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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. Questions about a halo Remember safety first - have a screwdriver nearby.
Shift to the left means
Halo
Meningeal irriatation>
Common S/S of hypocalcemia
2. 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!!!!
How many liters of O2
Peritoneal dialysis
TEF
3. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.
Nuetropenic patients
TB health risk
Common S/S of BPH
Dumping syndrome
4. 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
More info on intussception
ABG drawin
c02 builds up and causes
Common S/S of cystic fibrosis
5. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
Decorticate and Decerebrate
After Cataract surgery
1 cup= How many oz
ACID ash diet
6. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing
After removal of the pituitary gland what should you watch for
Willam's position
More info on lumbar puncture
To remember blood sugar
7. Pilling rolling tremors
COPD and Pneumonia
After lumbar puncture
Common S/S of addisions
Common S/S of parkinsons
8. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Thyroid storm and myxedema
Hypervolemia
Common S/S Acromegaly
Hepatitis
9. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.
Pathological jaundice
ALS
Before Epidural
Cushing ulcers and cushings triad
10. 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%
Common S/S of Cholera
Greenstick fracture
Pancreatitis pts>
Rule of nines
11. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Contact transmission precautions
TPN is given in
Common S/S Hepatic Encephalopathy
Late Decels
12. 1 T(tablespoon)= 3 t = 15 ml
1 tablespoon = How many ml
After lumbar puncture
Cane walking
Risus Sardonicus
13. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.
Hemovac
Myxedema/ hypothroidism
Common S/S of measles
Heart Defects
14. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
Risus Sardonicus
Brudzinski's sign
After lumbar puncture
Hodgkins disease
15. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis
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16. Swimming
How to treat phobic disorders
Pancreatitis prioritys
Menieres's disease
Asthma and arthritis best excercise
17. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.
VV and AA
CABG
Nuetropenic patients
Common S/S of Ulcerative Colitis
18. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.
Common S/S of emphysema
Murphy's sign
If you THINK a patient has new HTN
No Cantalope
19. 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
Common S/S of Thypohiod
Common S/S Duchennes Muscular Dystrophy
ICP and Shock have
What to do in a sucking stab wound
20. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
Heart problems
Hypovolemia
Prolapsed Cord
Common S/S of asthma
21. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.
During internal radiation
Birth control - Diaphram
GTT for preggos
Graves disease/ Hyperthyroidism
22. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure
Airborne Transmission
Before a pft
IVP requires
Nonfat milk
23. Children <3yoa - <35 lbs with femur fx
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24. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
The first s/s of ards
4 year olds
TB test confirmation
Common S/S of GERD
25. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.
Common S/S of down syndrome
Hearing the baby in OB
Hypocalemia
Likely cause of cardiac arrest in child
26. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Common S/S of Cystitis
Pain in the LLQ indicative of...
Apgar scores/scoring
Best way to tube feed or feed kids
27. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms
What to do in the case of - an Air/Pulmonary Embolism
coarctation of the aaorta causes
Immunizations rules
Wilms tumor
28. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
Wilms tumor
Signs to look for in meningitis
Kids with RSV>
Alkaline Ash diet
29. Skeletal or skin
Common S/S of pyloric stenosis
Common S/S of Increased ICP
Risus Sardonicus
Dunlap traction=
30. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)
How to Dx a AAA
Decorticate and Decerebrate
Common S/S of glaucoma
To prevent dumping syndrome
31. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.
How do you teach someone to reduce back aches
Liver biopsy
Diff between angina and MI
Tube and J tubes are usually
32. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
Orange tag in pysch
Hypocalemia
What to do for addisons/cushings
What happens when phenylalanine increases
33. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.
Diff between angina and MI
Infant with Cleft lip
Most accurate way to test kids for medication accuracy
Liver biopsy
34. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.
Diff between placenta previa and placenta abrupto
Meningeal irriatation>
Head Injury
Yellow - Delayed
35. 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
ICP and Shock have
Pancreatitis pts>
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Diabetes Insipidus
36. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.
Shift to the left means
Therapies
Vertical C section
1 cup= How many oz
37. Place the apparatus first then place the weight (der)
CPR in a five year old
Peds positioning for GERD
How to put on traction
Common S/S of pyloric stenosis
38. 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.
Cor Pulmonae
Cryptoorchidism
Sengstaken blakemore tube
Radioactive iodine
39. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.
What if a toddler says no to medication
Sickle cell crisis
Common S/S of leprosy
Burn Degrees
40. Protruding tongue
Common S/S of down syndrome
Common S/S of measles
What to do in the case of tube feeding with decreased LOC
Low crit/hemoglobin
41. Rose spots on abdomen
After removal of the pituitary gland what should you watch for
Common S/S of Thypohiod
Common S/S of hypocalcemia
How do you teach someone to reduce back aches
42. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS
Kids with RSV>
Other S/S of MS
Besides sodium - water also follows
Common S/S of LTB
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.
TIA
Every new admission needs
How many oz in a ml
Cerebral palsy
44. Hypotension and bradypnea / bradycardia are major risks and emergencies.
Nuetropenic patients
Murphy's sign
Major risks of epidural
If you see a nurse make a mistake Chain of command
45. 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
Kidneys and ears
Common S/S of Cushings syndrome
Acid/ ASH diet
Halo
46. Another c section with any more kids
Complications of mechanical ventilation
s/s of a fat embolism
Signs observed in hypocalemia
A patient with vertical c - section will likely have
47. 1 pint= 2 cups
Flu shot always ask
1 pint = How many cups
Common S/S of DKA
What happens when phenylalanine increases
48. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a
Brachial Pulse
After Endoscopy
Psuedomembrane in DIptheria
Pheochromocytoma
49. Slowed physical and mental function - sensitivity to cold - dry skin and hair
Myxedema/ hypothroidism
Dance Sign
Sources of potassium
Post spleenectomy
50. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
Addisonian Crisis
Nephrotic syndrome
Common S/S of Intusseption
School aged kids and five year olds