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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. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
What is obtained before starting any iv antibiotic
TIA
Murphy's sign
HypoMg
2. 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 -
Pancreatitis prioritys
Common S/S of appendicitis
Myelogram
Highest priortiy in status elipticus
3. ICP (intracranial pressure) should be <2. measure head circonference.
Halo
Cranial nerves for Assessing extraocular eye movements
Peritoneal Dialysis when outflow is inadequate
ICP
4. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
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5. Place the apparatus first then place the weight (der)
What if a toddler says no to medication
Side rail rules
coarctation of the aaorta causes
How to put on traction
6. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster
Thoracentesis
COPD patients
Common S.S of Retino Blastoma
autonomic dysreflexia
7. Coarse facial features
Common S/S Acromegaly
Post spleenectomy
Cephalhematoma (caput succinidanium)
Head Injury
8. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Hyper reflexive Absent reflexsive
What to do in a sucking stab wound
After Endoscopy
Osteomyeltitis
9. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
CPR in a five year old
Shilling test
Asthma and arthritis best excercise
Labs in DKA>
10. (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
Guthrie test
When to test urine for ketones and glucose
Hep A precautions
11. Vastus lateralis is IM administration site for 6month infants
Hyper reflexive Absent reflexsive
Orthostatis is verfied by
What to do if your patients chest tube accidently getes removed
Immunizations rules
12. Sausage shaped mass - Dance sign (empty portion of RLQ)
Common S/S of Intusseption
Murphy's sign
Uremic Fetor
How to put on traction
13. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B
Hepatitis
Hydrocele
Diabetes Insipidus
Post spleenectomy
14. ** IVP requires bowel prep so they can visualize the bladder better
Common S/S of Liver cirrhoisis
Apgar Scoring
IVP requires
Hirschsprungs is dx how
15. Expiratory grunt -- Causes Infant respiratory distress!
Autonomic Dysreflexia/ Hyperreflexia
Group - A strep
Common sites for metastatsis
Cmmon S/S Fibrin Hyalin
16. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
More info on lumbar puncture
Hep A precautions
Coomb's test
Cephalhematoma (caput succinidanium)
17. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)
Peritoneal Dialysis when outflow is inadequate
Osteomyeltitis
Grey Turners sign
Hyperparathyroid
18. Bossing Sign (prominent forehead)
Cmmon S/S Fibrin Hyalin
Common S/S of Hydrocephalosis
What disease leads to cardiac valve malfunctions
Hypernatremia SALT
19. 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.
HyperMg
Why would a pt with leukemia have epistaxis
Hightest priority for RA
Myasthenia gravis
20. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist
1 tablespoon = How many ml
Chvostek and Trosseaus sign
Hypernatremia
Stomas
21. Most spinal cord injuries are at the cervical or lumbar regions
Where are most spinal cord injuries
Common S/S of pancreatitis
Guthrie test
Common S/S of Hodgkins Disease/Lymphoma
22. Opposites! Nursing connection! Think about it!
Common S/S of pernicious anemia
ALS
What to do in the case of - an Air/Pulmonary Embolism
MG and Guillian Barre
23. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings
Common S/S of TEF
When a pt comes in and she is in active labor
MRSA and VRSA precautions
Who produces insulin
24. Vesicular rash (central to distal) dew drop on rose petal
Why somone who is allergic to latex would be allergic to food too
autonomic dysreflexia
More info on TB testing a positive result
Common S/S of chicken pox
25. Patent ductuous arteriousus in infants! Valve doesn't close!
How do you treat a small bowel obstruction
Cane walking
Appendicitis
PDA
26. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.
What is obtained before starting any iv antibiotic
Western blot test
Common S/S of Liver cirrhoisis
Common S/S of Hodgkins Disease/Lymphoma
27. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s
Liver biopsy
Burn Degrees
Osteomyeltitis
Common S/S of pyloric stenosis
28. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)
Shock
The first s/s of ards
Shift to the left means
How do you teach someone to reduce back aches
29. Barrel chest
Apgar Scoring
Sources of potassium
Cullens sign
Common S/S of emphysema
30. Battles Sign and Racoon's eyes
Allen's test
Incentive Spirometry steps
Common S/S of glaucoma
Common S/S of orbital fracture
31. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.
Addisons
CABG
Common S/S of SLE
LVN/LPN cant
32. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA
VRSA
Cane walking
Common S/S of Increased ICP
Fetal alcohol sydrome
33. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan
How to Dx a AAA
Appendicitis
VV and AA
School aged kids and five year olds
34. Recurrent bloody diarrhea
Greeks
Common S/S Hepatic Encephalopathy
What can also cause an s3 heart sound
Common S/S of Ulcerative Colitis
35. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care
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36. (incision behind hairline) --> elevate HOB 30-45 degrees
Hepatitis
Blood typing
After Supratentorial Surgery
Hypo - parathyroid
37. Painless hematuria... CA=Cancer ! Duhh
Common S/S of Bladder Cancer
In depth - Color codes
Cerebral angio prep
Prolapsed Cord
38. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)
Common S/S of Meningitis
Diverticulitis
Labs for congenital heart disease
Hightest priority for RA
39. 1 T(tablespoon)= 3 t = 15 ml
Asthma and arthritis best excercise
Psuedomembrane in DIptheria
Hydrocele
1 tablespoon = How many ml
40. For Meningitis check for Kernig's/ Brudzinski's signs.
Kawasaki disease causes
Signs to look for in meningitis
What to do in the case of - an Air/Pulmonary Embolism
Tet spells
41. Slowed physical and mental function - sensitivity to cold - dry skin and hair
Common S/S of PTB
Color codes
Myxedema/ hypothroidism
CPR in a five year old
42. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool
Blood typing
NMS
Tube and J tubes are usually
Parkisons
43. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency
When a pt comes in and she is in active labor
Hodgkins disease
Common S/S of Lyme's disease
HyperMg
44. Ottorhea
Common S/S of Basilar Fracture
Compartment syndrome
When a pt comes in and she is in active labor
Gerd again
45. Just know the MMR and Varicella immunizations come later (15 months).
Behavior/Developmental - Peds
Tylenol poisioining
Gerd again
MMR and Varicella
46. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't
After lumbar puncture
Potassium lab importance
Thoracentesis
Hep A precautions
47. EleVate Veins; dAngle Arteries for better perfusion
Pancreatitis pts>
Phenalalanine
VV and AA
Cranial nerves for Assessing extraocular eye movements
48. 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
What to do in the case of - an Air/Pulmonary Embolism
MS
Common S/S of emphysema
How many oz in a ml
49. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
Common S/S of Ulcerative Colitis
PCWP
Cranial Nerves
Pathological jaundice
50. (incision at nape of neck)--> position pt flat and lateral on either side.
After Infratentorial Surgery
After Supratentorial Surgery
Heroin withdrawl in a neonate
Heart Defects