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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. Age 4 to 5 yrs child needs DPT/MMR/OPV






2. Moon face appearance and buffalo hump






3. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






4. Always check lead posioning levels






5. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






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






7. Rice watery stool






8. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






9. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






10. Place in prone position






11. Knee immobility






12. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






13. **If kid has cold - can still give immunizations






14. Charcot's Triad (IAN)






15. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






16. Pumonary tuberculosis






17. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






18. Area of detachment should be in the dependent position -- dependent meaning supported by something






19. Mothers receive rhogam to protect next baby.






20. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






21. 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






22. Butterfly rashes






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






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






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






26. No meat and milk together






27. Olive like mass






28. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






29. Portal hypotension + albuminemia= Ascites.






30. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






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






32. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






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






34. 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.






35. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






36. Small frequent is better than large






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






38. 2.2






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






40. Side lying






41. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






42. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






43. 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).






44. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






45. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






46. Cat's eye reflex (grayish discoloration of the pupil)






47. Bull's eye rash

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48. Systematic desensitization






49. Recurrent bloody diarrhea






50. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB