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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. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et
Renal impairment labs
Post Thyroidectomy
Yellow - Delayed
Age 4=5 year shots
2. 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
Potassium lab importance
Asthma and arthritis best excercise
Common S/S of Hodgkins Disease/Lymphoma
Thyroid storm
3. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS
Hypercalemia
1 tablespoon = How many ml
Cryptoorchidism
What will alter the accuracy of o2 sats
4. Burning on urination
Shock
Common S/S of Cystitis
Before giving MMR>
Suctioning is good -- except
5. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications
Hypernatremia SALT
Where are most spinal cord injuries
Heroin withdrawl in a neonate
Heart problems
6. Complications of Mechanical Ventilation: Pneumothorax - Ulcers
Dystocia
Complications of mechanical ventilation
Fontanelles
Orange tag in pysch
7. Risus Sardonicus
1 cup= How many oz
Common S/S of Tetany
Black - Expectant
Kids with RSV>
8. Charcot's Triad (IAN)
Acid/ ASH diet
Common S/S of MS>
Hba1c
Shift to the left means
9. Uremic fetor --> smell urine on the breath
Post spleenectomy
Risus Sardonicus
Common S/S Acromegaly
Uremic Fetor
10. Private Room or cohort mask
HHNS Vs DKA
When to test urine for ketones and glucose
Dangerous thing to get during pregnancy
Protocol for Droplet Precautions
11. Chest tubes are placed in the pleural space.
Dig rule for kids
Common S/S of Diptheria
Where are chest tubes placed
caput succedaneum=
12. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.
CABG
Yeast infection in a babys mouth
Allen's test
Low crit/hemoglobin
13. CHRONIC pain
Guided imagery is great for
Before giving MMR>
What could cause bronchopulmonary dysplasia
Mcburney's point
14. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.
Sources of potassium
Kids with RSV>
Common S/S of DKA
If kid has a cold
15. 1 T(tablespoon)= 3 t = 15 ml
Murphy's sign
1 tablespoon = How many ml
MORE info on DKA ugh!
Cold stress in a newborn
16. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.
Common S/S of PTB
When instilling eardrops
How to Dx a AAA
Common S/S of cystic fibrosis
17. Sausage shaped mass - Dance sign (empty portion of RLQ)
Hep A precautions
VV and AA
Common S/S of Intusseption
Post spleenectomy
18. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.
Common S/S of measles
Common S/S of Liver cirrhoisis
Every new admission needs
Preload and Afterload
19. ICP (intracranial pressure) should be <2. measure head circonference.
Common S/S of Diptheria
To prevent dumping syndrome
ICP
Kids with HIV
20. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
Pancreatitis pts>
What if a toddler says no to medication
What can also cause an s3 heart sound
Nitrazine paper
21. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis
SIADH
MRI
A child with a ventriculoperitoneal shunt
Cullens sign
22. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's
After lumbar puncture
Common S/S of Diptheria
Hypervolemia
Common S/S Hepatic Encephalopathy
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
More labs suggestive of renal failure
Diff between angina and MI
HyperMg
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
24. 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.
Protocol for Droplet Precautions
Omphalocele
Orange tag in pysch
Brudzinski's sign
25. 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.
Every new admission needs
Penis Problems
What to do if your patients chest tube accidently getes removed
After removal of the pituitary gland what should you watch for
26. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12
Common S/S of measles
HyperMg
Shilling test
Compartment syndrome
27. Orange tag in triage is non emergent Psych
Orange tag in pysch
Tube and J tubes are usually
First sign of pyloric stenosis in a baby
Fontanelles
28. Dystocia= baby cannot make it down to canal
ACID ash diet
Labs in DKA>
Dystocia
Protocol for Airborne Transmission
29. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech
Cerebral angio prep
1 tsp= How many ml
Charcots sign
HHNS Vs DKA
30. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia
Whats petaling
Dystocia
Gross things to remember about nurses with herpes!!!!
FHR patterns in ob
31. 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.
Western blot test
FHR patterns in ob
TB test confirmation
What to do in the case of - an Air/Pulmonary Embolism
32. Broncospasm (anaphylaxis)
After Infratentorial Surgery
Main hypersensitivity for antiplatelet drugs
Heart Defects
Eyes
33. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)
Dance Sign
If you THINK a patient has new HTN
Allen's test
After lumbar puncture
34. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (
Cranial Nerves
Laparoscopy
Hypovolemia
Pheochromocytoma
35. PainLESS vision loss - opacity of lens - blurring of the vision
ABG drawin
Whats petaling
1 g = How many mg
Common S/S of Cataract
36. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst
Hypernatremia SALT
Common S/S of addisions
Why somone who is allergic to latex would be allergic to food too
From the ass From the Mouth
37. 3 -4 -6
Droplet Precautions Transmission
Phenalalanine
Cranial nerves for Assessing extraocular eye movements
Decorticate and Decerebrate
38. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.
Cane walking
School aged kids and five year olds
Pneumonia
Hyponatremia
39. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.
Change in color is
For PVD remember
Stomas
Cause of Ascites
40. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce
MS
What is bleeding considered in ADPIE
What to do in the case of - an Air/Pulmonary Embolism
Nuetropenic patients
41. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.
Common S/S of LTB
First sign of cystic fibrosis
Tension Pneumothorax
Nonfat milk
42. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis
Common S/S of cystic fibrosis
TEF
Amniocentesis is performed and why
Common S/S of MG
43. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up
Gerd again
Pancreatitis pts>
Botox
Pulmonary sarcoidosis
44. TIA (transient ischemic attack) mini stroke with no dead brain tissue
TIA
GTT for preggos
Facts about hemophilia
Common S/S of pernicious anemia
45. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a
Common S/S of Thypohiod
Who produces insulin
More labs suggestive of renal failure
For a lung biopsy
46. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis
47. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
Hyperthyroidism
autonomic dysreflexia
Use of cold and hot
Penis Problems
48. 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
SARS
Kidneys and ears
Sickle cell crisis
Autonomic Dysreflexia
49. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Kawasaki disease causes
Common S/S of DKA
Tet spells
Gerd again
50. Lioning face
CVA
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Common S/S of leprosy
Alzheimers