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






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






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






4. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






5. Hot and dry- sugar high (hyperglycemia) cold and clammy- need some candy (hypoglycemia)






6. Lioning face






7. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






8. Knee immobility






9. 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)






10. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






11. For knee replacement use continuous passive motion machine.






12. Absence of menstruation leads to osteoporosis in the anorexic.






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






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






15. Always check lead posioning levels






16. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






17. 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






18. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






19. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






20. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






21. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






22. Pilling rolling tremors






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






24. Glucose






25. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






26. Low magnesium and high creatinine signal renal failure.






27. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






28. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






29. 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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30. Bossing Sign (prominent forehead)






31. 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.






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






33. 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!






34. 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






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






36. Bronze like skin pigmentation






37. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






38. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






39. Side lying






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






41. Bethamethasone (celestone)=surfactant. Med for lung expansion.






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






43. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






44. Just know the MMR and Varicella immunizations come later (15 months).






45. Hallmark= Sore throat - cervical lymph adenopathy - fever






46. Seizure>






47. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






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






49. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






50. 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.







Sorry!:) No result found.

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