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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. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)
Common S/S of Cystitis
FHR patterns in ob
How do you treat a small bowel obstruction
Shift to the left means
2. Place the apparatus first then place the weight (der)
No Cantalope
Dig rule for kids
How to put on traction
Psuedomembrane in DIptheria
3. Alk Ash diet - milk - veggies - rhubarb - salmon
How to put on traction
Placement of a wheelchair
Alkaline Ash diet
Hypercalemia
4. 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
Signs of a hip fracture
What is obtained before starting any iv antibiotic
Babinski sign
MS
5. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
What to check children for at age 12 months
When is Rhogam given and how
Gastric ulcer pain
Nephrotic syndrome
6. 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
Preload and Afterload
Osteomyeltitis
COPD and Pneumonia
If you see a nurse make a mistake Chain of command
7. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis
CVA
Common S/S Hepatic Encephalopathy
Low crit/hemoglobin
Contact transmission precautions
8. Strawberry tongue
Common S/S of Tetany
Common S/S of Kawasaki syndrome
Menieres's disease
Shilling test
9. Pulse area cpr on infant
Hydrocele
Facts about hemophilia
Trendelenberg's test
Brachial Pulse
10. CATS - convulsions - arrhythmias - tetany - spasms and stridor
Addisonian Crisis
Tube and J tubes are usually
Hypocalemia
Gastric ulcer pain
11. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other
Greenstick fracture
Before a pft
Milk for kids
Cerebral angio prep
12. Petechiae. Treated with heparin.
After Endoscopy
Med that can't be infused Intra osseously
Allen's test
s/s of a fat embolism
13. Bossing Sign (prominent forehead)
Lymes mostly found in
Hypovolemia
A child with a ventriculoperitoneal shunt
Common S/S of Hydrocephalosis
14. Recurrent bloody diarrhea
S/S of a fat embolism
Common S/S of Ulcerative Colitis
Glaucoma patients loose
Gastric ulcer pain
15. 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
Chvostek and Trosseaus sign
Complications of mechanical ventilation
Therapies
Nonfat milk
16. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc
Group - A strep
FHR patterns in ob
STD= gonnorrhea
Signs observed in hypocalemia
17. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.
4 year olds
Asthma and arthritis best excercise
Depression manifests itself
After Supratentorial Surgery
18. Olive like mass
Shilling test
A patient with vertical c - section will likely have
Mcburney's point
Common S/S of pyloric stenosis
19. 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
Burn Degrees
MORE info on DKA ugh!
ACID ash diet
Psuedomembrane in DIptheria
20. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.
Carbon dioxide narcosis
Glomerulonephritis considerations
Infant with Spina Bifida
Diff between angina and MI
21. 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)
Cane walking
Hyponatremia
Apgar Scoring
Yeast infection in a babys mouth
22. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics
SIADH
Uremic Fetor
Common S/S of cystic fibrosis
If kid has a cold
23. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
Gastric ulcer pain
TIA
Cane walking
If you THINK a patient has new HTN
24. Opposites! Nursing connection! Think about it!
Tetraology of Fallot
Common S/S of Cataract
Common S/S of Hodgkins Disease/Lymphoma
MG and Guillian Barre
25. Barrel chest
Where are most spinal cord injuries
Heart Defects
Common S/S of emphysema
s/s of a fat embolism
26. EleVate Veins; dAngle Arteries for better perfusion
1 tsp= How many ml
VV and AA
PTB
Halo
27. 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
During internal radiation
Infant with Spina Bifida
Labs in DKA>
After appendectomy
28. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
Hyper reflexive Absent reflexsive
Pancreatitis prioritys
Cephalhematoma (caput succinidanium)
Renal impairment labs
29. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.
Heroin withdrawl in a neonate
Common S/S of Tetany
Every new admission needs
TB health risk
30. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.
Common S/S of Thypohiod
DKA
Common S/S of Hodgkins Disease/Lymphoma
Best way to tube feed or feed kids
31. Osession is to thought. Compulsion is to action
Before a pft
Before Epidural
Delegation Rule of Thumb?
Rule of thumb for obsessions/distractions
32. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.
Common S/S of chicken pox
Cullens sign
Fontanelles
Cold stress in a newborn
33. 30 ml = 1 oz
MRI
What disease leads to cardiac valve malfunctions
How many oz in a ml
Potassium lab importance
34. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.
How to Dx a AAA
Post spleenectomy
The first s/s of ards
OB secret
35. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
Nepphrotic syndrome
Where are most spinal cord injuries
Pheochromocytoma
Airborne Transmission
36. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.
What to do in the case of - A woman in labor with Un - Reassuring FHR
If you see a nurse make a mistake Chain of command
The first s/s of ards
Murphy's sign
37. (skin traction) --> elevate foot of bed for counter - traction
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38. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.
Lumbar Puncture
Common S/S of addisions
Milk for kids
Appendicitis
39. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the
Hearing the baby in OB
Coomb's test
Flu shot always ask
1 pint = How many cups
40. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
Brachial Pulse
TB test confirmation
Parkisons
Cmmon S/S Fibrin Hyalin
41. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings
TPN is given in
HypoMg
Infant with Cleft lip
Common S/S of TEF
42. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)
ABG drawin
Pneumonia
Traction in kids
Most accurate way to test kids for medication accuracy
43. For Meningitis check for Kernig's/ Brudzinski's signs.
Heart Defects
coarctation of the aaorta causes
Gerd again
Signs to look for in meningitis
44. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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45. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing
CABG
Besides sodium - water also follows
Ventilator Alarms
Tet spells
46. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
Peritoneal Dialysis when outflow is inadequate
Heart problems
Nonfat milk
Gastric ulcer pain
47. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.
Acid/ ASH diet
Crackles most likely are...
1 cup= How many oz
Common S/S of Hydrocephalosis
48. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.
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49. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin
Diabetes Insipidus
4 year olds
First sign of cystic fibrosis
s3 heart sound is normal not
50. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.
Graves disease/ Hyperthyroidism
ICP and Shock have
Autonomic Dysreflexia
Common S/S of BPH