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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. Bethamethasone (celestone)=surfactant. Med for lung expansion.






2. CATS - convulsions - arrhythmias - tetany - spasms and stridor






3. 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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4. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






5. 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






6. Lymes is found mostly in Conneticuts






7. 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.






8. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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






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






11. 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').






12. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






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






14. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






15. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






16. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






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






18. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






19. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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






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






22. Descending muscle weakness






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






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






25. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






26. Cultures






27. Peptic ulcer






28. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






29. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






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






31. TPN(total parenteral nutrition) given in subclavian line.






32. 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.






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






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






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






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






37. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






38. Med administration is rarely a good choice






39. Knee - chest position or Trendelenburg






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






41. Stepladder like fever with chills






42. Kopliks spots






43. *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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44. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






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






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






47. 2.2






48. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






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






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