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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. (incision behind hairline) --> elevate HOB 30-45 degrees
What is bleeding considered in ADPIE
After Supratentorial Surgery
Thyroid storm and myxedema
How do you teach someone to reduce back aches
2. 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.
Common S/S of GERD
Glomerulonephritis considerations
Common S/S of Dengue
Traction rule
3. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
Cold stress in a newborn
What to in the case of - Pt with heat stroke
Facts about hemophilia
caput succedaneum=
4. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
Vertical C section
How many oz in a ml
Babinski sign
Hypovolemia
5. One pound equals 16 0z
1 lb = How many ozs
More info on droplet precautions
Before a pft
Halo
6. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.
Common S/S of Ulcerative Colitis
Guillian Barre
Cmmon S/S Fibrin Hyalin
Hepatitis
7. 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
Besides meds and congenital problems .. What can lead to decreased preload
Bucks traction =
Contact transmission precautions
Common S/S of PTB
8. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow
How many liters of O2
What can also cause an s3 heart sound
Therapies
Heroin withdrawl in a neonate
9. Pumonary tuberculosis
Besides sodium - water also follows
Common S/S of addisions
PTB
Autonomic Dysreflexia/ Hyperreflexia
10. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Osteomyeltitis
Green - Minimal
If your patient starts seeing bugs
Hypernatremia
11. 7 - 10ml / kg
Labs for congenital heart disease
For cord compression in OB
How to treat phobic disorders
Tidal volume
12. In a five -year old breathe once for every 5 compressions doing cpr.
Cerebral angio prep
HyperKalemia
Emphysema
CPR in a five year old
13. Toes curl= GREAT Toes fan = BAD
Normal Hemoglobin
Babinski sign
When is Rhogam given and how
Common S/S of pernicious anemia
14. A
What happens when phenylalanine increases
HHNS Vs DKA
Age 4=5 year shots
Risus Sardonicus
15. Increased temp - pulse and HTN
Heart Defects
Developmental milestones
1 tsp= How many ml
Thyroid storm
16. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)
Common S/S of glaucoma
TEF
After Total Hip Replacement
First sign of cystic fibrosis
17. **If kid has cold - can still give immunizations
Crackles most likely are...
Fontanelles
Bucks traction =
If kid has a cold
18. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
CPR in a five year old
Incentive Spirometry steps
School aged kids and five year olds
Nitrazine paper
19. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.
CPR in a five year old
Common S/S of chicken pox
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Kids pain relief in NCLEX land
20. Slowed physical and mental function - sensitivity to cold - dry skin and hair
Bethamethasone
Myxedema/ hypothroidism
Graves disease/ Hyperthyroidism
Droplet Precautions Transmission
21. MRI- claustrophobia - no metal - assess pacemaker
Dig rule for kids
Common S/S of Shock
Post Thyroidectomy
MRI
22. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis
23. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.
Pulmonary sarcoidosis
Common S/S of MG
Common S/S of Lyme's disease
Nuetropenic patients
24. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.
Common S/S of Kawasaki syndrome
Order of assessment
Green - Minimal
Post Thyroidectomy
25. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.
What to do for addisons/cushings
Pheochromocytoma
Chvostek and Trosseaus sign
Crutch use
26. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.
Crackles most likely are...
Dystocia
Diff between angina and MI
Med that can't be infused Intra osseously
27. Respiratory problems!
Chief concern in CF
Common S/S of Cystitis
What to do if your patients chest tube accidently getes removed
Common S/S of Cushings syndrome
28. 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
Autonomic Dysreflexia/ Hyperreflexia
MS
Autonomic Dysreflexia
Before Epidural
29. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
CVA
Lumbar Puncture
SIADH
Enema positioning
30. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
Options for cancer
Hyperthyroidism
Common S/S Hepatic Encephalopathy
Phenalalanine
31. CATS - convulsions - arrhythmias - tetany - spasms and stridor
Hodgkins disease
Hypocalemia
Other S/S of MS
What is a bad sign in asthma
32. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)
Common S/S of parkinsons
1 pint = How many cups
To prevent dumping syndrome
After Cataract surgery
33. 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.
What treats tet spells
For a lung biopsy
After Total Hip Replacement
Best way to warm a newborn
34. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others
Common S/S Duchennes Muscular Dystrophy
Greeks
Common S/S of PTB
After appendectomy
35. Visual floaters - flashes of light - curtain vision
CABG
Potassium lab importance
Addisons
Common S/S of retinal detachment
36. Yogurt has live cultures - dont give to immunosuppressed pt
37. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
Heart Defects
Apgar scores/scoring
Hep A precautions
Therapies
38. Its important to be aware of the lab result for prothrombin time
Order of assessment
Prior to liver biopsy
For an EEG test
Best way to tube feed or feed kids
39. Strawberry tongue
Psuedomembrane in DIptheria
Below the knee amputation
Common S/S of Kawasaki syndrome
Grey Turners sign
40. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.
Common S/S of measles
Cardinal signs of ARDS
Common S/S of epiglottitis
Cath lab
41. Always check lead posioning levels
After Supratentorial Surgery
What to check children for at age 12 months
Acid/ ASH diet
Common S.S of Retino Blastoma
42. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR
caput succedaneum=
More info on EEG
Hydrocele
Cute way to remember glascow coma
43. CHRONIC pain
Guided imagery is great for
Room air is...
MS
HHNS Vs DKA
44. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.
Willam's position
Chvostek and Trosseaus sign
Sengstaken blakemore tube
Western blot test
45. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)
Common S/S of Pemphigus Vulgaris
Disease precautions
Murphy's sign
NMS
46. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin
Emphysema
Other S/S of MS
Babinski sign
Botox
47. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.
Hepatitis
Paracentesis
Infant with Spina Bifida
Preload and Afterload
48. Risus Sardonicus
How do children less than one breathe
Cranial Nerves
Common S/S of Tetany
Osteomyeltitis
49. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.
What will alter the accuracy of o2 sats
Hep B vaccine always ask
Delegation Rule of Thumb?
Infant with Cleft lip
50. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.
Cushing ulcers and cushings triad
More info on EEG
Labs for congenital heart disease
VV and AA