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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 and Trosseaus sign! Also hypomag!






2. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






3. NEVER check the monitor or a machine as a first action. Always assess the patient first; for exmaple listen to the fetal heart tones with a stethoscope in - Sometimes it's hard to tell who to check on first - the mother or the baby; it's usually easy






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






5. No meat and milk together






6. A drop in presssure with increasing heart rate... Orthostatis= orthostatic hypotension






7. Vastus lateralis is IM administration site for 6month infants 






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






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






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






11. Skin to skin contact on mom with a blanket






12. Liver biopsy- Adm vit k - npo morning of exam 6hr - give sedative - Teach pt that he will be asked to hold breath for 5-10sec - supine postion - lateral with upper arms elevated. Post - postion on right side - frequent v.s. - report severe ab pain s






13. CATS - convulsions - arrhythmias - tetany - spasms - stridor (decreased calcium) - high Ca - low phosphorus diet






14. Definitive diagnosis for abd. aortic aneurysm (AAA) --> CT scan






15. Greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid 'evil eye' or envy of others






16. HYPERtension TACHYpnea and TACHYcardia






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






18. Place a wheelchair parallel to the bed on the side of weakness






19. After endoscopy check gag reflex.






20. With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. Dietary restrictions you can expect include fluids - protein - sodium - and potassium.






21. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






22. 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).






23. Fetal alcohol syndrome - upturned nose - flat nasal bridge - thin upper lip - SGA






24. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






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






26. With low back aches - bend knees to relieve






27. Multiple Sclerosis is a chronic - progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. Motor S/S: limb weakness - paralysis - slow speech Sensory S/S: numbness - tingling - tinnitus Ce






28. Portal hypotension + albuminemia= Ascites.






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






30. Bronze like skin pigmentation






31. For a lumbar puncture - pt is positioned in lateral recumbent fetal position - keep pt flat for 2-3 hrs afterwards - sterile dressing - frequent neuro assessments






32. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






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






34. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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35. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






36. Apgar measures HR - RR - Muscle tone - Reflexes - Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE.






37. 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






38. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






39. Trachea shifts to the opposite side






40. For Meningitis check for Kernig's/ Brudzinski's signs.






41. Sausage shaped mass - Dance sign (empty portion of RLQ)






42. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






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






44. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






45. Inspiratory stridor.. LTB = croup!!!!






46. Charcot's Triad (IAN)






47. CHRONIC pain






48. Cultures






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






50. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the