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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. Visual floaters - flashes of light - curtain vision
Common S/S of MG
Common S/S of retinal detachment
Orange tag in pysch
SARS
2. Knee - chest position or Trendelenburg
Cute way to remember glascow coma
Common S/S of parkinsons
Prolapsed Cord
Greenstick fracture
3. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
How many liters of O2
Vertical C section
Cardinal signs of ARDS
Protocol for Airborne Transmission
4. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.
Tet spells
Facts about hemophilia
S/S of a fat embolism
Med that can't be infused Intra osseously
5. Toes curl= GREAT Toes fan = BAD
How will CSF look in meningitis
Every new admission needs
Cushing ulcers and cushings triad
Babinski sign
6. Never release traction unless you have an order from an MD to do so
Munchhausen Syndrome
What is obtained before starting any iv antibiotic
Traction rule
Hearing the baby in OB
7. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.
Before a pft
Therapies
Kidneys and ears
How to itch under a cast
8. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.
Nuetropenic patients
More labs suggestive of renal failure
Turner's sign
Kawasaki disease causes
9. 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
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10. Rose spots on abdomen
Common S/S of Thypohiod
Cranial Nerves
Addisons
OB secret
11. The MMR vaccine is given SQ not IM.
MMR SHot
VV and AA
Appendicitis
Knee replacement
12. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
Guthrie test
What to do if your patients chest tube accidently getes removed
Sources of potassium
Cullens sign
13. Strawberry tongue
Alkaline Ash diet
CVA
Bucks traction =
Common S/S of Kawasaki syndrome
14. 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
Milk for kids
Ventilator Alarms
Bryant's traction=
Graves disease/ Hyperthyroidism
15. 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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16. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes
HyperKalemia
Halo
1 gr= How many mg
Hypercalemia
17. MRI- claustrophobia - no metal - assess pacemaker
Pancreatitis prioritys
MRI
Meconium stained protocol
Pheochromocytoma
18. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.
Buck's Traction
Common S/S of Kawasaki syndrome
Mcburney's point
Carbon dioxide narcosis
19. Absence of menstruation leads to osteoporosis in the anorexic.
Hep A precautions
When to test urine for ketones and glucose
DKA
Anorexia sucks because
20. Pulse area cpr on infant
Shilling test
Low crit/hemoglobin
Brachial Pulse
Graves disease/ Hyperthyroidism
21. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.
Common S/S of Basilar Fracture
Placement of a wheelchair
Charcots sign
Pt with edema and walking
22. Lie flat with legs elevated
Labs for congenital heart disease
Before a pft
What to in the case of - Pt with heat stroke
How to Dx a AAA
23. 1 cup= 8 oz
Black - Expectant
For a lumbar puncture
1 cup= How many oz
When a pt comes in and she is in active labor
24. 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
What to do if your patients chest tube accidently getes removed
HyperKalemia
Diff between angina and MI
Greeks
25. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)
Amniocentesis is performed and why
Nephrotic syndrome
Halo
HypoKalemia
26. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
What to in the case of - Pt with heat stroke
Gastric ulcer pain
Why somone who is allergic to latex would be allergic to food too
Common S/S of Hydrocephalosis
27. Glaucoma patients lose peripheral vision. Treated with meds
More info on intussception
Common S/S of down syndrome
Chvostek and Trosseaus sign
Glaucoma patients loose
28. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
Sources of potassium
Dengue hemorrhagic fever
HypoMg
Common S/S Duchennes Muscular Dystrophy
29. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
Hypocalemia
Above the knee amputation
Why somone who is allergic to latex would be allergic to food too
Diverticulitis
30. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.
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31. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.
Cerebral palsy
VV and AA
Myasthenia gravis
Lymes mostly found in
32. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
Hemovac
Who produces insulin
Trendelenberg's test
Hyperthyroidism
33. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
First sign of cystic fibrosis
Besides sodium - water also follows
caput succedaneum=
Color codes
34. A newly diagnosed hypertension patient should have BP assessed in both arms
Buck's Traction
Before a pft
Chvostek and Trosseaus sign
If you THINK a patient has new HTN
35. Petechiae. Treated with heparin.
After removal of the pituitary gland what should you watch for
COPD and Pneumonia
Common S/S of pancreatitis
s/s of a fat embolism
36. Peptic ulcer
PTB
When you see coffee brown emesis think>
FHR patterns in ob
Hyponatremia
37. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!
Immunizations rules
IVP requires
1 kg= How many pounds
Gross things to remember about nurses with herpes!!!!
38. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce
Common S/S Hepatic Encephalopathy
MS
Grey Turners sign
Detached Retina
39. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!
Compartment syndrome
Hodgkins disease
Risus Sardonicus
Phenalalanine
40. 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
Room air is...
Tet spells
Omphalocele
Common S/S of emphysema
41. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.
SIADH
autonomic dysreflexia
What is a bad sign in asthma
Sengstaken blakemore tube
42. Ottorhea
Pt with edema and walking
Common S/S of Basilar Fracture
Cushings
Why would a pt with leukemia have epistaxis
43. * 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.
GTT for preggos
LVN/LPN cant
Temp conversion
Appendicitis
44. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.
ICP and Shock have
If you see a nurse make a mistake Chain of command
For an EEG test
After Gtube placement
45. Questions about a halo Remember safety first - have a screwdriver nearby.
Halo
PDA
Pathological jaundice
Potassium and acid base balance
46. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).
If you see a nurse make a mistake Chain of command
Dance Sign
1 cup= How many oz
Common S/S Meniere's Disease
47. Bananas - potatoes - citrus fruits
More info on lumbar puncture
Sources of potassium
1 g = How many mg
Common S/S of Diptheria
48. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments
Common S/S of chicken pox
Hyper reflexive Absent reflexsive
For a lumbar puncture
VV and AA
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
ACID ash diet
CPR in a five year old
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Common S/S of Cushings syndrome
50. 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
Sengstaken blakemore tube
Labs in DKA>
COPD and Pneumonia
4 year olds
Can you answer 50 questions in 15 minutes?
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