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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. NMS is like S&M;-you get hot (hyperpyrexia)- stiff (increased muscle tone)- sweaty (diaphoresis)- BP - pulse - and respirations go up &-you start to drool






2. Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. Fats leave ketones (acids) that cause pH to decrease. 71. DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.






3. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn






4. Osession is to thought. Compulsion is to action






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






6. 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






7. An occulsive dressing is used






8. Pumonary tuberculosis






9. Sausage shaped mass - Dance sign (empty portion of RLQ)






10. Cross reaction - People who have a latex allergy may be allergic to some foods - as well. This is called a cross reaction. When this happens - your body responds with the same allergic symptoms that you would have if you were exposed to latex. Cross






11. Allergic to eggs (Tristan D. ) !






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






13. Handle any blood






14. Just means a difficult or abnormal delivery or birth... example.. shoulder dystocia






15. If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. If the situation persists - then take it higher.






16. Coarse facial features






17. For knee replacement use continuous passive motion machine.






18. Level of consciousness is the most important assessment parameter with status epilepticus.






19. Remember the phrase 'step up' when picturing a person going up stairs with crutches. The good leg goes up first - followed by the crutches and the bad leg. The opposite happens going down. The crutches go first - followed by the good leg.






20. 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.






21. Hyper natremia (greater than 145) SALT! Skin flushed - Agitation - Low grade fever - Thirst






22. Opposites! Nursing connection! Think about it!






23. Guthrie Test - Tests for PKU - baby should have eaten source of protein first






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






25. On bedrest while implant in place






26. One pound equals 16 0z






27. Battles Sign and Racoon's eyes






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






29. Always check lead posioning levels






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






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






32. (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.






33. Thank you - I finally realize why a person shouldn't have cantaloupe before a occult stool test - because cantaloupe is high in vit c and vit c causes a false + for occult blood. Now I just need to figure out why they can't have fish.






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






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






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






37. Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!!






38. Systematic desensitization






39. You will ask every new admission if he has an advance directive - and if not you will explain it - and he will have the option to sign or not.






40. Vastus lateralis is IM administration site for 6month infants 






41. 1 t (teaspoon)= 5 ml






42. Pulse area cpr on infant






43. For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated)






44. Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's) Labs supporting this would show increased hematocrit - hemoglobin - and rbc count.






45. Right sided heart failure caused by left ventricular failure (so pick edema - jvd - if it is a choice.)






46. Systemic Lupus Ethramoutus.... (Lupus)






47. 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)






48. Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure






49. Acid Ash diet - cheese - corn - cranberries - plums - prunes - meat - poultry - pastry - bread






50. Kussmauls breathing (deep rapid RR)






Can you answer 50 questions in 15 minutes?



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