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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. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






2. Red -- unstable - ie - occluded airway - actively bleeding - see first Yellow --- stable - can wait up to an hour for treatment - ie burns - see second Green --- stable - can wait even longer to be seen - 'walking wounded' Black -- unstable clients t






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






4. Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine.






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






6. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis


7. Sausage shaped mass - Dance sign (empty portion of RLQ)






8. Skin to skin contact on mom with a blanket






9. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






10. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






11. Tet spells treated with morphine.






12. Dystocia= baby cannot make it down to canal






13. Portal hypotension + albuminemia= Ascites.






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






15. Co2 causes vasoconstriction.






16. Broncospasm (anaphylaxis)






17. 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.






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






19. Risus Sardonicus






20. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care


21. Small frequent is better than large






22. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






24. Protruding tongue






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






26. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






27. Birth weight doubles by 6 month and triple by 1 year of age.






28. Psuedo membrane formation






29. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






30. 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






31. Gonorrhea is a reportable disease






32. 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






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






34. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






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






36. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.






37. 1 cup= 8 oz






38. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






39. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






40. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






41. The MMR vaccine is given SQ not IM.






42. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






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






44. Side lying






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






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






47. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






48. If patients have hallucinations redirect them. In delusions distract them.






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






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