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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. Risus Sardonicus
Common S/S of Tetany
Common S/S of PTB
SLE
Cold stress in a newborn
2. Nurses First action is to listen to fetal rate/tone
What is a bad sign in asthma
More info on lumbar puncture
When a pt comes in and she is in active labor
Pain in the LLQ indicative of...
3. 30 ml = 1 oz
How many oz in a ml
Common S/S of glaucoma
Cushings
Thyroid storm and myxedema
4. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
In depth - Color codes
Pancreatitis pts>
Airborne Transmission
Before giving MMR>
5. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)
To prevent dumping syndrome
When you see coffee brown emesis think>
Options for cancer
Whats petaling
6. 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.
Pt with edema and walking
Western blot test
Menieres's disease
If you see a nurse make a mistake Chain of command
7. 7 - 10ml / kg
Laparoscopy
Tetraology of Fallot
Kids pain relief in NCLEX land
Tidal volume
8. 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.
Hypercalemia
Acid/ ASH diet
More info on EEG
Common S/S of Hodgkins Disease/Lymphoma
9. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme
First sign of pe
Jews
Pheochromocytoma
PKU
10. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Cerebral palsy
Nuetropenic patients
Protocol for Airborne Transmission
Tidal volume
11. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
s3 heart sound is normal not
Placement of a wheelchair
Knee replacement
TB test confirmation
12. Petechiae or + Herman's sign
Thyroid storm
Hypovolemia
First sign of pe
Common S/S of Dengue
13. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Yellow - Delayed
Trendelenberg's test
Incentive Spirometry steps
What can't you give to immunosupressed pts
14. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure
Ventilator Alarms
Post spleenectomy
Nonfat milk
Hirschsprungs
15. An occulsive dressing is used
Autonomic Dysreflexia/ Hyperreflexia
Change in color is
Common S/S of SLE
What to do if your patients chest tube accidently getes removed
16. 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
Thyroid storm and myxedema
If your patient starts seeing bugs
Renal impairment labs
Radioactive iodine
17. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!
Common S/S of Meningitis
Cath lab
Orange tag in pysch
Meningeal irriatation>
18. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.
Western blot test
Preload and Afterload
Signs to look for in meningitis
S/S of a fat embolism
19. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA
Grey Turners sign
VRSA
Turner's sign
Why would a pt with leukemia have epistaxis
20. Dystocia= baby cannot make it down to canal
Dystocia
Hirschsprungs is dx how
Pancreatitis pts>
Greenstick fracture
21. OAmniotic fluid yellow with particles = meconium stained`
Meconium stained protocol
Kids pain relief in NCLEX land
Labs in DKA>
Common S/S of GERD
22. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Pancreatitis prioritys
Hirschsprungs is dx how
Best indicator of dehydration
Glomerulonephritis considerations
23. CATS - convulsions - arrhythmias - tetany - spasms and stridor
Hypocalemia
No Cantalope
What disease leads to cardiac valve malfunctions
Complications of mechanical ventilation
24. If HR is <100 do not give dig to children.
1 tsp= How many ml
Dig rule for kids
Peds weight
ICP
25. Co2 causes vasoconstriction.
Psuedomembrane in DIptheria
Paget's disease
How do you treat a small bowel obstruction
c02 builds up and causes
26. Vertigo - Tinnitus
27. 3 -4 -6
High priority in Addisons
After lumbar puncture
Cranial nerves for Assessing extraocular eye movements
Rule of nines
28. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing
What can't you give to immunosupressed pts
What to do in the case of - A woman in labor with Un - Reassuring FHR
More info on lumbar puncture
Common S/S of Kawasaki syndrome
29. 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
Carbon dioxide narcosis
Tet spells
Preload and Afterload
Nuetropenic patients
30. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
Post spleenectomy
Therapies
PCWP
Med that can't be infused Intra osseously
31. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).
Cause of Ascites
Complications of mechanical ventilation
To prevent dumping syndrome
Potassium and acid base balance
32. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.
Nitrazine paper
Common S/S of PTB
What can also cause an s3 heart sound
Below the knee amputation
33. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.
Change in color is
1 tablespoon = How many ml
Common S/S of Bladder Cancer
CABG
34. Low residue diet means low fiver
Low Residue diet
Potassium and acid base balance
Cystic fibrosis
Main hypersensitivity for antiplatelet drugs
35. Salty skin
Facts about hemophilia
Low crit/hemoglobin
Common S/S of cystic fibrosis
Emphysema
36. Pain is usually the highest priority with RA
Suctioning is good -- except
Rule of nines
Hightest priority for RA
Gerd again
37. Skin to skin contact on mom with a blanket
Best way to warm a newborn
Droplet Precautions Transmission
After Total Hip Replacement
More info on intussception
38. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or
How do you teach someone to reduce back aches
ABG drawin
Side rail rules
First sign of cystic fibrosis
39. Peptic ulcer
Common S/S of MG
Common S/S of GERD
When you see coffee brown emesis think>
Sengstaken blakemore tube
40. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B
Acid/ ASH diet
Hepatitis
How to itch under a cast
Traction rule
41. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.
Nonfat milk
A patient with vertical c - section will likely have
Cerebral angio prep
Kids with HIV
42. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
Common S/S of pneumonia
After lumbar puncture
Dangerous thing to get during pregnancy
Gastric ulcer pain
43. Barrel chest
Cmmon S/S Fibrin Hyalin
Common S/S of emphysema
Orange tag in pysch
Latex allergies
44. Glaucoma patients lose peripheral vision. Treated with meds
Gerd again
Vertical C section
Glaucoma patients loose
Radioactive iodine
45. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.
Pathological jaundice
Gerd again
Fontanelles
Whats petaling
46. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-
Apgar scores/scoring
In depth - Color codes
coarctation of the aaorta causes
With lower amputations
47. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc
Common S/S of down syndrome
Cold stress in a newborn
FHR patterns in ob
Tet spells
48. Place a wheelchair parallel to the bed on the side of weakness
Placement of a wheelchair
Murphy's sign
ICP and Shock have
s/s of a fat embolism
49. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
ALS
Halo
Cerebral angio prep
Side rail rules
50. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.
Hydrocele
Kawasaki disease causes
Kids with HIV
Anorexia sucks because