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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. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
Crutch use
caput succedaneum=
Lumbar Puncture
Most accurate way to test kids for medication accuracy
2. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Yeast infection in a babys mouth
VV and AA
Decorticate and Decerebrate
Diff between placenta previa and placenta abrupto
3. 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).
Alzheimers
Potassium and acid base balance
Blood typing
First sign of pe
4. 3 D'S -- Drooling - Dysphonia - Dysphagia
Common S/S of epiglottitis
Bucks traction =
Kids with HIV
Rh
5. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.
Crutch use
After Endoscopy
Mcburney's point
1 quart = How many pints
6. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis
Cullens sign
Green - Minimal
Bryant's traction=
Diverticulitis
7. Hypotension and bradypnea / bradycardia are major risks and emergencies.
What is obtained before starting any iv antibiotic
For cord compression in OB
Major risks of epidural
Myxedema/ hypothroidism
8. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids
Hyponatremia
Common S/S of Bulimia
Before Epidural
Where should placenta be
9. No meat and milk together
Jews
Eyes
During CBI (continuous bladder irrigation)
Hyponatremia
10. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs
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11. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.
Vertical C section
For a lung biopsy
Likely cause of cardiac arrest in child
If you see a nurse make a mistake Chain of command
12. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.
When patient is in distress
Below the knee amputation
Cause of Ascites
Complications of mechanical ventilation
13. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
Common S/S of Thypohiod
For a lumbar puncture
What if a toddler says no to medication
Use of cold and hot
14. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.
More info on EEG
Hydrocele
During epidural puncture
Nuetropenic patients
15. Vertigo - Tinnitus
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16. Toes curl= GREAT Toes fan = BAD
Common S/S of PTB
Therapies
Babinski sign
Glomerulonephritis
17. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Common S/S of Lyme's disease
Tylenol poisioining
Color codes
Greenstick fracture
18. 7 - 10ml / kg
Tidal volume
Emphysema
Guthrie test
Every new admission needs
19. 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.
No Cantalope
Tenkhoff cath
Hyperparathyroid
What can't you give to immunosupressed pts
20. Swimming
Asthma and arthritis best excercise
Cranial nerves for Assessing extraocular eye movements
First sign of cystic fibrosis
The first s/s of ards
21. 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.
Dangerous thing to get during pregnancy
Ventilator Alarms
DKA
Lumbar Puncture
22. Second voided urine most accurate when testing for ketones and glucose.
Hyponatremia
When to test urine for ketones and glucose
What disease leads to cardiac valve malfunctions
Glaucoma patients loose
23. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030
Flu shot always ask
Before giving MMR>
Hypovolemia
Lymes mostly found in
24. ICP (intracranial pressure) should be <2. measure head circonference.
Kidneys and ears
ICP
How to Dx a AAA
Tet spells
25. Painless hematuria... CA=Cancer ! Duhh
Rule of thumb for obsessions/distractions
Common S/S of Bladder Cancer
Cushings
Potassium and acid base balance
26. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.
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27. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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28. 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.
Best way to tube feed or feed kids
Chvostek and Trosseaus sign
Hirschsprungs is dx how
Signs to look for in meningitis
29. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n
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30. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.
Before giving MMR>
Pancreatitis pts>
Russel Traction =
S/S of a fat embolism
31. 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
High priority in Addisons
What to do for addisons/cushings
NG tube rules
Pulmonary sarcoidosis
32. Peptic ulcer
When you see coffee brown emesis think>
Rule of thumb for assisting pysch patients
Nitrazine paper
Myasthenia gravis
33. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.
Myelogram
Common S/S of PTB
Where should placenta be
Common S/S Meniere's Disease
34. Uremic fetor --> smell urine on the breath
Uremic Fetor
Temp conversion
Hirschsprungs
Kidneys and ears
35. 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 hypocalcemia
Dunlap traction=
Tenkhoff cath
4 year olds
36. Chest tubes are placed in the pleural space.
First sign of pe
CPR in a five year old
TPN is given in
Where are chest tubes placed
37. Yogurt has live cultures - dont give to immunosuppressed pt
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38. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)
Cushing ulcers and cushings triad
How to Dx a AAA
Glomerulonephritis
Burn Degrees
39. The MMR vaccine is given SQ not IM.
Diff between angina and MI
MMR SHot
Birth control - Diaphram
Common S/S of MS>
40. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
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41. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up
Pulmonary sarcoidosis
Why somone who is allergic to latex would be allergic to food too
Dystocia
Common S/S of MG
42. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!
TB health risk
Prior to liver biopsy
Tetraology of Fallot
Group - A strep
43. Absence of menstruation leads to osteoporosis in the anorexic.
PTB
Hypocalemia
Hypo - parathyroid
Anorexia sucks because
44. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s
Crackles most likely are...
During internal radiation
Depression manifests itself
Heart Defects
45. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.
Sengstaken blakemore tube
Tetraology of Fallot
MMR SHot
Signs of a hip fracture
46. 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
Common S/S of Intusseption
Hep B vaccine always ask
Kidneys and ears
VV and AA
47. Visual floaters - flashes of light - curtain vision
Asthmas and wheezers
Common S/S of emphysema
Common S/S of retinal detachment
Common S/S of Lyme's disease
48. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
Glomerulonephritis
Common S/S of Increased ICP
Knee replacement
MMR and Varicella
49. Low residue diet means low fiver
Common S/S of SLE
Low Residue diet
What is obtained before starting any iv antibiotic
Bence Jones protein in urine
50. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP
Below the knee amputation
Cause of Ascites
Bryant's traction=
Addisonian Crisis