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






2. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






3. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






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






5. 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.






6. 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').






7. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






8. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






9. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






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






11. Rusty sputum






12. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.


13. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






14. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






15. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






16. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






17. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






18. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






19. Skin to skin contact on mom with a blanket






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






21. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






22. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






23. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






25. Trachea shifts to the opposite side






26. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






27. 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.






28. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






29. 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






30. 1 cup= 8 oz






31. Another c section with any more kids






32. Med administration is rarely a good choice






33. 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






34. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






35. If patients have hallucinations redirect them. In delusions distract them.






36. Most spinal cord injuries are at the cervical or lumbar regions






37. Dystocia= baby cannot make it down to canal






38. Coarse facial features






39. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






40. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






41. Private Room or cohort mask






42. Bossing Sign (prominent forehead)






43. 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






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






45. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






46. 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






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






48. 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.






49. Tet spells treated with morphine.






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