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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. 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






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






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






4. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






5. Weight






6. 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.






7. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






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






9. B/c of low platelets






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






11. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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






13. **If kid has cold - can still give immunizations






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






15. Intercostal retractions=bad!






16. 2.2






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






18. (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)






19. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






20. Position pt in left side - lying (Sim's) with knee flexed






21. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






22. Kopliks spots






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






24. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






25. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






26. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






27. Visual floaters - flashes of light - curtain vision






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






29. Broncospasm (anaphylaxis)






30. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






31. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






32. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






33. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






34. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






35. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






36. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






37. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






38. Let's say every answer in front of you is an abnormal value. If potassium is there you can bet it is a problem they want you to identify - because values outside of normal can be life threatening. Normal potassium is 3.5-5.0. Even a bun of 50 doesn't






39. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






40. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






41. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






42. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






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






44. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






45. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






46. 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 -






47. Lioning face






48. Charcot's Triad (IAN)






49. Mothers receive rhogam to protect next baby.






50. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about