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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. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin
Kids pain relief in NCLEX land
Decorticate and Decerebrate
Common S/S of Liver cirrhoisis
Common S/S of Ulcerative Colitis
2. No nasotracheal suctioning with head injury or skull fracture.
Common S/S Hepatic Encephalopathy
Suctioning is good -- except
Hirschsprungs is dx how
Thrombocyopenia - bleeding precautions
3. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!
Anorexia sucks because
Normal Hemoglobin
What to do in the case of - A woman in labor with Un - Reassuring FHR
Meningeal irriatation>
4. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten
Kids with HIV
Lymes mostly found in
Hodgkins disease
Nondairy sources of calcium
5. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
Heart problems
Anorexia sucks because
Paget's disease
Common S/S of Malaria
6. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.
HypoMg
Below the knee amputation
PTB
Common S/S of Bladder Cancer
7. Stepladder like fever with chills
Babinski sign
More labs suggestive of renal failure
Common S/S of Malaria
1 cup= How many oz
8. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V
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9. With low back aches - bend knees to relieve
For a lung biopsy
Hypercalemia
Where should placenta be
How do you teach someone to reduce back aches
10. Lymes is found mostly in Conneticuts
Tube and J tubes are usually
Traction rule
Common sites for metastatsis
Lymes mostly found in
11. For Meningitis check for Kernig's/ Brudzinski's signs.
HypoMg
Signs to look for in meningitis
Crackles most likely are...
Protocol for Airborne Transmission
12. Dystocia= baby cannot make it down to canal
Nonfat milk
Glomerulonephritis
Dystocia
Alzheimers
13. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).
Hemovac
What to do in the case of - A woman in labor with Un - Reassuring FHR
Labs in DKA>
Peds positioning for GERD
14. Lioning face
Common S/S Duchennes Muscular Dystrophy
Common S/S of leprosy
Common S/S of Malaria
Hepatitis
15. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency
Sickle cell crisis
HyperMg
TPN is given in
Rule of nines
16. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5
Hyponatremia
Tidal volume
When you see coffee brown emesis think>
Normal Hemoglobin
17. Children <3yoa - <35 lbs with femur fx
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18. Increased temp - pulse and HTN
Thyroid storm
VV and AA
Common S/S of pancreatitis
MS
19. Psuedo membrane formation
Hemovac
Asthma and arthritis best excercise
Common S/S of Diptheria
Traction rule
20. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
Sickle cell crisis
TEF
PCWP
Tidal volume
21. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.
What to in the case of - Pt with heat stroke
More info on intussception
CABG
NMS
22. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)
A preggo in a minus station
Cranial nerves for Assessing extraocular eye movements
HypoKalemia
Above the knee amputation
23. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
Blood typing
Preload and Afterload
In depth - Color codes
Common S/S of GERD
24. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)
Radioactive iodine
Vertical C section
For PVD remember
Before Epidural
25. Uremic fetor --> smell urine on the breath
Normal Hemoglobin
Shilling test
Renal impairment labs
Uremic Fetor
26. 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').
Signs to look for in meningitis
Apgar Scoring
First sign of cystic fibrosis
4 year olds
27. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r
Fontanelles
Kidneys and ears
Compartment syndrome
Hypervolemia
28. Place the apparatus first then place the weight (der)
How to put on traction
DKA
TPN is given in
Peds weight
29. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.
The first s/s of ards
Where are chest tubes placed
Protocol for Airborne Transmission
When you see coffee brown emesis think>
30. 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.
Hirschsprungs is dx how
Common S/S of Liver cirrhoisis
Cushing ulcers and cushings triad
Common S/S Hepatic Encephalopathy
31. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
Cath lab
Willam's position
Cardinal signs of ARDS
Pancreatitis pts>
32. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.
Common S/S of down syndrome
Omphalocele
Common s/s of PDA
1 pint = How many cups
33. Normal in CHF from the squishin'.. Not normal in an MI patient
CPR in a five year old
Besides meds and congenital problems .. What can lead to decreased preload
c02 builds up and causes
s3 heart sound is normal not
34. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.
Pathological jaundice
First sign of pe
Common S/S of DKA
For a lung biopsy
35. Expiratory grunt -- Causes Infant respiratory distress!
Dystocia
Common S/S of Tetany
Cmmon S/S Fibrin Hyalin
Dig rule for kids
36. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a
Common S/S of orbital fracture
Pulmonary sarcoidosis
For a lung biopsy
Hirschsprungs is dx how
37. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s
Liver biopsy
MORE info on DKA ugh!
Myasthenia gravis
Common S/S Duchennes Muscular Dystrophy
38. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
The first s/s of ards
Shock
Vertical C section
1 lb = How many ozs
39. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
Addisonian Crisis
TIA
HypoMg
Traction rule
40. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)
Dangerous thing to get during pregnancy
Common S/S of glaucoma
Enema positioning
Low crit/hemoglobin
41. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Decorticate and Decerebrate
Halo
CABG
VV and AA
42. No meat and milk together
What to do for addisons/cushings
Cath lab
Jews
Shift to the left means
43. TPN(total parenteral nutrition) given in subclavian line.
TPN is given in
To prevent dumping syndrome
Common S/S of pancreatitis
Tube and J tubes are usually
44. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.
What disease leads to cardiac valve malfunctions
What to do in the case of - A woman in labor with Un - Reassuring FHR
1 lb = How many ozs
Every new admission needs
45. An occulsive dressing is used
Hyperthyroidism
Common S/S of parkinsons
What to do if your patients chest tube accidently getes removed
MORE info on DKA ugh!
46. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.
More IVP info
Charcots sign
Kawasaki disease causes
CABG
47. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.
Common S/S of MS>
After Cataract surgery
Order of assessment
Preload and Afterload
48. Hypotension and bradypnea / bradycardia are major risks and emergencies.
Guided imagery is great for
Common S/S of pneumonia
Nuetropenic patients
Major risks of epidural
49. 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
TB health risk
Bence Jones protein in urine
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Autonomic Dysreflexia
50. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%
Menieres's disease
After Cataract surgery
Rule of nines
1 tablespoon = How many ml