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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. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






2. Descending muscle weakness






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






4. Mothers receive rhogam to protect next baby.






5. 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: 'Mom will be back after supper').






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






7. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






8. Position on the RIGHT side with legs flexed






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






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






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






12. Lymes is found mostly in Conneticuts






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






14. Hodgkin's disease= cancer of lymph is very curable in early stage.






15. ** Ask for anaphylactic rxn to eggs or neomycin before MMR






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






17. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






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






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






20. 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%






21. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






22. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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






24. Side lying






25. Murphy's sign - pain with palpation of gall bladder area seen with cholecystitis

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26. For knee replacement use continuous passive motion machine.






27. Recurrent bloody diarrhea






28. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






29. Tetralogy of fallot; remember HOPS Think DROP(child drops to floor or squats) or POSH Defect - septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis






30. After endoscopy check gag reflex.






31. Systematic desensitization






32. Small frequent is better than large






33. Bossing Sign (prominent forehead)






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






35. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






36. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






37. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






38. EleVate Veins; dAngle Arteries for better perfusion






39. Irritable - and poor sucking






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






41. A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias).






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






43. 1 quart = 2 pints






44. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






45. 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






46. On bedrest while implant in place






47. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






48. Insomnia is a side effect of thyroid hormones. Saunders confirms it. Makes sense though!Increased met. rate - your body is 'too busy to sleep' as opposed to the folks with hypothyroidism who may report somnolence (dec. met rate - body is slow and sle






49. Seizure>






50. Complications of Mechanical Ventilation: Pneumothorax - Ulcers