Test your basic knowledge |

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. Psuedo membrane formation






2. 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






3. Petechiae. Treated with heparin.






4. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






5. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






6. Knee immobility






7. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






8. Position pt in left side - lying (Sim's) with knee flexed






9. Never release traction unless you have an order from an MD to do so






10. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






11. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






12. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






13. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






14. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






15. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






16. Uremic fetor --> smell urine on the breath






17. Always check lead posioning levels






18. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






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


20. Swimming






21. Burning on urination






22. 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






23. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






24. 30 ml = 1 oz






25. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






26. Hypotension and vasoconstricting meds






27. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






28. Gonorrhea is a reportable disease






29. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






30. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






31. Broncospasm (anaphylaxis)






32. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






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






34. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






35. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






36. 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






37. Alk Ash diet - milk - veggies - rhubarb - salmon






38. (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)






39. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






40. 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






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






42. 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.






43. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






44. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






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






46. Petechiae or + Herman's sign






47. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






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






49. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






50. In a five -year old breathe once for every 5 compressions doing cpr.