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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. Kussmauls breathing (deep rapid RR)
4 year olds
Coomb's test
STD= gonnorrhea
Common S/S of DKA
2. An occulsive dressing is used
What to do if your patients chest tube accidently getes removed
Post Thyroidectomy
What to do for addisons/cushings
Cane walking
3. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a
Positioning with pneaumonia
For a lung biopsy
Blood typing
Behavior/Developmental - Peds
4. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Incentive Spirometry steps
Common S/S of down syndrome
1 pint = How many cups
Decorticate and Decerebrate
5. B/c of low platelets
Ventilator Alarms
Why would a pt with leukemia have epistaxis
What to do in a sucking stab wound
Common S/S of retinal detachment
6. Opposites! Nursing connection! Think about it!
MRSA and VRSA precautions
Potassium lab importance
MG and Guillian Barre
Hypocalemia
7. 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
For a lumbar puncture
Common S/S Meniere's Disease
Every new admission needs
COPD patients
8. CSF in meningitis will have high protein - and low glucose.
Prolapsed Cord
Sickle cell crisis
Brudzinski's sign
How will CSF look in meningitis
9. 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
If your patient starts seeing bugs
High priority in Addisons
Med that can't be infused Intra osseously
What to do in the case of - A woman in labor with Un - Reassuring FHR
10. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet
Signs of a hip fracture
Hypo - parathyroid
autonomic dysreflexia
Nondairy sources of calcium
11. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.
Appendicitis
Apgar Scoring
Botox
Common S.S of Retino Blastoma
12. 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
Developmental milestones
Hemovac
Tenkhoff cath
MS
13. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5
Normal Hemoglobin
Coomb's test
Hydrocele
Kids with HIV
14. CHRONIC pain
Brudzinski's sign
For PVD remember
Prior to liver biopsy
Guided imagery is great for
15. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
Vertical C section
Cushing ulcers and cushings triad
Shilling test
Rule of nines
16. Area of detachment should be in the dependent position -- dependent meaning supported by something
During epidural puncture
COPD patients
Ventilator Alarms
Detached Retina
17. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst
Hypernatremia SALT
MORE info on DKA ugh!
Diff between angina and MI
Positioning with pneaumonia
18. Position prone (on abdomen) so that sac does not rupture
Infant with Spina Bifida
Nuetropenic patients
What to do if your patients chest tube accidently getes removed
TPN is given in
19. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)
1 kg= How many pounds
Common S/S of Meningitis
COPD patients
Where are chest tubes placed
20. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about
During CBI (continuous bladder irrigation)
More info on TB testing a positive result
What is bleeding considered in ADPIE
Besides meds and congenital problems .. What can lead to decreased preload
21. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.
Common S/S of Infectious Mononucleosis
Behavior/Developmental - Peds
Appendicitis
Nitrazine paper
22. Bossing Sign (prominent forehead)
Options for cancer
Bryant's traction=
Addisonian Crisis
Common S/S of Hydrocephalosis
23. Battles Sign and Racoon's eyes
First sign of cystic fibrosis
Menieres's disease
Guthrie test
Common S/S of orbital fracture
24. Butterfly rashes
Developmental milestones
Traction in kids
COPD and Pneumonia
Common S/S of SLE
25. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
Wilms tumor
More info on EEG
PCWP
Pulmonary sarcoidosis
26. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)
Thrombocyopenia - bleeding precautions
Common S/S of leprosy
1 tablespoon = How many ml
ICP
27. 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%
Glomerulonephritis
Rule of nines
Paracentesis
Before giving MMR>
28. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution
Knee replacement
Hypernatremia
Rh
How to put on traction
29. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Peds weight
Incentive Spirometry steps
Hydrocele
Disease precautions
30. Level of consciousness is the most important assessment parameter with status epilepticus.
Best indicator of dehydration
Highest priortiy in status elipticus
Besides sodium - water also follows
What can't you give to immunosupressed pts
31. Children <3yoa - <35 lbs with femur fx
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32. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP
Addisonian Crisis
Peds positioning for GERD
What to do in the case of tube feeding with decreased LOC
Common S/S of Increased ICP
33. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.
Head Injury
After Cataract surgery
Asthmas and wheezers
MRSA and VRSA precautions
34. 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
How many liters of O2
Birth control - Diaphram
For an EEG test
First sign of cystic fibrosis
35. Lioning face
Knee replacement
Low Residue diet
Bryant's traction=
Common S/S of leprosy
36. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.
Airborne Transmission
Hirschsprungs is dx how
1 lb = How many ozs
Potassium lab importance
37. Painless hematuria... CA=Cancer ! Duhh
HHNS Vs DKA
Facts about hemophilia
School aged kids and five year olds
Common S/S of Bladder Cancer
38. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.
c02 builds up and causes
Depression manifests itself
MMR and Varicella
Kidneys and ears
39. Complications of Mechanical Ventilation: Pneumothorax - Ulcers
HyperMg
A preggo in a minus station
TB health risk
Complications of mechanical ventilation
40. Hydration is a big priority!
Before Epidural
Nephrotic syndrome
VRSA
Bence Jones protein in urine
41. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).
The first s/s of ards
Common S/S Duchennes Muscular Dystrophy
Addisonian Crisis
Dance Sign
42. Hypotension and bradypnea / bradycardia are major risks and emergencies.
Major risks of epidural
Common S/S of Thypohiod
How to Dx a AAA
Cullens sign
43. 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!
Gross things to remember about nurses with herpes!!!!
Order of assessment
More info on TB testing a positive result
Decorticate and Decerebrate
44. Rose spots on abdomen
When a pt comes in and she is in active labor
Common S/S of Thypohiod
Common sites for metastatsis
After Myringotomy
45. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
Before a pft
Common s/s of PDA
Hep A precautions
Disease precautions
46. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Cephalhematoma (caput succinidanium)
Droplet Precautions Transmission
Hypervolemia
Age 4=5 year shots
47. 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.
Common S/S of measles
DKA
Incentive Spirometry steps
Hyperthyroidism
48. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis
Contact transmission precautions
Buck's Traction
Labs for congenital heart disease
What disease leads to cardiac valve malfunctions
49. Rusty sputum
Med that can't be infused Intra osseously
PKU
Common S/S of pneumonia
Detached Retina
50. Barrel chest
Common S/S of asthma
Common S/S of emphysema
Meconium stained protocol
Head Injury