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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. A LATE sign! Always~!
MORE info on DKA ugh!
Common S/S of Pemphigus Vulgaris
Nepphrotic syndrome
Change in color is
2. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS
Common S/S of pyloric stenosis
Nondairy sources of calcium
Facts about hemophilia
After Thyroidectomy
3. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.
DKA
OB secret
Every new admission needs
Main hypersensitivity for antiplatelet drugs
4. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing
Ventilator Alarms
Yellow - Delayed
Infant with Spina Bifida
Facts about hemophilia
5. Glucose
Sickle cell crisis
Besides sodium - water also follows
Hirschsprungs
Change in color is
6. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.
Addisonian Crisis
No Cantalope
Common S/S of BPH
Protocol for Airborne Transmission
7. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.
Post spleenectomy
A patient with vertical c - section will likely have
Common S/S of Shock
How do you teach someone to reduce back aches
8. 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
Greeks
Below the knee amputation
Color codes
Common S/S of Bladder Cancer
9. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro
Penis Problems
GTT for preggos
What to do in the case of tube feeding with decreased LOC
1 quart = How many pints
10. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other
Color codes
First sign of pe
Tidal volume
Greenstick fracture
11. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)
Asthma and arthritis best excercise
PDA
Shift to the left means
How do you treat a small bowel obstruction
12. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
Kernigs sign
Common S/S of Diptheria
TB test confirmation
Head Injury
13. Salty skin
Hyperthyroidism
Crutch use
Tetraology of Fallot
Common S/S of cystic fibrosis
14. Pumonary tuberculosis
Alkaline Ash diet
Hypovolemia
PTB
Nepphrotic syndrome
15. Mothers receive rhogam to protect next baby.
Hearing the baby in OB
More IVP info
Cranial Nerves
Rh
16. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)
Droplet Precautions Transmission
MRSA and VRSA precautions
Guillian Barre
Thrombocyopenia - bleeding precautions
17. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.
Laparoscopy
After Gtube placement
After Myringotomy
Kidneys and ears
18. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure
Nonfat milk
Orange tag in pysch
Common S/S of orbital fracture
Infant with Spina Bifida
19. Peptic ulcer
Likely cause of cardiac arrest in child
Group - A strep
Delegation Rule of Thumb?
When you see coffee brown emesis think>
20. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
Shilling test
Delegation Rule of Thumb?
Common S/S of pernicious anemia
Signs observed in hypocalemia
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
How to Dx a AAA
High priority in Addisons
What if a toddler says no to medication
Carbon dioxide narcosis
22. Most spinal cord injuries are at the cervical or lumbar regions
Heart problems
Dystocia
Phenalalanine
Where are most spinal cord injuries
23. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)
Hypernatremia SALT
HypoKalemia
After Gtube placement
Before giving MMR>
24. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for
NG tube rules
Common S/S of Hodgkins Disease/Lymphoma
Common S/S of guillian Barre Syndrome
COPD and Pneumonia
25. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Milk for kids
Common S/S of SLE
Hypovolemia
Disease precautions
26. 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 Dengue
Dig rule for kids
Detached Retina
Omphalocele
27. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes
Common S/S of MS>
Hodgkins disease
HyperKalemia
Autonomic Dysreflexia/ Hyperreflexia
28. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress
Addisons
More IVP info
Cranial Nerves
Decorticate and Decerebrate
29. For knee replacement use continuous passive motion machine.
What can also cause an s3 heart sound
Maslow for a guy who lost his house in a fire
Knee replacement
Kidneys and ears
30. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.
Nitrazine paper
Labs in DKA>
Enema positioning
Black - Expectant
31. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.
Low Residue diet
When patient is in distress
Pain in the LLQ indicative of...
Parkisons
32. 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.
School aged kids and five year olds
After removal of the pituitary gland what should you watch for
Latex allergies
Besides meds and congenital problems .. What can lead to decreased preload
33. Handle any blood
LVN/LPN cant
Disease precautions
Potassium and acid base balance
Hypernatremia SALT
34. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
Common S/S of cystic fibrosis
Hep A precautions
What to do for addisons/cushings
Chief concern in CF
35. 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
ABG drawin
Hearing the baby in OB
Common S/S of Cushings syndrome
Common S/S of MS>
36. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
What happens when phenylalanine increases
NG tube rules
Common s/s of PDA
Rule of thumb for assisting pysch patients
37. 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
More info on EEG
Kids with HIV
Nonfat milk
Hyperthyroidism
38. 3 -4 -6
Common S/S of Cushings syndrome
MS
Cranial nerves for Assessing extraocular eye movements
After removal of the pituitary gland what should you watch for
39. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)
Murphy's sign
Hyper reflexive Absent reflexsive
OB secret
Osteomyeltitis
40. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
After appendectomy
What to do for addisons/cushings
How to Dx a AAA
Prolapsed Cord
41. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma
When patient is in distress
Order of assessment
If your patient starts seeing bugs
Potassium lab importance
42. 3 D'S -- Drooling - Dysphonia - Dysphagia
Common S/S of Infectious Mononucleosis
Common S/S Duchennes Muscular Dystrophy
Common S/S of Bulimia
Common S/S of epiglottitis
43. Protruding tongue
To prevent dumping syndrome
autonomic dysreflexia
Common S/S of down syndrome
Allen's test
44. 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
Hba1c
Common S/S of Cholera
Thyroid storm and myxedema
Droplet Precautions Transmission
45. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s
Common S/S of guillian Barre Syndrome
Heart Defects
Common S/S of BPH
When you see coffee brown emesis think>
46. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.
Before giving MMR>
Stomas
Highest priortiy in status elipticus
Pt with edema and walking
47. Sausage shaped mass - Dance sign (empty portion of RLQ)
Milk for kids
Common S/S of Intusseption
Bethamethasone
Common S/S of Lyme's disease
48. Position prone (on abdomen) so that sac does not rupture
Pancreatitis prioritys
Common S/S of measles
Infant with Spina Bifida
MG and Guillian Barre
49. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.
Kawasaki disease causes
Airborne Transmission
After removal of the pituitary gland what should you watch for
MMR and Varicella
50. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or
Common S/S of Increased ICP
When to test urine for ketones and glucose
More info on droplet precautions
How do you treat a small bowel obstruction