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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. Myasthenia Gravis: worsens with exercise and improves with rest. Myasthenia Crisis: a positive reaction to Tensilon -- will improve symptoms Cholinergic Crisis: caused by excessive medication - stop med - giving Tensilon will make it worse






2. 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.






3. AFTER the procedure - the client should be placed in the supine position for 4 to 12 hrs as prescribed. (Saunders 3rd ed p. 229)






4. The MMR vaccine is given SQ not IM.






5. 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.






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






7. After g - tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings.






8. Hodgkin's disease= cancer of lymph is very curable in early stage.






9. Wheezing on EXPIRATION






10. If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). TB is a public health risk.






11. Uremic fetor --> smell urine on the breath






12. Swimming






13. Never release traction unless you have an order from an MD to do so






14. While treating DKA - bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. Polyuria is common with the hypercalcemia caused by hyperparathyroidism.






15. Sengstaken blakemore tube used for tx of esophageal varices - keep scissors at bedside.






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






17. Mothers receive rhogam to protect next baby.






18. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid






19. Butterfly rashes






20. Handle any blood






21. Spider like varices - Varices can be in stomach - esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin






22. Ottorhea






23. Gonorrhea is a reportable disease






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






25. EEG- no sleep the night before - meals not withheld - no stimulants for 24hr before - tranquilizer/stimulant meds held 24-48hr before - may be asked to hyperventilate 3-4min and watch a bright flashing light.






26. Orange tag in triage is non emergent Psych






27. Kopliks spots






28. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR






29. Bounding pulse - SOB - dyspnea - rares/crackles - peripheral edema - HTN - urine specific gravity <1.010; Semi - Fowler's






30. Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. Cardinal sign in infants is failure to pass meconium - and later the classic ribbon - like and foul smelling stools.






31. Complications of Mechanical Ventilation: Pneumothorax - Ulcers






32. Petechiae. Treated with heparin.






33. An NG tube can be irrigated with cola - and should be taught to family when a client is going home with an NG tube.






34. Position on the RIGHT side with legs flexed






35. Hydration is a big priority!






36. For blood types: 'O' is the universal donor (remember 'o' in donor) 'AB' is the universal receipient






37. ICP (intracranial pressure) should be <2. measure head circonference.






38. In a five -year old breathe once for every 5 compressions doing cpr.






39. 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






40. CONTACT PRECAUTION MRS.WEEM - multidrug resistant organism R - respiratory infection S - skin infections W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis






41. Psuedo membrane formation






42. 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.






43. 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






44. 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






45. Increased temp - pulse and HTN






46. 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






47. First sign of cystic fibrosis may be meconium ileus at birth. Baby is inconsolable - do not eat - not passing meconium.






48. Intussusception common in kids with CF. Obstruction may cause fecal emesis - currant jellylike stools (blood and mucus). A barium enema may be used to hydrostatically reduce the telescoping. Resolution is obvious - with onset of bowel movements.






49. Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1%






50. 1 gram = 1000 mg