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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. Charcot's Triad (IAN)






2. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






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






4. (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)






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






6. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






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






8. Chest tubes are placed in the pleural space.






9. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






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






11. Toes curl= GREAT Toes fan = BAD






12. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






13. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






14. 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






15. Mothers receive rhogam to protect next baby.






16. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






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






18. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






19. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






20. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






21. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis


22. 1 T(tablespoon)= 3 t = 15 ml






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






24. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






25. Expiratory grunt -- Causes Infant respiratory distress!






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






27. 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






28. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






29. 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






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






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






32. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






33. Pilling rolling tremors






34. Salty skin






35. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






36. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






37. Yogurt has live cultures - dont give to immunosuppressed pt


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






39. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






40. Bull's eye rash


41. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






42. Respiratory problems!






43. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






44. 7 - 10ml / kg






45. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






46. Hallmark= Sore throat - cervical lymph adenopathy - fever






47. Confirms multiple myeloma






48. Slowed physical and mental function - sensitivity to cold - dry skin and hair






49. 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






50. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis