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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. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






2. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






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






4. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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5. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






6. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






7. Respiratory problems!






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






9. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






11. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






12. 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.






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

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






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






16. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






17. Renal impairment: serum creatinine elevated and urine clearance decreased






18. 1 t (teaspoon)= 5 ml






19. Another c section with any more kids






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






21. Visual floaters - flashes of light - curtain vision






22. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






23. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






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






25. Pulse area cpr on infant






26. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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27. (skin traction) --> elevate foot of bed for counter - traction

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28. If HR is <100 do not give dig to children.






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






30. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






31. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






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






33. Petechiae or + Herman's sign






34. 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






35. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






36. Chest tubes are placed in the pleural space.






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






38. Low magnesium and high creatinine signal renal failure.






39. For Meningitis check for Kernig's/ Brudzinski's signs.






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






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






42. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






43. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






44. Brain problems occur






45. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






46. Intercostal retractions=bad!






47. Portal hypotension + albuminemia= Ascites.






48. Nurses First action is to listen to fetal rate/tone






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






50. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%