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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. The biggest concern with cold stress and the newborn is respiratory distress.






2. (incision at nape of neck)--> position pt flat and lateral on either side.






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






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






5. Greenstick fractures - usually seen in kids bone breaks on one side and bends on the other






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






7. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!






8. Chvostek and Trosseaus sign! Also hypomag!






9. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






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






11. Mothers receive rhogam to protect next baby.






12. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






13. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






14. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






15. Chemo - radiation - surgery - allow to die with dignity.






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






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


18. 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.






19. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






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






21. Confirms multiple myeloma






22. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






23. Tet spells treated with morphine.






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






25. 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






26. Chest tubes are placed in the pleural space.






27. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






28. Protruding tongue






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






30. 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.






31. Peptic ulcer






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






33. CVA (cerebrovascular accident) is with dead brain tissue.






34. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






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






36. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






37. Systemic Lupus Ethramoutus.... (Lupus)






38. 1 gr (grain)= 60 mg






39. Another c section with any more kids






40. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






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






42. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






43. No meat and milk together






44. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






45. Knee immobility






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






47. Pain is usually the highest priority with RA






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






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






50. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments