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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. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
Cephalhematoma (caput succinidanium)
Besides meds and congenital problems .. What can lead to decreased preload
Cold stress in a newborn
Nuetropenic patients
2. Inspiratory stridor.. LTB = croup!!!!
Osteomyeltitis
Rule of thumb for assisting pysch patients
Common S/S of retinal detachment
Common S/S of LTB
3. 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
Traction in kids
HypoMg
MMR SHot
Shock
4. Orange tag in triage is non emergent Psych
Apgar Scoring
Common S/S of Intusseption
Orange tag in pysch
Common S/S of Malaria
5. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.
For a lung biopsy
1 quart = How many pints
Cryptoorchidism
HyperMg
6. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
Yellow - Delayed
Whats petaling
Common s/s of PDA
Sickle cell crisis
7. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Tidal volume
If you THINK a patient has new HTN
Hypervolemia
MMR SHot
8. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
What is bleeding considered in ADPIE
Gerd again
Post spleenectomy
A child with a ventriculoperitoneal shunt
9. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Traction in kids
Common S/S of Hydrocephalosis
Apgar scores/scoring
Dumping syndrome
10. Place the apparatus first then place the weight (der)
Nepphrotic syndrome
Willam's position
How to put on traction
Psuedomembrane in DIptheria
11. 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
First sign of pe
PKU
Age 4=5 year shots
12. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!
Hyper reflexive Absent reflexsive
Risus Sardonicus
Tetraology of Fallot
GTT for preggos
13. Hydration is a big priority!
Common S/S of orbital fracture
Hypo - parathyroid
With lower amputations
Before Epidural
14. Normal in CHF from the squishin'.. Not normal in an MI patient
Myelogram
Compartment syndrome
s3 heart sound is normal not
Common S/S of Intusseption
15. Glucose
Flu shot always ask
Common S/S of Cataract
Besides sodium - water also follows
Addisonian Crisis
16. Chipmunk face
Common S/S of Bulimia
Hirschsprungs
Brachial Pulse
More info on intussception
17. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Complications of mechanical ventilation
Incentive Spirometry steps
After Cataract surgery
What can also cause an s3 heart sound
18. Second voided urine most accurate when testing for ketones and glucose.
What happens when phenylalanine increases
Cushing ulcers and cushings triad
Gross things to remember about nurses with herpes!!!!
When to test urine for ketones and glucose
19. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)
To remember blood sugar
Addisonian Crisis
Common S/S of Basilar Fracture
Nephrotic syndrome
20. Nurses First action is to listen to fetal rate/tone
Post spleenectomy
Apgar scores/scoring
When a pt comes in and she is in active labor
Common S/S of retinal detachment
21. Machine like murmur
Common s/s of PDA
Prolapsed Cord
Shilling test
MMR and Varicella
22. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030
Hypovolemia
Developmental milestones
When a pt comes in and she is in active labor
Before giving MMR>
23. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS
More info on droplet precautions
Common S/S of Tetany
Common S/S of Malaria
Hypercalemia
24. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up
Pulmonary sarcoidosis
Kids with HIV
Order of assessment
Shift to the left means
25. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions
Bence Jones protein in urine
Best indicator of dehydration
Incentive Spirometry steps
After Myringotomy
26. 1 quart = 2 pints
Menieres's disease
Hydrocele
Potassium lab importance
1 quart = How many pints
27. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.
Common S/S of orbital fracture
TIA
Nuetropenic patients
Positioning with pneaumonia
28. 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
1 quart = How many pints
Eyes
Black - Expectant
Emphysema
29. Flapping tremors
Common S/S Hepatic Encephalopathy
MORE info on DKA ugh!
Before a pft
Cranial nerves for Assessing extraocular eye movements
30. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.
Hba1c
Glomerulonephritis considerations
TB health risk
Shilling test
31. 7 - 10ml / kg
Murphy's sign
Before a pft
Tidal volume
Temp conversion
32. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (
VRSA
Cranial Nerves
When patient is in distress
Kernigs sign
33. Dystocia= baby cannot make it down to canal
Paget's disease
Dystocia
First sign of pe
Fontanelles
34. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)
What to do in the case of - A woman in labor with Un - Reassuring FHR
Hearing the baby in OB
Common S/S of chicken pox
Infant with Cleft lip
35. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.
Penis Problems
More info on intussception
Nitrazine paper
Black - Expectant
36. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
Common S/S of PTB
Crackles most likely are...
IVP requires
Above the knee amputation
37. MRI- claustrophobia - no metal - assess pacemaker
Appendicitis
Guillian Barre
Greeks
MRI
38. Swimming
s/s of a fat embolism
Diff between angina and MI
HyperMg
Asthma and arthritis best excercise
39. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot
What to do in a sucking stab wound
Incentive Spirometry steps
Nondairy sources of calcium
For cord compression in OB
40. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.
To prevent dumping syndrome
Hba1c
When to test urine for ketones and glucose
Cor Pulmonae
41. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread
What disease leads to cardiac valve malfunctions
ACID ash diet
For PVD remember
Risus Sardonicus
42. Hypotension and vasoconstricting meds
Uremic Fetor
MS
What will alter the accuracy of o2 sats
Kids with HIV
43. 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.
Order of assessment
Tenkhoff cath
HHNS Vs DKA
Hep B vaccine always ask
44. Purple bruises around the belly button... Pancreatitis!
For an EEG test
Likely cause of cardiac arrest in child
Grey Turners sign
Dance Sign
45. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Common S/S of TEF
Nepphrotic syndrome
1 tablespoon = How many ml
Tube and J tubes are usually
46. 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
LVN/LPN cant
Preload and Afterload
Nondairy sources of calcium
47. Cat's eye reflex (grayish discoloration of the pupil)
Common S.S of Retino Blastoma
MRI
Therapies
During CBI (continuous bladder irrigation)
48. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.
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49. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.
Paracentesis
What if a toddler says no to medication
Before a pft
Hypocalemia
50. Opposites! Nursing connection! Think about it!
Side rail rules
Thyroid storm
MG and Guillian Barre
Guillian Barre