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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. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.
Common S/S of Cholera
Cor Pulmonae
Rule of thumb for assisting pysch patients
Carbon dioxide narcosis
2. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.
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3. Irritable - and poor sucking
Group - A strep
COPD and Pneumonia
Heroin withdrawl in a neonate
Hirschsprungs is dx how
4. 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
Common S/S of Infectious Mononucleosis
How do children less than one breathe
FHR patterns in ob
Common S/S of glaucoma
5. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)
Heart Defects
Common S.S of Retino Blastoma
Kidneys and ears
Cor Pulmonae
6. Position on the RIGHT side with legs flexed
Acid/ ASH diet
What is bleeding considered in ADPIE
After appendectomy
Prolapsed Cord
7. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)
Peds positioning for GERD
Head Injury
Shock
Below the knee amputation
8. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).
Dance Sign
Diff between placenta previa and placenta abrupto
Developmental milestones
Pheochromocytoma
9. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.
Alkaline Ash diet
PTB
Sickle cell crisis
Penis Problems
10. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the
Cute way to remember glascow coma
Common S/S of DKA
HHNS Vs DKA
Hearing the baby in OB
11. 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
Common S/S of chicken pox
High priority in Addisons
Tenkhoff cath
Peritoneal dialysis
12. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves
How do you treat a small bowel obstruction
Common S/S of guillian Barre Syndrome
Burn Degrees
Cane walking
13. Machine like murmur
How do children less than one breathe
Common s/s of PDA
ABG drawin
Shock
14. EleVate Veins; dAngle Arteries for better perfusion
A child with a ventriculoperitoneal shunt
VV and AA
Suctioning is good -- except
Common S/S of Increased ICP
15. The biggest concern with cold stress and the newborn is respiratory distress.
Cane walking
Crackles most likely are...
How do you teach someone to reduce back aches
Cold stress in a newborn
16. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Bethamethasone
Buck's Traction
1 g = How many mg
Common S/S of cystic fibrosis
17. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men
What is a bad sign in asthma
Yeast infection in a babys mouth
Tidal volume
Droplet Precautions Transmission
18. Second voided urine most accurate when testing for ketones and glucose.
Where are chest tubes placed
What to do in a sucking stab wound
For a lumbar puncture
When to test urine for ketones and glucose
19. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
Use of cold and hot
In depth - Color codes
During epidural puncture
ALS
20. Patent ductuous arteriousus in infants! Valve doesn't close!
MORE info on DKA ugh!
Normal Hemoglobin
ACID ash diet
PDA
21. Its important to be aware of the lab result for prothrombin time
Change in color is
How to itch under a cast
How to treat phobic disorders
Prior to liver biopsy
22. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.
Best indicator of dehydration
Risus Sardonicus
Thoracentesis
Cystic fibrosis
23. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
PCWP
Bence Jones protein in urine
A preggo in a minus station
HypoMg
24. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
Whats petaling
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
MORE info on DKA ugh!
Mcburney's point
25. Chipmunk face
How many oz in a ml
Kids with RSV>
Myelogram
Common S/S of Bulimia
26. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot
What to do in a sucking stab wound
A patient with vertical c - section will likely have
Potassium and acid base balance
Chief concern in CF
27. Peptic ulcer
After appendectomy
Autonomic Dysreflexia
When you see coffee brown emesis think>
Normal Hemoglobin
28. Glucose
How to treat phobic disorders
Common S/S of Bulimia
Besides sodium - water also follows
Placement of a wheelchair
29. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)
Maslow for a guy who lost his house in a fire
Eyes
Cane walking
Hirschsprungs
30. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.
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31. PainLESS vision loss - opacity of lens - blurring of the vision
Common S/S of Cataract
Common S/S of glaucoma
Peritoneal Dialysis when outflow is inadequate
MRSA and VRSA precautions
32. 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
Stomas
How to put on traction
Black - Expectant
For a lumbar puncture
33. Questions about a halo Remember safety first - have a screwdriver nearby.
Cerebral palsy
More IVP info
Best way to tube feed or feed kids
Halo
34. 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.
Menieres's disease
Change in color is
Green - Minimal
MORE info on DKA ugh!
35. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
4 year olds
Apgar scores/scoring
Tylenol poisioining
What is a bad sign in asthma
36. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
Meningeal irriatation>
After Cataract surgery
Common S/S of DKA
Where should placenta be
37. Yogurt has live cultures - dont give to immunosuppressed pt
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38. 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
Greeks
After appendectomy
LVN/LPN cant
Best way to warm a newborn
39. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
Cane walking
How do you teach someone to reduce back aches
Brudzinski's sign
Cephalhematoma (caput succinidanium)
40. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP
Addisonian Crisis
Who produces insulin
If your patient starts seeing bugs
Allen's test
41. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink
Developmental milestones
Hepatitis
Paget's disease
CPR in a five year old
42. ** IVP requires bowel prep so they can visualize the bladder better
After Infratentorial Surgery
NMS
IVP requires
Tetraology of Fallot
43. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
Temp conversion
Hepatitis
Common S/S of GERD
Koplick's spots
44. Ascending muscle paralysis.. dont confuse with MG
Kids pain relief in NCLEX land
Sickle cell crisis
How do you treat a small bowel obstruction
Common S/S of guillian Barre Syndrome
45. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.
Med that can't be infused Intra osseously
TEF
Common sites for metastatsis
School aged kids and five year olds
46. Burning on urination
Common S/S of Diptheria
Glaucoma patients loose
VV and AA
Common S/S of Cystitis
47. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.
Common S/S of pneumonia
Common S/S of Intusseption
Yeast infection in a babys mouth
Stomas
48. 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').
CVA
4 year olds
Med that can't be infused Intra osseously
Paracentesis
49. 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
ABG drawin
After Cataract surgery
If your patient starts seeing bugs
Group - A strep
50. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin
Nondairy sources of calcium
Pneumonia
Anorexia sucks because
Diabetes Insipidus