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. Level of consciousness is the most important assessment parameter with status epilepticus.






2. Never release traction unless you have an order from an MD to do so






3. Bananas - potatoes - citrus fruits






4. 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






5. Butterfly rashes






6. Hypotension and bradypnea / bradycardia are major risks and emergencies.






7. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






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






9. Olive like mass






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






11. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.


12. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






13. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






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


15. Flapping tremors






16. 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.






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






18. Burning on urination






19. Wheezing on EXPIRATION






20. Lie flat with legs elevated






21. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






22. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






23. Opposites! Nursing connection! Think about it!






24. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






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






26. 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.






27. Position on the RIGHT side with legs flexed






28. Chipmunk face






29. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






30. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






31. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






32. (skin traction) --> elevate foot of bed for counter - traction


33. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






34. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs


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






36. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






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






38. CATS - convulsions - arrhythmias - tetany - spasms and stridor






39. Chest tubes are placed in the pleural space.






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






41. Rose spots on abdomen






42. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






43. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






44. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






45. Allergic to eggs (Tristan D. ) !






46. Trachea shifts to the opposite side






47. 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






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






49. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






50. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.