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






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






3. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






4. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






5. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






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






7. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






8. Osession is to thought. Compulsion is to action






9. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






10. No nasotracheal suctioning with head injury or skull fracture.






11. Skin to skin contact on mom with a blanket






12. 3 -4 -6






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






14. Orange tag in triage is non emergent Psych






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






16. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






17. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






18. 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.






19. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






20. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






21. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






22. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






23. 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






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






25. Increased temp - pulse and HTN






26. Battles Sign and Racoon's eyes






27. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






28. After endoscopy check gag reflex.






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






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






31. Position on the RIGHT side with legs flexed






32. Reduced size and force of urine






33. 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.






34. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






35. 30 ml = 1 oz






36. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






37. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






38. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






39. Beta cells of pancreas produce insulin






40. Rice watery stool






41. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






42. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






43. Its important to be aware of the lab result for prothrombin time






44. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






45. ICP (intracranial pressure) should be <2. measure head circonference.






46. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






47. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






48. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






49. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






50. Expiratory grunt -- Causes Infant respiratory distress!