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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. Confirms multiple myeloma
Common S/S of down syndrome
Bence Jones protein in urine
Common S/S of Kawasaki syndrome
What to in the case of - Pt with heat stroke
2. 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.
Hirschsprungs is dx how
ALS
Autonomic Dysreflexia
What treats tet spells
3. Ascending muscle paralysis.. dont confuse with MG
HypoMg
Hypernatremia SALT
Common S.S of Retino Blastoma
Common S/S of guillian Barre Syndrome
4. Butterfly rashes
For PVD remember
What to check children for at age 12 months
Brachial Pulse
Common S/S of SLE
5. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.
Pt with edema and walking
MRI
Rule of thumb for assisting pysch patients
Emphysema
6. 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 (
What to do in the case of - A woman in labor with Un - Reassuring FHR
Cranial Nerves
What to do in the case of tube feeding with decreased LOC
What to do in the case of - an Air/Pulmonary Embolism
7. OAmniotic fluid yellow with particles = meconium stained`
SARS
Myelogram
After removal of the pituitary gland what should you watch for
Meconium stained protocol
8. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.
When you see coffee brown emesis think>
Normal Hemoglobin
Enema positioning
MORE info on DKA ugh!
9. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
10. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse
For a lung biopsy
STD= gonnorrhea
Hepatitis
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
11. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
Kawasaki disease causes
A preggo in a minus station
Nephrotic syndrome
Common S/S of down syndrome
12. Hodgkin's disease= cancer of lymph is very curable in early stage.
After Gtube placement
Placement of a wheelchair
Hodgkins disease
Common S/S of glaucoma
13. Pumonary tuberculosis
PTB
High priority in Addisons
Eyes
Tet spells
14. Place a wheelchair parallel to the bed on the side of weakness
Common S/S of Ulcerative Colitis
Placement of a wheelchair
More info on TB testing a positive result
Stomas
15. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-
Asthmas and wheezers
When to test urine for ketones and glucose
In depth - Color codes
Common S/S of TEF
16. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
Besides sodium - water also follows
ALS
Common S/S of BPH
More IVP info
17. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Common S/S of Hydrocephalosis
Orange tag in pysch
Addisons
Protocol for Airborne Transmission
18. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis
Common S/S of pyloric stenosis
Cullens sign
When to test urine for ketones and glucose
Dystocia
19. 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
Charcots sign
Labs in DKA>
Crackles most likely are...
Alzheimers
20. Cat's eye reflex (grayish discoloration of the pupil)
Guthrie test
Renal impairment labs
Cold stress in a newborn
Common S.S of Retino Blastoma
21. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves
MS
IVP requires
Burn Degrees
Major risks of epidural
22. Level of consciousness is the most important assessment parameter with status epilepticus.
Phenalalanine
Highest priortiy in status elipticus
Common S/S of BPH
Brudzinski's sign
23. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.
Positioning with pneaumonia
TIA
Common S/S Duchennes Muscular Dystrophy
Autonomic Dysreflexia/ Hyperreflexia
24. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.
Amniocentesis is performed and why
Likely cause of cardiac arrest in child
Common S/S of SLE
Kidneys and ears
25. Flapping tremors
MS
Common S/S of emphysema
Common S/S Hepatic Encephalopathy
With lower amputations
26. Risus Sardonicus
LVN/LPN cant
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Common S/S of Tetany
Paracentesis
27. After endoscopy check gag reflex.
After Endoscopy
Delegation Rule of Thumb?
Shilling test
Cmmon S/S Fibrin Hyalin
28. (incision behind hairline) --> elevate HOB 30-45 degrees
After Supratentorial Surgery
Guided imagery is great for
Phenalalanine
Common S/S of orbital fracture
29. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)
Thrombocyopenia - bleeding precautions
Common S/S of Infectious Mononucleosis
What can also cause an s3 heart sound
Cath lab
30. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)
1 g = How many mg
Cold stress in a newborn
Common S/S of Hodgkins Disease/Lymphoma
Cor Pulmonae
31. Always check lead posioning levels
What to check children for at age 12 months
Detached Retina
Renal impairment labs
Cane walking
32. 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
Order of assessment
Dig rule for kids
Cephalhematoma (caput succinidanium)
33. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
SARS
Vertical C section
Shock
1 quart = How many pints
34. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Parkisons
Late Decels
Black - Expectant
Cute way to remember glascow coma
35. Skin to skin contact on mom with a blanket
Crutch use
Best way to warm a newborn
Why somone who is allergic to latex would be allergic to food too
Common S/S of Cholera
36. CSF in meningitis will have high protein - and low glucose.
1 tsp= How many ml
How will CSF look in meningitis
Most accurate way to test kids for medication accuracy
Pheochromocytoma
37. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
Disease precautions
Orthostatis is verfied by
Anorexia sucks because
Pancreatitis pts>
38. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
What to do if your patients chest tube accidently getes removed
TB health risk
Autonomic Dysreflexia
Thyroid storm and myxedema
39. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR
Apgar scores/scoring
What to do in the case of - A woman in labor with Un - Reassuring FHR
Cute way to remember glascow coma
Cryptoorchidism
40. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.
Botox
TIA
After Total Hip Replacement
ABG drawin
41. Recurrent bloody diarrhea
Where are chest tubes placed
Common S/S of Ulcerative Colitis
Common S/S of Kawasaki syndrome
What could cause bronchopulmonary dysplasia
42. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.
Placement of a wheelchair
Tenkhoff cath
Tube and J tubes are usually
Blood typing
43. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.
Paracentesis
Use of cold and hot
Dunlap traction=
1 quart = How many pints
44. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots
Turner's sign
Where are chest tubes placed
Common S/S of pancreatitis
Side effects of thyroid hormones
45. Mothers receive rhogam to protect next baby.
Below the knee amputation
Rh
Common S/S of Intusseption
Laparoscopy
46. 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.
Glomerulonephritis considerations
Glaucoma patients loose
MRI
Kernigs sign
47. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).
Hirschsprungs is dx how
First sign of pe
After Infratentorial Surgery
Potassium and acid base balance
48. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.
c02 builds up and causes
Alkaline Ash diet
Common S/S of Cholera
First sign of pe
49. 1 quart = 2 pints
autonomic dysreflexia
1 quart = How many pints
During CBI (continuous bladder irrigation)
How do you teach someone to reduce back aches
50. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.
More info on TB testing a positive result
After Myringotomy
Acid/ ASH diet
After lumbar puncture