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






2. After pain relief - cough and deep breathe is important in pancreatitis - because of fluid pushing up in the diaphragm.






3. Lumbar puncture - fetal postion. post - nuero assess5-30 until stable - flat2-3hr - encourage fluids - oral anlgesics for headache - observe dressing






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






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






6. Age 4 to 5 yrs child needs DPT/MMR/OPV






7. Cullen's sign - ecchymosis in umbilical area - seen with pancreatitis






8. For knee replacement use continuous passive motion machine.






9. 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.






10. Position prone (on abdomen) so that sac does not rupture






11. Inspiratory stridor.. LTB = croup!!!!






12. 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






13. Psuedo membrane formation






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






15. Myasthenia gravis= decrease in receptor sites for acetylcholine. Since smallest concentration of ACTH receptors are in cranial nerves - expect fatigue and weakness in eye - mastication - pharyngeal muscles.






16. Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke - MI - s






17. Low or semi - Fowler's - support head - neck and shoulders.






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






19. LLQ - diverticulitis - low residue - no seeds - nuts - peas






20. (incision at nape of neck)--> position pt flat and lateral on either side.






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






22. Laparoscopy- CO2 used to enhances visual - general anesthesia - foley. Post - walk patient to decrease CO2 build up used for procedure.






23. HYPERTENSION - BRADYpnea - BRADYcardia (cushings triad)!






24. Elevate HOB 30 degrees to decrease intracranial pressure






25. Positioning with pneumonia - lay on the affected side to splint and reduce pain. But if you are trying to reduce congestion the sick lung goes up. (Ever had a stuffy nose - and you lay with the stuff side up and it clears)






26. Kids with RSV; no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot - tent - etc.






27. Petechiae. Treated with heparin.






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






29. Injuries are minor and tx can be delayed to hrs or days . Individuals in this group should be moved away from the main triage area. Ex: upper extremity fx - minor burns - sprains - sm. lacerations - behavior disorders.






30. Non dairy sources of calcium include RHUBARB - SARDINES - COLLARD GREENS






31. B/c of low platelets






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






33. Skin to skin contact on mom with a blanket






34. 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.






35. TIA (transient ischemic attack) mini stroke with no dead brain tissue






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


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






38. 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.






39. 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






40. Pneumonia - fever and chills are usually present. For the elderly confusion is often present.






41. 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%






42. 1 gr (grain)= 60 mg






43. One pound equals 16 0z






44. Kopliks spots






45. Staph infection that is resistant to Vancomycin treatement! Worse than MRSA






46. Position on back or in infant seat to prevent trauma to suture line. While feeding - hold in upright position.






47. Burning on urination






48. Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. (Milks good - right) Too much milk reduces intake of other essential nutrients - especially iron. Watch for anemia with milk - aholics. And don't let that mother p






49. Decorticate positioning in response to pain = Cortex involvement. Decerebrate in response to pain = Cerebellar - brain stem involvement






50. HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY - Nervous - BULDGING EYES - Up all night - heart beating fast