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. Expiratory grunt -- Causes Infant respiratory distress!






2. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






3. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






4. Peptic ulcer






5. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






6. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V


7. 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.






8. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






9. Skin to skin contact on mom with a blanket






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






11. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






12. Kopliks spots






13. Rice watery stool






14. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






15. 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






16. 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






17. Petechiae. Treated with heparin.






18. 2.2






19. Upper part of the uterus






20. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






21. Hypotension and bradypnea / bradycardia are major risks and emergencies.






22. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






23. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






24. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






25. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






26. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






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






28. Bronze like skin pigmentation






29. 1 T(tablespoon)= 3 t = 15 ml






30. 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






31. Always check lead posioning levels






32. 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').






33. (severe acute resp syndrome) airborne + contact (just like varicella)






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






35. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






37. Bananas - potatoes - citrus fruits






38. Vertigo - Tinnitus


39. EleVate Veins; dAngle Arteries for better perfusion






40. Inspiratory stridor.. LTB = croup!!!!






41. 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






42. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






43. Side lying






44. On bedrest while implant in place






45. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






46. For Meningitis check for Kernig's/ Brudzinski's signs.






47. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






48. Place a wheelchair parallel to the bed on the side of weakness






49. 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.






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