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






2. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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






4. (post - operative ulcer/stomach surgeries) --> eat in reclining position - lie down after meals for 20-30 minutes (also restrict fluids during meals - low CHO and fiber diet - small frequent meals)






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






6. HYPERtension TACHYpnea and TACHYcardia






7. Rhematic fever






8. Skin to skin contact on mom with a blanket






9. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






10. Stranger anxiety is greatest 7 - 9 months - Separation anxiety peaks in toddlerhood






11. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






12. Low residue diet means low fiver






13. 1 gr (grain)= 60 mg






14. Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (






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






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






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






18. Butterfly rashes






19. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






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






21. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






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






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






24. Normal PCWP (pulm capillary wedge pressure) is 8-13. Readings of 18-20 are considered high.






25. 30 ml = 1 oz






26. 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






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






28. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






29. A patient with liver cirrhosis and edema may ambulate - then sit with legs elevated to try to mobilize the edema.






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






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






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






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






34. 2.2






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






36. Allergic to eggs (Tristan D. ) !






37. CSF in meningitis will have high protein - and low glucose.






38. For a lung biopsy - position pt lying on side of bed or with arms raised up on pillows over bedside table - have pt hold breath in midexpiration - chest x- ray done immediately afterwards to check for complication of pneumothorax - sterile dressing a






39. Risus sardonicus is a highly characteristic - abnormal - sustained spasm of the facial muscles that appears to produce grinning --- From Tetany! Sad and scary looking! Never Google image it again - Megan! Nightmares!






40. N/v - confusion - abdominal pain - extreme weakness - hypoglycemia - dehydration - decreased BP






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






42. Tet spells treated with morphine.






43. Expiratory grunt -- Causes Infant respiratory distress!






44. McBurney's Point - pain in RLQ indicative of appendicitis -- RLQ - appendicitis - watch for peritonitis

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






46. Position on the RIGHT side with legs flexed






47. Lymes is found mostly in Conneticuts






48. Mothers receive rhogam to protect next baby.






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






50. Flapping tremors