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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
Side effects of thyroid hormones
What to do in a sucking stab wound
Common S/S of measles
High priority in Addisons
2. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
Use of cold and hot
Best way to tube feed or feed kids
To remember blood sugar
Munchhausen Syndrome
3. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
4. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!
Group - A strep
Labs in DKA>
Burn Degrees
Hyponatremia
5. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Pt with edema and walking
If you THINK a patient has new HTN
Kids with HIV
Protocol for Airborne Transmission
6. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
If you THINK a patient has new HTN
Kawasaki disease causes
Meconium stained protocol
What to do in the case of tube feeding with decreased LOC
7. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.
Incentive Spirometry steps
Charcots sign
A preggo in a minus station
TB health risk
8. 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
Apgar scores/scoring
Potassium lab importance
Fetal alcohol sydrome
Common S/S of DKA
9. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
What to do in the case of tube feeding with decreased LOC
Asthmas and wheezers
Hyperthyroidism
Below the knee amputation
10. Second voided urine most accurate when testing for ketones and glucose.
When to test urine for ketones and glucose
Cold stress in a newborn
Guided imagery is great for
Appendicitis
11. 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
Why would a pt with leukemia have epistaxis
Acid/ ASH diet
Common S.S of Retino Blastoma
What to do in a sucking stab wound
12. Lioning face
Common S/S of Lyme's disease
Common S/S of leprosy
GTT for preggos
Myasthenia gravis
13. 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.
Addisons
Why somone who is allergic to latex would be allergic to food too
How do you treat a small bowel obstruction
Crackles most likely are...
14. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et
Post Thyroidectomy
Yellow - Delayed
After Total Hip Replacement
Thrombocyopenia - bleeding precautions
15. Low or semi - Fowler's - support head - neck and shoulders.
After Thyroidectomy
SIADH
Protocol for Droplet Precautions
Post spleenectomy
16. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia
Dystocia
Likely cause of cardiac arrest in child
Disease precautions
During internal radiation
17. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
Hyponatremia
After lumbar puncture
Hemovac
What disease leads to cardiac valve malfunctions
18. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men
Droplet Precautions Transmission
After appendectomy
Airborne Transmission
CABG
19. 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.
How many liters of O2
Common S/S of pneumonia
Asthmas and wheezers
Eyes
20. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst
Common s/s of PDA
How to itch under a cast
Hypernatremia SALT
Peds weight
21. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
Glomerulonephritis considerations
DKA
Protocol for Droplet Precautions
Graves disease/ Hyperthyroidism
22. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
TIA
Common S/S of Bladder Cancer
Hep A precautions
Common S/S of Kawasaki syndrome
23. Nurses First action is to listen to fetal rate/tone
When a pt comes in and she is in active labor
Cerebral angio prep
Hypocalemia
For a lung biopsy
24. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t
Color codes
Diabetes Insipidus
Common S/S of Cholera
Room air is...
25. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.
Below the knee amputation
Myasthenia gravis
Common S/S of leprosy
Kawasaki disease causes
26. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues
Black - Expectant
Cerebral palsy
Common S/S of PTB
Sengstaken blakemore tube
27. Dystocia= baby cannot make it down to canal
Greeks
Dystocia
Positioning with pneaumonia
Common S/S of guillian Barre Syndrome
28. 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
Dance Sign
Parkisons
Amniocentesis is performed and why
Labs in DKA>
29. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP
HypoMg
Amniocentesis is performed and why
Droplet Precautions Transmission
Addisonian Crisis
30. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
Normal Hemoglobin
Hypo - parathyroid
caput succedaneum=
The first s/s of ards
31. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.
Tension Pneumothorax
Heroin withdrawl in a neonate
Amniocentesis is performed and why
Knee replacement
32. 7 - 10ml / kg
Tidal volume
TEF
ABG drawin
If you see a nurse make a mistake Chain of command
33. Purple bruises around the belly button... Pancreatitis!
Hypovolemia
Every new admission needs
Grey Turners sign
Tylenol poisioining
34. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing
More info on lumbar puncture
Paget's disease
Common S/S of appendicitis
Common S/S of DKA
35. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
What can also cause an s3 heart sound
First sign of cystic fibrosis
Where are chest tubes placed
During internal radiation
36. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.
Pathological jaundice
CPR in a five year old
What to do in a sucking stab wound
What to do in the case of - an Air/Pulmonary Embolism
37. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
Meningeal irriatation>
Low Residue diet
Before giving MMR>
Behavior/Developmental - Peds
38. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.
Nonfat milk
The first s/s of ards
Asthma and arthritis best excercise
Crackles most likely are...
39. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.
Common S/S of pyloric stenosis
The first s/s of ards
Apgar Scoring
Guthrie test
40. Butterfly rashes
Common S/S of Dengue
Hep B vaccine always ask
Common S/S of SLE
Signs to look for in meningitis
41. Seizure>
Hodgkins disease
MG and Guillian Barre
Knee replacement
Eclampsia is a
42. Vesicular rash (central to distal) dew drop on rose petal
Uremic Fetor
Common S/S of chicken pox
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Graves disease/ Hyperthyroidism
43. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis
44. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS
Nondairy sources of calcium
Pt with edema and walking
Glomerulonephritis considerations
More labs suggestive of renal failure
45. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.
Pheochromocytoma
Common S/S of Pemphigus Vulgaris
Carbon dioxide narcosis
Cushing ulcers and cushings triad
46. The MMR vaccine is given SQ not IM.
1 cup= How many oz
MMR SHot
ACID ash diet
Med that can't be infused Intra osseously
47. No meat and milk together
Dance Sign
PDA
DKA
Jews
48. Machine like murmur
Common S/S of pyloric stenosis
Common s/s of PDA
Shift to the left means
Cold stress in a newborn
49. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
Besides sodium - water also follows
Common S/S of Liver cirrhoisis
Disease precautions
Nephrotic syndrome
50. Complications of Mechanical Ventilation: Pneumothorax - Ulcers
How do you treat a small bowel obstruction
Addisons
Complications of mechanical ventilation
Coomb's test