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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. Expiratory grunt -- Causes Infant respiratory distress!
1 cup= How many oz
Protocol for Airborne Transmission
Cmmon S/S Fibrin Hyalin
After Endoscopy
2. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
High priority in Addisons
Common S/S of GERD
Common S/S of measles
Myelogram
3. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Rule of thumb for assisting pysch patients
After Myringotomy
Glomerulonephritis
Apgar scores/scoring
4. Peptic ulcer
Dystocia
When you see coffee brown emesis think>
Highest priortiy in status elipticus
Common S/S of cystic fibrosis
5. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.
Hemovac
To prevent dumping syndrome
Incentive Spirometry steps
Cane walking
6. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V
7. 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.
Hirschsprungs is dx how
Who produces insulin
Common S/S of epiglottitis
The first s/s of ards
8. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
COPD and Pneumonia
If your patient starts seeing bugs
Green - Minimal
Hyperthyroidism
9. Skin to skin contact on mom with a blanket
Rule of thumb for obsessions/distractions
Head Injury
If your patient starts seeing bugs
Best way to warm a newborn
10. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)
Heroin withdrawl in a neonate
Common S/S of Pemphigus Vulgaris
Diabetes Insipidus
Positioning with pneaumonia
11. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
First sign of cystic fibrosis
Peritoneal Dialysis when outflow is inadequate
Kids pain relief in NCLEX land
What if a toddler says no to medication
12. Kopliks spots
Common S/S of measles
Cane walking
What happens when phenylalanine increases
Hypocalemia
13. Rice watery stool
Common S/S of Cholera
Heart Defects
Normal Hemoglobin
Psuedomembrane in DIptheria
14. 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
Renal impairment labs
Most accurate way to test kids for medication accuracy
What if a toddler says no to medication
15. 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
Common S/S Hepatic Encephalopathy
OB secret
Dance Sign
Common S/S of Hodgkins Disease/Lymphoma
16. 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
Pt with edema and walking
Hearing the baby in OB
GTT for preggos
Dangerous thing to get during pregnancy
17. Petechiae. Treated with heparin.
s/s of a fat embolism
Besides sodium - water also follows
1 tsp= How many ml
More IVP info
18. 2.2
1 kg= How many pounds
Wilms tumor
What to in the case of - Pt with heat stroke
Immunizations rules
19. Upper part of the uterus
For an EEG test
CVA
What to check children for at age 12 months
Where should placenta be
20. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Decorticate and Decerebrate
Common S/S of Shock
COPD and Pneumonia
Hepatitis
21. Hypotension and bradypnea / bradycardia are major risks and emergencies.
What is a bad sign in asthma
When patient is in distress
Greeks
Major risks of epidural
22. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Cephalhematoma (caput succinidanium)
For a lumbar puncture
What is obtained before starting any iv antibiotic
Protocol for Airborne Transmission
23. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5
Common S/S of retinal detachment
A preggo in a minus station
s3 heart sound is normal not
Normal Hemoglobin
24. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.
Glomerulonephritis
ALS
Radioactive iodine
Incentive Spirometry steps
25. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood
Common S/S of epiglottitis
Common S/S of SLE
Stranger Danger>!
Rule of thumb for assisting pysch patients
26. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA
Fetal alcohol sydrome
LVN/LPN cant
Pain in the LLQ indicative of...
Wilms tumor
27. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.
After Thyroidectomy
Pneumonia
Common S/S of Intusseption
autonomic dysreflexia
28. Bronze like skin pigmentation
Guided imagery is great for
What to check children for at age 12 months
Common S/S of addisions
Hemovac
29. 1 T(tablespoon)= 3 t = 15 ml
VRSA
1 tablespoon = How many ml
HHNS Vs DKA
To prevent dumping syndrome
30. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing
Ventilator Alarms
Airborne Transmission
With lower amputations
Myxedema/ hypothroidism
31. Always check lead posioning levels
What to check children for at age 12 months
For cord compression in OB
Gastric ulcer pain
Common S/S of Bulimia
32. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').
GTT for preggos
Common S/S of Thypohiod
4 year olds
Who produces insulin
33. (severe acute resp syndrome) airborne + contact (just like varicella)
For a lumbar puncture
SARS
Best way to warm a newborn
Wilms tumor
34. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.
Bryant's traction=
The first s/s of ards
Common S/S of Hodgkins Disease/Lymphoma
When you see coffee brown emesis think>
35. 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
Kernigs sign
NG tube rules
High priority in Addisons
Common S/S of Shock
36. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.
Parkisons
Positioning with pneaumonia
MG and Guillian Barre
Russel Traction =
37. Bananas - potatoes - citrus fruits
Sources of potassium
With lower amputations
Common S/S of down syndrome
TEF
38. Vertigo - Tinnitus
39. EleVate Veins; dAngle Arteries for better perfusion
VV and AA
PCWP
Tidal volume
TEF
40. Inspiratory stridor.. LTB = croup!!!!
Eclampsia is a
Common S/S of Diptheria
More info on droplet precautions
Common S/S of LTB
41. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p
Vertical C section
Preload and Afterload
More info on lumbar puncture
Milk for kids
42. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.
coarctation of the aaorta causes
Hepatitis
Hirschsprungs
After Total Hip Replacement
43. Side lying
1 g = How many mg
Fetal alcohol sydrome
During epidural puncture
Common S/S of asthma
44. On bedrest while implant in place
Charcots sign
During internal radiation
Pt with edema and walking
Pheochromocytoma
45. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.
After appendectomy
Best way to tube feed or feed kids
CVA
After Gtube placement
46. For Meningitis check for Kernig's/ Brudzinski's signs.
SIADH
Hightest priority for RA
Signs to look for in meningitis
Potassium lab importance
47. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.
MRI
Buck's Traction
Therapies
Orthostatis is verfied by
48. Place a wheelchair parallel to the bed on the side of weakness
Common s/s of PDA
TIA
Placement of a wheelchair
Radioactive iodine
49. 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.
Uremic Fetor
OB secret
1 g = How many mg
Crutch use
50. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.
How to itch under a cast
Babinski sign
Hyperparathyroid
After removal of the pituitary gland what should you watch for