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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. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.
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2. Reduced size and force of urine
Stranger Danger>!
Bence Jones protein in urine
Common S/S of BPH
Where are chest tubes placed
3. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.
Diverticulitis
Menieres's disease
Color codes
Enema positioning
4. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since
Common s/s of PDA
Brachial Pulse
A child with a ventriculoperitoneal shunt
Thyroid storm
5. 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.
Cold stress in a newborn
What can't you give to immunosupressed pts
No Cantalope
Common S/S of Liver cirrhoisis
6. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)
Prolapsed Cord
PKU
Common S/S of cystic fibrosis
Most accurate way to test kids for medication accuracy
7. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.
Cystic fibrosis
Common S/S of PTB
Signs of a hip fracture
HypoMg
8. 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
To prevent dumping syndrome
With lower amputations
Hearing the baby in OB
Signs to look for in meningitis
9. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se
Infant with Spina Bifida
ACID ash diet
Black - Expectant
Heroin withdrawl in a neonate
10. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t
Meconium stained protocol
Color codes
TPN is given in
NMS
11. Low magnesium and high creatinine signal renal failure.
CPR in a five year old
Dengue hemorrhagic fever
More labs suggestive of renal failure
Bethamethasone
12. Weight
coarctation of the aaorta causes
Best indicator of dehydration
1 gr= How many mg
Hba1c
13. 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
Dig rule for kids
Hydrocele
Babinski sign
14. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues
Likely cause of cardiac arrest in child
Where are most spinal cord injuries
More info on lumbar puncture
Cerebral palsy
15. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.
What is bleeding considered in ADPIE
Rh
4 year olds
caput succedaneum=
16. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
Above the knee amputation
What is obtained before starting any iv antibiotic
Whats petaling
Use of cold and hot
17. If HR is <100 do not give dig to children.
Dig rule for kids
Rule of thumb for assisting pysch patients
To prevent dumping syndrome
What can also cause an s3 heart sound
18. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a
Dystocia
1 kg= How many pounds
Common S/S of Kawasaki syndrome
Psuedomembrane in DIptheria
19. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.
Gastric ulcer pain
MRI
Rh
Pneumonia
20. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR
Where are most spinal cord injuries
Shift to the left means
Cute way to remember glascow coma
To prevent dumping syndrome
21. B/c of low platelets
Low crit/hemoglobin
Why would a pt with leukemia have epistaxis
Prior to liver biopsy
After Endoscopy
22. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)
Common S/S Acromegaly
Preload and Afterload
Cor Pulmonae
How to Dx a AAA
23. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)
Positioning with pneaumonia
Halo
Peritoneal Dialysis when outflow is inadequate
What is bleeding considered in ADPIE
24. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis
Common S/S of cystic fibrosis
Tidal volume
Head Injury
Tetraology of Fallot
25. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.
Above the knee amputation
Hemovac
Common S/S of Cystitis
Huntington's Chorea
26. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p
How many liters of O2
Milk for kids
Contact transmission precautions
Mcburney's point
27. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
Penis Problems
Paracentesis
Heart problems
VRSA
28. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne
Common S/S Duchennes Muscular Dystrophy
Western blot test
Common S/S of addisions
What is bleeding considered in ADPIE
29. Handle any blood
Side effects of thyroid hormones
LVN/LPN cant
Tylenol poisioining
Where should placenta be
30. TIA (transient ischemic attack) mini stroke with no dead brain tissue
Room air is...
TIA
Best indicator of dehydration
s/s of a fat embolism
31. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia
With lower amputations
Every new admission needs
Dystocia
coarctation of the aaorta causes
32. No nasotracheal suctioning with head injury or skull fracture.
Potassium lab importance
Suctioning is good -- except
For an EEG test
Hightest priority for RA
33. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
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34. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.
Therapies
DKA
Thyroid storm and myxedema
How many liters of O2
35. 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
Common S.S of Retino Blastoma
Dumping syndrome
Facts about hemophilia
Labs in DKA>
36. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)
Pancreatitis pts>
Alkaline Ash diet
What to do in the case of - A woman in labor with Un - Reassuring FHR
Alzheimers
37. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma
If your patient starts seeing bugs
coarctation of the aaorta causes
Common S/S of down syndrome
Russel Traction =
38. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)
Pheochromocytoma
s/s of a fat embolism
Lumbar Puncture
School aged kids and five year olds
39. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)
Common S/S of glaucoma
Common S/S of measles
Common S/S of Diptheria
Common S/S of Thypohiod
40. Position on the RIGHT side with legs flexed
After Infratentorial Surgery
Tidal volume
After appendectomy
Side rail rules
41. Peptic ulcer
Common S/S of Thypohiod
Hypernatremia
When you see coffee brown emesis think>
School aged kids and five year olds
42. Psuedo membrane formation
Common S/S of Diptheria
Cerebral angio prep
Dance Sign
Common S/S of Malaria
43. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Kidneys and ears
Blood typing
Sickle cell crisis
Late Decels
44. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Pancreatitis prioritys
Guided imagery is great for
More info on EEG
Nephrotic syndrome
45. (incision at nape of neck)--> position pt flat and lateral on either side.
Late Decels
Side effects of thyroid hormones
PTB
After Infratentorial Surgery
46. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids
Nondairy sources of calcium
Hyponatremia
Developmental milestones
Common S/S of pyloric stenosis
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
For an EEG test
More info on intussception
Kernigs sign
Med that can't be infused Intra osseously
48. Salty skin
Glomerulonephritis considerations
Ventilator Alarms
Common S/S of cystic fibrosis
What is a bad sign in asthma
49. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.
First sign of pyloric stenosis in a baby
Common S/S of Dengue
Cephalhematoma (caput succinidanium)
Every new admission needs
50. Lymes is found mostly in Conneticuts
Lymes mostly found in
Myelogram
Cause of Ascites
After Total Hip Replacement