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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. Most spinal cord injuries are at the cervical or lumbar regions
Common S/S of Cushings syndrome
Bucks traction =
Where are most spinal cord injuries
4 year olds
2. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis
To prevent dumping syndrome
Cystic fibrosis
GTT for preggos
Tetraology of Fallot
3. Visual floaters - flashes of light - curtain vision
Common S/S of retinal detachment
MG and Guillian Barre
Pathological jaundice
LVN/LPN cant
4. A laxative is given the night before an IVP in order to better visualize the organs.
More IVP info
Guided imagery is great for
Meningeal irriatation>
Common S/S of DKA
5. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.
Nitrazine paper
Munchhausen Syndrome
Pathological jaundice
4 year olds
6. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS
Above the knee amputation
Vertical C section
Hypercalemia
S/S of a fat embolism
7. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Nonfat milk
1 tablespoon = How many ml
Osteomyeltitis
Dig rule for kids
8. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.
Parkisons
S/S of a fat embolism
Thrombocyopenia - bleeding precautions
Common S/S of pernicious anemia
9. 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
Omphalocele
When you see coffee brown emesis think>
Group - A strep
10. ICP (intracranial pressure) should be <2. measure head circonference.
Common S/S of parkinsons
Hep A precautions
ICP
Common S/S of Infectious Mononucleosis
11. Normal in CHF from the squishin'.. Not normal in an MI patient
SARS
s3 heart sound is normal not
Peritoneal dialysis
Addisonian Crisis
12. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food
Gastric ulcer pain
From the ass From the Mouth
1 kg= How many pounds
Low crit/hemoglobin
13. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
Below the knee amputation
NG tube rules
4 year olds
To prevent dumping syndrome
14. Age 4 to 5 yrs child needs DPT/MMR/OPV
Age 4=5 year shots
More info on lumbar puncture
Cmmon S/S Fibrin Hyalin
Emphysema
15. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)
Risus Sardonicus
Shock
Psuedomembrane in DIptheria
What can't you give to immunosupressed pts
16. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about
Peds weight
Kawasaki disease causes
Diff between angina and MI
Besides meds and congenital problems .. What can lead to decreased preload
17. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.
Kids pain relief in NCLEX land
Radioactive iodine
ALS
Peds positioning for GERD
18. Pumonary tuberculosis
Common S/S of Diptheria
1 tablespoon = How many ml
Laparoscopy
PTB
19. MRI- claustrophobia - no metal - assess pacemaker
Nonfat milk
Eclampsia is a
MRI
Med that can't be infused Intra osseously
20. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet
Allen's test
Placement of a wheelchair
Bryant's traction=
Hyperparathyroid
21. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!
Milk for kids
If you see a nurse make a mistake Chain of command
Group - A strep
1 tablespoon = How many ml
22. 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
Pt with edema and walking
Orange tag in pysch
Labs in DKA>
COPD patients
23. Private Room or cohort mask
What disease leads to cardiac valve malfunctions
How to put on traction
Protocol for Droplet Precautions
Sources of potassium
24. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)
Compartment syndrome
Thyroid storm and myxedema
Common S/S of GERD
Orthostatis is verfied by
25. 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
Cardinal signs of ARDS
Autonomic Dysreflexia
Prolapsed Cord
FHR patterns in ob
26. 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.
If you see a nurse make a mistake Chain of command
Autonomic Dysreflexia/ Hyperreflexia
How to itch under a cast
TB test confirmation
27. 1 gr (grain)= 60 mg
Cephalhematoma (caput succinidanium)
Eyes
1 gr= How many mg
After Total Hip Replacement
28. Its important to be aware of the lab result for prothrombin time
Prior to liver biopsy
Cardinal signs of ARDS
Signs of a hip fracture
Tenkhoff cath
29. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.
Lymes mostly found in
To prevent dumping syndrome
Common S/S of Lyme's disease
CABG
30. * 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
A child with a ventriculoperitoneal shunt
How many liters of O2
Immunizations rules
31. Confirms multiple myeloma
Bence Jones protein in urine
Brachial Pulse
Depression manifests itself
NG tube rules
32. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!
Common S/S of Cystitis
Highest priortiy in status elipticus
What if a toddler says no to medication
Meningeal irriatation>
33. Children <3yoa - <35 lbs with femur fx
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34. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.
Highest priortiy in status elipticus
Cystic fibrosis
Eclampsia is a
Hyper reflexive Absent reflexsive
35. Systematic desensitization
Myasthenia gravis
Psuedomembrane in DIptheria
First sign of pyloric stenosis in a baby
How to treat phobic disorders
36. Place the apparatus first then place the weight (der)
Common S/S of MG
How to put on traction
How do children less than one breathe
Major risks of epidural
37. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.
Hypervolemia
Infant with Cleft lip
Cute way to remember glascow coma
Pheochromocytoma
38. Purple bruises around the belly button... Pancreatitis!
Besides sodium - water also follows
Grey Turners sign
Common S/S of Cholera
School aged kids and five year olds
39. Liver - brain - lung - bone - and lymph
Traction rule
Common sites for metastatsis
1 tablespoon = How many ml
Immunizations rules
40. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
Common S/S of Increased ICP
Common S/S of glaucoma
MRSA and VRSA precautions
Where are chest tubes placed
41. TIA (transient ischemic attack) mini stroke with no dead brain tissue
Common S/S of retinal detachment
What to do in the case of tube feeding with decreased LOC
TIA
Willam's position
42. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)
MRI
Peritoneal Dialysis when outflow is inadequate
Labs in DKA>
Bethamethasone
43. LLQ - diverticulitis - low residue - no seeds - nuts - peas
Color codes
Placement of a wheelchair
For cord compression in OB
Pain in the LLQ indicative of...
44. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS
How many oz in a ml
Nitrazine paper
Other S/S of MS
Eyes
45. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Common S/S of Cystitis
Common S/S of BPH
Late Decels
GTT for preggos
46. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
Disease precautions
Bethamethasone
Graves disease/ Hyperthyroidism
Low crit/hemoglobin
47. Rose spots on abdomen
Parkisons
When patient is in distress
Common S/S of Thypohiod
1 kg= How many pounds
48. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.
Crackles most likely are...
Hirschsprungs
Change in color is
caput succedaneum=
49. 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
Latex allergies
Common S/S of Thypohiod
Common sites for metastatsis
50. Renal impairment: serum creatinine elevated and urine clearance decreased
Complications of mechanical ventilation
Renal impairment labs
For an EEG test
Common S/S of Hodgkins Disease/Lymphoma