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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. ** IVP requires bowel prep so they can visualize the bladder better






2. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






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






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






5. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






6. Low or semi - Fowler's - support head - neck and shoulders.






7. Hodgkin's disease= cancer of lymph is very curable in early stage.






8. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






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






10. 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






11. 1 quart = 2 pints






12. Femur or lower leg instability






13. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






14. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






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. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






17. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






18. 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.






19. Kussmauls breathing (deep rapid RR)






20. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






21. Inspiratory stridor.. LTB = croup!!!!






22. 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!






23. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






24. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






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






26. TIA (transient ischemic attack) mini stroke with no dead brain tissue






27. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






28. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






29. Knee immobility






30. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






31. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






32. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






33. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






34. Handle any blood






35. Broncospasm (anaphylaxis)






36. Its important to be aware of the lab result for prothrombin time






37. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






38. 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






39. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






40. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






41. Battles Sign and Racoon's eyes






42. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






43. Bronze like skin pigmentation






44. Salty skin






45. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






46. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






47. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






48. Vastus lateralis is IM administration site for 6month infants 






49. 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').






50. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)