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. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






2. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






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






4. TPN(total parenteral nutrition) given in subclavian line.






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






6. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






7. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






8. 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






9. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






10. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






11. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






12. 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.






13. 7 - 10ml / kg






14. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






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






16. Age 4 to 5 yrs child needs DPT/MMR/OPV






17. (severe acute resp syndrome) airborne + contact (just like varicella)






18. B/c of low platelets






19. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






20. Patent ductuous arteriousus in infants! Valve doesn't close!






21. Handle any blood






22. An occulsive dressing is used






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






24. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






25. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






26. Portal hypotension + albuminemia= Ascites.






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






28. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






29. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






30. 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.






31. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






32. Skin to skin contact on mom with a blanket






33. Med administration is rarely a good choice






34. Barrel chest






35. Position prone (on abdomen) so that sac does not rupture






36. 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.






37. Battles Sign and Racoon's eyes






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






39. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast






40. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






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






42. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






43. 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






44. 1 cup= 8 oz






45. 30 ml = 1 oz






46. 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






47. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






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






49. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






50. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB