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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. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.
GTT for preggos
Sickle cell crisis
Prolapsed Cord
Before giving MMR>
2. With low back aches - bend knees to relieve
Common S/S of pancreatitis
Apgar scores/scoring
How do you teach someone to reduce back aches
Infant with Cleft lip
3. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
Radioactive iodine
Lumbar Puncture
For cord compression in OB
Best indicator of dehydration
4. CATS - convulsions - arrhythmias - tetany - spasms and stridor
Placement of a wheelchair
Menieres's disease
Hypocalemia
Blood typing
5. 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
Common S/S of guillian Barre Syndrome
Cute way to remember glascow coma
Behavior/Developmental - Peds
Kernigs sign
6. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
Common S/S of cystic fibrosis
TPN is given in
caput succedaneum=
Hypocalemia
7. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
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8. Knee - chest position or Trendelenburg
Apgar Scoring
Prolapsed Cord
More labs suggestive of renal failure
Pulmonary sarcoidosis
9. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots
Common S/S of Meningitis
Protocol for Droplet Precautions
Lumbar Puncture
Common S/S of pancreatitis
10. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Tet spells
Common S/S of Meningitis
A child with a ventriculoperitoneal shunt
Tylenol poisioining
11. 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
Cerebral angio prep
ABG drawin
VV and AA
More IVP info
12. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
PCWP
More labs suggestive of renal failure
Common S/S of GERD
Common S/S of down syndrome
13. Portal hypotension + albuminemia= Ascites.
Glomerulonephritis
Signs to look for in meningitis
Pulmonary sarcoidosis
Cause of Ascites
14. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient
Common S/S of PTB
Pulmonary sarcoidosis
1 lb = How many ozs
Blood typing
15. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s
Botox
MRI
Autonomic Dysreflexia
s/s of a fat embolism
16. 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).
Therapies
1 lb = How many ozs
Tylenol poisioining
Maslow for a guy who lost his house in a fire
17. 3 -4 -6
Addisons
Temp conversion
Cranial nerves for Assessing extraocular eye movements
Common S/S of chicken pox
18. Slowed physical and mental function - sensitivity to cold - dry skin and hair
Myxedema/ hypothroidism
How to Dx a AAA
Common S/S of down syndrome
Greeks
19. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.
Compartment syndrome
If you see a nurse make a mistake Chain of command
Peritoneal dialysis
MMR and Varicella
20. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
For PVD remember
To prevent dumping syndrome
Pancreatitis pts>
Osteomyeltitis
21. 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
Common s/s of PDA
Pain in the LLQ indicative of...
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
What can't you give to immunosupressed pts
22. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Kids with RSV>
Pancreatitis prioritys
Hypercalemia
What can also cause an s3 heart sound
23. 7 - 10ml / kg
Meconium stained protocol
Therapies
Trendelenberg's test
Tidal volume
24. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)
Airborne Transmission
Paget's disease
Shock
Best way to warm a newborn
25. Uremic fetor --> smell urine on the breath
Babinski sign
Tension Pneumothorax
IVP requires
Uremic Fetor
26. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.
Tube and J tubes are usually
HypoKalemia
VV and AA
Nonfat milk
27. Risus Sardonicus
Major risks of epidural
Addisons
Potassium and acid base balance
Common S/S of Tetany
28. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
Post spleenectomy
Signs observed in hypocalemia
Wilms tumor
ICP and Shock have
29. 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.
Above the knee amputation
Common S/S of LTB
Crutch use
Droplet Precautions Transmission
30. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the
What to in the case of - Pt with heat stroke
A patient with vertical c - section will likely have
Paracentesis
Hearing the baby in OB
31. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet
When you see coffee brown emesis think>
Common S/S of asthma
Hyperparathyroid
MRI
32. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r
Halo
Sources of potassium
Kidneys and ears
Eyes
33. Another c section with any more kids
A patient with vertical c - section will likely have
Post Thyroidectomy
1 g = How many mg
Pt with edema and walking
34. Bronze like skin pigmentation
caput succedaneum=
More info on droplet precautions
Common S/S of addisions
Whats petaling
35. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se
For an EEG test
What can't you give to immunosupressed pts
Black - Expectant
More info on TB testing a positive result
36. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.
Bethamethasone
For an EEG test
Tenkhoff cath
Green - Minimal
37. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.
Cullens sign
Pneumonia
Hirschsprungs
Greeks
38. Swimming
Rule of thumb for obsessions/distractions
LVN/LPN cant
Uremic Fetor
Asthma and arthritis best excercise
39. Renal impairment: serum creatinine elevated and urine clearance decreased
Greenstick fracture
Meningeal irriatation>
Renal impairment labs
Hba1c
40. Battles Sign and Racoon's eyes
Grey Turners sign
Common S/S of orbital fracture
Before Epidural
Common S/S of Intusseption
41. Coarse facial features
Common S/S Acromegaly
Guthrie test
ALS
SIADH
42. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.
The first s/s of ards
More info on lumbar puncture
How many liters of O2
Yeast infection in a babys mouth
43. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.
Preload and Afterload
Dystocia
MG and Guillian Barre
How do children less than one breathe
44. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.
Greeks
MRI
DKA
Common S/S of pernicious anemia
45. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Late Decels
STD= gonnorrhea
Apgar scores/scoring
Common S/S of Kawasaki syndrome
46. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)
HypoMg
After appendectomy
Common S/S of Meningitis
Low crit/hemoglobin
47. Inspiratory stridor.. LTB = croup!!!!
Common S/S of LTB
Cushings
Risus Sardonicus
What treats tet spells
48. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions
Facts about hemophilia
Common S/S of Shock
With lower amputations
After Myringotomy
49. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
After Supratentorial Surgery
MRSA and VRSA precautions
Low Residue diet
Charcots sign
50. Descending muscle weakness
Hightest priority for RA
Paget's disease
Common S/S of MG
Rule of nines