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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. For Meningitis check for Kernig's/ Brudzinski's signs.






2. Poor muscle control due to birth injuries and/or decrease oxygen to brain tissues






3. 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.






4. With R side cardiac cath=look for valve problems with L side in adults look for coronary complications






5. Tet spells treated with morphine.






6. OIt's ok to have abdominal craps - blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Cloudy outflow NEVER NORMAL.






7. Trachea shifts to the opposite side






8. It is X- linked. Mother passes the disease to her son






9. Always check lead posioning levels






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






11. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






12. Myelogram - Npo 4-6hr - allergy hx - phenothiazines - cns depressants - and stimulants withheld 48hr prior - table will be moved to various postions during test. Post - neuro-4 - water soluble HOB up - oil soluble HOB down - oral analgesics for h/a -






13. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area






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






15. CATS - convulsions - arrhythmias - tetany - spasms and stridor






16. Hallmark= Sore throat - cervical lymph adenopathy - fever






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






18. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






19. A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. The p24 can be used at any age.






20. MRI- claustrophobia - no metal - assess pacemaker






21. 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.






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






23. Seizure>






24. 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.






25. Bananas - potatoes - citrus fruits






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. Toes curl= GREAT Toes fan = BAD






28. After endoscopy check gag reflex.






29. A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding - such as dark stools.






30. Cat's eye reflex (grayish discoloration of the pupil)






31. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster






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






33. Injuries are significant and require medical care - but can wait hrs without threat to life or limb. Ex: Stable abd wounds without evidence of hemorrhage - fx requiring open reduction - debridement - external fixation - most eye and CNS injuries - et






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






35. Vertigo - Tinnitus

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36. (incision behind hairline) --> elevate HOB 30-45 degrees






37. 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






38. EleVate Veins; dAngle Arteries for better perfusion






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

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






41. Small frequent is better than large






42. Have trouble remembering fhr patterns in OB Think VEAL CHOP V C E H A O L P V = variable decels; C = cord compression caused E = early decels; H = head compression caused A = accels; O = okay - not a problem! L = late decels = placental insufficienc






43. Weight






44. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






45. Ascending muscle paralysis.. dont confuse with MG






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






47. Handle any blood






48. One pound equals 16 0z






49. A guy loses his house in a fire. Priority is using community resources to find shelter - before assisting with feelings about the tremendous loss. (Maslow).






50. Painless - progressive englargement of spleen and lymph tissues - and Reedstenberg cells!







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