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NCLEX Final Ati Study

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. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.
Apgar scores/scoring
Cerebral angio prep
Hep B vaccine always ask
After Infratentorial Surgery

2. Nurses First action is to listen to fetal rate/tone
autonomic dysreflexia
Diff between angina and MI
When a pt comes in and she is in active labor
Color codes

3. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Parkisons
Disease precautions
Common s/s of PDA
Lymes mostly found in

4. Descending muscle weakness
Crackles most likely are...
Common S/S of MG
What if a toddler says no to medication
Common S/S of Lyme's disease

5. A
HHNS Vs DKA
Emphysema
Traction rule
Rule of nines

6. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.
Myxedema/ hypothroidism
Disease precautions
Hba1c
What to do for addisons/cushings

7. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches
To remember blood sugar
When you see coffee brown emesis think>
Parkisons
Latex allergies

8. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Late Decels
Allen's test
Hep A precautions
Rule of thumb for obsessions/distractions

9. 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
When a pt comes in and she is in active labor
Autonomic Dysreflexia
1 g = How many mg
Likely cause of cardiac arrest in child

10. Beta cells of pancreas produce insulin
Pneumonia
TIA
Who produces insulin
Common S/S of pneumonia

11. 30 ml = 1 oz
COPD and Pneumonia
How many oz in a ml
Kids pain relief in NCLEX land
Hepatitis

12. Bananas - potatoes - citrus fruits
Thoracentesis
Sources of potassium
How do children less than one breathe
Low Residue diet

13. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.
When instilling eardrops
Parkisons
PTB
Common S/S of chicken pox

14. 3 D'S -- Drooling - Dysphonia - Dysphagia
Common S/S of epiglottitis
Gross things to remember about nurses with herpes!!!!
Common S/S Hepatic Encephalopathy
Babinski sign

15. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis

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16. Private Room or cohort mask
Protocol for Droplet Precautions
Yeast infection in a babys mouth
Common S/S of DKA
Common S/S of SLE

17. Butterfly rashes
Birth control - Diaphram
Gerd again
Common S/S of SLE
Glaucoma patients loose

18. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
What to in the case of - Pt with heat stroke
Milk for kids
Pancreatitis pts>
Eclampsia is a

19. Vesicular rash (central to distal) dew drop on rose petal
Common S/S of chicken pox
Eclampsia is a
1 cup= How many oz
Alzheimers

20. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)
Paget's disease
Most accurate way to test kids for medication accuracy
Milk for kids
Kernigs sign

21. Bull's eye rash

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22. 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
Brachial Pulse
Cranial nerves for Assessing extraocular eye movements
Side effects of thyroid hormones
Eyes

23. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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24. Slowed physical and mental function - sensitivity to cold - dry skin and hair
Common S/S of pyloric stenosis
Myxedema/ hypothroidism
Paracentesis
s/s of a fat embolism

25. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
Infant with Cleft lip
Hypernatremia SALT
Cane walking
Shift to the left means

26. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.
Common S/S of Cholera
Lumbar Puncture
Common S/S of hypocalcemia
Parkisons

27. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.
Coomb's test
Cath lab
Hba1c
Common S/S of GERD

28. 1 gr (grain)= 60 mg
1 gr= How many mg
TPN is given in
Med that can't be infused Intra osseously
Common S/S of Malaria

29. 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
Lumbar Puncture
Traction in kids
Common S/S of Malaria
MRSA and VRSA precautions

30. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
If you THINK a patient has new HTN
Best way to tube feed or feed kids
Risus Sardonicus
Nephrotic syndrome

31. Position prone (on abdomen) so that sac does not rupture
Infant with Spina Bifida
Kids with HIV
Common S/S of LTB
Hep B vaccine always ask

32. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.
Kidneys and ears
Omphalocele
4 year olds
Besides meds and congenital problems .. What can lead to decreased preload

33. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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34. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior
Hypercalemia
Before a pft
Greeks
Most accurate way to test kids for medication accuracy

35. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
Maslow for a guy who lost his house in a fire
More labs suggestive of renal failure
Graves disease/ Hyperthyroidism
Common S/S of SLE

36. Gonorrhea is a reportable disease
What to do in the case of tube feeding with decreased LOC
STD= gonnorrhea
Signs of a hip fracture
Paget's disease

37. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men
Graves disease/ Hyperthyroidism
Greenstick fracture
Droplet Precautions Transmission
Heart Defects

38. Bossing Sign (prominent forehead)
MORE info on DKA ugh!
Before a pft
Common S/S of Hydrocephalosis
Common S/S of Cholera

39. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)
Charcots sign
To remember blood sugar
Hep B vaccine always ask
Nondairy sources of calcium

40. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.
Above the knee amputation
If your patient starts seeing bugs
Pt with edema and walking
Sources of potassium

41. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
Glomerulonephritis considerations
Common S/S of epiglottitis
Above the knee amputation
Guthrie test

42. Charcot's Triad (IAN)
What is bleeding considered in ADPIE
Signs of a hip fracture
How do you treat a small bowel obstruction
Common S/S of MS>

43. Lie flat with legs elevated
Hypernatremia
What to in the case of - Pt with heat stroke
Common S/S of PTB
High priority in Addisons

44. 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!
Common S/S of Cholera
Green - Minimal
Botox
Gross things to remember about nurses with herpes!!!!

45. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.
S/S of a fat embolism
Tube and J tubes are usually
Asthmas and wheezers
Pt with edema and walking

46. 1 gram = 1000 mg
ICP and Shock have
Maslow for a guy who lost his house in a fire
Diverticulitis
1 g = How many mg

47. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing
More info on lumbar puncture
Common S/S of down syndrome
Common S/S of orbital fracture
Common S/S of epiglottitis

48. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.
Common S/S of Cushings syndrome
Whats petaling
Murphy's sign
autonomic dysreflexia

49. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)
After appendectomy
Common S/S of MS>
Common S/S of Meningitis
Common S/S of Hydrocephalosis

50. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION
How to itch under a cast
How will CSF look in meningitis
4 year olds
Signs of a hip fracture