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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. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
Common S/S of measles
NG tube rules
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
How will CSF look in meningitis
2. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro
Penis Problems
Common S/S of TEF
Potassium lab importance
SLE
3. 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).
Coomb's test
Common S/S of down syndrome
Tenkhoff cath
Potassium and acid base balance
4. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
Guillian Barre
Liver biopsy
Delegation Rule of Thumb?
Vertical C section
5. Kussmauls breathing (deep rapid RR)
When to test urine for ketones and glucose
Compartment syndrome
MORE info on DKA ugh!
Common S/S of DKA
6. 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
After Thyroidectomy
Chief concern in CF
The first s/s of ards
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
7. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
PKU
Myelogram
Apgar Scoring
First sign of cystic fibrosis
8. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS
Common S/S of measles
Other S/S of MS
PDA
PTB
9. Charcot's Triad (IAN)
What to do in the case of - A woman in labor with Un - Reassuring FHR
Guthrie test
Common S/S of MS>
Stomas
10. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Nepphrotic syndrome
Signs of a hip fracture
Phenalalanine
Brudzinski's sign
11. Vastus lateralis is IM administration site for 6month infants
Cold stress in a newborn
Hirschsprungs
DKA
Immunizations rules
12. Risus Sardonicus
Compartment syndrome
Common S/S of Tetany
What will alter the accuracy of o2 sats
Best way to warm a newborn
13. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!
What to do in the case of - an Air/Pulmonary Embolism
What to in the case of - Pt with heat stroke
Room air is...
Gross things to remember about nurses with herpes!!!!
14. MRI- claustrophobia - no metal - assess pacemaker
Heart Defects
After Gtube placement
MRI
Major risks of epidural
15. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves
Sengstaken blakemore tube
Burn Degrees
Therapies
Common S/S of Meningitis
16. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.
Carbon dioxide narcosis
Meningeal irriatation>
1 g = How many mg
Dystocia
17. Glucose
During CBI (continuous bladder irrigation)
Hearing the baby in OB
Besides sodium - water also follows
More info on TB testing a positive result
18. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
Osteomyeltitis
When to test urine for ketones and glucose
ACID ash diet
HypoMg
19. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
MORE info on DKA ugh!
caput succedaneum=
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Crutch use
20. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Osteomyeltitis
Common S/S of Hodgkins Disease/Lymphoma
Autonomic Dysreflexia
Common S/S of Bulimia
21. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
Common S/S of TEF
Nephrotic syndrome
Common S/S of emphysema
What to in the case of - Pt with heat stroke
22. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
Chief concern in CF
Eclampsia is a
Crackles most likely are...
Cephalhematoma (caput succinidanium)
23. Painless hematuria... CA=Cancer ! Duhh
When a pt comes in and she is in active labor
Common S/S of Bladder Cancer
After Supratentorial Surgery
What will alter the accuracy of o2 sats
24. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).
Pulmonary sarcoidosis
Radioactive iodine
Maslow for a guy who lost his house in a fire
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
25. Sausage shaped mass - Dance sign (empty portion of RLQ)
Glomerulonephritis considerations
Peds weight
Common S/S of Intusseption
Common S/S of Thypohiod
26. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t
Rule of thumb for obsessions/distractions
SLE
Color codes
Brachial Pulse
27. Knee immobility
Signs to look for in meningitis
Pt with edema and walking
Bucks traction =
Orange tag in pysch
28. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.
29. With low back aches - bend knees to relieve
How do you teach someone to reduce back aches
Apgar scores/scoring
Fetal alcohol sydrome
Cute way to remember glascow coma
30. Femur or lower leg instability
Russel Traction =
Peds positioning for GERD
Gastric ulcer pain
S/S of a fat embolism
31. Coarse facial features
4 year olds
s/s of a fat embolism
Common S/S Acromegaly
Jews
32. No nasotracheal suctioning with head injury or skull fracture.
Diverticulitis
Apgar scores/scoring
Suctioning is good -- except
Risus Sardonicus
33. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.
Compartment syndrome
How to Dx a AAA
Menieres's disease
Pneumonia
34. Hypotension and bradypnea / bradycardia are major risks and emergencies.
Common S/S of Cystitis
Common S/S of Kawasaki syndrome
Major risks of epidural
Sickle cell crisis
35. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA
VRSA
LVN/LPN cant
If kid has a cold
If your patient starts seeing bugs
36. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
Most accurate way to test kids for medication accuracy
Post spleenectomy
What to do for addisons/cushings
Flu shot always ask
37. Renal impairment: serum creatinine elevated and urine clearance decreased
In depth - Color codes
Besides sodium - water also follows
Renal impairment labs
Protocol for Airborne Transmission
38. 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
Renal impairment labs
Peritoneal dialysis
Tube and J tubes are usually
After Endoscopy
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.
How do you teach someone to reduce back aches
Common s/s of PDA
After Total Hip Replacement
Latex allergies
40. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area
How to itch under a cast
What can't you give to immunosupressed pts
Stranger Danger>!
After Myringotomy
41. 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.
Cardinal signs of ARDS
Cerebral palsy
School aged kids and five year olds
Greenstick fracture
42. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood
Turner's sign
Stranger Danger>!
Preload and Afterload
Guthrie test
43. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)
Brachial Pulse
Peds positioning for GERD
After Supratentorial Surgery
Apgar Scoring
44. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
Heart problems
Diff between angina and MI
Vertical C section
Cardinal signs of ARDS
45. Knee - chest position or Trendelenburg
Meningeal irriatation>
If you THINK a patient has new HTN
Prolapsed Cord
PTB
46. Upper part of the uterus
Infant with Cleft lip
Crackles most likely are...
Where should placenta be
Jews
47. Second voided urine most accurate when testing for ketones and glucose.
Myelogram
When to test urine for ketones and glucose
Common S/S of Cushings syndrome
Acid/ ASH diet
48. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Airborne Transmission
Complications of mechanical ventilation
TB health risk
Incentive Spirometry steps
49. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...
Paget's disease
COPD patients
Depression manifests itself
Emphysema
50. Pilling rolling tremors
1 g = How many mg
Common S/S of pancreatitis
Common S/S of parkinsons
Hyperparathyroid