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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. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others
Greeks
Willam's position
Highest priortiy in status elipticus
What to do for addisons/cushings
2. Vesicular rash (central to distal) dew drop on rose petal
What can't you give to immunosupressed pts
More info on TB testing a positive result
Common S/S of chicken pox
More IVP info
3. OAmniotic fluid yellow with particles = meconium stained`
How to treat phobic disorders
S/S of a fat embolism
Meconium stained protocol
Thyroid storm and myxedema
4. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.
Allen's test
Rule of thumb for obsessions/distractions
Besides meds and congenital problems .. What can lead to decreased preload
Tenkhoff cath
5. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.
Pulmonary sarcoidosis
Common sites for metastatsis
Glomerulonephritis considerations
What will alter the accuracy of o2 sats
6. Just know the MMR and Varicella immunizations come later (15 months).
When a pt comes in and she is in active labor
Greenstick fracture
MMR and Varicella
After Total Hip Replacement
7. Barrel chest
Common S/S of emphysema
What to do if your patients chest tube accidently getes removed
Kawasaki disease causes
Guthrie test
8. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
HypoMg
Diverticulitis
Blood typing
Bucks traction =
9. Cat's eye reflex (grayish discoloration of the pupil)
Buck's Traction
Eclampsia is a
MG and Guillian Barre
Common S.S of Retino Blastoma
10. Pilling rolling tremors
1 gr= How many mg
Appendicitis
Common S/S of parkinsons
Prior to liver biopsy
11. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias
Latex allergies
If kid has a cold
Guided imagery is great for
Alzheimers
12. CHRONIC pain
Late Decels
After Total Hip Replacement
Guided imagery is great for
Ventilator Alarms
13. Opposites! Nursing connection! Think about it!
Common S/S of Malaria
Common S/S of PTB
Cushings
MG and Guillian Barre
14. 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').
Other S/S of MS
4 year olds
Latex allergies
Main hypersensitivity for antiplatelet drugs
15. Kussmauls breathing (deep rapid RR)
PCWP
Common S/S of DKA
Change in color is
How will CSF look in meningitis
16. 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.
Pancreatitis pts>
What if a toddler says no to medication
Carbon dioxide narcosis
Eclampsia is a
17. 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).
Rule of thumb for assisting pysch patients
Dance Sign
ALS
Maslow for a guy who lost his house in a fire
18. After endoscopy check gag reflex.
Use of cold and hot
Dig rule for kids
After Endoscopy
What to check children for at age 12 months
19. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.
Common S/S of Shock
More IVP info
Likely cause of cardiac arrest in child
Common S/S of Basilar Fracture
20. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since
What disease leads to cardiac valve malfunctions
Knee replacement
A child with a ventriculoperitoneal shunt
After Supratentorial Surgery
21. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)
Most accurate way to test kids for medication accuracy
Yellow - Delayed
To prevent dumping syndrome
With lower amputations
22. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Common S/S of hypocalcemia
Kids with RSV>
Pt with edema and walking
Depression manifests itself
23. Small frequent is better than large
Thyroid storm and myxedema
Willam's position
Best way to tube feed or feed kids
More IVP info
24. 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.
Common S/S of asthma
More info on EEG
autonomic dysreflexia
What could cause bronchopulmonary dysplasia
25. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure
Most accurate way to test kids for medication accuracy
VV and AA
HyperKalemia
Nonfat milk
26. 1 cup= 8 oz
If your patient starts seeing bugs
Kernigs sign
More info on droplet precautions
1 cup= How many oz
27. Rebound tenderness
A child with a ventriculoperitoneal shunt
Common S/S of appendicitis
Cause of Ascites
More IVP info
28. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster
FHR patterns in ob
Bence Jones protein in urine
Hightest priority for RA
Thoracentesis
29. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)
Apgar Scoring
VRSA
Cute way to remember glascow coma
Positioning with pneaumonia
30. PainLESS vision loss - opacity of lens - blurring of the vision
Babinski sign
Before Epidural
Common S/S of Malaria
Common S/S of Cataract
31. 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%
Rule of nines
ICP and Shock have
Post spleenectomy
Hearing the baby in OB
32. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
Common S/S of Increased ICP
Potassium lab importance
Hydrocele
4 year olds
33. Cultures
Common S/S of guillian Barre Syndrome
MORE info on DKA ugh!
Labs in DKA>
What is obtained before starting any iv antibiotic
34. 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
How do you teach someone to reduce back aches
Hepatitis
Above the knee amputation
Penis Problems
35. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid
COPD and Pneumonia
Labs in DKA>
Common sites for metastatsis
Pancreatitis pts>
36. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.
PKU
If you see a nurse make a mistake Chain of command
Options for cancer
Crutch use
37. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.
What to do for addisons/cushings
HypoMg
Crackles most likely are...
Delegation Rule of Thumb?
38. MRI- claustrophobia - no metal - assess pacemaker
Autonomic Dysreflexia
MRI
No Cantalope
Maslow for a guy who lost his house in a fire
39. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin
s3 heart sound is normal not
Knee replacement
Diabetes Insipidus
Common S/S of Diptheria
40. No nasotracheal suctioning with head injury or skull fracture.
What to in the case of - Pt with heat stroke
Suctioning is good -- except
Common S/S of appendicitis
Vertical C section
41. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis
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42. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior
Complications of mechanical ventilation
Myelogram
When to test urine for ketones and glucose
Before a pft
43. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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44. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
Crackles most likely are...
Hyponatremia
Cane walking
More info on EEG
45. 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.
Hypovolemia
School aged kids and five year olds
Protocol for Airborne Transmission
Menieres's disease
46. (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.
What to do in the case of - an Air/Pulmonary Embolism
s3 heart sound is normal not
Protocol for Airborne Transmission
Heart Defects
47. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.
Labs for congenital heart disease
ICP and Shock have
Jews
What can't you give to immunosupressed pts
48. Risus Sardonicus
Common S/S of Tetany
Hep A precautions
Paget's disease
Common S/S of emphysema
49. Patent ductuous arteriousus in infants! Valve doesn't close!
Common S/S of leprosy
How many liters of O2
PDA
Common S/S of cystic fibrosis
50. Place a wheelchair parallel to the bed on the side of weakness
Developmental milestones
Nonfat milk
Placement of a wheelchair
Hypervolemia