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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. Red beefy tongue
The first s/s of ards
Dystocia
Common S/S of pernicious anemia
Turner's sign
2. For Meningitis check for Kernig's/ Brudzinski's signs.
Hyper reflexive Absent reflexsive
Signs to look for in meningitis
Hyperthyroidism
Protocol for Airborne Transmission
3. Toes curl= GREAT Toes fan = BAD
Mcburney's point
Heart Defects
Babinski sign
1 tablespoon = How many ml
4. (severe acute resp syndrome) airborne + contact (just like varicella)
Gross things to remember about nurses with herpes!!!!
Penis Problems
Orange tag in pysch
SARS
5. 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
Protocol for Airborne Transmission
Western blot test
Developmental milestones
Hypervolemia
6. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.
Cerebral angio prep
Fontanelles
Heroin withdrawl in a neonate
Room air is...
7. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (
Age 4=5 year shots
4 year olds
Cranial Nerves
Common S/S of Pemphigus Vulgaris
8. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
4 year olds
Below the knee amputation
Greenstick fracture
Thyroid storm and myxedema
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.
Common S/S of Malaria
MRI
DKA
Common S/S of Lyme's disease
10. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)
After Myringotomy
For a lumbar puncture
For PVD remember
Hyperparathyroid
11. 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).
The first s/s of ards
Potassium and acid base balance
Other S/S of MS
Most accurate way to test kids for medication accuracy
12. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.
Major risks of epidural
Depression manifests itself
1 kg= How many pounds
Pneumonia
13. 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
Wilms tumor
What to check children for at age 12 months
Below the knee amputation
Tet spells
14. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Suctioning is good -- except
What to in the case of - Pt with heat stroke
For a lung biopsy
Disease precautions
15. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.
Heart problems
Kids pain relief in NCLEX land
Common S/S of Diptheria
Russel Traction =
16. 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
Glomerulonephritis considerations
Cute way to remember glascow coma
1 kg= How many pounds
Pheochromocytoma
17. Normal in CHF from the squishin'.. Not normal in an MI patient
Common S/S of pyloric stenosis
Black - Expectant
s3 heart sound is normal not
Bethamethasone
18. CSF in meningitis will have high protein - and low glucose.
Where are chest tubes placed
How will CSF look in meningitis
What to do if your patients chest tube accidently getes removed
If you THINK a patient has new HTN
19. If HR is <100 do not give dig to children.
Dig rule for kids
Ventilator Alarms
Cerebral angio prep
For a lung biopsy
20. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS
Common S/S of appendicitis
Hypercalemia
s/s of a fat embolism
If you see a nurse make a mistake Chain of command
21. 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 BPH
Meconium stained protocol
To remember blood sugar
MS
22. 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.
From the ass From the Mouth
Common S/S of pernicious anemia
Where are chest tubes placed
Labs for congenital heart disease
23. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Cryptoorchidism
Risus Sardonicus
What could cause bronchopulmonary dysplasia
Kids with RSV>
24. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)
STD= gonnorrhea
Gastric ulcer pain
Pt with edema and walking
Shift to the left means
25. Mothers receive rhogam to protect next baby.
Rh
Nuetropenic patients
Peritoneal Dialysis when outflow is inadequate
How do you treat a small bowel obstruction
26. Hydration is a big priority!
More info on EEG
Before Epidural
Common S/S of Hodgkins Disease/Lymphoma
Trendelenberg's test
27. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.
After Myringotomy
How to itch under a cast
Common S/S of PTB
Dig rule for kids
28. Sausage shaped mass - Dance sign (empty portion of RLQ)
HypoMg
Fontanelles
Below the knee amputation
Common S/S of Intusseption
29. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis
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30. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Heart problems
Cystic fibrosis
Incentive Spirometry steps
If your patient starts seeing bugs
31. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
After Total Hip Replacement
Group - A strep
Heart problems
Glomerulonephritis
32. Low residue diet means low fiver
Halo
Low Residue diet
TEF
Nondairy sources of calcium
33. Salty skin
Common S/S of cystic fibrosis
Infant with Cleft lip
Labs for congenital heart disease
More info on TB testing a positive result
34. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
Options for cancer
Common S/S of addisions
Graves disease/ Hyperthyroidism
After Total Hip Replacement
35. Petechiae or + Herman's sign
Omphalocele
Common S/S of Dengue
Hyperthyroidism
Med that can't be infused Intra osseously
36. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.
TB health risk
Highest priortiy in status elipticus
Asthmas and wheezers
Brudzinski's sign
37. (skin traction) --> elevate foot of bed for counter - traction
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38. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse
First sign of pe
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Post Thyroidectomy
During CBI (continuous bladder irrigation)
39. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
Protocol for Airborne Transmission
Droplet Precautions Transmission
How to itch under a cast
First sign of cystic fibrosis
40. Allergic to eggs (Tristan D. ) !
Preload and Afterload
Wilms tumor
Flu shot always ask
Dystocia
41. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
Hirschsprungs is dx how
TB test confirmation
ACID ash diet
Glomerulonephritis considerations
42. 2.2
Common S/S of MS>
No Cantalope
Cullens sign
1 kg= How many pounds
43. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr
Peritoneal dialysis
First sign of cystic fibrosis
Brachial Pulse
Common S/S of DKA
44. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow
Common S/S of Cystitis
Lymes mostly found in
How many liters of O2
A patient with vertical c - section will likely have
45. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
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46. Stepladder like fever with chills
Common S/S of Malaria
Sickle cell crisis
Chief concern in CF
FHR patterns in ob
47. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
Infant with Cleft lip
Common S/S of down syndrome
After lumbar puncture
Flu shot always ask
48. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
What is bleeding considered in ADPIE
Shilling test
Post Thyroidectomy
Acid/ ASH diet
49. Chvostek and Trosseaus sign! Also hypomag!
Cullens sign
Common S/S of LTB
Common S/S of hypocalcemia
Major risks of epidural
50. Its important to be aware of the lab result for prothrombin time
Rule of nines
Post Thyroidectomy
Major risks of epidural
Prior to liver biopsy