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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. 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.






2. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






3. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






4. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






5. Swimming






6. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.






7. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






8. Portal hypotension + albuminemia= Ascites.






9. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






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






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






12. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






13. Brain problems occur






14. After a hydrocele repair provide ice bags and scrotal support.






15. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






16. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






17. 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.






18. Kussmauls breathing (deep rapid RR)






19. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






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






21. Knee immobility






22. 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


23. Barrel chest






24. Butterfly rashes






25. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






26. 3 D'S -- Drooling - Dysphonia - Dysphagia






27. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






28. 1 t (teaspoon)= 5 ml






29. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






30. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






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






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






33. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






34. A LATE sign! Always~!






35. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






36. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






37. On the other hand - peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Instead - the blood is cleaned while still inside the body. The organs in the abdomen are surrounded by the peritoneum - which is a membr






38. 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.






39. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






40. Dystocia= baby cannot make it down to canal






41. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






42. Small frequent is better than large






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






44. 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.






45. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis


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






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






48. 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






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






50. 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)