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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. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan
Burn Degrees
How to Dx a AAA
Dig rule for kids
Detached Retina
2. Skeletal or skin
Infant with Spina Bifida
Hodgkins disease
TPN is given in
Dunlap traction=
3. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)
Eclampsia is a
Common S/S of Cataract
Myxedema/ hypothroidism
Peritoneal Dialysis when outflow is inadequate
4. Expiratory grunt -- Causes Infant respiratory distress!
Developmental milestones
Common S/S of leprosy
Other S/S of MS
Cmmon S/S Fibrin Hyalin
5. Ottorhea
Why would a pt with leukemia have epistaxis
Tet spells
School aged kids and five year olds
Common S/S of Basilar Fracture
6. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).
Maslow for a guy who lost his house in a fire
With lower amputations
Shock
What to do in a sucking stab wound
7. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.
Hirschsprungs is dx how
Sickle cell crisis
More info on TB testing a positive result
Airborne Transmission
8. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor
Brudzinski's sign
Diff between placenta previa and placenta abrupto
Penis Problems
Pheochromocytoma
9. Ambient air (room air) contains 21 % o2
Tenkhoff cath
Immunizations rules
Room air is...
HyperKalemia
10. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient
Before a pft
Blood typing
During internal radiation
VV and AA
11. Salty skin
Use of cold and hot
Yellow - Delayed
Common S/S of cystic fibrosis
TEF
12. Bananas - potatoes - citrus fruits
HyperMg
Heart Defects
Common S/S of MS>
Sources of potassium
13. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids
Dengue hemorrhagic fever
Latex allergies
Nepphrotic syndrome
Pancreatitis pts>
14. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA
VRSA
Common S/S of GERD
Besides meds and congenital problems .. What can lead to decreased preload
Bence Jones protein in urine
15. 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
Knee replacement
Paget's disease
Autonomic Dysreflexia
Liver biopsy
16. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
NG tube rules
Appendicitis
Prior to liver biopsy
What is obtained before starting any iv antibiotic
17. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.
Nephrotic syndrome
MRSA and VRSA precautions
School aged kids and five year olds
When is Rhogam given and how
18. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about
Besides meds and congenital problems .. What can lead to decreased preload
Head Injury
Bucks traction =
After Supratentorial Surgery
19. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.
Nepphrotic syndrome
Willam's position
Common S/S of PTB
Common S/S of Shock
20. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds
Dystocia
Incentive Spirometry steps
Major risks of epidural
PDA
21. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst
Kids with RSV>
Cranial nerves for Assessing extraocular eye movements
Hypernatremia SALT
Nitrazine paper
22. Alk Ash diet - milk - veggies - rhubarb - salmon
No Cantalope
Alkaline Ash diet
More info on TB testing a positive result
MRI
23. Cultures
What is obtained before starting any iv antibiotic
Chief concern in CF
Nonfat milk
Common S/S of emphysema
24. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)
Orthostatis is verfied by
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Eyes
Where are chest tubes placed
25. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions
Common S/S of TEF
Disease precautions
HyperMg
Late Decels
26. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast
Hyperthyroidism
From the ass From the Mouth
What to in the case of - Pt with heat stroke
Post spleenectomy
27. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin
Liver biopsy
Blood typing
Common S/S of pancreatitis
Emphysema
28. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions
After Infratentorial Surgery
Every new admission needs
After Myringotomy
1 cup= How many oz
29. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB
Airborne Transmission
Bethamethasone
Common S/S of Basilar Fracture
Nonfat milk
30. Another c section with any more kids
A patient with vertical c - section will likely have
Head Injury
TEF
Blood typing
31. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.
Glomerulonephritis considerations
Addisons
Late Decels
Prolapsed Cord
32. 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.
Side rail rules
Russel Traction =
Parkisons
MMR SHot
33. Its important to be aware of the lab result for prothrombin time
Prior to liver biopsy
Pathological jaundice
Dystocia
Jews
34. Accelerated physical and mental function; sensitivity to heat - fine/soft hair
Cerebral palsy
Diabetes Insipidus
Graves disease/ Hyperthyroidism
1 cup= How many oz
35. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
Chvostek and Trosseaus sign
Major risks of epidural
HyperKalemia
PCWP
36. Private Room or cohort mask
Botox
Protocol for Droplet Precautions
Use of cold and hot
Group - A strep
37. Med administration is rarely a good choice
Asthma and arthritis best excercise
Heroin withdrawl in a neonate
When patient is in distress
Autonomic Dysreflexia
38. Patent ductuous arteriousus in infants! Valve doesn't close!
Common S/S of pyloric stenosis
Common S/S of down syndrome
Enema positioning
PDA
39. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.
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40. After endoscopy check gag reflex.
Hypo - parathyroid
S/S of a fat embolism
Cardinal signs of ARDS
After Endoscopy
41. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.
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42. 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
Yellow - Delayed
PCWP
When you see coffee brown emesis think>
How will CSF look in meningitis
43. 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.
1 tsp= How many ml
Common S/S of Cystitis
Best way to tube feed or feed kids
Radioactive iodine
44. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)
Common S/S of Infectious Mononucleosis
Hep A precautions
Kids with HIV
Thrombocyopenia - bleeding precautions
45. Moon face appearance and buffalo hump
When you see coffee brown emesis think>
How do you teach someone to reduce back aches
Common S/S of Cushings syndrome
Common S/S of Cataract
46. Place the apparatus first then place the weight (der)
How to put on traction
Uremic Fetor
Hep B vaccine always ask
Pneumonia
47. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.
Prolapsed Cord
S/S of a fat embolism
Immunizations rules
Thyroid storm and myxedema
48. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross
Side effects of thyroid hormones
Why somone who is allergic to latex would be allergic to food too
Normal Hemoglobin
Cor Pulmonae
49. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids
coarctation of the aaorta causes
1 cup= How many oz
Hyponatremia
NMS
50. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)
To prevent dumping syndrome
Kawasaki disease causes
Where are most spinal cord injuries
Hypovolemia