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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. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.
Where are chest tubes placed
TB health risk
Milk for kids
Tenkhoff cath
2. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.
Common S/S of GERD
Kids with HIV
Bucks traction =
Birth control - Diaphram
3. 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
For a lumbar puncture
Tenkhoff cath
More info on TB testing a positive result
IVP requires
4. Glomerulonephritis: take vs q 4 hrs + daily weights
Glomerulonephritis
After Infratentorial Surgery
NG tube rules
When is Rhogam given and how
5. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP
Hypernatremia
Addisonian Crisis
Latex allergies
Tenkhoff cath
6. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame
Babinski sign
Best indicator of dehydration
Thyroid storm
Phenalalanine
7. Portal hypotension + albuminemia= Ascites.
Cause of Ascites
Most accurate way to test kids for medication accuracy
How many liters of O2
Low crit/hemoglobin
8. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will
How to put on traction
Other S/S of MS
For an EEG test
Sickle cell crisis
9. Glucose
Besides sodium - water also follows
Hypernatremia SALT
TB health risk
Group - A strep
10. Just know the MMR and Varicella immunizations come later (15 months).
SLE
MMR and Varicella
Cmmon S/S Fibrin Hyalin
MRSA and VRSA precautions
11. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.
DKA
1 gr= How many mg
No Cantalope
Diff between placenta previa and placenta abrupto
12. Salty skin
Anorexia sucks because
When to test urine for ketones and glucose
Common S/S of cystic fibrosis
Chief concern in CF
13. Place in prone position
Western blot test
Common S/S of pancreatitis
With lower amputations
No Cantalope
14. Gonorrhea is a reportable disease
What will alter the accuracy of o2 sats
STD= gonnorrhea
Myelogram
TB test confirmation
15. 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
Paget's disease
When instilling eardrops
Tidal volume
Heart Defects
16. Visual floaters - flashes of light - curtain vision
Hba1c
Sources of potassium
Common S/S of retinal detachment
How will CSF look in meningitis
17. Questions about a halo Remember safety first - have a screwdriver nearby.
If you see a nurse make a mistake Chain of command
Besides sodium - water also follows
Cranial nerves for Assessing extraocular eye movements
Halo
18. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.
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19. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)
Hyper reflexive Absent reflexsive
Murphy's sign
During internal radiation
Asthma and arthritis best excercise
20. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Hypovolemia
Hirschsprungs is dx how
Chief concern in CF
Hypervolemia
21. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)
Where should placenta be
To remember blood sugar
For PVD remember
Common S/S of Pemphigus Vulgaris
22. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.
S/S of a fat embolism
Normal Hemoglobin
PKU
What to do in the case of - A woman in labor with Un - Reassuring FHR
23. ICP (intracranial pressure) should be <2. measure head circonference.
ICP
Protocol for Droplet Precautions
Cause of Ascites
During CBI (continuous bladder irrigation)
24. Normal in CHF from the squishin'.. Not normal in an MI patient
Infant with Cleft lip
s3 heart sound is normal not
What to do in a sucking stab wound
Common S/S of Lyme's disease
25. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist
Green - Minimal
Ventilator Alarms
Common S.S of Retino Blastoma
Chvostek and Trosseaus sign
26. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
Wilms tumor
ALS
Kernigs sign
Tet spells
27. Upper part of the uterus
Diff between placenta previa and placenta abrupto
Bucks traction =
Where should placenta be
Meningeal irriatation>
28. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.
Grey Turners sign
Myasthenia gravis
How do children less than one breathe
Willam's position
29. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.
Tylenol poisioining
Common S/S of down syndrome
Best indicator of dehydration
After removal of the pituitary gland what should you watch for
30. Place a wheelchair parallel to the bed on the side of weakness
Cane walking
Placement of a wheelchair
If your patient starts seeing bugs
Thoracentesis
31. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)
Kids pain relief in NCLEX land
During internal radiation
Cushing ulcers and cushings triad
Every new admission needs
32. 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
Amniocentesis is performed and why
Nondairy sources of calcium
Contact transmission precautions
33. Descending muscle weakness
Rule of nines
Ventilator Alarms
Common S/S of MG
Gerd again
34. Chemo - radiation - surgery - allow to die with dignity.
Chief concern in CF
Options for cancer
Koplick's spots
After removal of the pituitary gland what should you watch for
35. Hydration is a big priority!
Main hypersensitivity for antiplatelet drugs
Cystic fibrosis
Before Epidural
Heroin withdrawl in a neonate
36. Charcot's Triad (IAN)
1 kg= How many pounds
Common S/S of MS>
Major risks of epidural
ACID ash diet
37. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis
Head Injury
Chief concern in CF
Cmmon S/S Fibrin Hyalin
Cullens sign
38. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)
Peds positioning for GERD
Common S/S of glaucoma
Lumbar Puncture
Common s/s of PDA
39. Reduced size and force of urine
Thoracentesis
CPR in a five year old
Common S/S of BPH
Common S/S of Bulimia
40. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches
Use of cold and hot
Common S/S of pyloric stenosis
Latex allergies
Tetraology of Fallot
41. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
Huntington's Chorea
Shock
Common S/S of Cushings syndrome
NG tube rules
42. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes
Common S/S of addisions
FHR patterns in ob
HyperKalemia
Murphy's sign
43. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.
Amniocentesis is performed and why
Hemovac
Anorexia sucks because
Common S/S of pneumonia
44. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.
Nitrazine paper
More info on droplet precautions
PKU
More info on EEG
45. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Green - Minimal
Gerd again
Risus Sardonicus
Hypernatremia SALT
46. 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.
School aged kids and five year olds
Highest priortiy in status elipticus
More labs suggestive of renal failure
Hydrocele
47. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
Common S/S of epiglottitis
Common s/s of PDA
After Cataract surgery
PCWP
48. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.
ICP
Best way to tube feed or feed kids
Appendicitis
Nitrazine paper
49. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder
Sengstaken blakemore tube
Munchhausen Syndrome
Common S/S of Malaria
After appendectomy
50. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
Apgar scores/scoring
Peritoneal dialysis
Pancreatitis pts>
Hypocalemia