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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. 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






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






3. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






4. 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.






5. Second voided urine most accurate when testing for ketones and glucose.






6. Tet spells treated with morphine.






7. 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






8. 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






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






10. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






11. An occulsive dressing is used






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






13. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






14. The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. Do not use an occlusive dressing - which could convert the wound from open pneumo to closed one - and a tension pneumot






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






16. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






17. Bull's eye rash


18. Dystocia= baby cannot make it down to canal






19. Wheezing on EXPIRATION






20. 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






21. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.


22. Opposites! Nursing connection! Think about it!






23. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






24. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis


25. Questions about a halo Remember safety first - have a screwdriver nearby.






26. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






27. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






28. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






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






30. 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






31. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






32. Handle any blood






33. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






34. Painless hematuria... CA=Cancer ! Duhh






35. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






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






37. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






38. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






39. 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.






40. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






41. Parkinson's = RAT: rigidity - akinesia (loss of muscle mvt) - tremors. Treat with levodopa.






42. Skeletal or skin






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






44. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.






45. Place in prone position






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






47. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






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


49. Knee - chest position or Trendelenburg






50. Its important to be aware of the lab result for prothrombin time