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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. 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.
Hearing the baby in OB
More info on intussception
Common S/S of emphysema
Radioactive iodine
2. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.
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3. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)
MRSA and VRSA precautions
Cryptoorchidism
Common S/S of Cushings syndrome
Complications of mechanical ventilation
4. (incision behind hairline) --> elevate HOB 30-45 degrees
Hep B vaccine always ask
After Supratentorial Surgery
What can also cause an s3 heart sound
Nephrotic syndrome
5. After a hydrocele repair provide ice bags and scrotal support.
Hydrocele
Anorexia sucks because
s3 heart sound is normal not
Nonfat milk
6. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity
Autonomic Dysreflexia
Phenalalanine
HypoMg
Common S/S of Increased ICP
7. 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 DKA
What can't you give to immunosupressed pts
Cystic fibrosis
For a lung biopsy
8. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis
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9. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump
Hirschsprungs
Best indicator of dehydration
Common S/S of parkinsons
Cushings
10. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
Carbon dioxide narcosis
1 pint = How many cups
Guthrie test
Infant with Spina Bifida
11. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.
Pancreatitis prioritys
Eyes
More labs suggestive of renal failure
Tet spells
12. Rebound tenderness
1 kg= How many pounds
Common S/S of appendicitis
Droplet Precautions Transmission
1 quart = How many pints
13. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').
Cranial Nerves
Potassium lab importance
4 year olds
What to do in the case of tube feeding with decreased LOC
14. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)
Nepphrotic syndrome
Orthostatis is verfied by
What to do for addisons/cushings
What to in the case of - Pt with heat stroke
15. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.
Hba1c
More labs suggestive of renal failure
Age 4=5 year shots
Peritoneal dialysis
16. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.
Osteomyeltitis
Post spleenectomy
Lumbar Puncture
Babinski sign
17. Lymes is found mostly in Conneticuts
Common S.S of Retino Blastoma
Common S/S of MS>
During CBI (continuous bladder irrigation)
Lymes mostly found in
18. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!
Hypocalemia
Anorexia sucks because
Gross things to remember about nurses with herpes!!!!
Maslow for a guy who lost his house in a fire
19. Knee - chest position or Trendelenburg
Prolapsed Cord
Hirschsprungs
Tidal volume
For cord compression in OB
20. Recurrent bloody diarrhea
Stomas
Nonfat milk
Common S/S of Ulcerative Colitis
Hirschsprungs
21. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.
Therapies
NG tube rules
Contact transmission precautions
CVA
22. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...
COPD patients
Meningeal irriatation>
Greenstick fracture
With lower amputations
23. Pain is usually the highest priority with RA
Hightest priority for RA
Greenstick fracture
Tube and J tubes are usually
Low crit/hemoglobin
24. Broncospasm (anaphylaxis)
Common S/S of parkinsons
PTB
Renal impairment labs
Main hypersensitivity for antiplatelet drugs
25. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst
Gerd again
Dystocia
Tube and J tubes are usually
Hypernatremia SALT
26. 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
Jews
COPD and Pneumonia
Color codes
Autonomic Dysreflexia
27. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.
Pneumonia
ICP
Late Decels
Hodgkins disease
28. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!
Risus Sardonicus
Common S/S of Tetany
Dumping syndrome
Thyroid storm
29. If patients have hallucinations redirect them. In delusions distract them.
Dunlap traction=
Rule of thumb for assisting pysch patients
More info on lumbar puncture
Tension Pneumothorax
30. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues
Cerebral palsy
IVP requires
Pneumonia
ICP
31. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.
Diverticulitis
What is a bad sign in asthma
Kids pain relief in NCLEX land
Alzheimers
32. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.
Low crit/hemoglobin
Glomerulonephritis
Yellow - Delayed
Parkisons
33. Hypotension and bradypnea / bradycardia are major risks and emergencies.
Major risks of epidural
Myasthenia gravis
Bryant's traction=
Pancreatitis pts>
34. (incision at nape of neck)--> position pt flat and lateral on either side.
Hypernatremia
After Infratentorial Surgery
What to do in a sucking stab wound
Hepatitis
35. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5
What is bleeding considered in ADPIE
Normal Hemoglobin
What is obtained before starting any iv antibiotic
s3 heart sound is normal not
36. CVA (cerebrovascular accident) is with dead brain tissue.
How do children less than one breathe
Myelogram
Common S/S of MG
CVA
37. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle
Side effects of thyroid hormones
Eyes
Hep B vaccine always ask
Radioactive iodine
38. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA
MG and Guillian Barre
ICP
Fetal alcohol sydrome
If you THINK a patient has new HTN
39. Peptic ulcer
Most accurate way to test kids for medication accuracy
Low Residue diet
Pancreatitis prioritys
When you see coffee brown emesis think>
40. Second voided urine most accurate when testing for ketones and glucose.
Dunlap traction=
When to test urine for ketones and glucose
Common S/S of guillian Barre Syndrome
Signs of a hip fracture
41. Risus Sardonicus
Common S/S of Kawasaki syndrome
For an EEG test
Common S/S of Tetany
Huntington's Chorea
42. 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.
Below the knee amputation
Green - Minimal
SARS
Tylenol poisioining
43. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B
Hepatitis
ABG drawin
Vertical C section
Common S/S of Cystitis
44. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread
Black - Expectant
The difference between Myasthenia Gravis - Myastenia Crisis - and Cholinergic Crisis
Common S/S of SLE
ACID ash diet
45. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.
Cystic fibrosis
To prevent dumping syndrome
Temp conversion
If you see a nurse make a mistake Chain of command
46. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.
First sign of pyloric stenosis in a baby
Common S/S of hypocalcemia
How to Dx a AAA
What disease leads to cardiac valve malfunctions
47. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t
Other S/S of MS
OB secret
Cute way to remember glascow coma
Color codes
48. 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
Below the knee amputation
What can't you give to immunosupressed pts
FHR patterns in ob
More info on EEG
49. *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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50. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.
Tetraology of Fallot
Dystocia
With lower amputations
Cath lab