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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. 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
Common S/S of Cystitis
Common S/S of Infectious Mononucleosis
Common S/S of orbital fracture
2. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.
Infant with Cleft lip
Side rail rules
If kid has a cold
Common S/S of leprosy
3. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid
Labs in DKA>
Thoracentesis
1 gr= How many mg
Hightest priority for RA
4. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.
During CBI (continuous bladder irrigation)
What to check children for at age 12 months
Birth control - Diaphram
Low crit/hemoglobin
5. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce
Common S/S of PTB
Alkaline Ash diet
Vertical C section
MS
6. Pain is usually the highest priority with RA
Autonomic Dysreflexia/ Hyperreflexia
Hightest priority for RA
Cold stress in a newborn
Addisons
7. Hydration is a big priority!
Before Epidural
School aged kids and five year olds
Nepphrotic syndrome
Complications of mechanical ventilation
8. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP
Kidneys and ears
Rule of nines
Common S/S of appendicitis
Addisonian Crisis
9. Pumonary tuberculosis
PTB
Cystic fibrosis
Cold stress in a newborn
Kidneys and ears
10. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -
For cord compression in OB
Common S/S of addisions
Tetraology of Fallot
Paracentesis
11. Flapping tremors
Cephalhematoma (caput succinidanium)
Appendicitis
Murphy's sign
Common S/S Hepatic Encephalopathy
12. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate
How to itch under a cast
Anorexia sucks because
Tet spells
Cane walking
13. 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
Options for cancer
Droplet Precautions Transmission
GTT for preggos
Cause of Ascites
14. Slowed physical and mental function - sensitivity to cold - dry skin and hair
Rule of thumb for assisting pysch patients
Myxedema/ hypothroidism
Glomerulonephritis
Amniocentesis is performed and why
15. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
Enema positioning
Common S/S of Increased ICP
Potassium and acid base balance
Cushing ulcers and cushings triad
16. After endoscopy check gag reflex.
What to do in the case of tube feeding with decreased LOC
Hirschsprungs is dx how
What disease leads to cardiac valve malfunctions
After Endoscopy
17. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions
PCWP
After Myringotomy
Myasthenia gravis
MG and Guillian Barre
18. 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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19. Sausage shaped mass - Dance sign (empty portion of RLQ)
DKA
Common S/S of Intusseption
Pancreatitis prioritys
With lower amputations
20. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin
Cane walking
During epidural puncture
Addisonian Crisis
Emphysema
21. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.
To prevent dumping syndrome
After Myringotomy
During internal radiation
MS
22. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.
When you see coffee brown emesis think>
Cerebral angio prep
Myasthenia gravis
Common S/S of guillian Barre Syndrome
23. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p
Babinski sign
Hodgkins disease
Milk for kids
Cranial nerves for Assessing extraocular eye movements
24. 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.
s/s of a fat embolism
To remember blood sugar
Eyes
DKA
25. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Pancreatitis pts>
How to Dx a AAA
Crutch use
Incentive Spirometry steps
26. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r
Autonomic Dysreflexia
Behavior/Developmental - Peds
Kidneys and ears
Coomb's test
27. 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.
Koplick's spots
Tenkhoff cath
Babinski sign
Thyroid storm
28. B/c of low platelets
Sengstaken blakemore tube
Why would a pt with leukemia have epistaxis
Nondairy sources of calcium
Depression manifests itself
29. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!
VRSA
Cute way to remember glascow coma
Common S/S Duchennes Muscular Dystrophy
Guided imagery is great for
30. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
Acid/ ASH diet
Signs to look for in meningitis
Nepphrotic syndrome
caput succedaneum=
31. 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
Dig rule for kids
High priority in Addisons
Bence Jones protein in urine
MORE info on DKA ugh!
32. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Laparoscopy
Best way to warm a newborn
More labs suggestive of renal failure
Gerd again
33. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Alkaline Ash diet
Protocol for Airborne Transmission
TIA
Sengstaken blakemore tube
34. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.
More info on intussception
What can also cause an s3 heart sound
Common S/S of pneumonia
Diff between angina and MI
35. 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 -
How to itch under a cast
Hightest priority for RA
Myelogram
Munchhausen Syndrome
36. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.
Dystocia
MMR and Varicella
Sickle cell crisis
Cerebral palsy
37. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
First sign of cystic fibrosis
More info on EEG
Where are chest tubes placed
Common S/S of Infectious Mononucleosis
38. PainLESS vision loss - opacity of lens - blurring of the vision
Common S/S of Cataract
Renal impairment labs
Options for cancer
Common S/S Meniere's Disease
39. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet
During epidural puncture
Every new admission needs
CABG
Hypo - parathyroid
40. 3 D'S -- Drooling - Dysphonia - Dysphagia
Diff between angina and MI
A patient with vertical c - section will likely have
Common S/S of epiglottitis
Cute way to remember glascow coma
41. Recurrent bloody diarrhea
Common S/S Meniere's Disease
Common S/S of Ulcerative Colitis
CABG
Dance Sign
42. Knee immobility
Hemovac
Bucks traction =
Common S/S of pernicious anemia
HyperKalemia
43. 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.
More IVP info
Side rail rules
Cephalhematoma (caput succinidanium)
How many liters of O2
44. Inspiratory stridor.. LTB = croup!!!!
More IVP info
HyperMg
SARS
Common S/S of LTB
45. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)
NG tube rules
Risus Sardonicus
What to do in a sucking stab wound
Eyes
46. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne
What is bleeding considered in ADPIE
Kawasaki disease causes
Dengue hemorrhagic fever
First sign of pyloric stenosis in a baby
47. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution
Hypernatremia
Tetraology of Fallot
Color codes
What to do in the case of tube feeding with decreased LOC
48. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
Diverticulitis
IVP requires
Above the knee amputation
How to Dx a AAA
49. 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
Stranger Danger>!
Developmental milestones
Stomas
Labs in DKA>
50. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)
Nondairy sources of calcium
Tension Pneumothorax
Common S/S of Meningitis
Chief concern in CF