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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. Battles Sign and Racoon's eyes
Common S/S of orbital fracture
Hyperthyroidism
What happens when phenylalanine increases
Lymes mostly found in
2. Glomerulonephritis: take vs q 4 hrs + daily weights
More info on intussception
Glomerulonephritis
Tube and J tubes are usually
Munchhausen Syndrome
3. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.
How do you treat a small bowel obstruction
Milk for kids
During CBI (continuous bladder irrigation)
VRSA
4. Burning on urination
Common S/S of Cystitis
Pain in the LLQ indicative of...
VV and AA
TB test confirmation
5. Pain is usually the highest priority with RA
Airborne Transmission
Hightest priority for RA
Addisonian Crisis
What to do in the case of - an Air/Pulmonary Embolism
6. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
SARS
PCWP
HypoKalemia
Common S/S Hepatic Encephalopathy
7. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)
When instilling eardrops
What to do in the case of tube feeding with decreased LOC
Common S/S of Infectious Mononucleosis
Pneumonia
8. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s
Acid/ ASH diet
Liver biopsy
Cerebral angio prep
Traction in kids
9. Tet spells treated with morphine.
First sign of cystic fibrosis
Kids with HIV
COPD and Pneumonia
What treats tet spells
10. Cat's eye reflex (grayish discoloration of the pupil)
Common S.S of Retino Blastoma
How to Dx a AAA
Best way to tube feed or feed kids
Peds weight
11. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.
Graves disease/ Hyperthyroidism
Common S.S of Retino Blastoma
Nitrazine paper
If you see a nurse make a mistake Chain of command
12. Another c section with any more kids
After appendectomy
A patient with vertical c - section will likely have
Turner's sign
Dystocia
13. Upper part of the uterus
Side rail rules
No Cantalope
Where should placenta be
Traction in kids
14. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
With lower amputations
MS
Infant with Cleft lip
Vertical C section
15. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis
Cullens sign
Lymes mostly found in
Kids with RSV>
Hodgkins disease
16. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)
Common S/S of Hydrocephalosis
Cor Pulmonae
Compartment syndrome
Cane walking
17. Position on the RIGHT side with legs flexed
IVP requires
School aged kids and five year olds
Cullens sign
After appendectomy
18. No nasotracheal suctioning with head injury or skull fracture.
Pancreatitis prioritys
Suctioning is good -- except
Nondairy sources of calcium
Placement of a wheelchair
19. Systemic Lupus Ethramoutus.... (Lupus)
SLE
Who produces insulin
MORE info on DKA ugh!
Eyes
20. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias
Brudzinski's sign
Alzheimers
How do you treat a small bowel obstruction
Brachial Pulse
21. TPN(total parenteral nutrition) given in subclavian line.
Hyperthyroidism
TPN is given in
Gastric ulcer pain
Crackles most likely are...
22. Children <3yoa - <35 lbs with femur fx
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23. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
Hep A precautions
Common S/S of Infectious Mononucleosis
Hypo - parathyroid
Pancreatitis pts>
24. Portal hypotension + albuminemia= Ascites.
Major risks of epidural
Shock
Common S/S of Tetany
Cause of Ascites
25. Uremic fetor --> smell urine on the breath
Cardinal signs of ARDS
Placement of a wheelchair
Uremic Fetor
Thrombocyopenia - bleeding precautions
26. (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)
Shilling test
To prevent dumping syndrome
Chvostek and Trosseaus sign
Thrombocyopenia - bleeding precautions
27. 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
MS
Hirschsprungs
During epidural puncture
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
28. 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
Dunlap traction=
Sengstaken blakemore tube
More labs suggestive of renal failure
Hearing the baby in OB
29. Hydration is a big priority!
What disease leads to cardiac valve malfunctions
Cute way to remember glascow coma
Before Epidural
Nephrotic syndrome
30. Pilling rolling tremors
With lower amputations
Common S/S of parkinsons
Phenalalanine
Cute way to remember glascow coma
31. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.
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32. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.
Nuetropenic patients
Common S/S of Dengue
Infant with Cleft lip
Emphysema
33. A LATE sign! Always~!
Dystocia
If kid has a cold
Change in color is
Besides sodium - water also follows
34. After a hydrocele repair provide ice bags and scrotal support.
Sources of potassium
Common S/S of retinal detachment
After Supratentorial Surgery
Hydrocele
35. Place a wheelchair parallel to the bed on the side of weakness
Detached Retina
Other S/S of MS
Order of assessment
Placement of a wheelchair
36. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.
Milk for kids
Disease precautions
Parkisons
Before a pft
37. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.
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38. One pound equals 16 0z
SIADH
1 lb = How many ozs
When a pt comes in and she is in active labor
After Total Hip Replacement
39. 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.
How to Dx a AAA
Compartment syndrome
Facts about hemophilia
More info on intussception
40. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -
Contact transmission precautions
4 year olds
For cord compression in OB
Before giving MMR>
41. Low or semi - Fowler's - support head - neck and shoulders.
After Thyroidectomy
Tylenol poisioining
To prevent dumping syndrome
Common S/S of glaucoma
42. Brain problems occur
Meconium stained protocol
What happens when phenylalanine increases
Menieres's disease
Bethamethasone
43. Never release traction unless you have an order from an MD to do so
Traction rule
1 g = How many mg
How do you teach someone to reduce back aches
OB secret
44. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
Above the knee amputation
Low crit/hemoglobin
Post Thyroidectomy
Immunizations rules
45. Ambient air (room air) contains 21 % o2
Thrombocyopenia - bleeding precautions
Pancreatitis pts>
When you see coffee brown emesis think>
Room air is...
46. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.
Common S/S of Lyme's disease
Group - A strep
Radioactive iodine
SLE
47. 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
No Cantalope
For an EEG test
Addisons
Paracentesis
48. (incision behind hairline) --> elevate HOB 30-45 degrees
Developmental milestones
Common S/S of MS>
After Supratentorial Surgery
Peds positioning for GERD
49. Descending muscle weakness
1 g = How many mg
Asthma and arthritis best excercise
Common S/S of MG
What if a toddler says no to medication
50. 30 ml = 1 oz
Tet spells
How many oz in a ml
Common S/S of Hodgkins Disease/Lymphoma
A patient with vertical c - section will likely have