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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. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






2. 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


3. No live vaccines - no fresh fruits - no flowers should be used for neutropenic patients.






4. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






5. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






6. Glaucoma patients lose peripheral vision. Treated with meds






7. Systematic desensitization






8. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






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






10. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






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






12. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






13. Cat's eye reflex (grayish discoloration of the pupil)






14. ICP (intracranial pressure) should be <2. measure head circonference.






15. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






16. Accelerated physical and mental function; sensitivity to heat - fine/soft hair






17. Another c section with any more kids






18. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






19. 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






20. Rice watery stool






21. Fatigue - muscle weakness - renal calculi - back and joint pain (increased calcium) - low Ca - high phosphorus diet






22. 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.






23. Position on the RIGHT side with legs flexed






24. Expiratory grunt -- Causes Infant respiratory distress!






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






26. 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






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






28. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






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






31. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






32. BSA is considered the most accurate method for medication dosing with kids. (I though it was weight - but apparently not)






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






34. Increased temp - pulse and HTN






35. Co2 causes vasoconstriction.






36. Has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest - it leaves a mineral deposit - known as ash - which can b






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






38. Handle any blood






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






40. B/c of low platelets






41. * 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.






42. 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






43. When drawing an ABG - you need to put the blood in a heparinized tube - make sure there are no bubbles - put on ice immediately after drawing - with a lable indicating if the pt was on room air or






44. 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)






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






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






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






48. Inspiratory stridor.. LTB = croup!!!!






49. Wheezing on EXPIRATION






50. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.