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






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






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






4. Don't sleep on operated side - don't flex hip more than 45- 60 degrees - don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.






5. Upper part of the uterus






6. Dystocia= baby cannot make it down to canal






7. Skin to skin contact on mom with a blanket






8. *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating - not at night - and doesn't go away with food






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






10. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)






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






12. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.






13. Hemovac - used after mastectomy - empty when full or q8hr - remove plug - empty contents - place on flat surface - cleanse opening and plug with alcohol sponge - compress evacuator completely to remove air - release plug - check system for operation.






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






15. COPD patients REMEMBER: 2LNC or less (hypoxic Not hypercapnic drive) - Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. ...






16. 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






17. 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.






18. HOLD High alarm - Obstruction due to incr. secretions - kink - pt. coughs - gag or bites Low press alarm - Disconnection or leak in ventilatior or in pt. airway cuff - pt. stops spontaneous breathing






19. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.






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






21. Pulmonary sarcoidosis leads to right sided heart failure..Sarcidosis is basically scar tissue build up






22. (S&S: pounding headache - profuse sweating - nasal congestion - goose flesh - bradycardia - hypertension) --> place client in sitting position (elevate HOB) first before any other implementation.






23. Pathological jaundice= occurs before 24hrs and last7 days. Physiological jaundice occurs after 24 hours.






24. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






25. Prolonged hypoxemia is a likely cause of cardiac arrest in a child.






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






27. Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan)






28. With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap - and keep eye on temp. Kid can lose heat quickly.






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






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






31. Pilling rolling tremors






32. 1 cup= 8 oz






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






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

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






36. Increased temp - pulse and HTN






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






38. Purple bruises around the belly button... Pancreatitis!






39. * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. Usually in mouth.

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40. Cardiac cath - npo 8-12hr - empty bladder - pulses - tell pt may feel heat palpitations or desire to cough with dye injection. Post - Vital signs keep leg straight bedrest 6-8hr.






41. Vertigo - Tinnitus

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






43. A laxative is given the night before an IVP in order to better visualize the organs.






44. 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 -






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






46. E (and also oil - based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF)






47. 7 - 10ml / kg






48. Depression often manifests itself in somatic ways - such as psychomotor retardation - gi complaints - and pain.






49. Position pt in left side - lying (Sim's) with knee flexed






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

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