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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. WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection)






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






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






4. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






5. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






6. 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






7. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






8. Strawberry tongue






9. Pulse area cpr on infant






10. CATS - convulsions - arrhythmias - tetany - spasms and stridor






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






12. Petechiae. Treated with heparin.






13. Bossing Sign (prominent forehead)






14. Recurrent bloody diarrhea






15. 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






16. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






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






18. Olive like mass






19. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






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






21. A= appearance (color all pink - pink and blue - blue [pale]) P= pulse (>100 - < 100 - absent) G= grimace (cough - grimace - no response) A= activity (flexed - flaccid - limp) R= respirations (strong cry - weak cry - absent)






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






23. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






24. Opposites! Nursing connection! Think about it!






25. Barrel chest






26. EleVate Veins; dAngle Arteries for better perfusion






27. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






28. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






29. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






30. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






31. Osession is to thought. Compulsion is to action






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






33. 30 ml = 1 oz






34. The first sign of ARDS is increased respirations. Later comes dyspnea - retractions - air hunger - cyanosis.






35. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






36. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






37. (skin traction) --> elevate foot of bed for counter - traction

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






39. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






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






41. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings






42. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






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






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

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45. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






46. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






47. Crackles suggest pneumonia - which is likely to be accompanied by hypoxia - which would manifest itself as mental confusion - etc.






48. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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49. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






50. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.