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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. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
1 g = How many mg
A preggo in a minus station
For a lumbar puncture
More info on droplet precautions
2. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go
Order of assessment
More info on droplet precautions
Most accurate way to test kids for medication accuracy
Cryptoorchidism
3. Birth weight doubles by 6 month and triple by 1 year of age.
Hypo - parathyroid
Peds weight
Common S/S of Intusseption
Low Residue diet
4. 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.
Myasthenia gravis
Thoracentesis
COPD and Pneumonia
Huntington's Chorea
5. Its important to be aware of the lab result for prothrombin time
Liver biopsy
If you THINK a patient has new HTN
Prior to liver biopsy
What to do in the case of tube feeding with decreased LOC
6. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.
Yellow - Delayed
Cath lab
Diverticulitis
Behavior/Developmental - Peds
7. Battles Sign and Racoon's eyes
Besides meds and congenital problems .. What can lead to decreased preload
Paget's disease
Common S/S of orbital fracture
If you THINK a patient has new HTN
8. Swimming
If your patient starts seeing bugs
Asthma and arthritis best excercise
Below the knee amputation
TEF
9. 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
PTB
Common S/S of orbital fracture
Labs in DKA>
More info on EEG
10. Lie flat with legs elevated
Thyroid storm and myxedema
What to in the case of - Pt with heat stroke
Disease precautions
coarctation of the aaorta causes
11. 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
Hemovac
After Cataract surgery
Incentive Spirometry steps
12. Another c section with any more kids
Asthma and arthritis best excercise
A patient with vertical c - section will likely have
Appendicitis
Where are chest tubes placed
13. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle
No Cantalope
School aged kids and five year olds
Side effects of thyroid hormones
Common S/S of Lyme's disease
14. Respiratory problems!
Guided imagery is great for
Kids pain relief in NCLEX land
Chief concern in CF
VRSA
15. (incision behind hairline) --> elevate HOB 30-45 degrees
Color codes
Guthrie test
Psuedomembrane in DIptheria
After Supratentorial Surgery
16. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS
Lumbar Puncture
Thyroid storm
Hypercalemia
S/S of a fat embolism
17. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro
Glaucoma patients loose
Peritoneal dialysis
Penis Problems
Side rail rules
18. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
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19. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Cath lab
Late Decels
Diff between angina and MI
Hepatitis
20. Vesicular rash (central to distal) dew drop on rose petal
No Cantalope
Common S/S of chicken pox
When to test urine for ketones and glucose
After Cataract surgery
21. A newly diagnosed hypertension patient should have BP assessed in both arms
MORE info on DKA ugh!
Common S/S of Cushings syndrome
If you THINK a patient has new HTN
Kernigs sign
22. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
What can't you give to immunosupressed pts
Delegation Rule of Thumb?
Med that can't be infused Intra osseously
1 lb = How many ozs
23. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.
Lymes mostly found in
How will CSF look in meningitis
ABG drawin
Amniocentesis is performed and why
24. Pilling rolling tremors
Hirschsprungs is dx how
Common S/S of parkinsons
Droplet Precautions Transmission
Thyroid storm
25. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
Delegation Rule of Thumb?
Common S/S of hypocalcemia
1 pint = How many cups
TB test confirmation
26. Uremic fetor --> smell urine on the breath
Guillian Barre
Uremic Fetor
MG and Guillian Barre
Pheochromocytoma
27. Second voided urine most accurate when testing for ketones and glucose.
Tenkhoff cath
When to test urine for ketones and glucose
HypoKalemia
In depth - Color codes
28. 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
Stomas
Greeks
Cardinal signs of ARDS
Bryant's traction=
29. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.
Hyper reflexive Absent reflexsive
After Total Hip Replacement
If you THINK a patient has new HTN
MRI
30. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.
Common S/S of Hydrocephalosis
Paget's disease
Labs in DKA>
Glomerulonephritis considerations
31. On bedrest while implant in place
Positioning with pneaumonia
During internal radiation
Common S/S of asthma
Asthmas and wheezers
32. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
Babinski sign
Grey Turners sign
Vertical C section
Autonomic Dysreflexia/ Hyperreflexia
33. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool
NMS
For a lumbar puncture
SIADH
Huntington's Chorea
34. TIA (transient ischemic attack) mini stroke with no dead brain tissue
Acid/ ASH diet
MMR and Varicella
After Gtube placement
TIA
35. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t
Low crit/hemoglobin
Color codes
School aged kids and five year olds
How to itch under a cast
36. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
Hyponatremia
Common S/S of PTB
Cullens sign
First sign of cystic fibrosis
37. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne
Common S/S of SLE
What will alter the accuracy of o2 sats
What is bleeding considered in ADPIE
Common S/S of GERD
38. 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
Glomerulonephritis
How to treat phobic disorders
After lumbar puncture
Besides meds and congenital problems .. What can lead to decreased preload
39. Renal impairment: serum creatinine elevated and urine clearance decreased
Renal impairment labs
Paracentesis
NMS
Orthostatis is verfied by
40. 3 -4 -6
Turner's sign
Cranial nerves for Assessing extraocular eye movements
Infant with Cleft lip
Enema positioning
41. Petechiae. Treated with heparin.
After Endoscopy
Cranial nerves for Assessing extraocular eye movements
Meningeal irriatation>
s/s of a fat embolism
42. 3 D'S -- Drooling - Dysphonia - Dysphagia
Highest priortiy in status elipticus
Common S/S of epiglottitis
Best way to warm a newborn
Most accurate way to test kids for medication accuracy
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.
Addisons
Common S/S of Intusseption
ABG drawin
Every new admission needs
44. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)
During CBI (continuous bladder irrigation)
Likely cause of cardiac arrest in child
Cranial nerves for Assessing extraocular eye movements
Common S/S of glaucoma
45. CHRONIC pain
If you see a nurse make a mistake Chain of command
Common S/S of addisions
Guided imagery is great for
COPD and Pneumonia
46. 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).
Maslow for a guy who lost his house in a fire
Common S/S of Meningitis
Common S/S of down syndrome
Common S/S Hepatic Encephalopathy
47. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').
Common S/S of pyloric stenosis
DKA
LVN/LPN cant
4 year olds
48. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder
Potassium and acid base balance
Munchhausen Syndrome
Before a pft
After Total Hip Replacement
49. Allergic to eggs (Tristan D. ) !
Botox
What is a bad sign in asthma
Common S/S of Hodgkins Disease/Lymphoma
Flu shot always ask
50. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -
OB secret
Myelogram
Yellow - Delayed
Parkisons