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






2. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






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

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4. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






5. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






6. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






7. TIA (transient ischemic attack) mini stroke with no dead brain tissue






8. CATS - convulsions - arrhythmias - tetany - spasms and stridor






9. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






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






11. Toes curl= GREAT Toes fan = BAD






12. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






13. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






14. 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






15. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






16. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






17. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






18. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






19. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






20. Low residue diet means low fiver






21. MRI- claustrophobia - no metal - assess pacemaker






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






23. A LATE sign! Always~!






24. Portal hypotension + albuminemia= Ascites.






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






26. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






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






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






29. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






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






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






32. 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






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






34. A newly diagnosed hypertension patient should have BP assessed in both arms






35. 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






36. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






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






38. Brain problems occur






39. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






40. Ascending muscle paralysis.. dont confuse with MG






41. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






42. 2.2






43. Respiratory problems!






44. Opposites! Nursing connection! Think about it!






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






46. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






47. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






48. Wheezing on EXPIRATION






49. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






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