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






2. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






3. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






4. Vesicular rash (central to distal) dew drop on rose petal






5. 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.






6. 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






7. Elevate HOB 30 degrees to decrease intracranial pressure






8. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






9. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






10. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






11. 7 - 10ml / kg






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






13. Olive like mass






14. Painless hematuria... CA=Cancer ! Duhh






15. 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






16. Place a wheelchair parallel to the bed on the side of weakness






17. Hodgkin's disease= cancer of lymph is very curable in early stage.






18. With low back aches - bend knees to relieve






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






20. 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)






21. Chvostek and Trosseaus sign! Also hypomag!






22. Portal hypotension + albuminemia= Ascites.






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






24. LLQ - diverticulitis - low residue - no seeds - nuts - peas






25. Anterior fontanelle closes by 18 months. Posterior 6 to 8 weeks.






26. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






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






28. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






29. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






30. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






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






32. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






33. Area of detachment should be in the dependent position -- dependent meaning supported by something






34. 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.






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






36. 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






37. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






38. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






39. 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






40. 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






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






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






43. Stepladder like fever with chills






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






45. Kussmauls breathing (deep rapid RR)






46. Peptic ulcer






47. It is X- linked. Mother passes the disease to her son






48. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






49. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






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