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. 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






2. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






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


4. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






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






6. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






7. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






8. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






9. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






10. Second voided urine most accurate when testing for ketones and glucose.






11. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






12. Lioning face






13. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






14. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






15. Low or semi - Fowler's - support head - neck and shoulders.






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






17. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






18. 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






19. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






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






21. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






22. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






23. Nurses First action is to listen to fetal rate/tone






24. 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






25. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






26. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






27. Dystocia= baby cannot make it down to canal






28. 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






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






30. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






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






32. 7 - 10ml / kg






33. Purple bruises around the belly button... Pancreatitis!






34. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






35. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






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






37. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






38. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






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






40. Butterfly rashes






41. Seizure>






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






43. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis


44. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






45. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






46. The MMR vaccine is given SQ not IM.






47. No meat and milk together






48. Machine like murmur






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






50. Complications of Mechanical Ventilation: Pneumothorax - Ulcers