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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. Second voided urine most accurate when testing for ketones and glucose.






2. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.






3. Dystocia= baby cannot make it down to canal






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






5. For knee replacement use continuous passive motion machine.






6. Visual floaters - flashes of light - curtain vision






7. Kopliks spots






8. Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues).






9. Cultures






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






11. Knee immobility






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






13. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






14. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






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






16. 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






17. Just know the MMR and Varicella immunizations come later (15 months).






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






19. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






20. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






21. For HIV kids avoid OPV and Varicella vaccinations (live) - but give Pneumococcal and influenza. MMR is avoided only if the kid is severely immunocompromised. Parents should wear gloves for care - not kiss kids on the mouth - and not share eating uten






22. No meat and milk together






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






24. 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






25. 30 ml = 1 oz






26. (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.






27. Absence of menstruation leads to osteoporosis in the anorexic.






28. Hypotension and bradypnea / bradycardia are major risks and emergencies.






29. Ascending muscle paralysis.. dont confuse with MG






30. Alzheimer's disease is a chronic - progressive - degenerative cognitive disorder that accounts for more than 60% of all dementias






31. Orange tag in triage is non emergent Psych






32. Children <3yoa - <35 lbs with femur fx

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






34. Glucose






35. Paracentesis - semi fowlers or upright on edge of bed - empty bladder. Post - v.s. - report elevated temp - observe for signs of hypovolemia.






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






37. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






38. COPD is chronic - pneumonia is acute. Emphysema and bronchitis are both COPD. in COPD patients the baroreceptors that detect the CO2 level are destroyed. Therefore - O2 level must be low because high O2 concentration blows the patient's stimulus for






39. The biggest concern with cold stress and the newborn is respiratory distress.






40. Vesicular rash (central to distal) dew drop on rose petal






41. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






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






43. Tet spells treated with morphine.






44. 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)






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






46. Swimming






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






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






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






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