
Botox
For an EEG test
How to itch under a cast
Cmmon S/S Fibrin Hyalin
4. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.
Head Injury
Common S/S of Tetany
Asthmas and wheezers
To prevent dumping syndrome
5. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
Side effects of thyroid hormones
Labs for congenital heart disease
Delegation Rule of Thumb?
COPD patients
6. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.
Post spleenectomy
Common S.S of Retino Blastoma
c02 builds up and causes
Potassium lab importance
7. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't
Potassium lab importance
VV and AA
FHR patterns in ob
Med that can't be infused Intra osseously
8. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.
What is a bad sign in asthma
Tet spells
Kawasaki disease causes
To prevent dumping syndrome
9. 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
How many liters of O2
Wilms tumor
Temp conversion
10. Orange tag in triage is non emergent Psych
Autonomic Dysreflexia/ Hyperreflexia
Signs observed in hypocalemia
Orange tag in pysch
Pancreatitis pts>
11. Ambient air (room air) contains 21 % o2
Knee replacement
Chvostek and Trosseaus sign
More IVP info
Room air is...
12. Cultures
MORE info on DKA ugh!
Black - Expectant
What is obtained before starting any iv antibiotic
Charcots sign
13. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.
Hep A precautions
Gerd again
Detached Retina
Below the knee amputation
14. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia
Addisons
Dystocia
Cranial Nerves
Hypervolemia
15. Purple bruises around the belly button... Pancreatitis!
Hightest priority for RA
DKA
After appendectomy
Grey Turners sign
16. Trachea shifts to the opposite side
Main hypersensitivity for antiplatelet drugs
Common S.S of Retino Blastoma
Dance Sign
Tension Pneumothorax
17. Risus Sardonicus
Common S/S of Tetany
Pulmonary sarcoidosis
Heroin withdrawl in a neonate
Gerd again
18. 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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19. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.
Cath lab
First sign of pyloric stenosis in a baby
MG and Guillian Barre
Alzheimers
20. Ottorhea
Common S/S of Basilar Fracture
Common S/S of appendicitis
Orthostatis is verfied by
Babinski sign
21. 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.
What could cause bronchopulmonary dysplasia
After Thyroidectomy
Common S/S of Infectious Mononucleosis
Every new admission needs
22. On bedrest while implant in place
During internal radiation
FHR patterns in ob
Asthmas and wheezers
Shift to the left means
23. 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
Low Residue diet
Eyes
Head Injury
COPD and Pneumonia
24. Glaucoma patients lose peripheral vision. Treated with meds
Glaucoma patients loose
Eyes
Birth control - Diaphram
What to do in the case of - A woman in labor with Un - Reassuring FHR
25. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.
Common S/S of Hodgkins Disease/Lymphoma
How do children less than one breathe
Common S/S of asthma
First sign of pyloric stenosis in a baby
26. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)
Thrombocyopenia - bleeding precautions
Omphalocele
Anorexia sucks because
VV and AA
27. - 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
Meningeal irriatation>
Nitrazine paper
Munchhausen Syndrome
MRI
28. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS
Parkisons
Nondairy sources of calcium
Common S/S of Bladder Cancer
Common S/S of TEF
29. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
When instilling eardrops
VV and AA
Lumbar Puncture
Guthrie test
30. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
S/S of a fat embolism
First sign of cystic fibrosis
During CBI (continuous bladder irrigation)
After Endoscopy
31. No nasotracheal suctioning with head injury or skull fracture.
Suctioning is good -- except
Hypovolemia
The first s/s of ards
c02 builds up and causes
32. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION
Signs of a hip fracture
PCWP
Common S/S Hepatic Encephalopathy
Potassium and acid base balance
33. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Detached Retina
Common S/S of asthma
Incentive Spirometry steps
c02 builds up and causes
34. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP
Addisonian Crisis
Flu shot always ask
CABG
How do children less than one breathe
35. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others
Omphalocele
DKA
Nepphrotic syndrome
Greeks
36. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
Common S/S Hepatic Encephalopathy
ALS
What to do for addisons/cushings
Glomerulonephritis
37. 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
Detached Retina
Order of assessment
Guthrie test
Common S/S of SLE
38. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
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39. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.
What to do in a sucking stab wound
After Gtube placement
Osteomyeltitis
Common S/S of BPH
40. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood
Stranger Danger>!
Hep A precautions
When is Rhogam given and how
Crackles most likely are...
41. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)
Before a pft
Shock
1 cup= How many oz
What is obtained before starting any iv antibiotic
42. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.
Cystic fibrosis
Stomas
Hypovolemia
Post Thyroidectomy
43. Liver - brain - lung - bone - and lymph
Traction rule
Room air is...
Common sites for metastatsis
Signs of a hip fracture
44. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)
To prevent dumping syndrome
Common S/S of Cholera
Pathological jaundice
Nepphrotic syndrome
45. CHRONIC pain
Cane walking
Guided imagery is great for
After appendectomy
Dangerous thing to get during pregnancy
46. Recurrent bloody diarrhea
Common S/S of Ulcerative Colitis
Risus Sardonicus
What to do in a sucking stab wound
Cath lab
47. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.
IVP requires
Temp conversion
Acid/ ASH diet
Common S/S of leprosy
48. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.
CPR in a five year old
SIADH
Pneumonia
Hightest priority for RA
49. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.
S/S of a fat embolism
Hypernatremia
Rh
PCWP
50. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Common S/S of MG
Tylenol poisioining
Low crit/hemoglobin
Common S/S of SLE