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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. Hermans sign= flushes and redness of skin with lighter color at the center of the rash.... It is a disease that comes from tropical and subtropical areas that are spread by misquotos






2. Chest tubes are placed in the pleural space.






3. Expiratory grunt -- Causes Infant respiratory distress!






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






5. Private Room - negative pressure with 6-12 air exchanges/hr Mask - N95 for TB






6. Nurses First action is to listen to fetal rate/tone






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






8. HypoNa - hyperK - hypoglycemia - dark pigmentation - decreased resistance to stress - fractures - alopecia - weight loss - GI distress






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

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






11. One pound equals 16 0z






12. Renal impairment: serum creatinine elevated and urine clearance decreased






13. 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






14. If you can remove the white patches from the mouth of a baby it is just formula. If you can't - its candidiasis.






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






16. 1 t (teaspoon)= 5 ml






17. Strawberry tongue






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






19. Butterfly rashes






20. Lioning face






21. Handle any blood






22. Systemic Lupus Ethramoutus.... (Lupus)






23. MRSA - Contact precaution ONLY - VRSA - Contact And airborne precaution (Private room - door closed - negative pressure)






24. Beta cells of pancreas produce insulin






25. Stepladder like fever with chills






26. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.






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






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






29. 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






30. No aspirin with kids b/c it is associated with Reye's Syndrome - and also no nsaids such as ibuprofen. Give Tylenol.






31. Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life.Start teaching boys testicular self exam around 12 - because most cases occur during adolescence.






32. Common Signs and Symptoms 01. PTB - low - grade afternoon fever.






33. SIGNS of a Fractured hip: EXTERNAL ROTATION - SHORTENING - ADDUCTION






34. From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis






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






36. Diptheria is an upper respiratory tract infection. It is characterized by sore throat - low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight... It just looks like a whiteish yellow capsule a






37. Dumping syndrome: increase fat and protein - small frequent meals - lie down after meal to decrease peristalsis - wait 1 hr after meals to drink.






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






39. A LATE sign! Always~!






40. Systematic desensitization






41. B/c of low platelets






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






43. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)






44. Gonorrhea is a reportable disease






45. 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.






46. Femur or lower leg instability






47. Pull pinna down and back for kids < 3 yrs. when instilling eardrops.






48. Hypotension and vasoconstricting meds






49. 7 - 10ml / kg






50. (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.