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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. If patients have hallucinations redirect them. In delusions distract them.
Dumping syndrome
Common S/S Duchennes Muscular Dystrophy
Shock
Rule of thumb for assisting pysch patients
2. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.
Pathological jaundice
Order of assessment
Turner's sign
SARS
3. OAmniotic fluid yellow with particles = meconium stained`
Allen's test
Bucks traction =
Meconium stained protocol
TIA
4. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)
Common S/S of Ulcerative Colitis
Hba1c
Peritoneal Dialysis when outflow is inadequate
PTB
5. Lymes is found mostly in Conneticuts
Complications of mechanical ventilation
Lymes mostly found in
Common S/S of Cystitis
s/s of a fat embolism
6. A newly diagnosed hypertension patient should have BP assessed in both arms
Common S/S of epiglottitis
If you THINK a patient has new HTN
Post spleenectomy
Addisons
7. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Thyroid storm and myxedema
Pancreatitis prioritys
Green - Minimal
Common S/S of addisions
8. Orange tag in triage is non emergent Psych
Orange tag in pysch
Common S/S of Liver cirrhoisis
Before giving MMR>
Greenstick fracture
9. After a hydrocele repair provide ice bags and scrotal support.
If you THINK a patient has new HTN
ACID ash diet
Nepphrotic syndrome
Hydrocele
10. Psuedo membrane formation
Common S/S of Diptheria
Common S/S of pneumonia
Lumbar Puncture
MRI
11. Ottorhea
Hydrocele
Addisons
What is obtained before starting any iv antibiotic
Common S/S of Basilar Fracture
12. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
Therapies
After lumbar puncture
Milk for kids
TB test confirmation
13. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
HypoKalemia
What to do in the case of tube feeding with decreased LOC
Best way to tube feed or feed kids
HyperMg
14. Portal hypotension + albuminemia= Ascites.
Cause of Ascites
Potassium and acid base balance
Common S/S of glaucoma
Latex allergies
15. Burning on urination
Common S/S of Cystitis
COPD patients
Head Injury
TB health risk
16. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).
Potassium and acid base balance
Best indicator of dehydration
Diverticulitis
Apgar scores/scoring
17. Rice watery stool
Renal impairment labs
Before giving MMR>
What to do in the case of - A woman in labor with Un - Reassuring FHR
Common S/S of Cholera
18. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
COPD and Pneumonia
Airborne Transmission
Droplet Precautions Transmission
First sign of cystic fibrosis
19. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
Common S/S of measles
Common S/S of addisions
How do you teach someone to reduce back aches
Hyperthyroidism
20. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis
After Thyroidectomy
Common s/s of PDA
Tetraology of Fallot
Bryant's traction=
21. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.
Orange tag in pysch
Other S/S of MS
More info on TB testing a positive result
Hirschsprungs
22. Broncospasm (anaphylaxis)
Omphalocele
Charcots sign
Cullens sign
Main hypersensitivity for antiplatelet drugs
23. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care
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24. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.
What if a toddler says no to medication
1 kg= How many pounds
Liver biopsy
Side rail rules
25. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.
When to test urine for ketones and glucose
Pneumonia
High priority in Addisons
Main hypersensitivity for antiplatelet drugs
26. Children <3yoa - <35 lbs with femur fx
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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. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots
The first s/s of ards
Common S/S of pancreatitis
For a lung biopsy
Before a pft
29. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)
Dig rule for kids
Birth control - Diaphram
Eyes
Suctioning is good -- except
30. Weight
Nuetropenic patients
Best indicator of dehydration
Potassium lab importance
How to Dx a AAA
31. 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.
Common S/S of Bladder Cancer
Hirschsprungs is dx how
Orthostatis is verfied by
Chvostek and Trosseaus sign
32. Systemic Lupus Ethramoutus.... (Lupus)
What is obtained before starting any iv antibiotic
A patient with vertical c - section will likely have
Disease precautions
SLE
33. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids
Hyponatremia
Hodgkins disease
Why somone who is allergic to latex would be allergic to food too
Kids pain relief in NCLEX land
34. For Meningitis check for Kernig's/ Brudzinski's signs.
Ventilator Alarms
Signs to look for in meningitis
Sources of potassium
Common S/S of GERD
35. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.
First sign of pyloric stenosis in a baby
Hydrocele
1 cup= How many oz
During epidural puncture
36. Chest tubes are placed in the pleural space.
LVN/LPN cant
What to do in the case of - an Air/Pulmonary Embolism
Where are chest tubes placed
Common S/S of Malaria
37. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency
More IVP info
Hemovac
HyperMg
Bence Jones protein in urine
38. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump
Cushings
After Myringotomy
Amniocentesis is performed and why
Hirschsprungs is dx how
39. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the
Hearing the baby in OB
Flu shot always ask
To prevent dumping syndrome
Shift to the left means
40. 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
Depression manifests itself
Common S/S of Meningitis
Hep B vaccine always ask
Traction in kids
41. Petechiae or + Herman's sign
Orthostatis is verfied by
Common S/S of parkinsons
Myxedema/ hypothroidism
Common S/S of Dengue
42. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
When a pt comes in and she is in active labor
Protocol for Droplet Precautions
OB secret
Wilms tumor
43. Rebound tenderness
What if a toddler says no to medication
Common S/S of appendicitis
Common S/S of Diptheria
Peritoneal dialysis
44. Handle any blood
Decorticate and Decerebrate
Common S.S of Retino Blastoma
Ventilator Alarms
LVN/LPN cant
45. Another c section with any more kids
A patient with vertical c - section will likely have
Cephalhematoma (caput succinidanium)
Low crit/hemoglobin
Protocol for Airborne Transmission
46. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!
Meningeal irriatation>
Nonfat milk
Kids pain relief in NCLEX land
Knee replacement
47. MRI- claustrophobia - no metal - assess pacemaker
Common S/S of Malaria
CPR in a five year old
To remember blood sugar
MRI
48. Coarse facial features
How will CSF look in meningitis
Major risks of epidural
Hydrocele
Common S/S Acromegaly
49. 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.
Cerebral palsy
Green - Minimal
Signs to look for in meningitis
Cmmon S/S Fibrin Hyalin
50. Knee - chest position or Trendelenburg
1 pint = How many cups
A patient with vertical c - section will likely have
Common S/S of Liver cirrhoisis
Prolapsed Cord