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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. Perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities.






2. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






3. Kussmauls breathing (deep rapid RR)






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






5. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






6. Systemic Lupus Ethramoutus.... (Lupus)






7. ** BOTOX for strabismus. Patch the GOOD eye so that the weaker eye can get stronger.






8. Seizure>






9. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






10. 2.2






11. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






12. Skeletal or skin






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






14. Chvostek and Trosseaus sign! Also hypomag!






15. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






16. Hydration is a big priority!






17. Charcot's Triad (IAN)






18. 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






19. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






20. Wheezing on EXPIRATION






21. 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






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






23. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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24. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






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






26. 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






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






28. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






29. Trachea shifts to the opposite side






30. Vesicular rash (central to distal) dew drop on rose petal






31. 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






32. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






33. 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)






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






35. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






36. Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)






37. Place a wheelchair parallel to the bed on the side of weakness






38. Bananas - potatoes - citrus fruits






39. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






40. 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.






41. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






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






43. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






44. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






45. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






46. Brain problems occur






47. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






48. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






49. Position prone (on abdomen) so that sac does not rupture






50. Small frequent is better than large







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