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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. Most spinal cord injuries are at the cervical or lumbar regions






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






3. Visual floaters - flashes of light - curtain vision






4. A laxative is given the night before an IVP in order to better visualize the organs.






5. Amniotic fluid is alkaline - and turns nitrazine paper blue. Urine and normal vaginal discharge are acidic - and turn it pink.






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






7. Osteomyletitis is an infectious bone dz. Give blood cultures and antibiotics - then if necessary surgery to drain abscess.






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






9. 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






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






11. Normal in CHF from the squishin'.. Not normal in an MI patient






12. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






14. Age 4 to 5 yrs child needs DPT/MMR/OPV






15. Bedrest with extremities elevated 20 degrees - knees straight - head slightly elevated (modified Trendelenburg)






16. Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability - which leads to reduced preload (volume in the left ventricle at the end of diastole). This is a toughie...think about






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






18. Pumonary tuberculosis






19. MRI- claustrophobia - no metal - assess pacemaker






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






21. Group - a strep precedes rheumatic fever. Chorea is part of this sickness (grimacing - sudden body movements - etc.) and it embarrasses kids. They have joint pain. Watch for elevated antistreptolysin O to be elevated. Penicillin!






22. 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






23. Private Room or cohort mask






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






25. 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






26. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






27. 1 gr (grain)= 60 mg






28. Its important to be aware of the lab result for prothrombin time






29. For a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside.






30. * 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.






31. Confirms multiple myeloma






32. Meningeal irritation S/s nuchal rigidity - positive Brudzinski + Kernig signs and PHOTOPHOBIA too!






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

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34. Cystic Fibrosis give diet low fat - high sodium - fat soluble vitamins ADEK. Aerosal bronchodilators - mucolytics and pancreatic enzymes.






35. Systematic desensitization






36. Place the apparatus first then place the weight (der)






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






38. Purple bruises around the belly button... Pancreatitis!






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






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






41. TIA (transient ischemic attack) mini stroke with no dead brain tissue






42. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






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






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






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






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






47. Rose spots on abdomen






48. Hirschsprung's --> bile is lower obstruction - no bile is upper obstruction; ribbon like stools.






49. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






50. Renal impairment: serum creatinine elevated and urine clearance decreased