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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. Confirms multiple myeloma






2. 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.






3. Ascending muscle paralysis.. dont confuse with MG






4. Butterfly rashes






5. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






6. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






7. OAmniotic fluid yellow with particles = meconium stained`






8. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






9. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.


10. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






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






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






13. Pumonary tuberculosis






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






15. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






16. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






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






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






19. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






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






21. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






22. Level of consciousness is the most important assessment parameter with status epilepticus.






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






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






25. Flapping tremors






26. Risus Sardonicus






27. After endoscopy check gag reflex.






28. (incision behind hairline) --> elevate HOB 30-45 degrees






29. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






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






31. Always check lead posioning levels






32. 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






33. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






34. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






35. Skin to skin contact on mom with a blanket






36. CSF in meningitis will have high protein - and low glucose.






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






38. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






39. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






40. 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.






41. Recurrent bloody diarrhea






42. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






43. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






44. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






45. Mothers receive rhogam to protect next baby.






46. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






47. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






48. First sign of PE is sudden chest pain - followed by dyspnea and tachypnea.






49. 1 quart = 2 pints






50. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.