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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. Skeletal or skin






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






3. ** IVP requires bowel prep so they can visualize the bladder better






4. ORhogam : given at 28 weeks - 72 hours post partum - IM. Only given to Rh NEGATIVE mother.






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






6. 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






7. Med administration is rarely a good choice






8. Barrets Esophagus (erosion of the lower portion of the esophageal mucosa)






9. Chipmunk face






10. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






11. No meat and milk together






12. Angina (low oxygen to heart tissues) = no dead heart tissues. MI= dead heart tissue present.






13. 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.






14. A. Charcot's triad for multiple sclerosis 1. Nystagmus 2. Intention tremor 3. Scanning or staccato speech






15. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






16. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves






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






18. 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






19. Bananas - potatoes - citrus fruits






20. 1 cup= 8 oz






21. EEG - hold meds for 24-48 hrs prior - no caffine or cigarettes for 24 hrs prior - pt can eat - pt must stay awake night before exam - pt may be asked to hyperventilate and watch a bright flashing light - after EEG - assess pt for seizures - pt's will






22. Bossing Sign (prominent forehead)






23. Lymes is found mostly in Conneticuts






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






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






26. 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






27. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






28. Rebound tenderness






29. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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30. Risus Sardonicus






31. Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness.






32. I kept forgetting which was dangerous when you're pregnant; regular measles (rubeola) - or German measles (rubella) - so remember: - never get pregnant with a German (rubella)






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

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34. High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). Carbon dioxide narcosis causes increased intracranial pressure.






35. 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






36. Autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus - patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder.






37. (increased ADH): change in LOC - decreased deep tendon reflexes - tachycardia - n/v/a - HA; administer Declomycin - diuretics






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






39. The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. Later you may be able to palpate a mass - the baby will seem hungry often - and may spit up after feedings.






40. Red - Immediate: Injuries are life threatening but survivable with minimal intervention. Ex: hemothrax - tension pneumothorax - unstable chest and abdominal wounds - INCOMPLETE amputations - OPEN fx's of long bones - and 2nd/3rd degree burn with 15%-






41. Seizure>






42. Vertigo - Tinnitus

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43. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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44. 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






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






46. Irritable - and poor sucking






47. 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.






48. If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord.






49. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






50. Dystocia= baby cannot make it down to canal