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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. Broncospasm (anaphylaxis)






2. On bedrest while implant in place






3. - Munchausen Syndrome is a psychiatric disorder that causes an individual to self - inflict injury or illness or to fabricate symptoms of physical or mental illness - in order to receive medical care or hospitalization. In a variation of the disorder






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






5. 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






6. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5






7. 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.






8. (CBI) --> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.






9. ** Hepatitis A is contact precautions Tetanus - Hepatitis B - HIV are STAndARD precautions






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






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






12. Hypotension and bradypnea / bradycardia are major risks and emergencies.






13. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






14. EleVate Veins; dAngle Arteries for better perfusion






15. 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






16. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.


17. Turner's sign - flank grayish blue (turn around to see your flanks) pancreatitis


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






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






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






21. Coarctation of the aorta causes increased blood flow and bounding pulses in the arms






22. Before going for Pulmonary Fuction Tests (PFT's) - a pt's bronchodilators will be with - held and they are not allowed to smoke for 4 hrs prior






23. 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






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






25. Brain problems occur






26. Psuedo membrane formation






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






28. A






29. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.






30. If patients have hallucinations redirect them. In delusions distract them.






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






32. Protruding tongue






33. Hypersecretion of epi/norepi - persistent HTN - increased HR - hyperglycemia - diaphoresis - tremor - pounding HA; avoid stress - frequent bating and rest breaks - avoid cold and stimulating foods - surgery to remove tumor






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






35. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate






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






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






38. Lie flat with legs elevated






39. Low residue diet means low fiver






40. Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds - and then HOLD for 10 seconds






41. 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.






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






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






44. Hyperactive deep tendon reflexes - vision changes - fatigue and spasticity are all symptoms of MS






45. 3 -4 -6






46. 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.






47. What traction is used in a school - age kid with a femur or tibial fracture with extensive skin damage Ninety - ninety. The name refers to the angles of the joints. A pin is placed in the distal part of the broken bone - and the lower extremity is in






48. Cushings ulcers r/t Brain injury - Cushings triad r/t ICP in Brain (htn - bradycard - irr. resp)






49. Thyroid storm is HOT (hyperthermia) - Myxedema coma is COLD (hypothermia)






50. Chest tubes are placed in the pleural space.