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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. For Meningitis check for Kernig's/ Brudzinski's signs.
Huntington's Chorea
Best indicator of dehydration
Kidneys and ears
Signs to look for in meningitis
2. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues
PCWP
Signs to look for in meningitis
Cerebral palsy
When to test urine for ketones and glucose
3. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.
Myasthenia gravis
autonomic dysreflexia
Common S/S of pancreatitis
Preload and Afterload
4. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
Diff between angina and MI
Heart Defects
Suctioning is good -- except
Heart problems
5. Tet spells treated with morphine.
Nonfat milk
What can't you give to immunosupressed pts
Nondairy sources of calcium
What treats tet spells
6. 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.
Tenkhoff cath
Eclampsia is a
Common S/S of MG
Cath lab
7. Trachea shifts to the opposite side
MRSA and VRSA precautions
Tension Pneumothorax
Chief concern in CF
Diff between placenta previa and placenta abrupto
8. It is X- linked. Mother passes the disease to her son
Facts about hemophilia
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Common S/S of Diptheria
Common S/S of Basilar Fracture
9. Always check lead posioning levels
Greeks
A preggo in a minus station
What to check children for at age 12 months
Where should placenta be
10. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
s3 heart sound is normal not
Chief concern in CF
ALS
Hemovac
11. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS
Sickle cell crisis
Stomas
After Supratentorial Surgery
Nondairy sources of calcium
12. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -
Hep A precautions
Trendelenberg's test
Myelogram
Common S/S of Hydrocephalosis
13. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area
What if a toddler says no to medication
How to itch under a cast
Cryptoorchidism
1 quart = How many pints
14. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
ABG drawin
Airborne Transmission
Decorticate and Decerebrate
Hep A precautions
15. CATS - convulsions - arrhythmias - tetany - spasms and stridor
Bence Jones protein in urine
Hypocalemia
What to do in the case of - an Air/Pulmonary Embolism
What can also cause an s3 heart sound
16. Hallmark= Sore throat - cervical lymph adenopathy - fever
Common S/S of Infectious Mononucleosis
Alkaline Ash diet
Best indicator of dehydration
Myelogram
17. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Apgar scores/scoring
Dumping syndrome
More info on TB testing a positive result
Common s/s of PDA
18. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)
MRSA and VRSA precautions
Birth control - Diaphram
Peds positioning for GERD
How do you teach someone to reduce back aches
19. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.
Gerd again
Common S/S of GERD
Western blot test
Addisons
20. MRI- claustrophobia - no metal - assess pacemaker
Glaucoma patients loose
MRI
Above the knee amputation
More info on droplet precautions
21. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.
Disease precautions
Glomerulonephritis considerations
Before giving MMR>
Airborne Transmission
22. PainLESS vision loss - opacity of lens - blurring of the vision
Common S/S of Cushings syndrome
Common S/S of Cataract
After Supratentorial Surgery
Common S/S of Pemphigus Vulgaris
23. Seizure>
To remember blood sugar
ICP and Shock have
Eclampsia is a
School aged kids and five year olds
24. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.
Where are most spinal cord injuries
Pt with edema and walking
Radioactive iodine
Common S/S of pneumonia
25. Bananas - potatoes - citrus fruits
Sources of potassium
Disease precautions
Lumbar Puncture
Common S/S Duchennes Muscular Dystrophy
26. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about
Why somone who is allergic to latex would be allergic to food too
Peds weight
Common S/S of emphysema
Besides meds and congenital problems .. What can lead to decreased preload
27. Toes curl= GREAT Toes fan = BAD
Common S/S of addisions
Cerebral palsy
Babinski sign
What is bleeding considered in ADPIE
28. After endoscopy check gag reflex.
Cushing ulcers and cushings triad
Anorexia sucks because
Greenstick fracture
After Endoscopy
29. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.
Why would a pt with leukemia have epistaxis
Disease precautions
Immunizations rules
Low crit/hemoglobin
30. Cat's eye reflex (grayish discoloration of the pupil)
Guillian Barre
Black - Expectant
Common S.S of Retino Blastoma
Asthma and arthritis best excercise
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
Shift to the left means
1 gr= How many mg
Thoracentesis
Nephrotic syndrome
32. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet
Cause of Ascites
Hyperparathyroid
Hypocalemia
Detached Retina
33. 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
Hirschsprungs is dx how
After Infratentorial Surgery
Yellow - Delayed
Koplick's spots
34. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
Orange tag in pysch
A preggo in a minus station
Turner's sign
Common S/S of Diptheria
35. Vertigo - Tinnitus
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36. (incision behind hairline) --> elevate HOB 30-45 degrees
1 pint = How many cups
After Supratentorial Surgery
Hyponatremia
Signs of a hip fracture
37. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s
Potassium lab importance
Liver biopsy
Common S/S of down syndrome
School aged kids and five year olds
38. EleVate Veins; dAngle Arteries for better perfusion
Addisonian Crisis
Cor Pulmonae
Hepatitis
VV and AA
39. (skin traction) --> elevate foot of bed for counter - traction
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40. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
1 quart = How many pints
Protocol for Droplet Precautions
Latex allergies
Charcots sign
41. Small frequent is better than large
Heart problems
Best way to tube feed or feed kids
Low crit/hemoglobin
Brudzinski's sign
42. 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
Dangerous thing to get during pregnancy
FHR patterns in ob
Latex allergies
Heart Defects
43. Weight
Peritoneal Dialysis when outflow is inadequate
Best indicator of dehydration
Pt with edema and walking
Stranger Danger>!
44. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.
Guthrie test
Pneumonia
Dumping syndrome
Pulmonary sarcoidosis
45. Ascending muscle paralysis.. dont confuse with MG
If kid has a cold
Common S/S of epiglottitis
Common S/S of guillian Barre Syndrome
Appendicitis
46. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)
1 gr= How many mg
Hyponatremia
coarctation of the aaorta causes
Shock
47. Handle any blood
Flu shot always ask
1 g = How many mg
What to do for addisons/cushings
LVN/LPN cant
48. One pound equals 16 0z
1 lb = How many ozs
Asthma and arthritis best excercise
Mcburney's point
What can't you give to immunosupressed pts
49. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).
Maslow for a guy who lost his house in a fire
SIADH
HypoMg
How to put on traction
50. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!
S/S of a fat embolism
Common S/S of Hodgkins Disease/Lymphoma
1 cup= How many oz
Dengue hemorrhagic fever
Sorry!:) No result found.
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