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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. 2.2
Charcots sign
Greeks
1 kg= How many pounds
Common S/S of LTB
2. Ambient air (room air) contains 21 % o2
Cushings
Room air is...
Placement of a wheelchair
Allen's test
3. Glucose
Besides sodium - water also follows
Common S/S of Intusseption
Contact transmission precautions
Amniocentesis is performed and why
4. 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
Disease precautions
Common sites for metastatsis
What to do in the case of - A woman in labor with Un - Reassuring FHR
Kidneys and ears
5. Uremic fetor --> smell urine on the breath
Common S/S of pancreatitis
Meconium stained protocol
Uremic Fetor
Protocol for Droplet Precautions
6. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.
Amniocentesis is performed and why
To prevent dumping syndrome
A patient with vertical c - section will likely have
autonomic dysreflexia
7. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis
Head Injury
Thoracentesis
From the ass From the Mouth
Shilling test
8. 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
Chvostek and Trosseaus sign
What to do if your patients chest tube accidently getes removed
Facts about hemophilia
TB health risk
9. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.
COPD and Pneumonia
Droplet Precautions Transmission
Labs for congenital heart disease
Kids pain relief in NCLEX land
10. 1 gram = 1000 mg
1 g = How many mg
TIA
Addisons
Autonomic Dysreflexia/ Hyperreflexia
11. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.
More info on EEG
What is obtained before starting any iv antibiotic
MORE info on DKA ugh!
autonomic dysreflexia
12. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)
Developmental milestones
Room air is...
What to do in the case of - A woman in labor with Un - Reassuring FHR
Bethamethasone
13. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Bethamethasone
Hightest priority for RA
Disease precautions
Pain in the LLQ indicative of...
14. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.
Where should placenta be
The first s/s of ards
Hearing the baby in OB
Dig rule for kids
15. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.
s3 heart sound is normal not
MMR and Varicella
Protocol for Droplet Precautions
Pt with edema and walking
16. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)
Hypercalemia
Common S/S of retinal detachment
Cushing ulcers and cushings triad
Peritoneal dialysis
17. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes
Myxedema/ hypothroidism
HyperKalemia
Sickle cell crisis
HHNS Vs DKA
18. *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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19. Complications of Mechanical Ventilation: Pneumothorax - Ulcers
Bethamethasone
Guthrie test
Menieres's disease
Complications of mechanical ventilation
20. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.
Nuetropenic patients
Where should placenta be
Hep A precautions
Infant with Cleft lip
21. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
After Cataract surgery
Pneumonia
Hypernatremia
ACID ash diet
22. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
Hypernatremia
Nephrotic syndrome
Developmental milestones
Flu shot always ask
23. 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
HyperMg
Diabetes Insipidus
Apgar Scoring
Autonomic Dysreflexia
24. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis
Tidal volume
Contact transmission precautions
Facts about hemophilia
Dance Sign
25. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis
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26. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings
Why somone who is allergic to latex would be allergic to food too
Common S/S of TEF
Lymes mostly found in
SLE
27. Recurrent bloody diarrhea
What is obtained before starting any iv antibiotic
Tidal volume
Common S/S of Ulcerative Colitis
Grey Turners sign
28. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.
Facts about hemophilia
Addisonian Crisis
Order of assessment
NG tube rules
29. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient
Nepphrotic syndrome
Protocol for Airborne Transmission
Common S/S of pyloric stenosis
Blood typing
30. 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.
Hirschsprungs is dx how
Incentive Spirometry steps
How to itch under a cast
Side rail rules
31. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
Common S/S of Bulimia
PKU
Options for cancer
ALS
32. Opposites! Nursing connection! Think about it!
CVA
MG and Guillian Barre
Maslow for a guy who lost his house in a fire
Signs of a hip fracture
33. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.
MORE info on DKA ugh!
Common S/S of emphysema
Heart Defects
Gross things to remember about nurses with herpes!!!!
34. 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. ...
Fetal alcohol sydrome
A preggo in a minus station
COPD patients
Common S/S of Bulimia
35. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030
Knee replacement
Hyperparathyroid
Apgar Scoring
Hypovolemia
36. Questions about a halo Remember safety first - have a screwdriver nearby.
Other S/S of MS
Halo
Shilling test
Whats petaling
37. Expiratory grunt -- Causes Infant respiratory distress!
What if a toddler says no to medication
ICP
Cmmon S/S Fibrin Hyalin
Peritoneal dialysis
38. Guthrie Test - Tests for PKU - baby should have eaten source of protein first
Common S/S of leprosy
Shock
Guthrie test
1 g = How many mg
39. 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
More info on droplet precautions
Common S/S of pernicious anemia
Labs in DKA>
Decorticate and Decerebrate
40. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.
Graves disease/ Hyperthyroidism
Dunlap traction=
Below the knee amputation
Bethamethasone
41. Femur or lower leg instability
How do you teach someone to reduce back aches
After Endoscopy
Russel Traction =
Asthma and arthritis best excercise
42. Vastus lateralis is IM administration site for 6month infants
Apgar Scoring
Omphalocele
Immunizations rules
What if a toddler says no to medication
43. Skeletal or skin
How to treat phobic disorders
MMR SHot
Dunlap traction=
Jews
44. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se
Black - Expectant
Normal Hemoglobin
Autonomic Dysreflexia
Addisons
45. 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
Asthmas and wheezers
Tetraology of Fallot
MS
Paget's disease
46. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.
When instilling eardrops
Autonomic Dysreflexia/ Hyperreflexia
Common S.S of Retino Blastoma
Enema positioning
47. Do Not delegate what you can EAT! E - evaluate A - assess T - teach
Common S/S of epiglottitis
4 year olds
Cath lab
Delegation Rule of Thumb?
48. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn
What could cause bronchopulmonary dysplasia
What to check children for at age 12 months
Contact transmission precautions
CABG
49. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)
Cor Pulmonae
STD= gonnorrhea
After Total Hip Replacement
Common S/S of Bulimia
50. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.
PCWP
For a lumbar puncture
Pancreatitis pts>
What if a toddler says no to medication