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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. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






2. 7 - 10ml / kg






3. Low or semi - Fowler's - support head - neck and shoulders.






4. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






5. 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.






6. CSF in meningitis will have high protein - and low glucose.






7. (incision at nape of neck)--> position pt flat and lateral on either side.






8. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






9. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






10. 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






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






12. Patent ductuous arteriousus in infants! Valve doesn't close!






13. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






14. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






15. Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.






16. 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






17. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






18. Cephalhematoma (caput succinidanium) resolves on its own in a few days. This is the type of edema that crosses the suture lines.






19. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






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






21. Liver - brain - lung - bone - and lymph






22. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






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






24. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






25. Confirms multiple myeloma






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






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






28. 30 ml = 1 oz






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






30. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






31. Olive like mass






32. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






33. Swimming






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






35. Private Room or cohort mask






36. Developmental 2-3 months: turns head side to side 4-5 months: grasps - switch & roll 6-7 months: sit at 6 and waves bye - bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up - drink






37. 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.






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






39. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






40. Charcot's Triad (IAN)






41. CVA (cerebrovascular accident) is with dead brain tissue.






42. Rusty sputum






43. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






44. 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.






45. Mothers receive rhogam to protect next baby.






46. 1 cup= 8 oz






47. 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






48. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






49. Systemic Lupus Ethramoutus.... (Lupus)






50. We know Kawasaki disease causes a heart problem - but what specifically Coronary artery aneurysms d/t the inflammation of blood vessels.