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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. Risus Sardonicus
Thrombocyopenia - bleeding precautions
What can also cause an s3 heart sound
Common S/S of Tetany
When to test urine for ketones and glucose
2. A LATE sign! Always~!
1 kg= How many pounds
Amniocentesis is performed and why
Common S/S of Infectious Mononucleosis
Change in color is
3. 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.
No Cantalope
Common S/S of SLE
Vertical C section
If kid has a cold
4. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist
TIA
A patient with vertical c - section will likely have
Chvostek and Trosseaus sign
Potassium and acid base balance
5. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.
Tylenol poisioining
Use of cold and hot
NG tube rules
VRSA
6. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.
Use of cold and hot
Med that can't be infused Intra osseously
Common S/S of Pemphigus Vulgaris
Radioactive iodine
7. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.
Kernigs sign
Contact transmission precautions
Green - Minimal
Black - Expectant
8. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.
Babinski sign
VV and AA
Psuedomembrane in DIptheria
What if a toddler says no to medication
9. Red beefy tongue
Common S/S of pernicious anemia
Major risks of epidural
ICP and Shock have
Cold stress in a newborn
10. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.
Pathological jaundice
Coomb's test
1 tsp= How many ml
After Supratentorial Surgery
11. 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
Labs in DKA>
Yeast infection in a babys mouth
Crutch use
Shock
12. 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
1 quart = How many pints
Common S/S of pyloric stenosis
Yellow - Delayed
Nuetropenic patients
13. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r
Kidneys and ears
1 pint = How many cups
When to test urine for ketones and glucose
After Total Hip Replacement
14. Broncospasm (anaphylaxis)
What if a toddler says no to medication
ICP
Main hypersensitivity for antiplatelet drugs
Hearing the baby in OB
15. Low magnesium and high creatinine signal renal failure.
Greeks
More labs suggestive of renal failure
Best way to warm a newborn
coarctation of the aaorta causes
16. Upper part of the uterus
Change in color is
Contact transmission precautions
Hypo - parathyroid
Where should placenta be
17. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)
How do you treat a small bowel obstruction
Common S/S of GERD
Tube and J tubes are usually
Common S/S of asthma
18. Recurrent bloody diarrhea
Common S/S of Ulcerative Colitis
Dumping syndrome
ALS
Shilling test
19. 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
1 g = How many mg
TEF
Traction in kids
4 year olds
20. 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
Common s/s of PDA
Late Decels
Common S/S Meniere's Disease
21. 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%-
c02 builds up and causes
In depth - Color codes
Cardinal signs of ARDS
After Endoscopy
22. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder
Diff between angina and MI
Munchhausen Syndrome
Common S/S of Hydrocephalosis
When you see coffee brown emesis think>
23. Patent ductuous arteriousus in infants! Valve doesn't close!
How to itch under a cast
PDA
Lymes mostly found in
HypoKalemia
24. Hallmark= Sore throat - cervical lymph adenopathy - fever
Blood typing
Common S/S of Hodgkins Disease/Lymphoma
Alkaline Ash diet
Common S/S of Infectious Mononucleosis
25. Weight
Best indicator of dehydration
Above the knee amputation
Common S/S of Cholera
What can't you give to immunosupressed pts
26. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
Color codes
What happens when phenylalanine increases
Cane walking
Compartment syndrome
27. Ambient air (room air) contains 21 % o2
Trendelenberg's test
Room air is...
What to do in the case of - an Air/Pulmonary Embolism
Common S/S of LTB
28. Place in prone position
Late Decels
Acid/ ASH diet
Common S.S of Retino Blastoma
With lower amputations
29. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)
Most accurate way to test kids for medication accuracy
Common S/S of DKA
HypoKalemia
In depth - Color codes
30. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.
Common S/S of Cystitis
Common S/S of Cholera
Common S/S of measles
TB test confirmation
31. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.
More info on TB testing a positive result
Above the knee amputation
Asthma and arthritis best excercise
PCWP
32. 30 ml = 1 oz
NG tube rules
How many oz in a ml
Use of cold and hot
Hearing the baby in OB
33. Never release traction unless you have an order from an MD to do so
1 tsp= How many ml
Traction rule
Shift to the left means
Western blot test
34. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet
To remember blood sugar
Incentive Spirometry steps
Hypo - parathyroid
After Supratentorial Surgery
35. Peptic ulcer
Common S/S of glaucoma
When you see coffee brown emesis think>
For a lung biopsy
Halo
36. 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
Detached Retina
Hypo - parathyroid
VV and AA
What to do in a sucking stab wound
37. ICP (intracranial pressure) should be <2. measure head circonference.
Gross things to remember about nurses with herpes!!!!
ICP
Peds positioning for GERD
After lumbar puncture
38. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)
Eyes
For a lung biopsy
Hypocalemia
Common S/S of Bladder Cancer
39. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing
Koplick's spots
Where are chest tubes placed
Ventilator Alarms
How do children less than one breathe
40. Pumonary tuberculosis
PTB
What happens when phenylalanine increases
Tenkhoff cath
During internal radiation
41. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.
Hyponatremia
Asthma and arthritis best excercise
Low crit/hemoglobin
For a lung biopsy
42. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves
Burn Degrees
FHR patterns in ob
Dystocia
Cor Pulmonae
43. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)
Cushing ulcers and cushings triad
Ventilator Alarms
1 g = How many mg
Cystic fibrosis
44. 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
Facts about hemophilia
Bence Jones protein in urine
For an EEG test
Gerd again
45. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis
46. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses
Positioning with pneaumonia
How do children less than one breathe
High priority in Addisons
Traction rule
47. Psuedo membrane formation
Burn Degrees
Hypovolemia
Cmmon S/S Fibrin Hyalin
Common S/S of Diptheria
48. CSF in meningitis will have high protein - and low glucose.
Murphy's sign
What treats tet spells
For cord compression in OB
How will CSF look in meningitis
49. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.
Common S/S of retinal detachment
Common S/S of Cystitis
After Total Hip Replacement
Hirschsprungs
50. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.
Western blot test
Thoracentesis
Carbon dioxide narcosis
Detached Retina