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






2. 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






3. Confirms multiple myeloma






4. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






5. Tet spells treated with morphine.






6. Rebound tenderness






7. Risus Sardonicus






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






9. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






10. 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)






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






12. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






13. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






14. Machine like murmur






15. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






16. *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


17. Pumonary tuberculosis






18. Vesicular rash (central to distal) dew drop on rose petal






19. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






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






21. Bethamethasone (celestone)=surfactant. Med for lung expansion.






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


23. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






24. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






25. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






26. Side lying






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






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






29. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






30. HYPERtension TACHYpnea and TACHYcardia






31. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






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






33. On bedrest while implant in place






34. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






35. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






36. 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






37. Ottorhea






38. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






39. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






40. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






41. Recurrent bloody diarrhea






42. Position on the RIGHT side with legs flexed






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






44. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






45. (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)






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






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






48. Pain is usually the highest priority with RA






49. Absence of menstruation leads to osteoporosis in the anorexic.






50. Rice watery stool