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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. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
2. 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
What to do in the case of tube feeding with decreased LOC
Infant with Spina Bifida
First sign of pyloric stenosis in a baby
Developmental milestones
3. 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
Orange tag in pysch
Addisonian Crisis
For an EEG test
Common S/S of addisions
4. 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
Common S/S of Cataract
Greeks
Apgar scores/scoring
Autonomic Dysreflexia
5. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.
Common S/S of down syndrome
Common S/S Acromegaly
Diff between angina and MI
Common S/S of chicken pox
6. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.
CABG
Common S/S Hepatic Encephalopathy
More info on TB testing a positive result
What happens when phenylalanine increases
7. CSF in meningitis will have high protein - and low glucose.
How will CSF look in meningitis
Common S/S Meniere's Disease
Orange tag in pysch
Airborne Transmission
8. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)
Facts about hemophilia
What to in the case of - Pt with heat stroke
For PVD remember
Heart Defects
9. Irritable - and poor sucking
Thyroid storm and myxedema
Common S/S of BPH
Heroin withdrawl in a neonate
How to put on traction
10. 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.
Crutch use
Murphy's sign
Green - Minimal
Gerd again
11. 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.
Behavior/Developmental - Peds
Hyper reflexive Absent reflexsive
Tenkhoff cath
Addisons
12. 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
Grey Turners sign
More IVP info
1 cup= How many oz
13. Opposites! Nursing connection! Think about it!
Appendicitis
MG and Guillian Barre
Common S/S of appendicitis
1 g = How many mg
14. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.
ICP and Shock have
Pheochromocytoma
No Cantalope
Radioactive iodine
15. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.
16. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis
For an EEG test
Cullens sign
Rule of thumb for obsessions/distractions
Western blot test
17. Purple bruises around the belly button... Pancreatitis!
Best indicator of dehydration
Grey Turners sign
Immunizations rules
Common S/S of DKA
18. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other
Paracentesis
NMS
Paget's disease
Greenstick fracture
19. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
After Cataract surgery
PKU
What to do in the case of - an Air/Pulmonary Embolism
Disease precautions
20. CVA (cerebrovascular accident) is with dead brain tissue.
TB test confirmation
Meconium stained protocol
CVA
Buck's Traction
21. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
ICP
Common S/S of chicken pox
Common S/S of epiglottitis
Osteomyeltitis
22. No nasotracheal suctioning with head injury or skull fracture.
Hearing the baby in OB
SARS
Common S.S of Retino Blastoma
Suctioning is good -- except
23. Glaucoma patients lose peripheral vision. Treated with meds
Glaucoma patients loose
Positioning with pneaumonia
Sickle cell crisis
Common S/S of emphysema
24. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
Hydrocele
SARS
TB test confirmation
Post spleenectomy
25. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
Preload and Afterload
Addisonian Crisis
Charcots sign
Why would a pt with leukemia have epistaxis
26. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b
Acid/ ASH diet
Disease precautions
Protocol for Droplet Precautions
Diff between placenta previa and placenta abrupto
27. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.
Hirschsprungs
Wilms tumor
Above the knee amputation
Cane walking
28. B/c of low platelets
Common S/S of epiglottitis
Prior to liver biopsy
Why would a pt with leukemia have epistaxis
Hypernatremia
29. Cultures
Side effects of thyroid hormones
What is obtained before starting any iv antibiotic
TB test confirmation
Cmmon S/S Fibrin Hyalin
30. Burning on urination
1 gr= How many mg
Common S/S of Cystitis
TIA
Menieres's disease
31. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.
Cane walking
Omphalocele
TB health risk
Common S/S of Tetany
32. Hallmark= Sore throat - cervical lymph adenopathy - fever
Addisonian Crisis
A preggo in a minus station
Knee replacement
Common S/S of Infectious Mononucleosis
33. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!
Prolapsed Cord
Sengstaken blakemore tube
After removal of the pituitary gland what should you watch for
Meningeal irriatation>
34. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.
HypoKalemia
For an EEG test
Appendicitis
More IVP info
35. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
Kids with HIV
Gross things to remember about nurses with herpes!!!!
Tenkhoff cath
Cephalhematoma (caput succinidanium)
36. Risus Sardonicus
Common S/S of Tetany
Common S/S of Increased ICP
After Thyroidectomy
Stomas
37. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby
Emphysema
Side rail rules
Vertical C section
During epidural puncture
38. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.
Myasthenia gravis
Complications of mechanical ventilation
Change in color is
SARS
39. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).
CVA
TB health risk
Dance Sign
Temp conversion
40. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
What to do for addisons/cushings
Common S/S of Hydrocephalosis
Crutch use
Common S/S of pancreatitis
41. Bananas - potatoes - citrus fruits
Maslow for a guy who lost his house in a fire
Cranial Nerves
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Sources of potassium
42. 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
Russel Traction =
Kids pain relief in NCLEX land
TEF
Huntington's Chorea
43. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.
Dangerous thing to get during pregnancy
Tension Pneumothorax
When is Rhogam given and how
GTT for preggos
44. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution
What to do in a sucking stab wound
Orange tag in pysch
Hypernatremia
Where are most spinal cord injuries
45. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.
Cryptoorchidism
After Myringotomy
Guthrie test
Crackles most likely are...
46. MRI- claustrophobia - no metal - assess pacemaker
MRI
Thyroid storm and myxedema
Post spleenectomy
Infant with Spina Bifida
47. Rebound tenderness
Besides sodium - water also follows
Asthma and arthritis best excercise
Common S/S of appendicitis
Common S/S of Meningitis
48. Intercostal retractions=bad!
Cephalhematoma (caput succinidanium)
Liver biopsy
What is a bad sign in asthma
coarctation of the aaorta causes
49. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in
Traction in kids
Common S/S of appendicitis
Immunizations rules
Common S.S of Retino Blastoma
50. A laxative is given the night before an IVP in order to better visualize the organs.
Cranial nerves for Assessing extraocular eye movements
Autonomic Dysreflexia/ Hyperreflexia
More IVP info
Cause of Ascites