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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. 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.
Meconium stained protocol
Crutch use
Common S/S of Intusseption
Penis Problems
2. Rose spots on abdomen
Nuetropenic patients
Peds weight
Common S/S of Malaria
Common S/S of Thypohiod
3. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.
Carbon dioxide narcosis
Pt with edema and walking
More labs suggestive of renal failure
Labs for congenital heart disease
4. For Meningitis check for Kernig's/ Brudzinski's signs.
1 tsp= How many ml
PKU
Common S/S of Cataract
Signs to look for in meningitis
5. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030
After Cataract surgery
Hypovolemia
Yeast infection in a babys mouth
Common S/S of Increased ICP
6. Dystocia= baby cannot make it down to canal
Dystocia
For a lumbar puncture
Acid/ ASH diet
When instilling eardrops
7. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
Delegation Rule of Thumb?
Carbon dioxide narcosis
Chvostek and Trosseaus sign
Common S/S of addisions
8. Children <3yoa - <35 lbs with femur fx
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9. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
Trendelenberg's test
How to treat phobic disorders
First sign of cystic fibrosis
Cranial nerves for Assessing extraocular eye movements
10. B/c of low platelets
For cord compression in OB
Why would a pt with leukemia have epistaxis
Hightest priority for RA
Common S/S of appendicitis
11. Birth weight doubles by 6 month and triple by 1 year of age.
Hypernatremia
Autonomic Dysreflexia/ Hyperreflexia
Peds weight
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
12. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.
Meningeal irriatation>
Infant with Cleft lip
Nonfat milk
Pt with edema and walking
13. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
What could cause bronchopulmonary dysplasia
A preggo in a minus station
Kawasaki disease causes
Crutch use
14. Pulse area cpr on infant
More info on TB testing a positive result
Common S/S of Shock
Myasthenia gravis
Brachial Pulse
15. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.
Cystic fibrosis
Common S/S of TEF
Chvostek and Trosseaus sign
4 year olds
16. 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 (
Myxedema/ hypothroidism
Nonfat milk
Signs observed in hypocalemia
Cranial Nerves
17. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.
Russel Traction =
When instilling eardrops
When is Rhogam given and how
Milk for kids
18. Stepladder like fever with chills
Common S/S of Malaria
Appendicitis
Dance Sign
Willam's position
19. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)
Hyper reflexive Absent reflexsive
Osteomyeltitis
No Cantalope
If kid has a cold
20. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Thoracentesis
Black - Expectant
Hypervolemia
Fetal alcohol sydrome
21. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.
First sign of pe
What to do in the case of - an Air/Pulmonary Embolism
Common S/S of Thypohiod
Age 4=5 year shots
22. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.
Cephalhematoma (caput succinidanium)
Hep B vaccine always ask
Crutch use
Tube and J tubes are usually
23. Small frequent is better than large
Best way to tube feed or feed kids
PTB
ACID ash diet
Every new admission needs
24. Systemic Lupus Ethramoutus.... (Lupus)
What to do if your patients chest tube accidently getes removed
SLE
Hodgkins disease
Common S/S of Cystitis
25. Weight
Hirschsprungs
More info on droplet precautions
Best indicator of dehydration
Common S/S of GERD
26. 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').
4 year olds
Common S/S of Cataract
s3 heart sound is normal not
Hodgkins disease
27. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
In depth - Color codes
Hightest priority for RA
Cephalhematoma (caput succinidanium)
Common s/s of PDA
28. Bossing Sign (prominent forehead)
Use of cold and hot
Paracentesis
Best way to tube feed or feed kids
Common S/S of Hydrocephalosis
29. Hydration is a big priority!
Common S/S of Tetany
Kernigs sign
Before Epidural
Shilling test
30. 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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31. Brain problems occur
Common S/S of Lyme's disease
What happens when phenylalanine increases
Botox
PTB
32. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia
Temp conversion
Developmental milestones
Dystocia
IVP requires
33. Just know the MMR and Varicella immunizations come later (15 months).
Heart Defects
Botox
Common S/S of GERD
MMR and Varicella
34. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
Decorticate and Decerebrate
Thyroid storm and myxedema
Heart problems
Where should placenta be
35. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Dystocia
Peds positioning for GERD
Myelogram
Kids with RSV>
36. Skin to skin contact on mom with a blanket
Best way to warm a newborn
Tet spells
Where should placenta be
Before Epidural
37. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.
Hepatitis
Hep B vaccine always ask
Hydrocele
Common S/S of Cataract
38. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn
What could cause bronchopulmonary dysplasia
What will alter the accuracy of o2 sats
After Gtube placement
Common S.S of Retino Blastoma
39. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
Hyperparathyroid
Common S/S of Malaria
Pancreatitis pts>
With lower amputations
40. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Cerebral angio prep
Hypernatremia SALT
Rule of nines
Pancreatitis prioritys
41. CVA (cerebrovascular accident) is with dead brain tissue.
Osteomyeltitis
CVA
Tension Pneumothorax
After lumbar puncture
42. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et
Vertical C section
Yellow - Delayed
Side rail rules
Radioactive iodine
43. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
Cute way to remember glascow coma
Airborne Transmission
Halo
School aged kids and five year olds
44. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since
Guided imagery is great for
What is obtained before starting any iv antibiotic
Vertical C section
A child with a ventriculoperitoneal shunt
45. 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
COPD and Pneumonia
Common S/S of Pemphigus Vulgaris
Facts about hemophilia
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. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments
Common S/S of Kawasaki syndrome
Hyperthyroidism
Greeks
For a lumbar puncture
48. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.
Side rail rules
Burn Degrees
Common S/S of GERD
Complications of mechanical ventilation
49. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Common sites for metastatsis
Cerebral palsy
Pulmonary sarcoidosis
Bethamethasone
50. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.
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