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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. Semi - Fowler's - prevent ncek flexion/hyperextension - trach at bedside






2. Trendelenburg test - for varicose veins. If they fill proximally = varicosity.

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3. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






4. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






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






6. 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






7. Pumonary tuberculosis






8. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






9. Lymes is found mostly in Conneticuts






10. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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11. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






12. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






13. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






14. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






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






16. ICP (intracranial pressure) should be <2. measure head circonference.






17. 2.2






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






19. Kussmauls breathing (deep rapid RR)






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






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






22. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






23. 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!






24. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






25. 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

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26. Chest tubes are placed in the pleural space.






27. Skin to skin contact on mom with a blanket






28. 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






29. Low residue diet means low fiver






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






31. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






32. Machine like murmur






33. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






34. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






35. Rice watery stool






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






37. 7 - 10ml / kg






38. Hypotension and vasoconstricting meds






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






40. Orange tag in triage is non emergent Psych






41. After endoscopy check gag reflex.






42. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






43. Battles Sign and Racoon's eyes






44. 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






45. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






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






47. 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






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






49. Brain problems occur






50. With low back aches - bend knees to relieve







Sorry!:) No result found.

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