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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. Tylenol poisoning - liver failure possible for about 4 days. Close observation required during this time - frame - as well as tx with Mucomyst.






2. One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his n

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3. Birth weight doubles by 6 month and triple by 1 year of age.






4. 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






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






6. Slowed physical and mental function - sensitivity to cold - dry skin and hair






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






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






9. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






10. Another c section with any more kids






11. 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






12. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






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






14. Bananas - potatoes - citrus fruits






15. Trachea shifts to the opposite side






16. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






17. Bronze like skin pigmentation






18. Kussmauls breathing (deep rapid RR)






19. Area of detachment should be in the dependent position -- dependent meaning supported by something






20. Rose spots on abdomen






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






22. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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23. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






24. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






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






26. 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.






27. 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 -






28. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






29. After a hydrocele repair provide ice bags and scrotal support.






30. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






31. 1 T(tablespoon)= 3 t = 15 ml






32. 1 quart = 2 pints






33. Red beefy tongue






34. Order of assessment: Inspection - Palpation - Percussion and Ausculation. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect - Auscultate - Percuss then Palpate (same with kids - I suppose since you wanna go






35. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






36. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






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






38. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






39. Rhematic fever






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






41. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






42. PainLESS vision loss - opacity of lens - blurring of the vision






43. Mothers receive rhogam to protect next baby.






44. Glaucoma patients lose peripheral vision. Treated with meds






45. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






46. Psuedo membrane formation






47. 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






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






49. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






50. Lie flat with legs elevated