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






2. Other than initially to test tolerance - G- tube and J- tube feedings are usually given as continuous feedings.






3. Transesophageal Fistula (TEF) - esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis






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






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






6. Strawberry tongue






7. If your normally lucid patient starts seeing bugs you better check his respiratory status first. The first sign of hypoxia is restlessness - followed by agitation - and things go downhill from there all the way to delirium - hallucinations - and coma






8. 1 T(tablespoon)= 3 t = 15 ml






9. Ascending muscle paralysis.. dont confuse with MG






10. 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






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






12. *Meniere's Disease - Admin diuretics to decrease endolymph in the cochlea - restrict Na - lay onaffected ear when in bed. Triad: 1)Vertigo 2)Tinnitus 3)N/V

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13. Radioactive iodine - The key word here is flush. Flush substance out of body w/3-4 liters/day for 2 days - and flush the toilet twice after using for 2 days. Limit contact w/patient to 30 minutes/day. No pregnant visitors/nurses - and no kids.






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

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15. 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






16. After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus.






17. Elevate for first 24 hours on pillow - position prone daily to provide for hip extension.






18. Toes curl= GREAT Toes fan = BAD






19. Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3






20. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow






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






22. Cultures






23. Side lying






24. Trachea shifts to the opposite side






25. 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.






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






27. 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






28. Place in prone position






29. Normal in CHF from the squishin'.. Not normal in an MI patient






30. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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31. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.






32. Slowed physical and mental function - sensitivity to cold - dry skin and hair






33. Coarse facial features






34. Med administration is rarely a good choice






35. Tet spells treated with morphine.






36. Chest tubes are placed in the pleural space.






37. Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots






38. CATS - convulsions - arrhythmias - tetany - spasms and stridor






39. Speaking of TB... PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare.






40. Wheezing on EXPIRATION






41. Co2 causes vasoconstriction.






42. Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS - as to Localized Herpes Zoster is CONTACT PRECAUTIONS. A nurse with a localized herpes zoster CAN care for patients as long as the patients are Not immunosuppressed and the lesions must be covered!






43. If the baby is a posterior presentation - the sounds are heard at the sides. If the baby is anterior - the sounds are heard closer to midline - between teh umbilicus and where you would listen to a posterior presentation. If the baby is breech - the






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






45. Machine like murmur






46. One medication that cannot be administered by intraosseous infusion is isoproterenol - a beta agonist.

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






48. 1 pint= 2 cups






49. Hallmark= Sore throat - cervical lymph adenopathy - fever






50. 1st Degree - Red and Painful 2nd Degree - Blisters 3rd Degree - No Pain because of blocked and burned nerves







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