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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. Coughing w/o other s/s is suggestive of asthma. Speaking of asthma - watch out if your wheezer stops wheezing. It could mean he is worsening.






2. Milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term.






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






4. Pumonary tuberculosis






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






6. Nilosky's sign (seperation of epidermis caused by rubbibng of the skin)






7. Orange tag in triage is non emergent Psych






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






9. Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it - and it will cause spasms of the wrist






10. Area of detachment should be in the dependent position -- dependent meaning supported by something






11. School - age kids (5 and up) are old enough - and should have an explanation of what will happen a week before surgery such as tonsillectomy.






12. 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.






13. It is essential to maintain nasal patency with children < 1 yr. because they are obligatory nasal breathers.






14. Handle any blood






15. Heart defects. Remember for cyanotic -3T's( Tof - Truncys arteriosus - Transposition of the great vessels). Prevent blood from going to heart. If problem does not fix or cannot be corrected surgically - CHF will occur following by death. 94. with R s






16. Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. Corticosteroids are the mainstay. Generalized edema common.






17. A LATE sign! Always~!






18. Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis.






19. Addison's disease (need to 'add' hormone) Cushing's syndrome (have extra 'cushion' of hormones)






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






21. OHyper reflexes (upper motor neuron issue 'your reflexes are over the top') oAbsent reflexes (lower motor neuron issue)






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






23. After a hydrocele repair provide ice bags and scrotal support.






24. Pulse area cpr on infant






25. - 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






26. Remember compartment syndrome is an emergency situation. Paresthesias and increased pain are classic symptoms. Neuromuscular damage is irreversible 4-6 hours after onset.






27. Bethamethasone (celestone)=surfactant. Med for lung expansion.






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






29. If you gave a toddler a choice about taking medicine and he says no - you should leave the room and come back in five minutes - because to a toddler it is another episode. Next time - don't ask.






30. Hepatitis Hepatitis: - ends in a VOWEL - comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B






31. Four side - rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk - keep lower rails down - and one side of bed against the wall - lowest position - wheels locked.






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






33. Low residue diet means low fiver






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






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






36. Droplet Precautions:sepsis - scarlet fever - streptococcal pharyngitis - parovirus B19 - pnuemonia - pertusis - influenza - diptheria - epiglottis - rubella - mumps - meningitis - mycoplasma and adenovirus. Door open - 3 ft distance - private room or






37. Chemo - radiation - surgery - allow to die with dignity.






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






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






40. Caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. Swelling reabsorbs within 1 to 3 days.






41. DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or men






42. Place the apparatus first then place the weight (der)






43. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg






44. Chest tubes are placed in the pleural space.






45. Machine like murmur






46. Chvostek and Trosseaus sign! Also hypomag!






47. 1 gram = 1000 mg






48. **If kid has cold - can still give immunizations






49. HyperNa - hypoK - hyperglycemia - prone to infection - muscle wasting - weakness - edema - HTN - hirsutism - moonface/buffalo hump






50. 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. ...