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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. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






2. Psuedo membrane formation






3. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






4. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






5. 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.






6. After endoscopy check gag reflex.






7. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






8. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






9. Irritable - and poor sucking






10. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






11. CHRONIC pain






12. Hypotension and vasoconstricting meds






13. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






14. Descending muscle weakness






15. Systemic Lupus Ethramoutus.... (Lupus)






16. Bronze like skin pigmentation






17. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






18. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






19. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






20. (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)






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






22. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






23. Most spinal cord injuries are at the cervical or lumbar regions






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






25. Purple bruises around the belly button... Pancreatitis!






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






27. 1 quart = 2 pints






28. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






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






30. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






31. 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 -






32. Bull's eye rash


33. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






34. Private Room or cohort mask






35. 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






36. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






37. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






38. Petechiae. Treated with heparin.






39. PainLESS vision loss - opacity of lens - blurring of the vision






40. 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






41. Knee - chest position or Trendelenburg






42. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






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






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


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






46. Mothers receive rhogam to protect next baby.






47. Position prone w hob elevated with gerd. In almost every other case - though - you better lay that kid on his back (Back To Sleep - SIDS).






48. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






49. With low back aches - bend knees to relieve






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