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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. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Grey Turners sign
After Cataract surgery
Osteomyeltitis
Low Residue diet
2. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
Shilling test
Common sites for metastatsis
Peds positioning for GERD
Western blot test
3. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame
Phenalalanine
Lumbar Puncture
Omphalocele
Myelogram
4. Bossing Sign (prominent forehead)
What disease leads to cardiac valve malfunctions
Common S/S of Hydrocephalosis
Common S/S of Lyme's disease
How to itch under a cast
5. The MMR vaccine is given SQ not IM.
MMR SHot
Diabetes Insipidus
After Supratentorial Surgery
Droplet Precautions Transmission
6. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.
ACID ash diet
Fontanelles
To prevent dumping syndrome
Hba1c
7. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
1 tablespoon = How many ml
Kids with RSV>
More info on lumbar puncture
Hep B vaccine always ask
8. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)
Pancreatitis prioritys
Hepatitis
What to check children for at age 12 months
Eyes
9. 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
Autonomic Dysreflexia/ Hyperreflexia
Bence Jones protein in urine
Jews
10. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency
Gastric ulcer pain
PCWP
Common S/S of Cystitis
HyperMg
11. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se
To prevent dumping syndrome
Black - Expectant
Common S/S of Cystitis
Renal impairment labs
12. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten
Pancreatitis pts>
HyperMg
Kids with HIV
Common S/S Duchennes Muscular Dystrophy
13. Elevate HOB 30 degrees to decrease intracranial pressure
Head Injury
Common S/S of epiglottitis
Addisons
After Thyroidectomy
14. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area
Western blot test
How to itch under a cast
Trendelenberg's test
Radioactive iodine
15. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.
Infant with Cleft lip
Cath lab
A patient with vertical c - section will likely have
Common S/S of Diptheria
16. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
Anorexia sucks because
HypoMg
PTB
Common S/S of Ulcerative Colitis
17. 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
Hirschsprungs is dx how
What to do if your patients chest tube accidently getes removed
Potassium lab importance
Osteomyeltitis
18. Rose spots on abdomen
Common S/S of Thypohiod
TPN is given in
Signs of a hip fracture
Dystocia
19. 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.
PCWP
Orthostatis is verfied by
Stomas
Radioactive iodine
20. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n
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21. Low magnesium and high creatinine signal renal failure.
Other S/S of MS
Common S/S of Kawasaki syndrome
Low crit/hemoglobin
More labs suggestive of renal failure
22. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
What to do for addisons/cushings
Common S/S of BPH
Color codes
Asthma and arthritis best excercise
23. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS
Hba1c
Common S/S of Cystitis
Hypercalemia
Common S/S of Infectious Mononucleosis
24. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.
Lymes mostly found in
Cold stress in a newborn
Pathological jaundice
autonomic dysreflexia
25. Hallmark= Sore throat - cervical lymph adenopathy - fever
Whats petaling
Common S/S of Infectious Mononucleosis
After Myringotomy
1 pint = How many cups
26. Orange tag in triage is non emergent Psych
Color codes
Orange tag in pysch
Buck's Traction
Normal Hemoglobin
27. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs
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28. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)
MRSA and VRSA precautions
COPD and Pneumonia
What to do if your patients chest tube accidently getes removed
Most accurate way to test kids for medication accuracy
29. (skin traction) --> elevate foot of bed for counter - traction
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30. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias
Eclampsia is a
STD= gonnorrhea
Alzheimers
What to in the case of - Pt with heat stroke
31. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3
PCWP
Cold stress in a newborn
Turner's sign
What can also cause an s3 heart sound
32. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Common S/S of Dengue
Where should placenta be
Pancreatitis prioritys
How to treat phobic disorders
33. 30 ml = 1 oz
How many oz in a ml
Common s/s of PDA
First sign of pyloric stenosis in a baby
Common S/S of Tetany
34. 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.
Flu shot always ask
Guided imagery is great for
Green - Minimal
Common S/S of Kawasaki syndrome
35. Barrel chest
Jews
Common S/S of emphysema
After Infratentorial Surgery
How many liters of O2
36. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
Graves disease/ Hyperthyroidism
Babinski sign
Hearing the baby in OB
In depth - Color codes
37. Systemic Lupus Ethramoutus.... (Lupus)
Developmental milestones
Common S/S of Cystitis
SLE
Infant with Spina Bifida
38. Its important to be aware of the lab result for prothrombin time
Maslow for a guy who lost his house in a fire
Prior to liver biopsy
Hep B vaccine always ask
Post spleenectomy
39. Knee - chest position or Trendelenburg
Before giving MMR>
After Myringotomy
Prolapsed Cord
When patient is in distress
40. Renal impairment: serum creatinine elevated and urine clearance decreased
Highest priortiy in status elipticus
Omphalocele
Turner's sign
Renal impairment labs
41. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS
Behavior/Developmental - Peds
Hypocalemia
Low Residue diet
Other S/S of MS
42. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin
Heart problems
ICP and Shock have
Diabetes Insipidus
TPN is given in
43. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Tylenol poisioining
ABG drawin
Heart Defects
Grey Turners sign
44. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
Nuetropenic patients
Delegation Rule of Thumb?
Dystocia
Whats petaling
45. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet
What to do in a sucking stab wound
Hypo - parathyroid
Dunlap traction=
IVP requires
46. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go
Order of assessment
Side effects of thyroid hormones
1 quart = How many pints
More info on intussception
47. Beta cells of pancreas produce insulin
Cranial Nerves
Common S/S of addisions
Who produces insulin
Common S/S of pneumonia
48. Brain problems occur
Liver biopsy
MMR SHot
What happens when phenylalanine increases
Potassium lab importance
49. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.
Babinski sign
Kids with RSV>
Nuetropenic patients
Pneumonia
50. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.
Disease precautions
No Cantalope
What happens when phenylalanine increases
Common s/s of PDA