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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. Strawberry tongue
Common S/S of Kawasaki syndrome
Common S/S of Pemphigus Vulgaris
Common S/S of Basilar Fracture
Graves disease/ Hyperthyroidism
2. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump
Side effects of thyroid hormones
Cushings
Orange tag in pysch
More info on EEG
3. Systematic desensitization
Common S/S of emphysema
Common S/S of Ulcerative Colitis
How to treat phobic disorders
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
4. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood
CABG
Rule of thumb for obsessions/distractions
What to do for addisons/cushings
Stranger Danger>!
5. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
Wilms tumor
Common S/S of Kawasaki syndrome
Below the knee amputation
MORE info on DKA ugh!
6. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
Glomerulonephritis considerations
Before giving MMR>
Dystocia
Common S/S of Hodgkins Disease/Lymphoma
7. Position pt in left side - lying (Sim's) with knee flexed
Side effects of thyroid hormones
To remember blood sugar
Enema positioning
caput succedaneum=
8. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)
Thrombocyopenia - bleeding precautions
Common S/S of leprosy
Bucks traction =
Signs of a hip fracture
9. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Carbon dioxide narcosis
1 kg= How many pounds
Gerd again
Crutch use
10. 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.
Thoracentesis
First sign of pyloric stenosis in a baby
TIA
Hypocalemia
11. A newly diagnosed hypertension patient should have BP assessed in both arms
Orthostatis is verfied by
How many liters of O2
Babinski sign
If you THINK a patient has new HTN
12. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
What can also cause an s3 heart sound
After lumbar puncture
Tylenol poisioining
Hearing the baby in OB
13. Place in prone position
Decorticate and Decerebrate
Common S/S of pneumonia
With lower amputations
Common S/S of parkinsons
14. Kussmauls breathing (deep rapid RR)
Cerebral palsy
Common S/S of DKA
Hep B vaccine always ask
Low crit/hemoglobin
15. Glaucoma patients lose peripheral vision. Treated with meds
Glaucoma patients loose
TPN is given in
Common S/S of emphysema
What is obtained before starting any iv antibiotic
16. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.
DKA
Heart Defects
How do you treat a small bowel obstruction
Diff between angina and MI
17. Intercostal retractions=bad!
Guided imagery is great for
What is a bad sign in asthma
Appendicitis
DKA
18. 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.
Trendelenberg's test
Myasthenia gravis
Common S/S of Intusseption
Allen's test
19. 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
Prolapsed Cord
Labs for congenital heart disease
Heart Defects
When you see coffee brown emesis think>
20. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
Hightest priority for RA
Late Decels
Shilling test
How to Dx a AAA
21. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside
Likely cause of cardiac arrest in child
Low Residue diet
Whats petaling
Post Thyroidectomy
22. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)
Common S/S of TEF
Uremic Fetor
Rh
MRSA and VRSA precautions
23. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
Common S/S of Hodgkins Disease/Lymphoma
Vertical C section
Hep A precautions
HypoKalemia
24. Age 4 to 5 yrs child needs DPT/MMR/OPV
If kid has a cold
Knee replacement
A patient with vertical c - section will likely have
Age 4=5 year shots
25. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments
Hemovac
Botox
For a lumbar puncture
Brachial Pulse
26. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
Hep A precautions
Placement of a wheelchair
Pancreatitis pts>
HypoMg
27. 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)
Traction rule
Apgar Scoring
Uremic Fetor
How many oz in a ml
28. Femur or lower leg instability
What disease leads to cardiac valve malfunctions
CABG
Besides meds and congenital problems .. What can lead to decreased preload
Russel Traction =
29. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Hypervolemia
Enema positioning
Besides sodium - water also follows
After appendectomy
30. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
Developmental milestones
Hypocalemia
Side effects of thyroid hormones
A preggo in a minus station
31. Purple bruises around the belly button... Pancreatitis!
Before giving MMR>
Tube and J tubes are usually
MRSA and VRSA precautions
Grey Turners sign
32. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.
What to do in the case of - an Air/Pulmonary Embolism
Common S/S of Thypohiod
Kawasaki disease causes
Apgar Scoring
33. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
Below the knee amputation
TB test confirmation
Chvostek and Trosseaus sign
Common S/S of Cholera
34. Olive like mass
Common S/S of pyloric stenosis
To remember blood sugar
Common S/S of Thypohiod
Turner's sign
35. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
For PVD remember
Where are chest tubes placed
Common S/S of pancreatitis
After lumbar puncture
36. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.
IVP requires
To prevent dumping syndrome
After Gtube placement
Orange tag in pysch
37. 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 -
Turner's sign
Cullens sign
Myelogram
Common S/S of Thypohiod
38. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Common S/S of Diptheria
Incentive Spirometry steps
What to do in the case of tube feeding with decreased LOC
Cold stress in a newborn
39. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink
Gastric ulcer pain
Addisons
Common S/S of addisions
Developmental milestones
40. One pound equals 16 0z
1 lb = How many ozs
Cmmon S/S Fibrin Hyalin
Hightest priority for RA
Hyponatremia
41. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis
Tetraology of Fallot
ALS
What is obtained before starting any iv antibiotic
Nepphrotic syndrome
42. 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.
Cryptoorchidism
Common S/S of DKA
Developmental milestones
Common S/S of guillian Barre Syndrome
43. Bronze like skin pigmentation
Graves disease/ Hyperthyroidism
Common S/S of addisions
Color codes
HyperKalemia
44. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten
Eyes
Common S/S of Cholera
Potassium and acid base balance
Kids with HIV
45. 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.
Brachial Pulse
MORE info on DKA ugh!
Hirschsprungs is dx how
Common S/S Hepatic Encephalopathy
46. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
First sign of pyloric stenosis in a baby
If kid has a cold
Botox
47. 1 cup= 8 oz
1 cup= How many oz
Common S/S of pernicious anemia
Common S/S of pneumonia
ICP
48. Skin to skin contact on mom with a blanket
Best way to warm a newborn
Common S/S of Intusseption
School aged kids and five year olds
What to do for addisons/cushings
49. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.
Birth control - Diaphram
Peritoneal Dialysis when outflow is inadequate
Gerd again
Common S/S of glaucoma
50. If patients have hallucinations redirect them. In delusions distract them.
Disease precautions
More IVP info
For cord compression in OB
Rule of thumb for assisting pysch patients