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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. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').
Immunizations rules
4 year olds
Nondairy sources of calcium
Paget's disease
2. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress
Addisons
Brudzinski's sign
TEF
Cephalhematoma (caput succinidanium)
3. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel
What to do in the case of - A woman in labor with Un - Reassuring FHR
Common S/S of appendicitis
Behavior/Developmental - Peds
Tylenol poisioining
4. Small frequent is better than large
Best way to tube feed or feed kids
Common S/S of orbital fracture
First sign of pyloric stenosis in a baby
Common S/S Acromegaly
5. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
Gastric ulcer pain
Kawasaki disease causes
OB secret
Droplet Precautions Transmission
6. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Best way to tube feed or feed kids
Main hypersensitivity for antiplatelet drugs
ABG drawin
7. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
Menieres's disease
Phenalalanine
Tension Pneumothorax
Hep A precautions
8. Position prone (on abdomen) so that sac does not rupture
IVP requires
Major risks of epidural
Common S/S of Intusseption
Infant with Spina Bifida
9. A
HHNS Vs DKA
Common S/S of cystic fibrosis
Cause of Ascites
Birth control - Diaphram
10. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.
Carbon dioxide narcosis
MMR and Varicella
autonomic dysreflexia
Compartment syndrome
11. Handle any blood
Greeks
SLE
LVN/LPN cant
Positioning with pneaumonia
12. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
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13. Orange tag in triage is non emergent Psych
Common S/S of Cataract
With lower amputations
Orange tag in pysch
Cystic fibrosis
14. 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
Willam's position
OB secret
Group - A strep
15. A newly diagnosed hypertension patient should have BP assessed in both arms
Signs of a hip fracture
If you THINK a patient has new HTN
Cor Pulmonae
More labs suggestive of renal failure
16. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.
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17. Ambient air (room air) contains 21 % o2
Room air is...
School aged kids and five year olds
What will alter the accuracy of o2 sats
Thyroid storm
18. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a
Kernigs sign
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Cushing ulcers and cushings triad
Psuedomembrane in DIptheria
19. Co2 causes vasoconstriction.
c02 builds up and causes
Botox
Common S/S of hypocalcemia
Use of cold and hot
20. Second voided urine most accurate when testing for ketones and glucose.
s3 heart sound is normal not
How do you teach someone to reduce back aches
Why would a pt with leukemia have epistaxis
When to test urine for ketones and glucose
21. Pumonary tuberculosis
c02 builds up and causes
Protocol for Droplet Precautions
More info on lumbar puncture
PTB
22. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area
After Infratentorial Surgery
How to itch under a cast
What to in the case of - Pt with heat stroke
Koplick's spots
23. 1 quart = 2 pints
1 quart = How many pints
Besides sodium - water also follows
Common S/S of leprosy
Common S/S of hypocalcemia
24. 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.
Meningeal irriatation>
Stranger Danger>!
Radioactive iodine
Temp conversion
25. 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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26. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
How to put on traction
NG tube rules
Osteomyeltitis
Alkaline Ash diet
27. Peptic ulcer
autonomic dysreflexia
Most accurate way to test kids for medication accuracy
What to check children for at age 12 months
When you see coffee brown emesis think>
28. Machine like murmur
autonomic dysreflexia
To remember blood sugar
Common s/s of PDA
1 gr= How many mg
29. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.
When to test urine for ketones and glucose
What is obtained before starting any iv antibiotic
School aged kids and five year olds
During epidural puncture
30. 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.
Common S/S of orbital fracture
SLE
TB health risk
Cath lab
31. Systemic Lupus Ethramoutus.... (Lupus)
Cane walking
During CBI (continuous bladder irrigation)
SLE
When to test urine for ketones and glucose
32. 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. ...
Who produces insulin
COPD patients
Anorexia sucks because
Common S/S of Increased ICP
33. Always check lead posioning levels
What to check children for at age 12 months
Common S/S Acromegaly
After lumbar puncture
Side effects of thyroid hormones
34. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
More info on droplet precautions
Pancreatitis pts>
Common S/S of PTB
Post spleenectomy
35. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)
PDA
VRSA
Most accurate way to test kids for medication accuracy
Greenstick fracture
36. Butterfly rashes
Blood typing
Common S/S of SLE
Cerebral angio prep
COPD and Pneumonia
37. The biggest concern with cold stress and the newborn is respiratory distress.
Cold stress in a newborn
Paget's disease
Cardinal signs of ARDS
Cor Pulmonae
38. 1 gr (grain)= 60 mg
1 gr= How many mg
The first s/s of ards
Cranial Nerves
COPD patients
39. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s
Besides meds and congenital problems .. What can lead to decreased preload
Stomas
How will CSF look in meningitis
Autonomic Dysreflexia
40. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension
Orthostatis is verfied by
Munchhausen Syndrome
autonomic dysreflexia
Hearing the baby in OB
41. Psuedo membrane formation
Common S/S of Diptheria
If you THINK a patient has new HTN
Crutch use
Common S/S of hypocalcemia
42. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.
Guillian Barre
Autonomic Dysreflexia
Common s/s of PDA
TB health risk
43. Rebound tenderness
Yellow - Delayed
Common S/S of appendicitis
Eclampsia is a
Pain in the LLQ indicative of...
44. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr
autonomic dysreflexia
Peritoneal dialysis
How to put on traction
Lumbar Puncture
45. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Common S/S Acromegaly
Nepphrotic syndrome
Age 4=5 year shots
Sources of potassium
46. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution
Guthrie test
Hypernatremia
coarctation of the aaorta causes
What can't you give to immunosupressed pts
47. 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
Common S/S of addisions
Black - Expectant
Cushing ulcers and cushings triad
Hearing the baby in OB
48. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)
Positioning with pneaumonia
Cushing ulcers and cushings triad
Carbon dioxide narcosis
HypoKalemia
49. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)
Common S/S of epiglottitis
Hyper reflexive Absent reflexsive
Order of assessment
MRSA and VRSA precautions
50. LLQ - diverticulitis - low residue - no seeds - nuts - peas
Positioning with pneaumonia
Pain in the LLQ indicative of...
Common S/S of Diptheria
When to test urine for ketones and glucose