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NCLEX Final Ati Study

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. Chvostek and Trosseaus sign! Also hypomag!






2. Dystocia= baby cannot make it down to canal






3. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






4. The biggest concern with cold stress and the newborn is respiratory distress.






5. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






6. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






7. Children <3yoa - <35 lbs with femur fx

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8. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






9. 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






10. Hypotension and vasoconstricting meds






11. Hypotension and bradypnea / bradycardia are major risks and emergencies.






12. No meat and milk together






13. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






14. Orange tag in triage is non emergent Psych






15. A laxative is given the night before an IVP in order to better visualize the organs.






16. Absence of menstruation leads to osteoporosis in the anorexic.






17. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






18. Normal in CHF from the squishin'.. Not normal in an MI patient






19. CHRONIC pain






20. Mothers receive rhogam to protect next baby.






21. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






22. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






23. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






24. After endoscopy check gag reflex.






25. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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26. (incision at nape of neck)--> position pt flat and lateral on either side.






27. Liver - brain - lung - bone - and lymph






28. (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)






29. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






30. Position on the RIGHT side with legs flexed






31. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






32. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






33. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






34. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






35. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






36. Expiratory grunt -- Causes Infant respiratory distress!






37. PainLESS vision loss - opacity of lens - blurring of the vision






38. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






39. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






40. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






41. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






42. Rose spots on abdomen






43. Increased temp - pulse and HTN






44. Renal impairment: serum creatinine elevated and urine clearance decreased






45. Ascending muscle paralysis.. dont confuse with MG






46. 1 pint= 2 cups






47. B/c of low platelets






48. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






49. 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.






50. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA