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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. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.
Common S/S of Hydrocephalosis
Other S/S of MS
Hirschsprungs
Milk for kids
2. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
Cranial nerves for Assessing extraocular eye movements
More info on lumbar puncture
Nondairy sources of calcium
Before giving MMR>
3. Bananas - potatoes - citrus fruits
SIADH
Hypo - parathyroid
Common S/S of Pemphigus Vulgaris
Sources of potassium
4. CHRONIC pain
After Cataract surgery
Guided imagery is great for
Common S/S of Cataract
Change in color is
5. A
HHNS Vs DKA
ACID ash diet
Diverticulitis
Lymes mostly found in
6. Rose spots on abdomen
Diverticulitis
During CBI (continuous bladder irrigation)
Common S/S of Thypohiod
Common S/S of pyloric stenosis
7. 1 gram = 1000 mg
Hba1c
1 g = How many mg
Hyperparathyroid
Hypervolemia
8. Pilling rolling tremors
Suctioning is good -- except
Common S/S of parkinsons
Orange tag in pysch
More info on lumbar puncture
9. 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.
Hypo - parathyroid
Diverticulitis
DKA
Botox
10. Cat's eye reflex (grayish discoloration of the pupil)
Common S.S of Retino Blastoma
Chvostek and Trosseaus sign
Developmental milestones
Sickle cell crisis
11. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
VV and AA
Cerebral palsy
What to do in the case of tube feeding with decreased LOC
Tube and J tubes are usually
12. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Enema positioning
1 kg= How many pounds
Guthrie test
Hypervolemia
13. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
With lower amputations
Acid/ ASH diet
Common S/S of Pemphigus Vulgaris
PCWP
14. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin
Trendelenberg's test
What if a toddler says no to medication
Common S/S of Liver cirrhoisis
4 year olds
15. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches
What is bleeding considered in ADPIE
Common S/S of chicken pox
Dengue hemorrhagic fever
Latex allergies
16. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.
During CBI (continuous bladder irrigation)
autonomic dysreflexia
Common S.S of Retino Blastoma
After Gtube placement
17. 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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18. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.
What disease leads to cardiac valve malfunctions
ICP and Shock have
DKA
Common S/S of appendicitis
19. Moon face appearance and buffalo hump
What happens when phenylalanine increases
Apgar Scoring
Common S/S of Cushings syndrome
Nitrazine paper
20. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
MMR SHot
After Cataract surgery
Tylenol poisioining
What to do in a sucking stab wound
21. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!
Risus Sardonicus
Hyper reflexive Absent reflexsive
Western blot test
s/s of a fat embolism
22. Ambient air (room air) contains 21 % o2
Besides meds and congenital problems .. What can lead to decreased preload
Room air is...
Cold stress in a newborn
Head Injury
23. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.
S/S of a fat embolism
Dangerous thing to get during pregnancy
Hba1c
Heroin withdrawl in a neonate
24. Risus Sardonicus
Common S/S of Tetany
Addisons
1 lb = How many ozs
Diabetes Insipidus
25. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis
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26. 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.
Every new admission needs
Parkisons
Change in color is
NMS
27. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame
Phenalalanine
Major risks of epidural
Common S/S of appendicitis
Maslow for a guy who lost his house in a fire
28. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.
MORE info on DKA ugh!
Why would a pt with leukemia have epistaxis
Apgar Scoring
When is Rhogam given and how
29. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis
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30. Vesicular rash (central to distal) dew drop on rose petal
Common S/S of chicken pox
Flu shot always ask
Hyponatremia
Kawasaki disease causes
31. No nasotracheal suctioning with head injury or skull fracture.
Heart Defects
Suctioning is good -- except
Side rail rules
First sign of pe
32. Chemo - radiation - surgery - allow to die with dignity.
Options for cancer
TIA
Kids with RSV>
Kidneys and ears
33. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)
Hyper reflexive Absent reflexsive
Brachial Pulse
Turner's sign
Head Injury
34. A newly diagnosed hypertension patient should have BP assessed in both arms
If you THINK a patient has new HTN
ABG drawin
Low crit/hemoglobin
Alzheimers
35. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.
Common S/S of epiglottitis
Cath lab
How do you treat a small bowel obstruction
VV and AA
36. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.
Common S/S of Malaria
Diff between placenta previa and placenta abrupto
What is obtained before starting any iv antibiotic
After Cataract surgery
37. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.
S/S of a fat embolism
MRI
To prevent dumping syndrome
Hypercalemia
38. 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
Signs observed in hypocalemia
Kids with RSV>
When a pt comes in and she is in active labor
Liver biopsy
39. HYPERtension TACHYpnea and TACHYcardia
Pt with edema and walking
Thyroid storm
Common S/S of Shock
MG and Guillian Barre
40. Rhematic fever
Common S/S Meniere's Disease
Heart Defects
What disease leads to cardiac valve malfunctions
Late Decels
41. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
Graves disease/ Hyperthyroidism
Myasthenia gravis
Common S/S Duchennes Muscular Dystrophy
Common S/S of MS>
42. Just know the MMR and Varicella immunizations come later (15 months).
Autonomic Dysreflexia/ Hyperreflexia
ABG drawin
Asthma and arthritis best excercise
MMR and Varicella
43. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others
Meningeal irriatation>
Tylenol poisioining
Cerebral angio prep
Greeks
44. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Paget's disease
Hightest priority for RA
Botox
45. With low back aches - bend knees to relieve
How do you teach someone to reduce back aches
Hydrocele
Common S/S of SLE
Common S/S of Hydrocephalosis
46. Chvostek and Trosseaus sign! Also hypomag!
Western blot test
Common S/S of hypocalcemia
HyperKalemia
What to do in a sucking stab wound
47. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves
Fontanelles
High priority in Addisons
Burn Degrees
Glomerulonephritis
48. Ascending muscle paralysis.. dont confuse with MG
Phenalalanine
MG and Guillian Barre
Common S/S of guillian Barre Syndrome
Common S/S of TEF
49. Recurrent bloody diarrhea
Common S/S of Cholera
Hep B vaccine always ask
Knee replacement
Common S/S of Ulcerative Colitis
50. 7 - 10ml / kg
autonomic dysreflexia
Amniocentesis is performed and why
Common S/S of emphysema
Tidal volume