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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. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






2. With low back aches - bend knees to relieve






3. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






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






5. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






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






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

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8. Knee - chest position or Trendelenburg






9. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






10. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






11. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






12. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






13. Portal hypotension + albuminemia= Ascites.






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






15. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






16. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






17. 3 -4 -6






18. Slowed physical and mental function - sensitivity to cold - dry skin and hair






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






20. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






21. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






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






23. 7 - 10ml / kg






24. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






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






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






27. Risus Sardonicus






28. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






29. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






30. 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






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






32. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






33. Another c section with any more kids






34. Bronze like skin pigmentation






35. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






36. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






37. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






38. Swimming






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






40. Battles Sign and Racoon's eyes






41. Coarse facial features






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






43. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






44. 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.






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






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






47. Inspiratory stridor.. LTB = croup!!!!






48. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






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






50. Descending muscle weakness