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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. Yogurt has live cultures - dont give to immunosuppressed pt
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2. **If kid has cold - can still give immunizations
To prevent dumping syndrome
LVN/LPN cant
If kid has a cold
Cranial nerves for Assessing extraocular eye movements
3. Age 4 to 5 yrs child needs DPT/MMR/OPV
When patient is in distress
Age 4=5 year shots
Protocol for Droplet Precautions
High priority in Addisons
4. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia
Common S/S of pyloric stenosis
Meconium stained protocol
Above the knee amputation
Dystocia
5. Rusty sputum
Therapies
Room air is...
When patient is in distress
Common S/S of pneumonia
6. 1 quart = 2 pints
Common S/S of Basilar Fracture
Psuedomembrane in DIptheria
Common S/S of Dengue
1 quart = How many pints
7. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.
Nitrazine paper
Hypovolemia
Guthrie test
After Infratentorial Surgery
8. PainLESS vision loss - opacity of lens - blurring of the vision
Coomb's test
After Myringotomy
Common S/S of Cataract
Shift to the left means
9. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
Bryant's traction=
Pneumonia
A preggo in a minus station
Hydrocele
10. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
Thyroid storm and myxedema
Common S/S of DKA
Radioactive iodine
Wilms tumor
11. Lie flat with legs elevated
s3 heart sound is normal not
What can't you give to immunosupressed pts
Cause of Ascites
What to in the case of - Pt with heat stroke
12. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.
Radioactive iodine
Peritoneal dialysis
Common S/S of Hodgkins Disease/Lymphoma
Common S/S of pneumonia
13. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread
ACID ash diet
TEF
Yellow - Delayed
More info on droplet precautions
14. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.
Common S.S of Retino Blastoma
coarctation of the aaorta causes
Asthmas and wheezers
For an EEG test
15. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin
What is a bad sign in asthma
Myasthenia gravis
Emphysema
The first s/s of ards
16. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Common S/S of MG
HypoKalemia
Protocol for Airborne Transmission
Flu shot always ask
17. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
Heroin withdrawl in a neonate
Signs observed in hypocalemia
Heart problems
Late Decels
18. 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
To prevent dumping syndrome
What to do in the case of tube feeding with decreased LOC
Addisons
19. Hodgkin's disease= cancer of lymph is very curable in early stage.
Hodgkins disease
Common S/S of MS>
If you see a nurse make a mistake Chain of command
1 pint = How many cups
20. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
Diff between placenta previa and placenta abrupto
Charcots sign
Cause of Ascites
Common S/S of Ulcerative Colitis
21. A
Common S/S of glaucoma
Rule of thumb for assisting pysch patients
HHNS Vs DKA
Hirschsprungs is dx how
22. Never release traction unless you have an order from an MD to do so
PDA
How to put on traction
MORE info on DKA ugh!
Traction rule
23. Low magnesium and high creatinine signal renal failure.
autonomic dysreflexia
More labs suggestive of renal failure
Dangerous thing to get during pregnancy
PDA
24. 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
What is a bad sign in asthma
NMS
Apgar Scoring
Tet spells
25. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
Greenstick fracture
Bucks traction =
What to do for addisons/cushings
Common S/S of Intusseption
26. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or
More info on droplet precautions
Contact transmission precautions
ICP and Shock have
Cmmon S/S Fibrin Hyalin
27. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn
Compartment syndrome
Common S/S of Intusseption
What could cause bronchopulmonary dysplasia
During CBI (continuous bladder irrigation)
28. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!
Tube and J tubes are usually
Common S/S of Hodgkins Disease/Lymphoma
What can also cause an s3 heart sound
Koplick's spots
29. Painless hematuria... CA=Cancer ! Duhh
TEF
After Endoscopy
Common S/S of Bladder Cancer
Pancreatitis pts>
30. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
Preload and Afterload
HypoMg
Koplick's spots
Common S/S of MG
31. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or
When you see coffee brown emesis think>
How to itch under a cast
ABG drawin
Hyponatremia
32. 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.
Compartment syndrome
More info on intussception
Potassium lab importance
Thyroid storm
33. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.
Cath lab
1 cup= How many oz
Age 4=5 year shots
First sign of pe
34. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Peds weight
Jews
Late Decels
Common S/S of Tetany
35. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will
For an EEG test
Labs for congenital heart disease
Liver biopsy
First sign of pe
36. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior
Droplet Precautions Transmission
Common S/S of Hodgkins Disease/Lymphoma
Before a pft
What to do if your patients chest tube accidently getes removed
37. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis
Heart Defects
Knee replacement
From the ass From the Mouth
Thoracentesis
38. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.
What to do in the case of - an Air/Pulmonary Embolism
Whats petaling
Labs for congenital heart disease
Common S/S of Hodgkins Disease/Lymphoma
39. Place a wheelchair parallel to the bed on the side of weakness
Jews
Stomas
Hodgkins disease
Placement of a wheelchair
40. EleVate Veins; dAngle Arteries for better perfusion
Ventilator Alarms
What to in the case of - Pt with heat stroke
Russel Traction =
VV and AA
41. 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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42. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
TB health risk
Therapies
TEF
Graves disease/ Hyperthyroidism
43. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3
Common S/S of pernicious anemia
What can also cause an s3 heart sound
For a lumbar puncture
Common S/S of Liver cirrhoisis
44. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up
Pulmonary sarcoidosis
After lumbar puncture
Common S/S of Bulimia
Protocol for Droplet Precautions
45. CVA (cerebrovascular accident) is with dead brain tissue.
Common S/S of LTB
CVA
Common S/S of Dengue
Common S.S of Retino Blastoma
46. Chest tubes are placed in the pleural space.
What will alter the accuracy of o2 sats
Where are chest tubes placed
Low Residue diet
Bethamethasone
47. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Hypervolemia
Kids with RSV>
Nondairy sources of calcium
GTT for preggos
48. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
After Cataract surgery
Hba1c
Common S/S Meniere's Disease
49. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Alkaline Ash diet
Incentive Spirometry steps
Common S/S of measles
Common S/S of Basilar Fracture
50. CHRONIC pain
If your patient starts seeing bugs
Guided imagery is great for
Best way to warm a newborn
Renal impairment labs