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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. Always check lead posioning levels






3. Age 4 to 5 yrs child needs DPT/MMR/OPV






4. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






5. Seizure>






6. 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!






7. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






8. Private Room or cohort mask






9. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






10. 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)






11. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






12. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






13. Dystocia= baby cannot make it down to canal






14. 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.






15. Hypotension and vasoconstricting meds






16. Skeletal or skin






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






18. Another c section with any more kids






19. 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






20. 1 gram = 1000 mg






21. Pain is usually the highest priority with RA






22. Position prone (on abdomen) so that sac does not rupture






23. Broncospasm (anaphylaxis)






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






25. Glucose






26. Just know the MMR and Varicella immunizations come later (15 months).






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






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






29. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






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






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






32. 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.






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






34. Uremic fetor --> smell urine on the breath






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






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






37. 3 -4 -6






38. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






39. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care


40. 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






41. HYPERtension TACHYpnea and TACHYcardia






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






43. Flapping tremors






44. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






45. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






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






47. Absence of menstruation leads to osteoporosis in the anorexic.






48. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






49. 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.






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