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. 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').






2. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






3. The biggest concern with cold stress and the newborn is respiratory distress.






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






5. HYPERtension TACHYpnea and TACHYcardia






6. CVA (cerebrovascular accident) is with dead brain tissue.






7. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis


8. 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






9. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






10. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






11. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.


12. Position on the RIGHT side with legs flexed






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






14. A laxative is given the night before an IVP in order to better visualize the organs.






15. Patent ductuous arteriousus in infants! Valve doesn't close!






16. 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






17. Osession is to thought. Compulsion is to action






18. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






19. Coarse facial features






20. Expiratory grunt -- Causes Infant respiratory distress!






21. After a hydrocele repair provide ice bags and scrotal support.






22. Sausage shaped mass - Dance sign (empty portion of RLQ)






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






24. Painless hematuria... CA=Cancer ! Duhh






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






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






27. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






28. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






29. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






30. Reduced size and force of urine






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


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






33. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






34. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






35. 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%-






36. 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.






37. Trousseau and Tchovoski signs observed in hypocalcemia






38. 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. ...






39. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






40. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






41. It is X- linked. Mother passes the disease to her son






42. Glucose






43. An occulsive dressing is used






44. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






45. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






46. Birth weight doubles by 6 month and triple by 1 year of age.






47. Position pt in left side - lying (Sim's) with knee flexed






48. 7 - 10ml / kg






49. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






50. Moon face appearance and buffalo hump