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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. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster
Coomb's test
Before a pft
Tension Pneumothorax
Thoracentesis
2. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.
Diff between placenta previa and placenta abrupto
Kawasaki disease causes
Hirschsprungs
ALS
3. Salty skin
autonomic dysreflexia
Low crit/hemoglobin
Common S/S of cystic fibrosis
Pancreatitis pts>
4. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
Before giving MMR>
ALS
Dunlap traction=
Shilling test
5. (skin traction) --> elevate foot of bed for counter - traction
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6. Lie flat with legs elevated
What to in the case of - Pt with heat stroke
HyperMg
Common S/S of addisions
Common s/s of PDA
7. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.
When you see coffee brown emesis think>
Highest priortiy in status elipticus
The first s/s of ards
Trendelenberg's test
8. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't
Charcots sign
Brachial Pulse
Potassium lab importance
Placement of a wheelchair
9. CATS - convulsions - arrhythmias - tetany - spasms and stridor
Hypocalemia
Cerebral palsy
TIA
Diff between placenta previa and placenta abrupto
10. Reduced size and force of urine
Low crit/hemoglobin
Vertical C section
Common S/S of BPH
Sengstaken blakemore tube
11. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).
How to itch under a cast
Shift to the left means
Cardinal signs of ARDS
What disease leads to cardiac valve malfunctions
12. 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
Traction in kids
Cystic fibrosis
Infant with Spina Bifida
Hearing the baby in OB
13. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.
Tet spells
What happens when phenylalanine increases
During CBI (continuous bladder irrigation)
Allen's test
14. Battles Sign and Racoon's eyes
What could cause bronchopulmonary dysplasia
Sources of potassium
Cane walking
Common S/S of orbital fracture
15. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
Protocol for Airborne Transmission
Hypervolemia
Besides sodium - water also follows
Amniocentesis is performed and why
16. Vastus lateralis is IM administration site for 6month infants
Immunizations rules
Preload and Afterload
Kidneys and ears
What if a toddler says no to medication
17. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.
A preggo in a minus station
Common S/S of epiglottitis
NMS
Common S/S of leprosy
18. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.
Hearing the baby in OB
Post spleenectomy
Every new admission needs
Positioning with pneaumonia
19. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)
Tet spells
Nepphrotic syndrome
Apgar Scoring
MORE info on DKA ugh!
20. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)
Hyper reflexive Absent reflexsive
Peritoneal Dialysis when outflow is inadequate
Apgar Scoring
Hba1c
21. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3
Prolapsed Cord
Bethamethasone
What can also cause an s3 heart sound
Nitrazine paper
22. Bossing Sign (prominent forehead)
Common S/S of Hydrocephalosis
Asthma and arthritis best excercise
Hypocalemia
If your patient starts seeing bugs
23. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)
Uremic Fetor
Gerd again
Orange tag in pysch
Most accurate way to test kids for medication accuracy
24. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!
After Total Hip Replacement
Common S/S of Increased ICP
Common S/S of MS>
Common S/S Hepatic Encephalopathy
25. Complications of Mechanical Ventilation: Pneumothorax - Ulcers
Ventilator Alarms
Common S/S of GERD
ABG drawin
Complications of mechanical ventilation
26. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves
Hirschsprungs
Hypo - parathyroid
Burn Degrees
Kids pain relief in NCLEX land
27. Pumonary tuberculosis
PDA
PTB
Penis Problems
Liver biopsy
28. Flapping tremors
Dance Sign
Hodgkins disease
Common S/S Hepatic Encephalopathy
Dangerous thing to get during pregnancy
29. Hodgkin's disease= cancer of lymph is very curable in early stage.
HypoKalemia
Fontanelles
PCWP
Hodgkins disease
30. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot
Menieres's disease
What to do in a sucking stab wound
Tenkhoff cath
Orange tag in pysch
31. Place the apparatus first then place the weight (der)
Common S/S of Lyme's disease
How to put on traction
Cold stress in a newborn
coarctation of the aaorta causes
32. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.
Nondairy sources of calcium
Carbon dioxide narcosis
Asthmas and wheezers
Pancreatitis prioritys
33. (incision at nape of neck)--> position pt flat and lateral on either side.
Diff between angina and MI
Therapies
Graves disease/ Hyperthyroidism
After Infratentorial Surgery
34. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Common S/S of orbital fracture
Western blot test
Bethamethasone
Anorexia sucks because
35. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-
Tube and J tubes are usually
Ventilator Alarms
In depth - Color codes
Pneumonia
36. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.
More info on EEG
Hba1c
Wilms tumor
Common S/S of MS>
37. PainLESS vision loss - opacity of lens - blurring of the vision
Why somone who is allergic to latex would be allergic to food too
Who produces insulin
Diff between angina and MI
Common S/S of Cataract
38. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
TB test confirmation
Post spleenectomy
Meningeal irriatation>
Cerebral palsy
39. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)
Common S/S of Meningitis
Liver biopsy
A preggo in a minus station
After Thyroidectomy
40. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions
After Myringotomy
Common S/S of addisions
Common S/S of leprosy
Huntington's Chorea
41. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing
Common S/S of Shock
More info on lumbar puncture
Tube and J tubes are usually
What to do in the case of - an Air/Pulmonary Embolism
42. HYPERtension TACHYpnea and TACHYcardia
Rule of thumb for obsessions/distractions
Risus Sardonicus
Crutch use
Common S/S of Shock
43. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.
Flu shot always ask
Paracentesis
Guthrie test
Hearing the baby in OB
44. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V
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45. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate
Cane walking
Cardinal signs of ARDS
Tet spells
Before a pft
46. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)
Common S/S of Pemphigus Vulgaris
Change in color is
Signs to look for in meningitis
Cranial Nerves
47. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
Hightest priority for RA
Cystic fibrosis
What to do for addisons/cushings
Tube and J tubes are usually
48. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB
Phenalalanine
In depth - Color codes
Protocol for Airborne Transmission
Cushing ulcers and cushings triad
49. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.
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50. 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
Sengstaken blakemore tube
Common S/S of Shock
A child with a ventriculoperitoneal shunt
After Gtube placement