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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. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a
Hypo - parathyroid
For a lung biopsy
Common S/S of Cholera
Common S/S of Cushings syndrome
2. Lioning face
CABG
When patient is in distress
Common S/S of leprosy
After appendectomy
3. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis
What to do for addisons/cushings
Cullens sign
Russel Traction =
Common S/S Acromegaly
4. Pulse area cpr on infant
Brachial Pulse
What to do if your patients chest tube accidently getes removed
Jews
PCWP
5. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -
What to do in the case of tube feeding with decreased LOC
Myelogram
How do you treat a small bowel obstruction
Common S/S of Cystitis
6. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)
To prevent dumping syndrome
Thrombocyopenia - bleeding precautions
PDA
Common S/S of Lyme's disease
7. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst
Acid/ ASH diet
Hypernatremia SALT
Nuetropenic patients
Immunizations rules
8. Visual floaters - flashes of light - curtain vision
Common S/S of pyloric stenosis
Nondairy sources of calcium
Crackles most likely are...
Common S/S of retinal detachment
9. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS
1 cup= How many oz
Common S/S of BPH
Other S/S of MS
Babinski sign
10. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.
Common S/S of chicken pox
When a pt comes in and she is in active labor
Green - Minimal
Common S/S of BPH
11. 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
Thrombocyopenia - bleeding precautions
Common S/S of glaucoma
When to test urine for ketones and glucose
12. 1 gr (grain)= 60 mg
Shock
1 gr= How many mg
What to do if your patients chest tube accidently getes removed
Signs to look for in meningitis
13. TIA (transient ischemic attack) mini stroke with no dead brain tissue
Other S/S of MS
More info on EEG
Options for cancer
TIA
14. Age 4 to 5 yrs child needs DPT/MMR/OPV
Common S/S of PTB
Common S/S of Diptheria
CABG
Age 4=5 year shots
15. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r
More info on intussception
Thyroid storm
Whats petaling
Kidneys and ears
16. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
Most accurate way to test kids for medication accuracy
Pancreatitis prioritys
Ventilator Alarms
Heart problems
17. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Bethamethasone
Tube and J tubes are usually
Penis Problems
Side rail rules
18. Normal in CHF from the squishin'.. Not normal in an MI patient
Uremic Fetor
Wilms tumor
s3 heart sound is normal not
Major risks of epidural
19. ** IVP requires bowel prep so they can visualize the bladder better
IVP requires
Common S/S of Tetany
Enema positioning
4 year olds
20. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).
Common S/S of Kawasaki syndrome
Cath lab
Peds positioning for GERD
Cane walking
21. Expiratory grunt -- Causes Infant respiratory distress!
Diverticulitis
Hypercalemia
PDA
Cmmon S/S Fibrin Hyalin
22. Trousseau and Tchovoski signs observed in hypocalcemia
After Infratentorial Surgery
Signs observed in hypocalemia
Besides meds and congenital problems .. What can lead to decreased preload
Change in color is
23. (skin traction) --> elevate foot of bed for counter - traction
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24. Beta cells of pancreas produce insulin
If kid has a cold
Who produces insulin
Dangerous thing to get during pregnancy
Common S/S of SLE
25. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).
Menieres's disease
Shock
Maslow for a guy who lost his house in a fire
Group - A strep
26. Pumonary tuberculosis
Appendicitis
Asthmas and wheezers
PTB
Common S/S of Pemphigus Vulgaris
27. Chvostek and Trosseaus sign! Also hypomag!
Common S/S of hypocalcemia
Options for cancer
Common S/S of Increased ICP
LVN/LPN cant
28. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Hyperparathyroid
Nepphrotic syndrome
Behavior/Developmental - Peds
If you see a nurse make a mistake Chain of command
29. Portal hypotension + albuminemia= Ascites.
Common S/S of pneumonia
Cause of Ascites
OB secret
CPR in a five year old
30. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)
Common S/S of Pemphigus Vulgaris
Therapies
Common S/S of measles
Peritoneal dialysis
31. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.
In depth - Color codes
Dystocia
Pneumonia
How many liters of O2
32. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.
Graves disease/ Hyperthyroidism
Why would a pt with leukemia have epistaxis
Placement of a wheelchair
Cerebral angio prep
33. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.
Depression manifests itself
Peritoneal dialysis
Dumping syndrome
Paracentesis
34. Respiratory problems!
Kids with RSV>
Grey Turners sign
Chief concern in CF
Menieres's disease
35. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.
Diff between placenta previa and placenta abrupto
Infant with Spina Bifida
How do you treat a small bowel obstruction
Post Thyroidectomy
36. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Cold stress in a newborn
Crackles most likely are...
Decorticate and Decerebrate
Shift to the left means
37. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030
Acid/ ASH diet
Hypovolemia
A patient with vertical c - section will likely have
CPR in a five year old
38. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t
Common S/S Duchennes Muscular Dystrophy
DKA
Color codes
Peds positioning for GERD
39. 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.
Common S/S of Cataract
Delegation Rule of Thumb?
Side rail rules
Emphysema
40. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.
Appendicitis
Shock
SARS
Common S/S of chicken pox
41. Lymes is found mostly in Conneticuts
MRSA and VRSA precautions
HyperKalemia
Lymes mostly found in
caput succedaneum=
42. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!
Western blot test
Common S/S of Hodgkins Disease/Lymphoma
Labs for congenital heart disease
Kawasaki disease causes
43. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
Gastric ulcer pain
Best indicator of dehydration
Hypo - parathyroid
Eyes
44. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (
Thyroid storm
Cranial Nerves
Preload and Afterload
What disease leads to cardiac valve malfunctions
45. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.
Hypo - parathyroid
Allen's test
Myasthenia gravis
HyperMg
46. Pain is usually the highest priority with RA
What to do in a sucking stab wound
Immunizations rules
Hightest priority for RA
During epidural puncture
47. Rose spots on abdomen
Bence Jones protein in urine
Osteomyeltitis
Common S/S of Thypohiod
If you see a nurse make a mistake Chain of command
48. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.
Rh
How to put on traction
Addisonian Crisis
When instilling eardrops
49. Glucose
HypoMg
What to do if your patients chest tube accidently getes removed
Besides sodium - water also follows
How to put on traction
50. Systematic desensitization
How to treat phobic disorders
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
After Myringotomy
Common S/S of epiglottitis
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