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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. Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation.






2. Osession is to thought. Compulsion is to action






3. 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






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






5. Knee immobility






6. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






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






8. 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






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






10. Bananas - potatoes - citrus fruits






11. Fat Embolism: Blood tinged sputum (r/t inflammation) - inc ESR - respiratory alkalosis (not acidosis r/t tachypnea) - hypocalcemia - increased serum lipids - 'snow storm' effect on CXR.






12. Painless hematuria... CA=Cancer ! Duhh






13. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






14. Portal hypotension + albuminemia= Ascites.






15. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






16. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.






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






18. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






19. Handle any blood






20. Yogurt has live cultures - dont give to immunosuppressed pt

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






22. Alk Ash diet - milk - veggies - rhubarb - salmon






23. 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






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






25. No meat and milk together






26. 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






27. Side lying






28. (severe acute resp syndrome) airborne + contact (just like varicella)






29. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






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






31. Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo - low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (fro






32. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






33. Pt will sleep on unaffected side with a night shield for 1-4 weeks.






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






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






36. Depresses the CNS - hypotension - facial flushing - muscle ewakness - absent deep tendon reflexes - shallow respirations - emergency






37. MURDER - muscle weakness - urine (oliguria/anuria) - respiratory depression - decreased cardiac contractility - ECG changes - reflexes






38. Recurrent bloody diarrhea






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






40. The biggest concern with cold stress and the newborn is respiratory distress.






41. Trachea shifts to the opposite side






42. Chvostek and Trosseaus sign! Also hypomag!






43. Descending muscle weakness






44. Machine like murmur






45. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






46. Incrased temp - rapid/weak pulse - increase respiration - hypotension - anxiety - urine specific gravity >1.030






47. Questions about a halo Remember safety first - have a screwdriver nearby.






48. It is an amino acid that is BAD for people with PKU. It is found in food only and is also found in aspartame






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






50. Burning on urination