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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 g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.
Labs in DKA>
After Gtube placement
What to do for addisons/cushings
Stomas
2. 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
Common S/S of Kawasaki syndrome
Temp conversion
If your patient starts seeing bugs
Developmental milestones
3. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
Guthrie test
Common S/S of measles
HypoKalemia
Contact transmission precautions
4. *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
5. 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
What is bleeding considered in ADPIE
Mcburney's point
Side effects of thyroid hormones
More labs suggestive of renal failure
6. 1 pint= 2 cups
Cold stress in a newborn
1 pint = How many cups
Vertical C section
Shilling test
7. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.
Ventilator Alarms
To prevent dumping syndrome
Temp conversion
VV and AA
8. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.
Kids pain relief in NCLEX land
Asthma and arthritis best excercise
How to treat phobic disorders
Traction rule
9. Mothers receive rhogam to protect next baby.
Rh
Vertical C section
What treats tet spells
More info on EEG
10. In a five -year old breathe once for every 5 compressions doing cpr.
If you see a nurse make a mistake Chain of command
CPR in a five year old
OB secret
What treats tet spells
11. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Labs in DKA>
Apgar scores/scoring
Hydrocele
When instilling eardrops
12. 2.2
ABG drawin
Pancreatitis prioritys
1 kg= How many pounds
Cold stress in a newborn
13. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.
More info on intussception
Radioactive iodine
Before giving MMR>
Yellow - Delayed
14. Low residue diet means low fiver
Common S/S of Hodgkins Disease/Lymphoma
Acid/ ASH diet
Likely cause of cardiac arrest in child
Low Residue diet
15. Hypotension and vasoconstricting meds
What will alter the accuracy of o2 sats
HypoKalemia
Disease precautions
Common S/S of pneumonia
16. 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.
Common s/s of PDA
Hemovac
Common S/S of Diptheria
Common S/S of Liver cirrhoisis
17. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
1 tablespoon = How many ml
Rule of thumb for assisting pysch patients
Thyroid storm and myxedema
1 gr= How many mg
18. Small frequent is better than large
What to do in the case of - A woman in labor with Un - Reassuring FHR
Nondairy sources of calcium
When instilling eardrops
Best way to tube feed or feed kids
19. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.
Glomerulonephritis considerations
Common S/S of PTB
Myasthenia gravis
To prevent dumping syndrome
20. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)
Cryptoorchidism
Potassium and acid base balance
Cor Pulmonae
Dystocia
21. Children <3yoa - <35 lbs with femur fx
22. ** IVP requires bowel prep so they can visualize the bladder better
IVP requires
Hypo - parathyroid
Buck's Traction
PDA
23. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc
Decorticate and Decerebrate
Hypocalemia
IVP requires
FHR patterns in ob
24. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
Best way to tube feed or feed kids
What to do in the case of tube feeding with decreased LOC
Cold stress in a newborn
Cerebral palsy
25. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)
Dystocia
VRSA
Labs in DKA>
Peritoneal Dialysis when outflow is inadequate
26. 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
s/s of a fat embolism
NMS
After Gtube placement
Peritoneal Dialysis when outflow is inadequate
27. 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!
Appendicitis
Order of assessment
How to itch under a cast
Gross things to remember about nurses with herpes!!!!
28. Pulse area cpr on infant
More IVP info
Nitrazine paper
Pain in the LLQ indicative of...
Brachial Pulse
29. Ascending muscle paralysis.. dont confuse with MG
Shock
Thyroid storm
Common S/S of guillian Barre Syndrome
How do you teach someone to reduce back aches
30. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Pancreatitis prioritys
Common S/S of Thypohiod
Suctioning is good -- except
Best way to warm a newborn
31. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster
Thoracentesis
Hypercalemia
Allen's test
Protocol for Airborne Transmission
32. Lymes is found mostly in Conneticuts
Common S/S of Meningitis
Halo
Lymes mostly found in
Detached Retina
33. 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
Renal impairment labs
MS
Rule of thumb for assisting pysch patients
Order of assessment
34. Petechiae. Treated with heparin.
Major risks of epidural
Russel Traction =
Yellow - Delayed
s/s of a fat embolism
35. 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
Heart problems
Tet spells
Why somone who is allergic to latex would be allergic to food too
Common S/S of Liver cirrhoisis
36. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.
What is obtained before starting any iv antibiotic
Low Residue diet
Cerebral palsy
More info on TB testing a positive result
37. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)
Major risks of epidural
Maslow for a guy who lost his house in a fire
Cushing ulcers and cushings triad
ICP
38. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.
MS
Green - Minimal
Most accurate way to test kids for medication accuracy
How to Dx a AAA
39. 1 quart = 2 pints
Disease precautions
Dance Sign
Omphalocele
1 quart = How many pints
40. Rusty sputum
When patient is in distress
Common S/S of pneumonia
Order of assessment
Immunizations rules
41. 7 - 10ml / kg
Omphalocele
Likely cause of cardiac arrest in child
PTB
Tidal volume
42. 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
43. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
44. Patent ductuous arteriousus in infants! Valve doesn't close!
Bence Jones protein in urine
Jews
PDA
Common S/S of pancreatitis
45. Increased temp - pulse and HTN
Apgar Scoring
Thyroid storm
After lumbar puncture
Dangerous thing to get during pregnancy
46. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.
Side rail rules
Orange tag in pysch
Hep B vaccine always ask
Hyponatremia
47. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.
48. If HR is <100 do not give dig to children.
Shock
TIA
Hightest priority for RA
Dig rule for kids
49. 1 gram = 1000 mg
MMR and Varicella
Traction rule
1 g = How many mg
Peds positioning for GERD
50. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.