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NCLEX Final Ati Study

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. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma
Asthmas and wheezers
Tube and J tubes are usually
If your patient starts seeing bugs
Common S/S of pneumonia

2. 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
School aged kids and five year olds
Common S/S of Infectious Mononucleosis
Myelogram
Color codes

3. If HR is <100 do not give dig to children.
Common S/S of Tetany
Common S/S of parkinsons
To prevent dumping syndrome
Dig rule for kids

4. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
caput succedaneum=
Common S/S of Intusseption
Common S/S of leprosy
After Myringotomy

5. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)
Phenalalanine
HypoKalemia
ALS
Common S/S of Lyme's disease

6. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
Common S/S of cystic fibrosis
A patient with vertical c - section will likely have
Airborne Transmission
Cystic fibrosis

7. Bossing Sign (prominent forehead)
Apgar Scoring
Common S/S Acromegaly
Nephrotic syndrome
Common S/S of Hydrocephalosis

8. Never release traction unless you have an order from an MD to do so
Labs for congenital heart disease
SARS
Traction rule
Common S/S of Dengue

9. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Nepphrotic syndrome
Shift to the left means
1 tsp= How many ml
Therapies

10. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.
Dance Sign
After removal of the pituitary gland what should you watch for
Parkisons
Behavior/Developmental - Peds

11. 1 T(tablespoon)= 3 t = 15 ml
Common S/S of retinal detachment
Laparoscopy
HypoMg
1 tablespoon = How many ml

12. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.
Hydrocele
Labs in DKA>
Common S/S of PTB
A patient with vertical c - section will likely have

13. Salty skin
Common S/S of cystic fibrosis
SIADH
Cushings
Immunizations rules

14. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
Hep A precautions
Tidal volume
Renal impairment labs
Tenkhoff cath

15. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce
Appendicitis
Common S/S of Liver cirrhoisis
Common S/S of Hydrocephalosis
MS

16. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.
Dystocia
Therapies
Guthrie test
Common S/S of Basilar Fracture

17. 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
Paracentesis
Phenalalanine
Kidneys and ears
Hyponatremia

18. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)
Common S/S of emphysema
What to do in the case of - A woman in labor with Un - Reassuring FHR
Penis Problems
Side rail rules

19. Sausage shaped mass - Dance sign (empty portion of RLQ)
Common S/S of Cataract
Where are chest tubes placed
After Infratentorial Surgery
Common S/S of Intusseption

20. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
HypoKalemia
FHR patterns in ob
Common S/S of GERD
Botox

21. 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.
Behavior/Developmental - Peds
Cane walking
Green - Minimal
Immunizations rules

22. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS
Glomerulonephritis
Nondairy sources of calcium
SLE
Common S/S of Bulimia

23. Area of detachment should be in the dependent position -- dependent meaning supported by something
Birth control - Diaphram
Detached Retina
Head Injury
Rule of thumb for assisting pysch patients

24. 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 (
Cranial Nerves
Peds weight
coarctation of the aaorta causes
Side rail rules

25. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis
Common S/S of Cholera
Common S/S of Pemphigus Vulgaris
Tetraology of Fallot
Autonomic Dysreflexia

26. Low magnesium and high creatinine signal renal failure.
More labs suggestive of renal failure
Order of assessment
Common S/S Hepatic Encephalopathy
Buck's Traction

27. 30 ml = 1 oz
Cmmon S/S Fibrin Hyalin
Before a pft
Thrombocyopenia - bleeding precautions
How many oz in a ml

28. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Crackles most likely are...
Apgar scores/scoring
Fontanelles
Common S/S of Thypohiod

29. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.
Kernigs sign
Paget's disease
High priority in Addisons
Signs of a hip fracture

30. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA
TB health risk
Common S/S of guillian Barre Syndrome
Fetal alcohol sydrome
Charcots sign

31. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
Lumbar Puncture
During CBI (continuous bladder irrigation)
Common S/S of Meningitis
Dumping syndrome

32. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)
Risus Sardonicus
Hightest priority for RA
To remember blood sugar
Hirschsprungs

33. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress
Apgar scores/scoring
Addisons
Common S/S of Kawasaki syndrome
Prolapsed Cord

34. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
1 tsp= How many ml
Above the knee amputation
Gastric ulcer pain
Common S/S of MG

35. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.
Renal impairment labs
1 kg= How many pounds
Common S/S of asthma
More info on intussception

36. No meat and milk together
Cause of Ascites
For a lung biopsy
Jews
PTB

37. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump
Yeast infection in a babys mouth
Cushings
Kidneys and ears
Jews

38. An occulsive dressing is used
Common S/S of guillian Barre Syndrome
The first s/s of ards
What to do if your patients chest tube accidently getes removed
What is a bad sign in asthma

39. MRI- claustrophobia - no metal - assess pacemaker
MRI
Med that can't be infused Intra osseously
MS
Common s/s of PDA

40. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics
SIADH
Murphy's sign
Hep A precautions
Common S/S of Hydrocephalosis

41. Coarse facial features
Autonomic Dysreflexia
Common S/S Acromegaly
Cullens sign
Graves disease/ Hyperthyroidism

42. For Meningitis check for Kernig's/ Brudzinski's signs.
What is obtained before starting any iv antibiotic
After removal of the pituitary gland what should you watch for
Above the knee amputation
Signs to look for in meningitis

43. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
Vertical C section
Common S/S Duchennes Muscular Dystrophy
Common S/S of Increased ICP
VV and AA

44. 3 -4 -6
Fetal alcohol sydrome
Cranial nerves for Assessing extraocular eye movements
Common S/S of Bladder Cancer
Babinski sign

45. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency
HyperMg
What happens when phenylalanine increases
For PVD remember
Dumping syndrome

46. Stepladder like fever with chills
1 g = How many mg
Dance Sign
Common S/S of Malaria
Tension Pneumothorax

47. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
Common S/S of PTB
Tetraology of Fallot
Before Epidural
What to do in the case of tube feeding with decreased LOC

48. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Common S/S of Dengue
Peritoneal Dialysis when outflow is inadequate
Kids with RSV>
Protocol for Airborne Transmission

49. 1 gram = 1000 mg
To prevent dumping syndrome
Tube and J tubes are usually
When to test urine for ketones and glucose
1 g = How many mg

50. Renal impairment: serum creatinine elevated and urine clearance decreased
s/s of a fat embolism
Renal impairment labs
Guillian Barre
What will alter the accuracy of o2 sats