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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. Chest tubes are placed in the pleural space.
Lymes mostly found in
Late Decels
PCWP
Where are chest tubes placed
2. Always check lead posioning levels
What to check children for at age 12 months
Heroin withdrawl in a neonate
Cushing ulcers and cushings triad
ACID ash diet
3. 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
Common S/S of epiglottitis
What treats tet spells
During epidural puncture
Developmental milestones
4. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.
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5. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Common S/S of Infectious Mononucleosis
Disease precautions
Labs for congenital heart disease
Dance Sign
6. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings
Hypernatremia
After Thyroidectomy
If kid has a cold
Common S/S of TEF
7. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.
More info on EEG
s3 heart sound is normal not
Dystocia
Placement of a wheelchair
8. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis
From the ass From the Mouth
Allen's test
Stomas
Common s/s of PDA
9. 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.
MRI
If your patient starts seeing bugs
After Total Hip Replacement
Common S/S of Increased ICP
10. Charcot's Triad (IAN)
Glomerulonephritis considerations
Common S/S of MS>
COPD and Pneumonia
MG and Guillian Barre
11. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.
TB test confirmation
Common S/S Duchennes Muscular Dystrophy
SIADH
Autonomic Dysreflexia/ Hyperreflexia
12. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.
Peritoneal Dialysis when outflow is inadequate
Common S/S of Malaria
TB health risk
Meningeal irriatation>
13. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Contact transmission precautions
Nepphrotic syndrome
Tylenol poisioining
Traction rule
14. 1 T(tablespoon)= 3 t = 15 ml
For PVD remember
1 tablespoon = How many ml
Chief concern in CF
What to do in the case of tube feeding with decreased LOC
15. Position pt in left side - lying (Sim's) with knee flexed
Sengstaken blakemore tube
Bence Jones protein in urine
Enema positioning
Protocol for Airborne Transmission
16. Systemic Lupus Ethramoutus.... (Lupus)
SLE
4 year olds
For cord compression in OB
HyperMg
17. Glaucoma patients lose peripheral vision. Treated with meds
Common S/S of MS>
Amniocentesis is performed and why
Best way to warm a newborn
Glaucoma patients loose
18. Kopliks spots
Common S/S of Bladder Cancer
Common S/S of measles
Pain in the LLQ indicative of...
More info on lumbar puncture
19. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Decorticate and Decerebrate
IVP requires
During epidural puncture
Signs observed in hypocalemia
20. Age 4 to 5 yrs child needs DPT/MMR/OPV
Age 4=5 year shots
To prevent dumping syndrome
Knee replacement
Common S/S of MS>
21. 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!
Dunlap traction=
Airborne Transmission
Alkaline Ash diet
Gross things to remember about nurses with herpes!!!!
22. 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
More labs suggestive of renal failure
Babinski sign
For an EEG test
Common S/S of appendicitis
23. 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
Thyroid storm and myxedema
Hba1c
Tet spells
The first s/s of ards
24. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.
Protocol for Droplet Precautions
MRSA and VRSA precautions
autonomic dysreflexia
Dangerous thing to get during pregnancy
25. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)
Nondairy sources of calcium
For an EEG test
PTB
For PVD remember
26. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids
Therapies
Hyponatremia
The first s/s of ards
Cmmon S/S Fibrin Hyalin
27. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b
No Cantalope
Acid/ ASH diet
OB secret
What to do in a sucking stab wound
28. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet
Stranger Danger>!
Hyperparathyroid
ICP and Shock have
Radioactive iodine
29. - 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
Munchhausen Syndrome
Ventilator Alarms
4 year olds
Risus Sardonicus
30. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
Peds positioning for GERD
Common S/S of GERD
What will alter the accuracy of o2 sats
Addisonian Crisis
31. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.
Myelogram
Dumping syndrome
Likely cause of cardiac arrest in child
Post Thyroidectomy
32. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3
Common S/S of Basilar Fracture
Amniocentesis is performed and why
What can also cause an s3 heart sound
What is a bad sign in asthma
33. 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
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Low Residue diet
For a lumbar puncture
Droplet Precautions Transmission
34. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.
Common S/S of orbital fracture
MS
Laparoscopy
VV and AA
35. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.
After Gtube placement
Black - Expectant
After Endoscopy
SIADH
36. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).
Common S/S of cystic fibrosis
1 cup= How many oz
Cardinal signs of ARDS
Thrombocyopenia - bleeding precautions
37. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
Use of cold and hot
Thyroid storm
Room air is...
Hightest priority for RA
38. 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.
Wilms tumor
How do you teach someone to reduce back aches
Shock
Birth control - Diaphram
39. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
Shilling test
Common S/S of Malaria
PDA
IVP requires
40. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in
SIADH
Mcburney's point
ICP and Shock have
Traction in kids
41. Med administration is rarely a good choice
Peritoneal dialysis
When patient is in distress
Kidneys and ears
CABG
42. Hypotension and vasoconstricting meds
What will alter the accuracy of o2 sats
What if a toddler says no to medication
Preload and Afterload
VV and AA
43. 1 pint= 2 cups
Pheochromocytoma
Pancreatitis pts>
1 pint = How many cups
Nephrotic syndrome
44. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
For an EEG test
Post Thyroidectomy
Graves disease/ Hyperthyroidism
Hyperthyroidism
45. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
For an EEG test
Hydrocele
Pancreatitis prioritys
Every new admission needs
46. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et
ALS
Yellow - Delayed
Tube and J tubes are usually
Side effects of thyroid hormones
47. Low or semi - Fowler's - support head - neck and shoulders.
Common S/S of hypocalcemia
ICP and Shock have
Pathological jaundice
After Thyroidectomy
48. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for
COPD and Pneumonia
Shilling test
Orange tag in pysch
Addisonian Crisis
49. 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 PTB
For a lung biopsy
Autonomic Dysreflexia
Glomerulonephritis
50. Low residue diet means low fiver
Low Residue diet
Normal Hemoglobin
Common S/S of appendicitis
Nephrotic syndrome