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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 - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!
MRSA and VRSA precautions
s/s of a fat embolism
COPD and Pneumonia
Common S/S of Hodgkins Disease/Lymphoma
2. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.
s3 heart sound is normal not
Pt with edema and walking
Hirschsprungs
Tetraology of Fallot
3. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues
When patient is in distress
Cerebral palsy
Hyperthyroidism
Cullens sign
4. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up
Pulmonary sarcoidosis
FHR patterns in ob
Best way to warm a newborn
Cullens sign
5. Dystocia= baby cannot make it down to canal
Fontanelles
Dystocia
Tetraology of Fallot
CVA
6. Elevate HOB 30 degrees to decrease intracranial pressure
From the ass From the Mouth
Head Injury
Suctioning is good -- except
Gerd again
7. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.
Hep B vaccine always ask
What disease leads to cardiac valve malfunctions
Osteomyeltitis
Chief concern in CF
8. 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).
Labs for congenital heart disease
Osteomyeltitis
Maslow for a guy who lost his house in a fire
Asthma and arthritis best excercise
9. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.
What treats tet spells
Dumping syndrome
Alkaline Ash diet
Common S/S of measles
10. Knee immobility
Bucks traction =
A child with a ventriculoperitoneal shunt
Low crit/hemoglobin
Peritoneal dialysis
11. 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.
Tenkhoff cath
IVP requires
Before a pft
When patient is in distress
12. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION
Signs of a hip fracture
Potassium lab importance
Coomb's test
During epidural puncture
13. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.
Hearing the baby in OB
How do children less than one breathe
First sign of pe
Infant with Spina Bifida
14. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.
Post spleenectomy
Color codes
Common s/s of PDA
How to put on traction
15. On bedrest while implant in place
During internal radiation
Besides sodium - water also follows
If kid has a cold
Common S/S Duchennes Muscular Dystrophy
16. Pulse area cpr on infant
Suctioning is good -- except
Brachial Pulse
Common S/S of BPH
CABG
17. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient
Blood typing
Main hypersensitivity for antiplatelet drugs
Developmental milestones
HHNS Vs DKA
18. Hallmark= Sore throat - cervical lymph adenopathy - fever
What can also cause an s3 heart sound
Common S/S of Infectious Mononucleosis
CPR in a five year old
Cath lab
19. One pound equals 16 0z
Sengstaken blakemore tube
1 lb = How many ozs
Chief concern in CF
Cranial nerves for Assessing extraocular eye movements
20. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.
Thyroid storm
Peds positioning for GERD
When is Rhogam given and how
Decorticate and Decerebrate
21. TPN(total parenteral nutrition) given in subclavian line.
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Suctioning is good -- except
MS
TPN is given in
22. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.
Dengue hemorrhagic fever
After Thyroidectomy
Common s/s of PDA
During CBI (continuous bladder irrigation)
23. 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
24. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis
25. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution
MG and Guillian Barre
1 g = How many mg
Where are chest tubes placed
Hypernatremia
26. Rebound tenderness
Common S/S of appendicitis
Whats petaling
Risus Sardonicus
ICP
27. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
STD= gonnorrhea
Cane walking
Labs for congenital heart disease
Common S/S of measles
28. 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.
What if a toddler says no to medication
VRSA
Autonomic Dysreflexia
GTT for preggos
29. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)
A patient with vertical c - section will likely have
Glaucoma patients loose
Cushings
Shock
30. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs
31. Co2 causes vasoconstriction.
Botox
Eclampsia is a
Guillian Barre
c02 builds up and causes
32. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in
Dig rule for kids
Cane walking
Traction in kids
Hemovac
33. 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%
Thrombocyopenia - bleeding precautions
How do you teach someone to reduce back aches
Cranial Nerves
Rule of nines
34. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
For cord compression in OB
Common s/s of PDA
HypoMg
Stomas
35. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.
Common S/S of Increased ICP
Cushings
Temp conversion
For a lumbar puncture
36. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
Asthma and arthritis best excercise
First sign of cystic fibrosis
Chief concern in CF
Hyper reflexive Absent reflexsive
37. 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!
Latex allergies
MMR and Varicella
Color codes
Group - A strep
38. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis
From the ass From the Mouth
More info on lumbar puncture
Bethamethasone
When you see coffee brown emesis think>
39. Just know the MMR and Varicella immunizations come later (15 months).
To prevent dumping syndrome
Chvostek and Trosseaus sign
Common S/S of epiglottitis
MMR and Varicella
40. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
NG tube rules
When to test urine for ketones and glucose
Hydrocele
Common S/S of BPH
41. Visual floaters - flashes of light - curtain vision
How to put on traction
Common S/S of retinal detachment
How many liters of O2
Room air is...
42. Another c section with any more kids
Common S/S Hepatic Encephalopathy
A patient with vertical c - section will likely have
ICP
Below the knee amputation
43. 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.
Uremic Fetor
Every new admission needs
Dig rule for kids
A preggo in a minus station
44. Place the apparatus first then place the weight (der)
Cushings
Bethamethasone
How to put on traction
If kid has a cold
45. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
HypoKalemia
Guthrie test
Cranial nerves for Assessing extraocular eye movements
Cranial Nerves
46. CHRONIC pain
Guided imagery is great for
Diverticulitis
Hypervolemia
Cane walking
47. Strawberry tongue
When a pt comes in and she is in active labor
Trendelenberg's test
Addisons
Common S/S of Kawasaki syndrome
48. 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.
Hemovac
Mcburney's point
What to do in the case of - an Air/Pulmonary Embolism
Hypernatremia
49. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will
Renal impairment labs
For an EEG test
Placement of a wheelchair
Delegation Rule of Thumb?
50. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
DKA
Hodgkins disease
In depth - Color codes
Shilling test