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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. ICP (intracranial pressure) should be <2. measure head circonference.
PKU
Glomerulonephritis
Rule of thumb for obsessions/distractions
ICP
2. *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
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3. Nurses First action is to listen to fetal rate/tone
Thyroid storm
When a pt comes in and she is in active labor
Russel Traction =
Common S/S of Thypohiod
4. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure
MRSA and VRSA precautions
Osteomyeltitis
Immunizations rules
Nonfat milk
5. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.
Shift to the left means
Lumbar Puncture
Cryptoorchidism
Cute way to remember glascow coma
6. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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7. Handle any blood
Bryant's traction=
Highest priortiy in status elipticus
Common S/S of hypocalcemia
LVN/LPN cant
8. Area of detachment should be in the dependent position -- dependent meaning supported by something
Detached Retina
Contact transmission precautions
Rule of nines
Major risks of epidural
9. 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.
After Supratentorial Surgery
Side rail rules
Pancreatitis pts>
Common S/S of retinal detachment
10. Cultures
What is obtained before starting any iv antibiotic
Common S/S of Thypohiod
Rule of nines
Kids with RSV>
11. 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
Common S/S of Shock
Rule of thumb for obsessions/distractions
Heart Defects
Why somone who is allergic to latex would be allergic to food too
12. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030
What could cause bronchopulmonary dysplasia
Hypovolemia
Birth control - Diaphram
Common S/S Acromegaly
13. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution
Hypernatremia
Lymes mostly found in
Orthostatis is verfied by
Kernigs sign
14. Swimming
Asthma and arthritis best excercise
After Cataract surgery
For cord compression in OB
After Supratentorial Surgery
15. 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').
4 year olds
Common S/S of BPH
What to do in the case of - A woman in labor with Un - Reassuring FHR
Immunizations rules
16. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis
Cullens sign
Buck's Traction
Cmmon S/S Fibrin Hyalin
Common S/S Duchennes Muscular Dystrophy
17. Ambient air (room air) contains 21 % o2
Room air is...
Addisons
For PVD remember
Dystocia
18. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne
Immunizations rules
FHR patterns in ob
What is bleeding considered in ADPIE
Hypo - parathyroid
19. (skin traction) --> elevate foot of bed for counter - traction
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20. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.
What will alter the accuracy of o2 sats
Hep B vaccine always ask
Common S/S of emphysema
S/S of a fat embolism
21. Another c section with any more kids
Diff between placenta previa and placenta abrupto
A patient with vertical c - section will likely have
SIADH
Room air is...
22. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a
Rule of thumb for obsessions/distractions
When patient is in distress
Psuedomembrane in DIptheria
Who produces insulin
23. Place in prone position
Signs observed in hypocalemia
Before a pft
Protocol for Airborne Transmission
With lower amputations
24. Increased temp - pulse and HTN
Thyroid storm
Common S/S of Cataract
How do children less than one breathe
After Cataract surgery
25. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.
Labs for congenital heart disease
CVA
Common S/S of guillian Barre Syndrome
TB test confirmation
26. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.
Cardinal signs of ARDS
Airborne Transmission
When is Rhogam given and how
Highest priortiy in status elipticus
27. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)
MORE info on DKA ugh!
For PVD remember
Immunizations rules
Where are most spinal cord injuries
28. 1 cup= 8 oz
1 tablespoon = How many ml
Late Decels
Hemovac
1 cup= How many oz
29. No nasotracheal suctioning with head injury or skull fracture.
Hep A precautions
Pathological jaundice
Suctioning is good -- except
Anorexia sucks because
30. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.
During CBI (continuous bladder irrigation)
Compartment syndrome
Hearing the baby in OB
PTB
31. Small frequent is better than large
Best way to tube feed or feed kids
HypoKalemia
Hep A precautions
Tidal volume
32. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross
ICP
For PVD remember
Why somone who is allergic to latex would be allergic to food too
ACID ash diet
33. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
Cane walking
HypoKalemia
For cord compression in OB
SIADH
34. Low or semi - Fowler's - support head - neck and shoulders.
Cephalhematoma (caput succinidanium)
After Thyroidectomy
ABG drawin
Labs for congenital heart disease
35. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.
Kids pain relief in NCLEX land
How to put on traction
Protocol for Airborne Transmission
Pain in the LLQ indicative of...
36. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid
Hepatitis
Green - Minimal
Labs in DKA>
Kids with RSV>
37. 1 pint= 2 cups
HyperMg
1 cup= How many oz
1 pint = How many cups
Before giving MMR>
38. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)
What to do in the case of - A woman in labor with Un - Reassuring FHR
Dumping syndrome
Main hypersensitivity for antiplatelet drugs
Below the knee amputation
39. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.
After Cataract surgery
Low crit/hemoglobin
Osteomyeltitis
Signs observed in hypocalemia
40. If HR is <100 do not give dig to children.
Dig rule for kids
Anorexia sucks because
More info on TB testing a positive result
Greeks
41. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn
What could cause bronchopulmonary dysplasia
Cane walking
Alkaline Ash diet
Common S/S of asthma
42. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame
Phenalalanine
When a pt comes in and she is in active labor
Hearing the baby in OB
Yellow - Delayed
43. 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
Lymes mostly found in
Pheochromocytoma
Shift to the left means
COPD and Pneumonia
44. 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
Hypercalemia
Tet spells
MMR SHot
Myasthenia gravis
45. 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!
Above the knee amputation
Common S/S of guillian Barre Syndrome
Risus Sardonicus
Infant with Cleft lip
46. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.
Burn Degrees
ALS
After removal of the pituitary gland what should you watch for
Hyper reflexive Absent reflexsive
47. Ottorhea
Heart problems
What is a bad sign in asthma
Uremic Fetor
Common S/S of Basilar Fracture
48. Toes curl= GREAT Toes fan = BAD
Grey Turners sign
Babinski sign
Heroin withdrawl in a neonate
Common S/S of Hodgkins Disease/Lymphoma
49. 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
Emphysema
Pulmonary sarcoidosis
MORE info on DKA ugh!
Fontanelles
50. Allergic to eggs (Tristan D. ) !
Flu shot always ask
Common S/S of down syndrome
autonomic dysreflexia
Cardinal signs of ARDS
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