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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. 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.
Hightest priority for RA
autonomic dysreflexia
Common S/S of chicken pox
Dumping syndrome
2. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.
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3. Slowed physical and mental function - sensitivity to cold - dry skin and hair
Greenstick fracture
Myxedema/ hypothroidism
When patient is in distress
Protocol for Droplet Precautions
4. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
Autonomic Dysreflexia/ Hyperreflexia
Delegation Rule of Thumb?
Why somone who is allergic to latex would be allergic to food too
Graves disease/ Hyperthyroidism
5. Allergic to eggs (Tristan D. ) !
Hyponatremia
Flu shot always ask
Graves disease/ Hyperthyroidism
To prevent dumping syndrome
6. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA
Alzheimers
Airborne Transmission
First sign of pyloric stenosis in a baby
VRSA
7. Olive like mass
Best way to tube feed or feed kids
After Myringotomy
Common S/S of pyloric stenosis
Uremic Fetor
8. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
Dig rule for kids
Hyperthyroidism
No Cantalope
Latex allergies
9. 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
ALS
Common S/S of Intusseption
1 tsp= How many ml
10. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs
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11. Purple bruises around the belly button... Pancreatitis!
Grey Turners sign
MORE info on DKA ugh!
Turner's sign
Main hypersensitivity for antiplatelet drugs
12. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!
More info on TB testing a positive result
Common S/S Acromegaly
Group - A strep
Menieres's disease
13. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
Common S/S of Thypohiod
Hypernatremia SALT
Guthrie test
Common S/S of Cystitis
14. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings
Common S/S of TEF
Rule of thumb for obsessions/distractions
Gross things to remember about nurses with herpes!!!!
Knee replacement
15. Barrel chest
Common S/S of emphysema
Above the knee amputation
Prior to liver biopsy
Shift to the left means
16. ICP (intracranial pressure) should be <2. measure head circonference.
ICP
ICP and Shock have
Why would a pt with leukemia have epistaxis
Penis Problems
17. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.
When a pt comes in and she is in active labor
Stranger Danger>!
Rule of nines
MORE info on DKA ugh!
18. (severe acute resp syndrome) airborne + contact (just like varicella)
Cause of Ascites
Main hypersensitivity for antiplatelet drugs
SARS
Yellow - Delayed
19. 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
Common s/s of PDA
Common S/S of Diptheria
Heart Defects
After Myringotomy
20. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
Greeks
Before Epidural
Common S/S of Increased ICP
Thyroid storm and myxedema
21. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle
Psuedomembrane in DIptheria
Detached Retina
Side effects of thyroid hormones
FHR patterns in ob
22. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.
How do you treat a small bowel obstruction
Yellow - Delayed
Paracentesis
Common S.S of Retino Blastoma
23. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Menieres's disease
Tylenol poisioining
Before Epidural
Alzheimers
24. Lymes is found mostly in Conneticuts
IVP requires
Blood typing
Common S/S of guillian Barre Syndrome
Lymes mostly found in
25. 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
During CBI (continuous bladder irrigation)
Hirschsprungs
Head Injury
Kids with HIV
26. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
Cardinal signs of ARDS
More info on TB testing a positive result
What is obtained before starting any iv antibiotic
Airborne Transmission
27. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.
After Infratentorial Surgery
Most accurate way to test kids for medication accuracy
Common S/S of epiglottitis
What if a toddler says no to medication
28. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.
Potassium and acid base balance
Other S/S of MS
Amniocentesis is performed and why
Head Injury
29. Small frequent is better than large
Acid/ ASH diet
Likely cause of cardiac arrest in child
Best way to tube feed or feed kids
Signs observed in hypocalemia
30. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030
Hypovolemia
Carbon dioxide narcosis
Chvostek and Trosseaus sign
Hemovac
31. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots
Trendelenberg's test
Crutch use
COPD patients
Common S/S of pancreatitis
32. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.
MORE info on DKA ugh!
Compartment syndrome
Labs in DKA>
First sign of pyloric stenosis in a baby
33. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.
Disease precautions
When to test urine for ketones and glucose
Blood typing
Tenkhoff cath
34. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
Cranial Nerves
For PVD remember
Common S/S of pyloric stenosis
Hep A precautions
35. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
ICP
What is obtained before starting any iv antibiotic
Lumbar Puncture
For a lung biopsy
36. Trachea shifts to the opposite side
Developmental milestones
Crutch use
Tension Pneumothorax
Room air is...
37. After a hydrocele repair provide ice bags and scrotal support.
Lymes mostly found in
Hydrocele
Med that can't be infused Intra osseously
What is bleeding considered in ADPIE
38. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the
Murphy's sign
Complications of mechanical ventilation
Nepphrotic syndrome
Hearing the baby in OB
39. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis
Common S/S of Thypohiod
Common S/S of Hydrocephalosis
TEF
Thyroid storm and myxedema
40. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis
s/s of a fat embolism
Prior to liver biopsy
Contact transmission precautions
Common S/S of Hodgkins Disease/Lymphoma
41. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel
Delegation Rule of Thumb?
Common S/S of GERD
Diff between angina and MI
Behavior/Developmental - Peds
42. ** Ask for anaphylactic rxn to eggs or neomycin before MMR
What is a bad sign in asthma
If you see a nurse make a mistake Chain of command
1 g = How many mg
Before giving MMR>
43. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!
What to do in the case of - A woman in labor with Un - Reassuring FHR
Protocol for Airborne Transmission
Common S/S of Hodgkins Disease/Lymphoma
Dig rule for kids
44. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids
Hyponatremia
Renal impairment labs
Grey Turners sign
Apgar Scoring
45. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
caput succedaneum=
Autonomic Dysreflexia/ Hyperreflexia
Greenstick fracture
Common S/S of Cushings syndrome
46. Battles Sign and Racoon's eyes
What to do in the case of - an Air/Pulmonary Embolism
Common S/S of orbital fracture
Parkisons
A child with a ventriculoperitoneal shunt
47. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care
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48. Salty skin
Common S/S of cystic fibrosis
Peds positioning for GERD
Normal Hemoglobin
Whats petaling
49. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes
HyperKalemia
Peds weight
Renal impairment labs
Shilling test
50. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
Temp conversion
With lower amputations
Hyperparathyroid
HypoMg
Sorry!:) No result found.
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