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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. Increased temp - pulse and HTN
Asthmas and wheezers
Penis Problems
Thyroid storm
Tube and J tubes are usually
2. 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
More info on droplet precautions
During epidural puncture
DKA
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
3. 1 quart = 2 pints
STD= gonnorrhea
1 quart = How many pints
Common S/S of leprosy
Green - Minimal
4. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.
Age 4=5 year shots
Dumping syndrome
To prevent dumping syndrome
How will CSF look in meningitis
5. 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.
FHR patterns in ob
Appendicitis
Birth control - Diaphram
After Total Hip Replacement
6. Always check lead posioning levels
What to check children for at age 12 months
Therapies
Tetraology of Fallot
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
7. Position on the RIGHT side with legs flexed
After appendectomy
Common S/S of leprosy
Common S/S of asthma
Nonfat milk
8. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.
How do children less than one breathe
Common S/S of Cystitis
Preload and Afterload
Dangerous thing to get during pregnancy
9. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Hydrocele
Liver biopsy
Delegation Rule of Thumb?
Protocol for Airborne Transmission
10. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.
Blood typing
Hemovac
autonomic dysreflexia
STD= gonnorrhea
11. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
Charcots sign
Chvostek and Trosseaus sign
ACID ash diet
Common S/S Hepatic Encephalopathy
12. Upper part of the uterus
Where should placenta be
SLE
Common S/S of MG
Order of assessment
13. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).
After Supratentorial Surgery
What treats tet spells
MS
Cardinal signs of ARDS
14. Cat's eye reflex (grayish discoloration of the pupil)
Kids with RSV>
Post Thyroidectomy
NMS
Common S.S of Retino Blastoma
15. Cultures
Whats petaling
Common S/S of Cataract
What is obtained before starting any iv antibiotic
Common S/S of PTB
16. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP
TB health risk
Yeast infection in a babys mouth
Addisonian Crisis
1 pint = How many cups
17. Lie flat with legs elevated
Common S/S of addisions
Hepatitis
What to in the case of - Pt with heat stroke
What to do if your patients chest tube accidently getes removed
18. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)
To remember blood sugar
Pain in the LLQ indicative of...
More info on intussception
HyperKalemia
19. MRI- claustrophobia - no metal - assess pacemaker
Kids with HIV
Hypercalemia
Late Decels
MRI
20. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.
Tenkhoff cath
To prevent dumping syndrome
Greeks
Detached Retina
21. Recurrent bloody diarrhea
Facts about hemophilia
HypoMg
Common S/S of Ulcerative Colitis
After Thyroidectomy
22. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
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23. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.
Normal Hemoglobin
The first s/s of ards
Asthmas and wheezers
Main hypersensitivity for antiplatelet drugs
24. 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).
Thrombocyopenia - bleeding precautions
Potassium and acid base balance
Heart problems
What to do in the case of - an Air/Pulmonary Embolism
25. 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
Common S/S of Malaria
LVN/LPN cant
Black - Expectant
Gerd again
26. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor
Pheochromocytoma
What could cause bronchopulmonary dysplasia
More info on intussception
Common S/S of pyloric stenosis
27. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
What could cause bronchopulmonary dysplasia
Kids with RSV>
Greenstick fracture
Coomb's test
28. Weight
School aged kids and five year olds
Age 4=5 year shots
Best indicator of dehydration
Common S/S Duchennes Muscular Dystrophy
29. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses
Detached Retina
High priority in Addisons
Cath lab
More IVP info
30. 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
Autonomic Dysreflexia
Pneumonia
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Hyponatremia
31. EleVate Veins; dAngle Arteries for better perfusion
If your patient starts seeing bugs
Cor Pulmonae
VV and AA
1 tsp= How many ml
32. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
SIADH
After Gtube placement
Before Epidural
Airborne Transmission
33. 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
Tet spells
During CBI (continuous bladder irrigation)
Common S/S of Diptheria
Turner's sign
34. 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
Protocol for Airborne Transmission
Where are most spinal cord injuries
After Myringotomy
If your patient starts seeing bugs
35. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
Normal Hemoglobin
Paget's disease
MRSA and VRSA precautions
What to do for addisons/cushings
36. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.
ICP and Shock have
Parkisons
Common S/S of Kawasaki syndrome
Stranger Danger>!
37. For Meningitis check for Kernig's/ Brudzinski's signs.
Signs to look for in meningitis
Common S/S of Bulimia
Common S/S of Liver cirrhoisis
Common S/S of Intusseption
38. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
ACID ash diet
Post spleenectomy
Every new admission needs
Nephrotic syndrome
39. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.
Diff between placenta previa and placenta abrupto
Addisonian Crisis
Delegation Rule of Thumb?
Guillian Barre
40. Portal hypotension + albuminemia= Ascites.
First sign of cystic fibrosis
Cause of Ascites
Botox
NMS
41. Charcot's Triad (IAN)
Common S/S of MS>
Buck's Traction
During internal radiation
Decorticate and Decerebrate
42. 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
What can also cause an s3 heart sound
If you see a nurse make a mistake Chain of command
Hydrocele
Labs in DKA>
43. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Nepphrotic syndrome
More info on lumbar puncture
Common S/S of parkinsons
Med that can't be infused Intra osseously
44. Kopliks spots
Western blot test
After lumbar puncture
Contact transmission precautions
Common S/S of measles
45. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in
Asthmas and wheezers
Detached Retina
A preggo in a minus station
Traction in kids
46. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V
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47. Uremic fetor --> smell urine on the breath
Placement of a wheelchair
Sickle cell crisis
Uremic Fetor
Crutch use
48. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s
Liver biopsy
How many oz in a ml
With lower amputations
Nepphrotic syndrome
49. Just know the MMR and Varicella immunizations come later (15 months).
MMR and Varicella
HHNS Vs DKA
What to do for addisons/cushings
Hypervolemia
50. Tet spells treated with morphine.
PDA
How many liters of O2
Hemovac
What treats tet spells