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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. Petechiae. Treated with heparin.
During internal radiation
Nonfat milk
During epidural puncture
s/s of a fat embolism
2. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.
Other S/S of MS
Side rail rules
Where should placenta be
Graves disease/ Hyperthyroidism
3. Hypotension and vasoconstricting meds
CABG
What will alter the accuracy of o2 sats
TIA
Change in color is
4. Mothers receive rhogam to protect next baby.
Rh
Halo
ICP and Shock have
MS
5. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
Sources of potassium
Potassium lab importance
Above the knee amputation
Besides meds and congenital problems .. What can lead to decreased preload
6. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA
Main hypersensitivity for antiplatelet drugs
Coomb's test
Fetal alcohol sydrome
1 gr= How many mg
7. 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
Pneumonia
What treats tet spells
Common S/S of Diptheria
8. Cultures
What is obtained before starting any iv antibiotic
1 kg= How many pounds
Cerebral palsy
Who produces insulin
9. Dystocia= baby cannot make it down to canal
IVP requires
Dystocia
Omphalocele
Delegation Rule of Thumb?
10. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.
More info on intussception
High priority in Addisons
Crutch use
After lumbar puncture
11. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Kids with RSV>
When is Rhogam given and how
If you see a nurse make a mistake Chain of command
After lumbar puncture
12. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)
MS
For PVD remember
Mcburney's point
TEF
13. Uremic fetor --> smell urine on the breath
Every new admission needs
Coomb's test
Uremic Fetor
Cor Pulmonae
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.
Nuetropenic patients
No Cantalope
Prior to liver biopsy
Positioning with pneaumonia
15. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.
Phenalalanine
Hba1c
Infant with Cleft lip
Room air is...
16. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s
Botox
Cane walking
Heart Defects
Sickle cell crisis
17. A laxative is given the night before an IVP in order to better visualize the organs.
Low Residue diet
Tenkhoff cath
More IVP info
During CBI (continuous bladder irrigation)
18. TIA (transient ischemic attack) mini stroke with no dead brain tissue
MMR SHot
Order of assessment
TIA
During CBI (continuous bladder irrigation)
19. Tet spells treated with morphine.
Rule of thumb for assisting pysch patients
Heart problems
What treats tet spells
Nondairy sources of calcium
20. No nasotracheal suctioning with head injury or skull fracture.
Nephrotic syndrome
Group - A strep
Common S/S Hepatic Encephalopathy
Suctioning is good -- except
21. Hydration is a big priority!
Before Epidural
Osteomyeltitis
CPR in a five year old
Disease precautions
22. 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
Dumping syndrome
More info on EEG
Charcots sign
If your patient starts seeing bugs
23. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse
Potassium lab importance
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Common S/S Hepatic Encephalopathy
HypoMg
24. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood
SARS
Autonomic Dysreflexia/ Hyperreflexia
Stranger Danger>!
Paget's disease
25. Place in prone position
Turner's sign
Nonfat milk
Hypovolemia
With lower amputations
26. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.
IVP requires
PDA
Tube and J tubes are usually
When is Rhogam given and how
27. 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.
FHR patterns in ob
More IVP info
More info on TB testing a positive result
Options for cancer
28. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.
Kernigs sign
c02 builds up and causes
Wilms tumor
TEF
29. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.
Cephalhematoma (caput succinidanium)
Tylenol poisioining
Kernigs sign
Knee replacement
30. Weight
Carbon dioxide narcosis
Best indicator of dehydration
Tet spells
Yellow - Delayed
31. 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
Airborne Transmission
Post spleenectomy
Milk for kids
To prevent dumping syndrome
32. 30 ml = 1 oz
How do you teach someone to reduce back aches
How many oz in a ml
Halo
For a lung biopsy
33. Second voided urine most accurate when testing for ketones and glucose.
Osteomyeltitis
Common S/S Hepatic Encephalopathy
1 pint = How many cups
When to test urine for ketones and glucose
34. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions
School aged kids and five year olds
After Myringotomy
Parkisons
How do children less than one breathe
35. 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.
HyperKalemia
Cryptoorchidism
Common S/S of Hodgkins Disease/Lymphoma
Traction rule
36. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches
Murphy's sign
Huntington's Chorea
Latex allergies
Penis Problems
37. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame
Phenalalanine
What disease leads to cardiac valve malfunctions
MORE info on DKA ugh!
Graves disease/ Hyperthyroidism
38. 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.
More info on intussception
Common S/S of MG
What happens when phenylalanine increases
How do you treat a small bowel obstruction
39. Most spinal cord injuries are at the cervical or lumbar regions
Where are most spinal cord injuries
How to put on traction
HHNS Vs DKA
Dystocia
40. 1 cup= 8 oz
Emphysema
What to in the case of - Pt with heat stroke
1 cup= How many oz
During CBI (continuous bladder irrigation)
41. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.
Cath lab
Rule of thumb for obsessions/distractions
Crutch use
Therapies
42. 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
Droplet Precautions Transmission
Airborne Transmission
Yellow - Delayed
Phenalalanine
43. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.
caput succedaneum=
A patient with vertical c - section will likely have
Western blot test
Koplick's spots
44. Handle any blood
Crackles most likely are...
Thyroid storm
Where are most spinal cord injuries
LVN/LPN cant
45. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc
Hightest priority for RA
CPR in a five year old
For cord compression in OB
FHR patterns in ob
46. Skeletal or skin
Dunlap traction=
1 quart = How many pints
Eyes
Alkaline Ash diet
47. Its important to be aware of the lab result for prothrombin time
Charcots sign
More labs suggestive of renal failure
Prior to liver biopsy
Greenstick fracture
48. Opposites! Nursing connection! Think about it!
Protocol for Droplet Precautions
What happens when phenylalanine increases
MG and Guillian Barre
Suctioning is good -- except
49. Chipmunk face
Heroin withdrawl in a neonate
Common S/S of Bulimia
During epidural puncture
Western blot test
50. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
Charcots sign
HypoMg
Where are most spinal cord injuries
Hyperthyroidism