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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. 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






2. Low magnesium and high creatinine signal renal failure.






3. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






4. Patent ductuous arteriousus in infants! Valve doesn't close!






5. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






6. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






7. Stepladder like fever with chills






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






9. 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






10. (skin traction) --> elevate foot of bed for counter - traction

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11. A LATE sign! Always~!






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






13. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






14. (decreased ADH): excessive urine output and thirst - dehydration - weakness - administer Pitressin






15. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






16. Peptic ulcer






17. 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






18. 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.






19. Rebound tenderness






20. Managing stress in a patient with adrenal insufficiency (Addison's) is paramount - because if the adrenal glands are stressed further it could result in Addisonian crisis. While we're on Addison's - remember blood pressure is the most important asses






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






22. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






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






24. On bedrest while implant in place






25. Bossing Sign (prominent forehead)






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






27. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






28. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






29. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






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






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






32. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






33. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






34. My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB






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

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36. * Pancreatitis patients but them in fetal position - NPO - gut rest - prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids






37. If HR is <100 do not give dig to children.






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






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






40. Charcot's Triad (IAN)






41. Allergic to eggs (Tristan D. ) !






42. 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.






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






44. Shilling Test - test for pernicious anemia/ how well one absorbs Vit b12






45. Strawberry tongue






46. Uremic fetor --> smell urine on the breath






47. Nausea - muscle cramps - increased ICP - muscular twitching - convulsion; osmotic diuretics - fluids






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






49. Used in plus sized women or risky or emergency c sections. less chance of harm for the baby






50. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.







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