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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. PainLESS vision loss - opacity of lens - blurring of the vision
Common S/S of Cataract
Omphalocele
Gastric ulcer pain
Common S/S of GERD
2. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis
Renal impairment labs
From the ass From the Mouth
Age 4=5 year shots
How do you treat a small bowel obstruction
3. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.
With lower amputations
Appendicitis
Where should placenta be
Common S/S of chicken pox
4. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).
Maslow for a guy who lost his house in a fire
Munchhausen Syndrome
Droplet Precautions Transmission
In depth - Color codes
5. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
Shilling test
After lumbar puncture
MS
s3 heart sound is normal not
6. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure
Nonfat milk
Common S.S of Retino Blastoma
Mcburney's point
GTT for preggos
7. Bossing Sign (prominent forehead)
How do you treat a small bowel obstruction
Laparoscopy
Common S/S of Hydrocephalosis
Guided imagery is great for
8. Small frequent is better than large
A preggo in a minus station
Nuetropenic patients
Best way to tube feed or feed kids
1 cup= How many oz
9. (skin traction) --> elevate foot of bed for counter - traction
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10. 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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11. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)
1 tsp= How many ml
Best way to warm a newborn
What to do in the case of - an Air/Pulmonary Embolism
Cor Pulmonae
12. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions
Common S/S of Meningitis
After Myringotomy
Thyroid storm and myxedema
After Infratentorial Surgery
13. Lymes is found mostly in Conneticuts
PCWP
More labs suggestive of renal failure
Lymes mostly found in
DKA
14. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient
Botox
Common S/S of glaucoma
Blood typing
What could cause bronchopulmonary dysplasia
15. Renal impairment: serum creatinine elevated and urine clearance decreased
Tidal volume
Renal impairment labs
Common S/S of pneumonia
Tenkhoff cath
16. 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
Prior to liver biopsy
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Common S.S of Retino Blastoma
Nuetropenic patients
17. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.
Compartment syndrome
Besides meds and congenital problems .. What can lead to decreased preload
Order of assessment
Autonomic Dysreflexia/ Hyperreflexia
18. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme
First sign of pyloric stenosis in a baby
After Infratentorial Surgery
Common S/S of DKA
PKU
19. Brain problems occur
What happens when phenylalanine increases
Low Residue diet
After Supratentorial Surgery
Common S/S of cystic fibrosis
20. 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
Common S/S of retinal detachment
Autonomic Dysreflexia
Side effects of thyroid hormones
Where are chest tubes placed
21. 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
Common S/S Duchennes Muscular Dystrophy
Therapies
High priority in Addisons
Common S/S of appendicitis
22. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
c02 builds up and causes
Greeks
Late Decels
Side effects of thyroid hormones
23. 3 -4 -6
Heart Defects
If you see a nurse make a mistake Chain of command
HypoMg
Cranial nerves for Assessing extraocular eye movements
24. Chipmunk face
Common S/S of Bulimia
Omphalocele
Potassium lab importance
Cranial Nerves
25. On bedrest while implant in place
Behavior/Developmental - Peds
Risus Sardonicus
Cath lab
During internal radiation
26. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.
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27. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
Hypocalemia
Hemovac
HypoKalemia
Delegation Rule of Thumb?
28. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
Diabetes Insipidus
Gastric ulcer pain
Pneumonia
Dengue hemorrhagic fever
29. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.
Late Decels
Color codes
After Thyroidectomy
Depression manifests itself
30. 1 t (teaspoon)= 5 ml
1 tsp= How many ml
Decorticate and Decerebrate
Common S/S of SLE
If you THINK a patient has new HTN
31. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Protocol for Droplet Precautions
TPN is given in
Bethamethasone
Psuedomembrane in DIptheria
32. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.
Heroin withdrawl in a neonate
More info on EEG
Latex allergies
Asthmas and wheezers
33. 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. ...
COPD patients
After Endoscopy
Common S/S of down syndrome
MMR and Varicella
34. 3 D'S -- Drooling - Dysphonia - Dysphagia
Common S/S of epiglottitis
Autonomic Dysreflexia/ Hyperreflexia
During CBI (continuous bladder irrigation)
For PVD remember
35. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension
Common S/S Duchennes Muscular Dystrophy
Dumping syndrome
IVP requires
Orthostatis is verfied by
36. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
Dunlap traction=
Pathological jaundice
Hepatitis
caput succedaneum=
37. Children <3yoa - <35 lbs with femur fx
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38. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.
Pt with edema and walking
Bethamethasone
Autonomic Dysreflexia/ Hyperreflexia
Common S/S of Cushings syndrome
39. Second voided urine most accurate when testing for ketones and glucose.
Protocol for Droplet Precautions
Common S/S of Cushings syndrome
Common S/S of down syndrome
When to test urine for ketones and glucose
40. If patients have hallucinations redirect them. In delusions distract them.
Rule of thumb for assisting pysch patients
autonomic dysreflexia
PKU
Hepatitis
41. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Tylenol poisioining
autonomic dysreflexia
Whats petaling
CABG
42. 1 cup= 8 oz
Hypervolemia
Peritoneal dialysis
Common S/S of DKA
1 cup= How many oz
43. 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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44. After endoscopy check gag reflex.
VRSA
Sickle cell crisis
After Endoscopy
Mcburney's point
45. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)
Common S/S of glaucoma
Kids pain relief in NCLEX land
Dystocia
Best way to warm a newborn
46. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
Use of cold and hot
Hirschsprungs
For cord compression in OB
Prolapsed Cord
47. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!
Common S/S Duchennes Muscular Dystrophy
What if a toddler says no to medication
When you see coffee brown emesis think>
CABG
48. Orange tag in triage is non emergent Psych
Murphy's sign
Peritoneal dialysis
Orange tag in pysch
HypoMg
49. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
Guthrie test
Dumping syndrome
SIADH
Common S/S of leprosy
50. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics
Risus Sardonicus
SIADH
Trendelenberg's test
Common S/S Duchennes Muscular Dystrophy