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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. Alk Ash diet - milk - veggies - rhubarb - salmon






2. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






3. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






4. A newly diagnosed hypertension patient should have BP assessed in both arms






5. Children <3yoa - <35 lbs with femur fx

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






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






8. Dystocia= baby cannot make it down to canal






9. Trachea shifts to the opposite side






10. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






11. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






12. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






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






14. CSF in meningitis will have high protein - and low glucose.






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






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






17. 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.






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






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






20. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






21. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






22. 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






23. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)






24. A LATE sign! Always~!






25. Place the apparatus first then place the weight (der)






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






27. After endoscopy check gag reflex.






28. Cultures






29. Kopliks spots






30. Its important to be aware of the lab result for prothrombin time






31. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






32. Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex)






33. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






34. TIA (transient ischemic attack) mini stroke with no dead brain tissue






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






36. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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37. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






38. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






39. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






40. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






41. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






42. Injuries are extensive and chances of survival are unlikely. Seperate but dont abandoned - comfort measures if possible. Ex: Unresponsive - spinal cord injuries - woulds with anatomical organs - 2nd/3rd degree burn with 60% of body surface area - se






43. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






44. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






45. Vastus lateralis is IM administration site for 6month infants 






46. Side lying






47. Toes curl= GREAT Toes fan = BAD






48. Femur or lower leg instability






49. Red beefy tongue






50. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.