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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. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)






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






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






4. Irritable - and poor sucking






5. Chipmunk face






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






7. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






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






9. 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






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






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






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






13. Unusual positional tip - Low - fowlers recommended during meals to prevent dumping syndrome. Limit fluids while eating.






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






15. Increased temp - weakness - disorientation/delusions - hypotension - tachycardia; hypotonic solution






16. In emphysema the stimulus to breathe is low PO2 - not increased PCO2 like the rest of us - so don't slam them with oxygen. Encourage pursed - lip breathing which promotes CO2 elimination - encourage up to 3000mL/day fluids - high - fowlers and leanin






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






18. 2.2






19. Wilm's tumor is usually encapsulated above the kidneys causing flank pain.






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






21. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






22. 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






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






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






25. Red beefy tongue






26. Cerebral angio prep - well hydrated - lie flat - sire shaved - pulses marked post - keep flat 12-14hr - check site - pulses - force fluids.






27. For cord compression - place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord. (If her head is down - the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed -






28. No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme






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






30. Also if indirect Coomb's test is positive - don't need to give Rhogam cuz she has antibody only give if negative coombs

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






32. 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






33. Preload affects amount of blood that goes to the R ventricle. Afterload is the resistance the blood has to overcome when leaving the heart.






34. OAmniotic fluid yellow with particles = meconium stained`






35. A positive ppd confirms infection - not just exposure. A sputum test will confirm active disease.






36. Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. Therefore - if airway and breathing are accounted for - a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability - or ne






37. Vesicular rash (central to distal) dew drop on rose petal






38. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






39. Butterfly rashes






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






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






42. 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






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

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






45. (late decels - decreased variability - fetal bradycardia - etc) --> turn on left side (and give O2 - stop Pitocin - increase IV fluids)






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






47. (S&S: chest pain - difficulty breathing - tachycardia - pale/cyanotic - sense of impending doom) --> turn pt to left side and lower the head of the bed.






48. Another c section with any more kids






49. Trachea shifts to the opposite side






50. One of the physically demonstrable symptoms of meningitis is Kernig's sign. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.