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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. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).
Fontanelles
Potassium and acid base balance
What can't you give to immunosupressed pts
NMS
2. 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
After Endoscopy
Yellow - Delayed
Common S/S of MS>
Trendelenberg's test
3. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.
Myelogram
After removal of the pituitary gland what should you watch for
Chvostek and Trosseaus sign
Munchhausen Syndrome
4. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.
Stomas
Bethamethasone
Common S/S of Cystitis
Diff between angina and MI
5. Cultures
What is obtained before starting any iv antibiotic
Cryptoorchidism
After Total Hip Replacement
What to check children for at age 12 months
6. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.
Orthostatis is verfied by
Common S/S of pneumonia
To prevent dumping syndrome
ABG drawin
7. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.
Parkisons
Kernigs sign
How to Dx a AAA
Jews
8. Ambient air (room air) contains 21 % o2
Cranial Nerves
Common sites for metastatsis
Room air is...
Cushing ulcers and cushings triad
9. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency
Bence Jones protein in urine
Buck's Traction
HyperMg
Hba1c
10. 1 T(tablespoon)= 3 t = 15 ml
ALS
1 tablespoon = How many ml
High priority in Addisons
Glomerulonephritis
11. Chemo - radiation - surgery - allow to die with dignity.
1 quart = How many pints
After Cataract surgery
Contact transmission precautions
Options for cancer
12. Broncospasm (anaphylaxis)
Main hypersensitivity for antiplatelet drugs
Cmmon S/S Fibrin Hyalin
Besides sodium - water also follows
Other S/S of MS
13. Renal impairment: serum creatinine elevated and urine clearance decreased
Common S/S of guillian Barre Syndrome
autonomic dysreflexia
Renal impairment labs
Common S/S of Thypohiod
14. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!
Common S/S of LTB
Common S/S of Bladder Cancer
Group - A strep
Apgar Scoring
15. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.
Kawasaki disease causes
Crackles most likely are...
Dumping syndrome
Hypervolemia
16. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Infant with Cleft lip
Pancreatitis prioritys
Green - Minimal
Shilling test
17. LLQ - diverticulitis - low residue - no seeds - nuts - peas
Peritoneal dialysis
Hypocalemia
Pain in the LLQ indicative of...
What disease leads to cardiac valve malfunctions
18. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.
Therapies
Crutch use
Lymes mostly found in
Enema positioning
19. 3 -4 -6
Cor Pulmonae
Cranial nerves for Assessing extraocular eye movements
Peds weight
Common S/S of epiglottitis
20. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.
Peds positioning for GERD
Stomas
1 gr= How many mg
Common S/S of PTB
21. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.
Addisons
Vertical C section
Cranial Nerves
First sign of pe
22. The MMR vaccine is given SQ not IM.
What to do in the case of tube feeding with decreased LOC
MMR SHot
Carbon dioxide narcosis
Cystic fibrosis
23. Position on the RIGHT side with legs flexed
After appendectomy
Common S/S of Infectious Mononucleosis
If you see a nurse make a mistake Chain of command
When to test urine for ketones and glucose
24. Rhematic fever
CVA
For a lung biopsy
What disease leads to cardiac valve malfunctions
Babinski sign
25. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
Compartment syndrome
Whats petaling
ALS
Incentive Spirometry steps
26. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet
Sources of potassium
Hyperparathyroid
Common S/S of orbital fracture
Cullens sign
27. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)
Russel Traction =
Common S/S of glaucoma
If you THINK a patient has new HTN
After Total Hip Replacement
28. 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
What to in the case of - Pt with heat stroke
Common S/S of guillian Barre Syndrome
Before Epidural
Hearing the baby in OB
29. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
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30. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)
Peritoneal Dialysis when outflow is inadequate
After Myringotomy
Common S/S of Cystitis
Best way to tube feed or feed kids
31. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)
Common S/S of Lyme's disease
Most accurate way to test kids for medication accuracy
Fontanelles
Common S/S of pneumonia
32. Burning on urination
Common S/S of Hodgkins Disease/Lymphoma
Common S/S of Cystitis
How many liters of O2
Tension Pneumothorax
33. Patent ductuous arteriousus in infants! Valve doesn't close!
PDA
Side rail rules
Paracentesis
Greeks
34. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in
Traction in kids
What to do in the case of - an Air/Pulmonary Embolism
Why somone who is allergic to latex would be allergic to food too
Cane walking
35. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle
Maslow for a guy who lost his house in a fire
Side effects of thyroid hormones
COPD patients
Turner's sign
36. 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 Infectious Mononucleosis
For a lumbar puncture
Gross things to remember about nurses with herpes!!!!
Common S/S of Liver cirrhoisis
37. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
What to do in the case of tube feeding with decreased LOC
High priority in Addisons
Common S/S of retinal detachment
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
38. 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
Post spleenectomy
Hypernatremia SALT
Droplet Precautions Transmission
Hypovolemia
39. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!
After appendectomy
Hyponatremia
Common S.S of Retino Blastoma
Common S/S of Hodgkins Disease/Lymphoma
40. Place a wheelchair parallel to the bed on the side of weakness
Placement of a wheelchair
Besides sodium - water also follows
Burn Degrees
What treats tet spells
41. 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.
Hba1c
How do children less than one breathe
Bucks traction =
Common S/S of appendicitis
42. Side lying
During epidural puncture
Munchhausen Syndrome
Temp conversion
NMS
43. 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
Cushing ulcers and cushings triad
What to do in the case of - an Air/Pulmonary Embolism
TB health risk
Developmental milestones
44. 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.
Common S/S of appendicitis
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Other S/S of MS
Every new admission needs
45. 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.
After Gtube placement
Labs for congenital heart disease
Common S/S of pneumonia
ABG drawin
46. 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.
Paracentesis
MORE info on DKA ugh!
For cord compression in OB
Pancreatitis prioritys
47. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
Stomas
Detached Retina
Anorexia sucks because
Common S/S of Increased ICP
48. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
Hirschsprungs
After Cataract surgery
Common S/S of Kawasaki syndrome
Grey Turners sign
49. 1 quart = 2 pints
Common S/S of orbital fracture
1 quart = How many pints
Common S/S of Malaria
MG and Guillian Barre
50. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
Orthostatis is verfied by
Common sites for metastatsis
Wilms tumor
School aged kids and five year olds