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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. 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.






2. With low back aches - bend knees to relieve






3. Brain problems occur






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






5. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






6. Rebound tenderness






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. 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.






9. 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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10. 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






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






12. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






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






14. In a five -year old breathe once for every 5 compressions doing cpr.






15. Dystocia= baby cannot make it down to canal






16. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






17. Hallmark= Sore throat - cervical lymph adenopathy - fever






18. Descending muscle weakness






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






20. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






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






22. 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






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






24. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






25. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






26. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






27. Coarse facial features






28. 7 - 10ml / kg






29. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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30. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






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






32. Elevate HOB 30 degrees to decrease intracranial pressure






33. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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34. Second voided urine most accurate when testing for ketones and glucose.






35. Trousseau and Tchovoski signs observed in hypocalcemia






36. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






37. 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.






38. Upper part of the uterus






39. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






40. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






41. Liver - brain - lung - bone - and lymph






42. MRI- claustrophobia - no metal - assess pacemaker






43. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






44. 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






45. Absence of menstruation leads to osteoporosis in the anorexic.






46. Side lying






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






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






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






50. 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.