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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. Systematic desensitization






2. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






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






4. Pulse area cpr on infant






5. OU- both eyes OS- left eye OD- right eye ( dominent Right eye - just a tip to remember)






6. Hydration is a big priority!






7. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






8. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






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






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






11. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






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






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






14. Foot of bed elevated for first 24 hours - position prone daily to provide for hip extension.






15. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






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


17. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






18. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






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






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






21. Respiratory problems!






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






23. CHRONIC pain






24. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






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






26. Level of consciousness is the most important assessment parameter with status epilepticus.






27. 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






28. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






29. Co2 causes vasoconstriction.






30. Yogurt has live cultures - dont give to immunosuppressed pt


31. Guillain - Barre syndrome= ascending paralysis. Keep eye on respiratory system.






32. 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.






33. Red beefy tongue






34. For late decels - turn the mother to her left side - to allow more blood flow to the placenta.






35. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






36. A laxative is given the night before an IVP in order to better visualize the organs.






37. Muscle weakness - lack of coordination - abdominal pain - confusion - absent tendon reflexes - sedative effect on CNS






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






39. Purple bruises around the belly button... Pancreatitis!






40. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






41. Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).






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






43. Ascending muscle paralysis.. dont confuse with MG






44. Private Room or cohort mask






45. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.


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






47. It is X- linked. Mother passes the disease to her son






48. Glomerulonephritis: take vs q 4 hrs + daily weights






49. 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






50. Place in prone position