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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. Handle any blood
Diff between placenta previa and placenta abrupto
NG tube rules
FHR patterns in ob
LVN/LPN cant
2. Small frequent is better than large
After removal of the pituitary gland what should you watch for
Hyper reflexive Absent reflexsive
Nonfat milk
Best way to tube feed or feed kids
3. Petechiae. Treated with heparin.
Menieres's disease
Common S/S of chicken pox
From the ass From the Mouth
s/s of a fat embolism
4. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Disease precautions
Cold stress in a newborn
Myxedema/ hypothroidism
STD= gonnorrhea
5. Age 4 to 5 yrs child needs DPT/MMR/OPV
Droplet Precautions Transmission
Coomb's test
Common S.S of Retino Blastoma
Age 4=5 year shots
6. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Yeast infection in a babys mouth
Grey Turners sign
How do children less than one breathe
Gerd again
7. 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
Side effects of thyroid hormones
PKU
Age 4=5 year shots
Hepatitis
8. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Whats petaling
Therapies
After Cataract surgery
Kids with RSV>
9. Elevate HOB 30 degrees to decrease intracranial pressure
MRSA and VRSA precautions
Greeks
Head Injury
How do children less than one breathe
10. 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
Above the knee amputation
Besides meds and congenital problems .. What can lead to decreased preload
What could cause bronchopulmonary dysplasia
Normal Hemoglobin
11. Knee - chest position or Trendelenburg
Sengstaken blakemore tube
Common S/S Acromegaly
Prolapsed Cord
Kids pain relief in NCLEX land
12. If patients have hallucinations redirect them. In delusions distract them.
CPR in a five year old
Signs to look for in meningitis
Kidneys and ears
Rule of thumb for assisting pysch patients
13. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.
Lymes mostly found in
What will alter the accuracy of o2 sats
Fontanelles
For PVD remember
14. Swimming
CVA
MORE info on DKA ugh!
Asthma and arthritis best excercise
Diff between placenta previa and placenta abrupto
15. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood
Stranger Danger>!
Gastric ulcer pain
Flu shot always ask
coarctation of the aaorta causes
16. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go
Order of assessment
LVN/LPN cant
Enema positioning
In depth - Color codes
17. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)
After Myringotomy
Hyper reflexive Absent reflexsive
Developmental milestones
Menieres's disease
18. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.
Depression manifests itself
Common S/S of GERD
Tube and J tubes are usually
Diff between angina and MI
19. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics
c02 builds up and causes
After Infratentorial Surgery
SIADH
Hypercalemia
20. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement
Decorticate and Decerebrate
Ventilator Alarms
Cath lab
Risus Sardonicus
21. Lie flat with legs elevated
Nephrotic syndrome
Botox
What to in the case of - Pt with heat stroke
MG and Guillian Barre
22. Yogurt has live cultures - dont give to immunosuppressed pt
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23. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't
If your patient starts seeing bugs
Menieres's disease
Hypocalemia
Potassium lab importance
24. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.
Dunlap traction=
Preload and Afterload
TEF
Best way to tube feed or feed kids
25. Pumonary tuberculosis
ALS
PTB
Anorexia sucks because
For a lung biopsy
26. Place the apparatus first then place the weight (der)
Cath lab
HHNS Vs DKA
How to put on traction
SLE
27. 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
Hypo - parathyroid
Complications of mechanical ventilation
Heart Defects
Cerebral palsy
28. (incision behind hairline) --> elevate HOB 30-45 degrees
Common S/S of down syndrome
Common S/S of leprosy
After Supratentorial Surgery
Nuetropenic patients
29. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s
How to itch under a cast
Autonomic Dysreflexia
Fetal alcohol sydrome
Common S/S of LTB
30. 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!
Late Decels
Cushings
Gross things to remember about nurses with herpes!!!!
School aged kids and five year olds
31. 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
1 tablespoon = How many ml
Besides meds and congenital problems .. What can lead to decreased preload
MMR and Varicella
For a lumbar puncture
32. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy
GTT for preggos
OB secret
Common S/S of hypocalcemia
Carbon dioxide narcosis
33. Irritable - and poor sucking
Heroin withdrawl in a neonate
Detached Retina
Common S/S of down syndrome
Anorexia sucks because
34. (severe acute resp syndrome) airborne + contact (just like varicella)
Menieres's disease
Nuetropenic patients
Disease precautions
SARS
35. Recurrent bloody diarrhea
Common S/S of Ulcerative Colitis
What to in the case of - Pt with heat stroke
What to do in the case of tube feeding with decreased LOC
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
36. A LATE sign! Always~!
High priority in Addisons
Most accurate way to test kids for medication accuracy
Change in color is
When you see coffee brown emesis think>
37. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.
Renal impairment labs
Coomb's test
Common S/S of pyloric stenosis
Guillian Barre
38. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow
How many liters of O2
Hypervolemia
Order of assessment
Dunlap traction=
39. Seizure>
Pheochromocytoma
Common S/S of Cataract
Eclampsia is a
Black - Expectant
40. 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
Kids with HIV
Common S/S of LTB
Carbon dioxide narcosis
Brudzinski's sign
41. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.
Temp conversion
ICP and Shock have
MMR and Varicella
Common S/S of Infectious Mononucleosis
42. **If kid has cold - can still give immunizations
Halo
Kids with HIV
If kid has a cold
Before Epidural
43. (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)
More IVP info
Dig rule for kids
What is obtained before starting any iv antibiotic
To prevent dumping syndrome
44. Hypotension and vasoconstricting meds
ALS
c02 builds up and causes
Stomas
What will alter the accuracy of o2 sats
45. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.
Labs in DKA>
Amniocentesis is performed and why
Tube and J tubes are usually
Eyes
46. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.
COPD patients
Apgar scores/scoring
Diff between placenta previa and placenta abrupto
Immunizations rules
47. Pain is usually the highest priority with RA
Cerebral palsy
Rule of thumb for assisting pysch patients
Cmmon S/S Fibrin Hyalin
Hightest priority for RA
48. 1 quart = 2 pints
Common S/S of Liver cirrhoisis
1 quart = How many pints
To prevent dumping syndrome
Crackles most likely are...
49. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
Likely cause of cardiac arrest in child
MRSA and VRSA precautions
What to do for addisons/cushings
Delegation Rule of Thumb?
50. Patent ductuous arteriousus in infants! Valve doesn't close!
Amniocentesis is performed and why
PDA
Coomb's test
After Thyroidectomy