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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. Inspiratory stridor.. LTB = croup!!!!
Shilling test
Common S/S of LTB
Hemovac
More info on EEG
2. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!
Common S/S Duchennes Muscular Dystrophy
Common S/S of retinal detachment
TPN is given in
Bucks traction =
3. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.
After Myringotomy
Kidneys and ears
Diff between angina and MI
Guillian Barre
4. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)
What can also cause an s3 heart sound
Peritoneal Dialysis when outflow is inadequate
Infant with Spina Bifida
How to put on traction
5. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.
Glomerulonephritis considerations
Guillian Barre
COPD patients
PDA
6. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst
Common S/S of Dengue
Hypervolemia
Greenstick fracture
Hypernatremia SALT
7. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area
Nepphrotic syndrome
Milk for kids
How to itch under a cast
MRI
8. 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 MS>
Protocol for Droplet Precautions
Carbon dioxide narcosis
What to do in a sucking stab wound
9. Flapping tremors
Cardinal signs of ARDS
How many liters of O2
Where are most spinal cord injuries
Common S/S Hepatic Encephalopathy
10. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.
IVP requires
Dangerous thing to get during pregnancy
Contact transmission precautions
Diverticulitis
11. Ottorhea
After Endoscopy
Late Decels
Common S/S Acromegaly
Common S/S of Basilar Fracture
12. B/c of low platelets
More labs suggestive of renal failure
Common s/s of PDA
Why would a pt with leukemia have epistaxis
Likely cause of cardiac arrest in child
13. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.
Side rail rules
Besides sodium - water also follows
4 year olds
If you see a nurse make a mistake Chain of command
14. EleVate Veins; dAngle Arteries for better perfusion
When instilling eardrops
Traction rule
VV and AA
Koplick's spots
15. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)
Addisonian Crisis
Common S/S of parkinsons
MRSA and VRSA precautions
Shock
16. 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 do you teach someone to reduce back aches
Cmmon S/S Fibrin Hyalin
4 year olds
Tet spells
17. Seizure>
ICP
coarctation of the aaorta causes
Immunizations rules
Eclampsia is a
18. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA
Cullens sign
What to do in the case of - A woman in labor with Un - Reassuring FHR
Fetal alcohol sydrome
Common S/S of asthma
19. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a
Common S/S of Cystitis
Preload and Afterload
For a lung biopsy
Liver biopsy
20. Reduced size and force of urine
Common S/S of BPH
What is a bad sign in asthma
For a lung biopsy
Autonomic Dysreflexia/ Hyperreflexia
21. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin
Diabetes Insipidus
Immunizations rules
Peritoneal dialysis
Traction in kids
22. Uremic fetor --> smell urine on the breath
Birth control - Diaphram
Omphalocele
Uremic Fetor
If your patient starts seeing bugs
23. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or
Thrombocyopenia - bleeding precautions
Diff between angina and MI
Meningeal irriatation>
ABG drawin
24. 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
Detached Retina
FHR patterns in ob
coarctation of the aaorta causes
To prevent dumping syndrome
25. Mothers receive rhogam to protect next baby.
Rh
A child with a ventriculoperitoneal shunt
When instilling eardrops
After Myringotomy
26. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias
Alzheimers
Babinski sign
What to check children for at age 12 months
Eclampsia is a
27. 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.
Pancreatitis prioritys
Side rail rules
COPD and Pneumonia
Common S/S of Hodgkins Disease/Lymphoma
28. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
1 quart = How many pints
Hep A precautions
Hirschsprungs
Crackles most likely are...
29. Coarse facial features
Diabetes Insipidus
Common S/S Acromegaly
LVN/LPN cant
Halo
30. Pilling rolling tremors
IVP requires
Common S/S of parkinsons
Common S/S of Malaria
Brachial Pulse
31. Hodgkin's disease= cancer of lymph is very curable in early stage.
SARS
Positioning with pneaumonia
Hodgkins disease
Myxedema/ hypothroidism
32. Always check lead posioning levels
What to check children for at age 12 months
Halo
Cmmon S/S Fibrin Hyalin
Tidal volume
33. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.
When instilling eardrops
Pancreatitis pts>
Tylenol poisioining
More info on TB testing a positive result
34. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.
Common S/S of pancreatitis
Traction rule
Parkisons
Post spleenectomy
35. One pound equals 16 0z
1 lb = How many ozs
What to check children for at age 12 months
School aged kids and five year olds
Pneumonia
36. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.
Common S/S Meniere's Disease
Common S/S of pneumonia
Common S/S of GERD
No Cantalope
37. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-
Common S/S of TEF
Cryptoorchidism
Common S/S of chicken pox
In depth - Color codes
38. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten
Disease precautions
Dengue hemorrhagic fever
Kids with HIV
Main hypersensitivity for antiplatelet drugs
39. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.
Common S/S of retinal detachment
First sign of pe
After Total Hip Replacement
Common S/S of Thypohiod
40. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos
Dengue hemorrhagic fever
Greenstick fracture
Prolapsed Cord
Common S/S of Cholera
41. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
Sources of potassium
Western blot test
Cerebral angio prep
Use of cold and hot
42. CSF in meningitis will have high protein - and low glucose.
How will CSF look in meningitis
Pneumonia
TB test confirmation
Peritoneal dialysis
43. Questions about a halo Remember safety first - have a screwdriver nearby.
Graves disease/ Hyperthyroidism
Pathological jaundice
Labs for congenital heart disease
Halo
44. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s
Heart Defects
Lumbar Puncture
Greeks
MRI
45. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
Osteomyeltitis
MS
What to do in the case of tube feeding with decreased LOC
Common S/S of Liver cirrhoisis
46. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches
Common S/S of Increased ICP
Common S/S of Malaria
Common S/S of MG
Latex allergies
47. 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
MRI
Pheochromocytoma
MS
Brachial Pulse
48. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)
MRSA and VRSA precautions
Best indicator of dehydration
Asthma and arthritis best excercise
What to do in the case of - an Air/Pulmonary Embolism
49. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
NG tube rules
Menieres's disease
How many oz in a ml
Pheochromocytoma
50. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Common S/S of appendicitis
Dengue hemorrhagic fever
c02 builds up and causes
Incentive Spirometry steps