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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. Pilling rolling tremors






2. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






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






4. 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.






5. Most spinal cord injuries are at the cervical or lumbar regions






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






7. Renal impairment: serum creatinine elevated and urine clearance decreased






8. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






9. Chipmunk face






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






11. Handle any blood






12. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






13. Skeletal or skin






14. Femur or lower leg instability






15. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






16. Flapping tremors






17. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






18. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






19. 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






20. MRI- claustrophobia - no metal - assess pacemaker






21. Kopliks spots






22. Bethamethasone (celestone)=surfactant. Med for lung expansion.






23. Seizure>






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


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






26. Petechiae. Treated with heparin.






27. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






28. Place a wheelchair parallel to the bed on the side of weakness






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






30. 30 ml = 1 oz






31. If patients have hallucinations redirect them. In delusions distract them.






32. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






33. 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






34. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






35. Yogurt has live cultures - dont give to immunosuppressed pt


36. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






37. Trachea shifts to the opposite side






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






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






40. 1 gr (grain)= 60 mg






41. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






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






43. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






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






45. Expiratory grunt -- Causes Infant respiratory distress!






46. Red beefy tongue






47. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






48. 1 gram = 1000 mg






49. 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






50. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes