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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. 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
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
NG tube rules
Common sites for metastatsis
Cane walking
2. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.
Kernigs sign
After Infratentorial Surgery
Hemovac
Common S/S of GERD
3. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
Rh
Lumbar Puncture
Parkisons
What treats tet spells
4. The MMR vaccine is given SQ not IM.
Common S/S of Malaria
What to do for addisons/cushings
MMR SHot
TB health risk
5. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.
Pain in the LLQ indicative of...
Osteomyeltitis
Western blot test
Diff between angina and MI
6. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
Hep A precautions
What is obtained before starting any iv antibiotic
Common S/S of pernicious anemia
Bethamethasone
7. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.
Vertical C section
After Gtube placement
How to treat phobic disorders
Brachial Pulse
8. Hodgkin's disease= cancer of lymph is very curable in early stage.
Radioactive iodine
Hirschsprungs is dx how
Hodgkins disease
Yellow - Delayed
9. Wheezing on EXPIRATION
Common S/S of pernicious anemia
Options for cancer
Common S/S of asthma
HypoKalemia
10. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.
TB health risk
Graves disease/ Hyperthyroidism
Bryant's traction=
Risus Sardonicus
11. Uremic fetor --> smell urine on the breath
autonomic dysreflexia
Common S/S of appendicitis
Uremic Fetor
1 pint = How many cups
12. Swimming
NG tube rules
Protocol for Droplet Precautions
Asthma and arthritis best excercise
Other S/S of MS
13. Never release traction unless you have an order from an MD to do so
Traction rule
More info on intussception
Common S/S of Increased ICP
Shock
14. 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.
Pancreatitis pts>
MORE info on DKA ugh!
Stomas
Common S/S Hepatic Encephalopathy
15. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.
Besides meds and congenital problems .. What can lead to decreased preload
Allen's test
Hearing the baby in OB
Sengstaken blakemore tube
16. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.
Common S/S of appendicitis
When instilling eardrops
Uremic Fetor
Paracentesis
17. Mothers receive rhogam to protect next baby.
Chief concern in CF
Myelogram
Rh
DKA
18. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid
Labs in DKA>
During CBI (continuous bladder irrigation)
More info on intussception
PTB
19. Butterfly rashes
Paracentesis
Common S.S of Retino Blastoma
Common S/S of SLE
Hyperparathyroid
20. Handle any blood
Potassium lab importance
LVN/LPN cant
For PVD remember
Suctioning is good -- except
21. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin
Behavior/Developmental - Peds
Common S/S of Pemphigus Vulgaris
Cane walking
Common S/S of Liver cirrhoisis
22. Ottorhea
Common S/S Hepatic Encephalopathy
Common S/S of Basilar Fracture
Head Injury
Autonomic Dysreflexia/ Hyperreflexia
23. Gonorrhea is a reportable disease
Alkaline Ash diet
Laparoscopy
Common S/S of Kawasaki syndrome
STD= gonnorrhea
24. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)
ABG drawin
Common S/S of glaucoma
Kids with HIV
After Gtube placement
25. 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
Nepphrotic syndrome
Common S/S of Kawasaki syndrome
When a pt comes in and she is in active labor
26. Orange tag in triage is non emergent Psych
Bucks traction =
Low Residue diet
Common S/S of cystic fibrosis
Orange tag in pysch
27. Kopliks spots
TB test confirmation
Guthrie test
Common S/S of measles
No Cantalope
28. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR
Heart Defects
Cute way to remember glascow coma
Emphysema
1 cup= How many oz
29. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Hep B vaccine always ask
Infant with Spina Bifida
Hypervolemia
What could cause bronchopulmonary dysplasia
30. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.
Heart Defects
1 quart = How many pints
Hirschsprungs is dx how
What is bleeding considered in ADPIE
31. Complications of Mechanical Ventilation: Pneumothorax - Ulcers
High priority in Addisons
Complications of mechanical ventilation
Yeast infection in a babys mouth
For PVD remember
32. Petechiae. Treated with heparin.
What is a bad sign in asthma
s/s of a fat embolism
Common S/S of SLE
Cephalhematoma (caput succinidanium)
33. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
Vertical C section
NG tube rules
Common S/S of Lyme's disease
What is a bad sign in asthma
34. Position on the RIGHT side with legs flexed
Stomas
After appendectomy
Hep A precautions
No Cantalope
35. Hydration is a big priority!
Rule of nines
Dengue hemorrhagic fever
Before Epidural
Hypovolemia
36. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient
Amniocentesis is performed and why
Depression manifests itself
Tylenol poisioining
Blood typing
37. ICP (intracranial pressure) should be <2. measure head circonference.
Who produces insulin
Cold stress in a newborn
ICP
VV and AA
38. In a five -year old breathe once for every 5 compressions doing cpr.
CPR in a five year old
Common S/S of BPH
Thoracentesis
More info on EEG
39. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool
Peritoneal dialysis
Common S/S of SLE
Cerebral angio prep
NMS
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
Contact transmission precautions
Post Thyroidectomy
Peritoneal dialysis
Room air is...
41. Psuedo membrane formation
Common S/S Hepatic Encephalopathy
Low crit/hemoglobin
Common S/S of Diptheria
Heart problems
42. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.
Common S/S of Hodgkins Disease/Lymphoma
School aged kids and five year olds
Dumping syndrome
Hba1c
43. 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
After Infratentorial Surgery
Behavior/Developmental - Peds
Kidneys and ears
Developmental milestones
44. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor
What will alter the accuracy of o2 sats
What could cause bronchopulmonary dysplasia
ALS
Pheochromocytoma
45. Increased temp - pulse and HTN
Willam's position
Shift to the left means
Thyroid storm
Autonomic Dysreflexia
46. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn
Uremic Fetor
What could cause bronchopulmonary dysplasia
Change in color is
1 cup= How many oz
47. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
Psuedomembrane in DIptheria
First sign of cystic fibrosis
Grey Turners sign
MG and Guillian Barre
48. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.
Enema positioning
Sengstaken blakemore tube
More info on intussception
s3 heart sound is normal not
49. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%
Alkaline Ash diet
Cephalhematoma (caput succinidanium)
Trendelenberg's test
Rule of nines
50. 1 gram = 1000 mg
1 g = How many mg
TEF
Common S.S of Retino Blastoma
MMR SHot