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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. 2.2






2. Ambient air (room air) contains 21 % o2






3. Glucose






4. 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






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






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






7. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






8. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






9. 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.






10. 1 gram = 1000 mg






11. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






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






13. Bethamethasone (celestone)=surfactant. Med for lung expansion.






14. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






15. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






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






17. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






18. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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19. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






20. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






21. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






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






23. 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






24. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






25. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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26. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






27. Recurrent bloody diarrhea






28. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






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






30. 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.






31. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






32. Opposites! Nursing connection! Think about it!






33. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






34. 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. ...






35. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






36. Questions about a halo Remember safety first - have a screwdriver nearby.






37. Expiratory grunt -- Causes Infant respiratory distress!






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






39. 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






40. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






41. Femur or lower leg instability






42. Vastus lateralis is IM administration site for 6month infants 






43. Skeletal or skin






44. 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






45. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






46. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






47. Do Not delegate what you can EAT! E - evaluate A - assess T - teach






48. 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






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






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