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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. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.
Common S/S of Pemphigus Vulgaris
How to itch under a cast
Amniocentesis is performed and why
Common S/S of addisions
2. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!
Cranial Nerves
Meningeal irriatation>
Common S/S of Infectious Mononucleosis
Tetraology of Fallot
3. Kussmauls breathing (deep rapid RR)
coarctation of the aaorta causes
NMS
Myasthenia gravis
Common S/S of DKA
4. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
Cute way to remember glascow coma
Myasthenia gravis
Vertical C section
Positioning with pneaumonia
5. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)
Bethamethasone
Dumping syndrome
MRSA and VRSA precautions
Thoracentesis
6. Systemic Lupus Ethramoutus.... (Lupus)
SLE
Common S/S of SLE
SIADH
Common S/S of MG
7. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.
Common S/S of appendicitis
Rule of thumb for obsessions/distractions
Botox
What to do in the case of - A woman in labor with Un - Reassuring FHR
8. Seizure>
Common sites for metastatsis
Eclampsia is a
How to put on traction
Cephalhematoma (caput succinidanium)
9. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
HHNS Vs DKA
HyperMg
Osteomyeltitis
A child with a ventriculoperitoneal shunt
10. 2.2
1 kg= How many pounds
TB test confirmation
Hepatitis
Compartment syndrome
11. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse
A preggo in a minus station
What to do in the case of - an Air/Pulmonary Embolism
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Omphalocele
12. Skeletal or skin
Dunlap traction=
Brachial Pulse
If you THINK a patient has new HTN
Glomerulonephritis
13. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues
Cerebral palsy
Diff between placenta previa and placenta abrupto
If you see a nurse make a mistake Chain of command
Pt with edema and walking
14. Chvostek and Trosseaus sign! Also hypomag!
Traction in kids
Menieres's disease
Common S/S of hypocalcemia
s/s of a fat embolism
15. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme
PKU
Best indicator of dehydration
Cystic fibrosis
Bethamethasone
16. Hydration is a big priority!
What to do in the case of - an Air/Pulmonary Embolism
Before Epidural
Pancreatitis prioritys
Autonomic Dysreflexia/ Hyperreflexia
17. Charcot's Triad (IAN)
Guillian Barre
Ventilator Alarms
Hemovac
Common S/S of MS>
18. 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
Myxedema/ hypothroidism
Incentive Spirometry steps
COPD and Pneumonia
Common S/S of Shock
19. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.
Paracentesis
When you see coffee brown emesis think>
Side rail rules
Greeks
20. Wheezing on EXPIRATION
Common S/S of asthma
A child with a ventriculoperitoneal shunt
Late Decels
How do you teach someone to reduce back aches
21. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle
Side effects of thyroid hormones
Fetal alcohol sydrome
For an EEG test
Cold stress in a newborn
22. If patients have hallucinations redirect them. In delusions distract them.
Rule of thumb for assisting pysch patients
Common S/S of addisions
Best indicator of dehydration
Common S/S of Malaria
23. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
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24. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Nepphrotic syndrome
Hba1c
Med that can't be infused Intra osseously
Therapies
25. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia
Dystocia
Whats petaling
Sickle cell crisis
Labs in DKA>
26. 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
Meningeal irriatation>
Cephalhematoma (caput succinidanium)
Common S/S of Shock
Hearing the baby in OB
27. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
More info on lumbar puncture
PCWP
Nepphrotic syndrome
Facts about hemophilia
28. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing
Common S/S of Hydrocephalosis
More info on lumbar puncture
1 kg= How many pounds
S/S of a fat embolism
29. Trachea shifts to the opposite side
Tension Pneumothorax
Common S/S of down syndrome
caput succedaneum=
Asthma and arthritis best excercise
30. Vesicular rash (central to distal) dew drop on rose petal
Munchhausen Syndrome
What disease leads to cardiac valve malfunctions
What treats tet spells
Common S/S of chicken pox
31. 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
More info on droplet precautions
Prior to liver biopsy
Vertical C section
Cryptoorchidism
32. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.
During epidural puncture
Facts about hemophilia
MG and Guillian Barre
Compartment syndrome
33. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)
SIADH
MRSA and VRSA precautions
Apgar Scoring
Liver biopsy
34. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
How will CSF look in meningitis
What to do in a sucking stab wound
Charcots sign
Cryptoorchidism
35. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension
Asthmas and wheezers
Change in color is
Orthostatis is verfied by
1 g = How many mg
36. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
Diabetes Insipidus
What to do in the case of - an Air/Pulmonary Embolism
What to do in the case of tube feeding with decreased LOC
Common S/S of Liver cirrhoisis
37. Place a wheelchair parallel to the bed on the side of weakness
Common S/S of DKA
Common S/S Acromegaly
MRI
Placement of a wheelchair
38. Bananas - potatoes - citrus fruits
Emphysema
Acid/ ASH diet
Sources of potassium
Anorexia sucks because
39. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias
TEF
Best indicator of dehydration
Common S/S of hypocalcemia
Alzheimers
40. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.
When a pt comes in and she is in active labor
Complications of mechanical ventilation
If you see a nurse make a mistake Chain of command
Tylenol poisioining
41. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution
Thrombocyopenia - bleeding precautions
Immunizations rules
Hypernatremia
Mcburney's point
42. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!
Cane walking
Common S/S Acromegaly
Traction rule
Common S/S Duchennes Muscular Dystrophy
43. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3
Common S/S of Meningitis
PTB
What can also cause an s3 heart sound
OB secret
44. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.
Pneumonia
Eyes
MRSA and VRSA precautions
Age 4=5 year shots
45. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.
1 lb = How many ozs
How to Dx a AAA
MMR SHot
Tube and J tubes are usually
46. Brain problems occur
Osteomyeltitis
Myelogram
What happens when phenylalanine increases
Hepatitis
47. 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.
Low Residue diet
First sign of pyloric stenosis in a baby
Eclampsia is a
CPR in a five year old
48. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or
MMR SHot
Common S/S Duchennes Muscular Dystrophy
ABG drawin
For cord compression in OB
49. Position prone (on abdomen) so that sac does not rupture
Infant with Spina Bifida
S/S of a fat embolism
Halo
Ventilator Alarms
50. Small frequent is better than large
Pain in the LLQ indicative of...
How to treat phobic disorders
Best way to tube feed or feed kids
ICP and Shock have
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