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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. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle
Diabetes Insipidus
Black - Expectant
Side effects of thyroid hormones
Common S/S Meniere's Disease
2. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution
HypoKalemia
Hypernatremia
Common S/S Acromegaly
Common S/S Hepatic Encephalopathy
3. 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.
After appendectomy
When patient is in distress
Hirschsprungs is dx how
Kids with RSV>
4. 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 patient is in distress
Contact transmission precautions
MORE info on DKA ugh!
After Supratentorial Surgery
5. Second voided urine most accurate when testing for ketones and glucose.
Main hypersensitivity for antiplatelet drugs
Head Injury
When to test urine for ketones and glucose
When a pt comes in and she is in active labor
6. Tet spells treated with morphine.
Other S/S of MS
LVN/LPN cant
How many liters of O2
What treats tet spells
7. 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
What could cause bronchopulmonary dysplasia
Hyper reflexive Absent reflexsive
School aged kids and five year olds
Peds positioning for GERD
8. 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
Alkaline Ash diet
More info on lumbar puncture
Placement of a wheelchair
Labs in DKA>
9. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside
Common S/S of Tetany
Depression manifests itself
Post Thyroidectomy
Maslow for a guy who lost his house in a fire
10. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Renal impairment labs
Uremic Fetor
Decorticate and Decerebrate
Knee replacement
11. An occulsive dressing is used
Common S/S of Hydrocephalosis
Acid/ ASH diet
What to do if your patients chest tube accidently getes removed
1 cup= How many oz
12. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions
What to in the case of - Pt with heat stroke
Thrombocyopenia - bleeding precautions
After Myringotomy
Traction in kids
13. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet
After Supratentorial Surgery
Hypo - parathyroid
The first s/s of ards
Alkaline Ash diet
14. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot
What to do in a sucking stab wound
Alkaline Ash diet
COPD patients
Traction rule
15. Hallmark= Sore throat - cervical lymph adenopathy - fever
What can also cause an s3 heart sound
Halo
Cath lab
Common S/S of Infectious Mononucleosis
16. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in
Tension Pneumothorax
Traction in kids
Dangerous thing to get during pregnancy
Tet spells
17. Bull's eye rash
18. Dystocia= baby cannot make it down to canal
Dystocia
Hodgkins disease
For cord compression in OB
ALS
19. Wheezing on EXPIRATION
Common S/S of asthma
Head Injury
Rh
Blood typing
20. 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
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
PDA
Common S/S of LTB
Common S/S Hepatic Encephalopathy
21. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
22. Opposites! Nursing connection! Think about it!
Rule of thumb for obsessions/distractions
Maslow for a guy who lost his house in a fire
When a pt comes in and she is in active labor
MG and Guillian Barre
23. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Apgar scores/scoring
Head Injury
Brudzinski's sign
Complications of mechanical ventilation
24. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis
25. Questions about a halo Remember safety first - have a screwdriver nearby.
Common S/S of hypocalcemia
Halo
Bucks traction =
Yellow - Delayed
26. 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.
Paracentesis
Cath lab
Cmmon S/S Fibrin Hyalin
During epidural puncture
27. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots
Eyes
Common S/S of pancreatitis
Options for cancer
Traction rule
28. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.
After Myringotomy
Babinski sign
Glomerulonephritis considerations
MS
29. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing
Paget's disease
Labs for congenital heart disease
More info on lumbar puncture
Greeks
30. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis
TEF
Immunizations rules
Signs of a hip fracture
ICP and Shock have
31. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS
Common S/S of Cholera
Detached Retina
To remember blood sugar
Other S/S of MS
32. Handle any blood
LVN/LPN cant
Depression manifests itself
When patient is in distress
Common S/S of Diptheria
33. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)
Heart Defects
Fontanelles
Cushing ulcers and cushings triad
Protocol for Airborne Transmission
34. Painless hematuria... CA=Cancer ! Duhh
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Cute way to remember glascow coma
Autonomic Dysreflexia/ Hyperreflexia
Common S/S of Bladder Cancer
35. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.
DKA
Besides meds and congenital problems .. What can lead to decreased preload
Sengstaken blakemore tube
After Infratentorial Surgery
36. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3
Gastric ulcer pain
ABG drawin
Sengstaken blakemore tube
What can also cause an s3 heart sound
37. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).
DKA
Cushings
Cardinal signs of ARDS
Tylenol poisioining
38. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)
Rule of thumb for obsessions/distractions
Russel Traction =
Cor Pulmonae
Common S/S of guillian Barre Syndrome
39. 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.
Common S/S Meniere's Disease
Group - A strep
If you see a nurse make a mistake Chain of command
S/S of a fat embolism
40. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
The first s/s of ards
caput succedaneum=
Bucks traction =
A preggo in a minus station
41. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.
Parkisons
s/s of a fat embolism
Common S/S of DKA
Russel Traction =
42. Skeletal or skin
Dig rule for kids
Dunlap traction=
Pulmonary sarcoidosis
Murphy's sign
43. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
Chief concern in CF
Detached Retina
After lumbar puncture
Blood typing
44. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.
Temp conversion
Cushings
Crutch use
Vertical C section
45. Place in prone position
Common S/S of Thypohiod
Dystocia
After Total Hip Replacement
With lower amputations
46. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues
Birth control - Diaphram
Cerebral palsy
Common S/S of Meningitis
Bethamethasone
47. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.
Common S/S of appendicitis
What to do if your patients chest tube accidently getes removed
Nondairy sources of calcium
Labs for congenital heart disease
48. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
49. Knee - chest position or Trendelenburg
Eyes
Prolapsed Cord
TIA
Dystocia
50. Its important to be aware of the lab result for prothrombin time
Prior to liver biopsy
What to check children for at age 12 months
Potassium and acid base balance
ICP