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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. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.
After Infratentorial Surgery
How to itch under a cast
Orthostatis is verfied by
After removal of the pituitary gland what should you watch for
2. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.
Phenalalanine
1 cup= How many oz
Dance Sign
Paracentesis
3. 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.
Crackles most likely are...
Tylenol poisioining
Western blot test
CABG
4. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B
Thyroid storm and myxedema
After Endoscopy
Hepatitis
Hba1c
5. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross
TPN is given in
Why somone who is allergic to latex would be allergic to food too
Charcots sign
Common S/S of Cystitis
6. A LATE sign! Always~!
What to do in the case of tube feeding with decreased LOC
Jews
Change in color is
Diff between angina and MI
7. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.
How do you treat a small bowel obstruction
PDA
Nuetropenic patients
PTB
8. 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
Common S/S of Cholera
Emphysema
Gerd again
Botox
9. Renal impairment: serum creatinine elevated and urine clearance decreased
More info on TB testing a positive result
Most accurate way to test kids for medication accuracy
Cullens sign
Renal impairment labs
10. Toes curl= GREAT Toes fan = BAD
Major risks of epidural
Rule of nines
First sign of pyloric stenosis in a baby
Babinski sign
11. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up
Compartment syndrome
Side rail rules
Prolapsed Cord
Pulmonary sarcoidosis
12. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.
Crutch use
Hightest priority for RA
Before a pft
ICP and Shock have
13. 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.
Tenkhoff cath
Common S/S of pneumonia
Tetraology of Fallot
For a lumbar puncture
14. Position pt in left side - lying (Sim's) with knee flexed
COPD and Pneumonia
Enema positioning
After Supratentorial Surgery
1 pint = How many cups
15. Second voided urine most accurate when testing for ketones and glucose.
DKA
ABG drawin
When to test urine for ketones and glucose
Autonomic Dysreflexia/ Hyperreflexia
16. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves
Dance Sign
After removal of the pituitary gland what should you watch for
Burn Degrees
Age 4=5 year shots
17. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency
Post spleenectomy
Hyperthyroidism
MRI
HyperMg
18. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...
Paracentesis
COPD patients
Suctioning is good -- except
Western blot test
19. Always check lead posioning levels
After appendectomy
Guillian Barre
Acid/ ASH diet
What to check children for at age 12 months
20. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS
Turner's sign
Sengstaken blakemore tube
When to test urine for ketones and glucose
Hypercalemia
21. A laxative is given the night before an IVP in order to better visualize the organs.
Radioactive iodine
Glaucoma patients loose
Common S/S of SLE
More IVP info
22. Recurrent bloody diarrhea
Meconium stained protocol
Common S/S of Ulcerative Colitis
Common S/S of Pemphigus Vulgaris
When is Rhogam given and how
23. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
Charcots sign
Potassium and acid base balance
Eclampsia is a
To prevent dumping syndrome
24. 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)
Apgar Scoring
What to do if your patients chest tube accidently getes removed
Grey Turners sign
Stomas
25. Barrel chest
Hep B vaccine always ask
ICP and Shock have
Diabetes Insipidus
Common S/S of emphysema
26. For Meningitis check for Kernig's/ Brudzinski's signs.
Signs to look for in meningitis
Russel Traction =
Common S/S of Cholera
Nondairy sources of calcium
27. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.
If kid has a cold
Omphalocele
Group - A strep
MMR SHot
28. Rusty sputum
Rule of nines
Hypervolemia
Immunizations rules
Common S/S of pneumonia
29. (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
Late Decels
Hep A precautions
Diff between placenta previa and placenta abrupto
30. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
Depression manifests itself
Protocol for Droplet Precautions
Common S/S of asthma
Gastric ulcer pain
31. Liver - brain - lung - bone - and lymph
Depression manifests itself
Tidal volume
Common S/S of Bladder Cancer
Common sites for metastatsis
32. (incision behind hairline) --> elevate HOB 30-45 degrees
Eyes
Signs observed in hypocalemia
After Supratentorial Surgery
What to do if your patients chest tube accidently getes removed
33. Ottorhea
For cord compression in OB
Common S/S of Basilar Fracture
Flu shot always ask
For a lung biopsy
34. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!
Autonomic Dysreflexia/ Hyperreflexia
Penis Problems
Common S/S Duchennes Muscular Dystrophy
Common sites for metastatsis
35. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
Cystic fibrosis
Hyperthyroidism
Med that can't be infused Intra osseously
No Cantalope
36. Another c section with any more kids
Tidal volume
Prior to liver biopsy
A patient with vertical c - section will likely have
Paracentesis
37. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots
Common S/S of Bulimia
For cord compression in OB
Liver biopsy
Common S/S of pancreatitis
38. Lioning face
Common S/S of leprosy
Crutch use
PDA
Rule of thumb for assisting pysch patients
39. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.
Birth control - Diaphram
Uremic Fetor
Suctioning is good -- except
Common S/S of Meningitis
40. Uremic fetor --> smell urine on the breath
When to test urine for ketones and glucose
GTT for preggos
Uremic Fetor
Thrombocyopenia - bleeding precautions
41. Painless hematuria... CA=Cancer ! Duhh
Main hypersensitivity for antiplatelet drugs
Labs in DKA>
Common S/S of Bladder Cancer
Dengue hemorrhagic fever
42. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses
Hep A precautions
LVN/LPN cant
1 tsp= How many ml
High priority in Addisons
43. (severe acute resp syndrome) airborne + contact (just like varicella)
Cephalhematoma (caput succinidanium)
SARS
Common S/S of MS>
Pancreatitis pts>
44. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
VRSA
After Total Hip Replacement
Use of cold and hot
Pain in the LLQ indicative of...
45. Yogurt has live cultures - dont give to immunosuppressed pt
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46. 7 - 10ml / kg
Flu shot always ask
Greenstick fracture
Tidal volume
Common S/S of Bulimia
47. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.
More info on droplet precautions
Preload and Afterload
How will CSF look in meningitis
Hypervolemia
48. Visual floaters - flashes of light - curtain vision
Addisons
Hodgkins disease
Shift to the left means
Common S/S of retinal detachment
49. Chipmunk face
Common S/S of Shock
4 year olds
Common S/S of Bulimia
Cmmon S/S Fibrin Hyalin
50. 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 -
Airborne Transmission
Sengstaken blakemore tube
Myelogram
Main hypersensitivity for antiplatelet drugs