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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. Intercostal retractions=bad!






2. Tremors - tetany - seizures - dyrshythmias - depression - confusion - dysphagia; dig toxicity






3. 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






4. Placenta previa = there is no pain - there is bleeding. Placenta abruption = pain - but no bleeding.






5. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






6. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






7. * 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.






8. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






9. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






10. No nasotracheal suctioning with head injury or skull fracture.






11. 1 gr (grain)= 60 mg






12. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






13. 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






14. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






15. 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)






16. 30 ml = 1 oz






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






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






19. LLQ - diverticulitis - low residue - no seeds - nuts - peas






20. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






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






22. Stomas dusky stoma means poor blood supply - protruding means prolapsed - sharp pain + rigidity means peritonitis - mucus in ileal conduit is expected.






23. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






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


25. Side lying






26. Behavior motivated by need to avoid anxiety and satisfy needs 1. Infancy 0-18 months others will satisy needs 2. childhood >6yrs learn to delay need gratification 3. juvenile 6-9 years learn to relate to peers 4. preadolescence 9-12 yrs learns to rel






27. Inspiratory stridor.. LTB = croup!!!!






28. 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






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






30. 1 quart = 2 pints






31. 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


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






33. Petechiae or + Herman's sign






34. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






35. Bronze like skin pigmentation






36. (incision behind hairline) --> elevate HOB 30-45 degrees






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






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






39. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






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






41. B/c of low platelets






42. Did you know there is an association between low - set ears and renal anomalies Now you know What to look for if down's isn't there to choose. (just to expand on it a little - the kidneys and ears develop around the same time in utero. Hence - they'r






43. Knee immobility






44. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






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






46. Muscle ewakness - dysrhythmias - increase K (raisins - bananas - apricots - oranges - beans - potatoes - carrots - celery)






47. Diaphragm must stay in place 6 hours after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight.






48. (severe acute resp syndrome) airborne + contact (just like varicella)






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






50. Bossing Sign (prominent forehead)