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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. 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






2. 1 gr (grain)= 60 mg






3. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






5. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






6. Intercostal retractions=bad!






7. Stepladder like fever with chills






8. A child with a ventriculoperitoneal shunt will have a small upper - abdominal incision. This is where the shunt is guided into the abdominal cavity - and tunneled under the skin up to the ventricles. You should watch for abdominal distention - since






9. 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').






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






11. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






12. Small frequent is better than large






13. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






14. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






15. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






16. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






17. Yogurt has live cultures - dont give to immunosuppressed pt

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18. B/c of low platelets






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






20. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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






22. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






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






24. 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






25. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






26. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






27. 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






28. 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!






29. 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






30. Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions






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






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






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






34. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






35. 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!






36. Lymes is found mostly in Conneticuts






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






38. Diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.






39. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






40. 3 -4 -6






41. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






42. After a hydrocele repair provide ice bags and scrotal support.






43. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






44. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






45. CHRONIC pain






46. After endoscopy check gag reflex.






47. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






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






49. Salty skin






50. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.