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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. 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.






2. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






3. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






4. Protruding tongue






5. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






6. Confirms multiple myeloma






7. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






8. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






9. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






10. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






11. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






12. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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13. Rebound tenderness






14. Respiratory problems!






15. 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.






16. Mothers receive rhogam to protect next baby.






17. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






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






19. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






20. On bedrest while implant in place






21. Seizure>






22. Knee - chest position or Trendelenburg






23. Position prone (on abdomen) so that sac does not rupture






24. 2.2






25. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






26. 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






27. Skin to skin contact on mom with a blanket






28. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






29. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






30. Knee immobility






31. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






32. Battles Sign and Racoon's eyes






33. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






34. Chest tubes are placed in the pleural space.






35. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






36. 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.






37. Skeletal or skin






38. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






39. Moon face appearance and buffalo hump






40. Lioning face






41. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






42. 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






43. Handle any blood






44. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






45. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






46. 1 pint= 2 cups






47. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






48. Peptic ulcer






49. Place the apparatus first then place the weight (der)






50. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.