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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. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






2. Stepladder like fever with chills






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






4. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






5. 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






6. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






7. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






8. Swimming






9. Never release traction unless you have an order from an MD to do so






10. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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11. Trousseau and Tchovoski signs observed in hypocalcemia






12. Bull's eye rash

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13. Inspiratory stridor.. LTB = croup!!!!






14. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






15. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






16. ** IVP requires bowel prep so they can visualize the bladder better






17. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






18. Just know the MMR and Varicella immunizations come later (15 months).






19. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






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






21. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






22. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






23. Butterfly rashes






24. Chipmunk face






25. Low or semi - Fowler's - support head - neck and shoulders.






26. B/c of low platelets






27. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






28. Dystocia= baby cannot make it down to canal






29. 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 -






30. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






31. 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.






32. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






33. No nasotracheal suctioning with head injury or skull fracture.






34. Olive like mass






35. Low residue diet means low fiver






36. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






37. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






38. Latex allergies => Assess for allergies to bananas - apricots - cherries - grapes - kiwis - passion fruit - avocados - chestnuts - tomatoes - peaches






39. *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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40. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






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






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






43. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






44. 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!






45. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






46. Knee immobility






47. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






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






49. 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.






50. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.