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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. Weight






2. MRI- claustrophobia - no metal - assess pacemaker






3. 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.






4. Battles Sign and Racoon's eyes






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






6. 1 T(tablespoon)= 3 t = 15 ml






7. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






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






9. Handle any blood






10. 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






11. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






12. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






13. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






14. Normal in CHF from the squishin'.. Not normal in an MI patient






15. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






16. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






17. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






18. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






19. OAmniotic fluid yellow with particles = meconium stained`






20. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






21. 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

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22. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






23. Rice watery stool






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






25. Respiratory problems!






26. CHRONIC pain






27. Hydration is a big priority!






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






29. **If kid has cold - can still give immunizations






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






31. Position on the RIGHT side with legs flexed






32. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






33. Lioning face






34. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






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






36. Machine like murmur






37. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






38. B/c of low platelets






39. 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






40. Petechiae or + Herman's sign






41. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






42. 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.






43. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






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






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






46. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






47. A LATE sign! Always~!






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






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






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