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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. 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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2. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.
Bence Jones protein in urine
Addisons
From the ass From the Mouth
Cerebral angio prep
3. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)
Yellow - Delayed
Eyes
No Cantalope
Cerebral palsy
4. No nasotracheal suctioning with head injury or skull fracture.
Suctioning is good -- except
Group - A strep
Who produces insulin
COPD and Pneumonia
5. 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
Side effects of thyroid hormones
ALS
Orange tag in pysch
Med that can't be infused Intra osseously
6. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow
Latex allergies
When a pt comes in and she is in active labor
After Thyroidectomy
How many liters of O2
7. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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8. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency
Med that can't be infused Intra osseously
Tension Pneumothorax
HyperMg
After appendectomy
9. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.
After Supratentorial Surgery
Dumping syndrome
Signs observed in hypocalemia
Menieres's disease
10. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.
ICP and Shock have
Common S/S of Lyme's disease
Contact transmission precautions
When is Rhogam given and how
11. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.
Thyroid storm and myxedema
Common S/S of Liver cirrhoisis
Autonomic Dysreflexia/ Hyperreflexia
What could cause bronchopulmonary dysplasia
12. Never release traction unless you have an order from an MD to do so
Traction rule
First sign of cystic fibrosis
COPD and Pneumonia
What treats tet spells
13. Trachea shifts to the opposite side
Ventilator Alarms
Enema positioning
Tension Pneumothorax
After lumbar puncture
14. Coarse facial features
After Infratentorial Surgery
Peds positioning for GERD
Common S/S Acromegaly
IVP requires
15. 30 ml = 1 oz
Common S/S of Bladder Cancer
Common S/S of pyloric stenosis
How many oz in a ml
Signs observed in hypocalemia
16. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.
Common S/S of Cholera
Hemovac
Besides meds and congenital problems .. What can lead to decreased preload
Munchhausen Syndrome
17. Respiratory problems!
Chief concern in CF
What to do if your patients chest tube accidently getes removed
Hyperparathyroid
HypoMg
18. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)
More labs suggestive of renal failure
HypoKalemia
Asthma and arthritis best excercise
Cor Pulmonae
19. Absence of menstruation leads to osteoporosis in the anorexic.
Best way to warm a newborn
Apgar scores/scoring
Anorexia sucks because
Common S/S of Liver cirrhoisis
20. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate
Contact transmission precautions
Hypernatremia
GTT for preggos
Tet spells
21. Hodgkin's disease= cancer of lymph is very curable in early stage.
Hirschsprungs is dx how
Hodgkins disease
Parkisons
For PVD remember
22. Risus Sardonicus
Common S/S of Tetany
Tenkhoff cath
Common S/S of pneumonia
Common s/s of PDA
23. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
Menieres's disease
Common S/S of Basilar Fracture
More labs suggestive of renal failure
Gastric ulcer pain
24. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
Above the knee amputation
In depth - Color codes
Common S/S of pancreatitis
Nitrazine paper
25. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.
Hydrocele
When you see coffee brown emesis think>
Laparoscopy
HHNS Vs DKA
26. The biggest concern with cold stress and the newborn is respiratory distress.
Prior to liver biopsy
IVP requires
Hepatitis
Cold stress in a newborn
27. Alk Ash diet - milk - veggies - rhubarb - salmon
Hirschsprungs
Alkaline Ash diet
Disease precautions
Heart problems
28. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.
Common S/S of BPH
Before Epidural
Below the knee amputation
Orthostatis is verfied by
29. Systematic desensitization
Hep A precautions
More info on TB testing a positive result
Above the knee amputation
How to treat phobic disorders
30. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Dengue hemorrhagic fever
Bethamethasone
If you THINK a patient has new HTN
Peds weight
31. Hypotension and bradypnea / bradycardia are major risks and emergencies.
If kid has a cold
Major risks of epidural
Paget's disease
Halo
32. Visual floaters - flashes of light - curtain vision
Common S/S of retinal detachment
Side effects of thyroid hormones
What to do in the case of - A woman in labor with Un - Reassuring FHR
Meconium stained protocol
33. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis
Low Residue diet
Where are most spinal cord injuries
Phenalalanine
Tetraology of Fallot
34. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
PKU
Pathological jaundice
Common S/S of LTB
NG tube rules
35. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.
Bethamethasone
Botox
Hep A precautions
Common S/S of Thypohiod
36. Portal hypotension + albuminemia= Ascites.
OB secret
Cause of Ascites
Labs for congenital heart disease
Common S/S of Cushings syndrome
37. 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.
PCWP
Autonomic Dysreflexia/ Hyperreflexia
Change in color is
Every new admission needs
38. If patients have hallucinations redirect them. In delusions distract them.
Hypercalemia
Cmmon S/S Fibrin Hyalin
Rule of thumb for assisting pysch patients
Hypovolemia
39. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.
Myasthenia gravis
Alzheimers
What happens when phenylalanine increases
Hirschsprungs
40. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!
Nepphrotic syndrome
Botox
Likely cause of cardiac arrest in child
Group - A strep
41. For Meningitis check for Kernig's/ Brudzinski's signs.
Common S/S Meniere's Disease
Signs to look for in meningitis
Pancreatitis pts>
From the ass From the Mouth
42. Vastus lateralis is IM administration site for 6month infants
Thoracentesis
Stomas
Koplick's spots
Immunizations rules
43. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.
Yeast infection in a babys mouth
After Supratentorial Surgery
Common S/S of Increased ICP
Common S/S of Kawasaki syndrome
44. Femur or lower leg instability
Shock
Hodgkins disease
Russel Traction =
Diverticulitis
45. 1 T(tablespoon)= 3 t = 15 ml
1 tablespoon = How many ml
Side rail rules
Change in color is
Common S/S of cystic fibrosis
46. (incision behind hairline) --> elevate HOB 30-45 degrees
TB test confirmation
After Supratentorial Surgery
Coomb's test
Thyroid storm
47. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
Anorexia sucks because
Hyperparathyroid
Thyroid storm and myxedema
How to Dx a AAA
48. Uremic fetor --> smell urine on the breath
From the ass From the Mouth
Uremic Fetor
Therapies
Eclampsia is a
49. 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
To prevent dumping syndrome
Behavior/Developmental - Peds
More info on droplet precautions
Halo
50. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.
Depression manifests itself
What to do in the case of - an Air/Pulmonary Embolism
What to do if your patients chest tube accidently getes removed
To remember blood sugar